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Development of a pilot project on integrated Chinese-Western medicine in Hong Kong Public Healthcare System
Abstracts / European Journal of Integrative Medicine 7S (2015) 1–53
Development of a pilot project on integrated Chinese-Western medicine in Hong Kong Public Healthcare System Eric Ziea, Henny Hui, Mia Li, Dora Tsui ∗ , Joyce Hsieh, Christine Lam, Kam Fung Chung, Edith Chan Hong Kong Hospital Authority, Chinese Medicine Department, 3/F, Block C, Hong Kong Buddhist Hospital, Lok Fu, Kowloon, Hong Kong E-mail address: [email protected] (D. Tsui). Introduction: While Western Medicine (WM) remains the mainstream of public healthcare in HK, Chinese Medicine (CM) is mainly provided in primary care by private CM Practitioners and clinics operated by Non-Governmental Organisations (NGOs). In order to promote integrated CM and WM treatment and to expand the role of CM in public sector, the Government set out policy to establish a CM hospital in 2013. Methods: To gather experiences on the interface model between CM and WM, Hospital Authority (HA) was tasked by the Government in 2014 to develop the Pilot Project on
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Integrated Chinese-Western Medicine (“ICWM”) Programmes on stroke care, acute low back pain care and cancer palliative for in-patients at seven Hospitals. Results: HA formulated the clinical and operational framework to guide the development of ICWM. Disease-based clinical protocols were developed by WM and CM practitioners to guide the decisions in diagnosis, management, and treatment to assure evidence-based and safe practice in ICWM care. An operational manual was compiled capturing guidelines with roles and responsibilities of all parties including financial management, nursing care, CM intervention delivery, quality and safety, complaint management as well as the handling of medical records. Conclusions: This pilot project is the very first attempt in HK public healthcare to introduce an integrated model of two different streams of medical practice for in-patients. HA conducted an internal interim review on the implementation for the first six-month period since the commencement of ICWM. An evaluation study on the Pilot project is also underway to ascertain that the objectives have been met. http://dx.doi.org/10.1016/j.eujim.2015.09.131
Development of a pilot project on integrated Chinese-Western medicine in Hong Kong Public Healthcare System Eric Ziea, Henny Hui, Mia Li, Dora Tsui ∗ , Joyce Hsieh, Christine Lam, Kam Fung Chung, Edith Chan Hong Kong Hospital Authority, Chinese Medicine Department, 3/F, Block C, Hong Kong Buddhist Hospital, Lok Fu, Kowloon, Hong Kong E-mail address: [email protected] (D. Tsui). Introduction: While Western Medicine (WM) remains the mainstream of public healthcare in HK, Chinese Medicine (CM) is mainly provided in primary care by private CM Practitioners and clinics operated by Non-Governmental Organisations (NGOs). In order to promote integrated CM and WM treatment and to expand the role of CM in public sector, the Government set out policy to establish a CM hospital in 2013. Methods: To gather experiences on the interface model between CM and WM, Hospital Authority (HA) was tasked by the Government in 2014 to develop the Pilot Project on
53
Integrated Chinese-Western Medicine (“ICWM”) Programmes on stroke care, acute low back pain care and cancer palliative for in-patients at seven Hospitals. Results: HA formulated the clinical and operational framework to guide the development of ICWM. Disease-based clinical protocols were developed by WM and CM practitioners to guide the decisions in diagnosis, management, and treatment to assure evidence-based and safe practice in ICWM care. An operational manual was compiled capturing guidelines with roles and responsibilities of all parties including financial management, nursing care, CM intervention delivery, quality and safety, complaint management as well as the handling of medical records. Conclusions: This pilot project is the very first attempt in HK public healthcare to introduce an integrated model of two different streams of medical practice for in-patients. HA conducted an internal interim review on the implementation for the first six-month period since the commencement of ICWM. An evaluation study on the Pilot project is also underway to ascertain that the objectives have been met. http://dx.doi.org/10.1016/j.eujim.2015.09.131