Summary table of actions
Chapter 2- DEVELOP A COMMUNITY-BASED PRIMARY HEALTHCARE SYSTEM: ACTION PLAN
2.1 DHCs
To setup 7 DHCs and 11 DHC Expresses
Action: Short
To set up 18 DHCs across the territory
Action: Medium - Long
To review the DHC service model
Action: Short - Medium - Long
2.1 Migration of PHC Services
To migrate public PHC services from DH
Action: Short - Medium
To migrate PHC services (e.g. patient empowerment, community support, etc.) from HA
Action: Short
To enhance collaboration between DHC and DECCs/NECs
Action: Short
2.2 “Chronic Disease Co-Care Scheme” (CDCC Scheme)
To review the Sham Shui Po DHC Pilot Programme for chronic disease management upon completion of pilot programme
Action: Short
Upon review of the Pilot Scheme, to gradually expand the CDCC Scheme to all HT and DM patients in Hong Kong
Action: Short - Medium - Long
To review the CDCC Scheme and explore possible expansion
Action: Short - Medium - Long
2.3 Review of-GOPCs’ positioning
To divert GOPCs’ non-target group patients with HT and/or DM to receive subsidised treatment provided by private sector via CDCC Scheme
Action: Short - Medium - Long
CHAPTER 3 - STRENGTHEN PRIMARY HEALTHCARE GOVERNANCE: ACTION PLAN
3.1 Primary Healthcare Commission
To expand PHO’s establishment by introducing regional governance structure
Action: Short
To expand PHO by leveraging on the existing manpower from DH and HA
Action: Short - Medium
To establish the Primary Healthcare Commission with new legislation to provide the mandate and statutory powers for the Primary Healthcare Commission to implement the standards on private PHC service providers
Action: Short - Medium
3.2 Primary Care Directory
To develop sub-directories for pharmacists and other health professionals in the Primary Care Directory (PCD)
Action: Short - Medium
To review the enrolment or maintenance requirement for the PCD
Action: Short
To require healthcare practitioners joining designated subsidised programmes to register in PCD
Action: Short
To establish the Primary Care Register (PCR), with the support of eHealth and legal backing by relevant ordinance
Action: Medium
3.2 Reference Frameworks in Primary Care Setting
To develop and expand the applicability of the Reference Framework (RFs) to various disease groups and to explore the involvement of CM in the RFs
Action: Short - Medium - Long
To establish the RFs, with the support of eHealth backed by the Primary Healthcare Commission as the standard of care protocol for PCR healthcare practitioners
Action: Medium
3.3 Primary-secondary referral mechanism
To devise the primary-secondary referral mechanism based on the existing referral system in the public health system
Action: Short - Medium - Long
To promulgate relevant referral mechanism for the CDCC Scheme
Action: Short
To implement the referral mechanism with the support of eHealth and backing by Primary Healthcare Commission in the public and private sectors
Action: Medium
Chapter 4 - CONSOLIDATE PRIMARY HEALTHCARE RESOURCES: Action Plan
4.1 CDCC Scheme
To conduct market research and programme design for the CDCC Scheme
Action: Short
To review the positioning and interfacing of the GOPC PPP and the CDCC Scheme in terms of pricing, drug list, subsidisable conditions and referral criteria, etc.
Action: Short
To transition the GOPC PPP to the CDCC Scheme
Action: Short - Medium
To conduct ongoing review and evaluation on the CDCC Scheme
Action: Short - Medium - Long
4.2 EHCV
To review the applicability of ECHVs for other PHC programmes besides DHC
Action: Short
To designate a certain amount of Elderly Health Care Voucher for preferred use related to PHC purposes and self-registered family doctors
Action: Short - Medium
4.3 Strategic Purchasing Office
To set up the Strategic Purchasing Office (SPO) by integrating the existing Health Care Voucher Division of DH and Service Transformation Department (PPP office) of HA
Action: Short
To oversee the development and implementation of PHC programmes under strategic purchasing
Action: Short
To conduct ongoing review and evaluation on the SPPs
Action: Medium - Long
To explore enhancing Chinese medicine PHC services by resource allocation through strategic purchasing
Action: Medium - Long
To set up the community drug formulary to support patients.
Action: Short - Medium - Long
4.4 Land resources
To set up a centalised inventory of healthcare facilities to identify and project supply-demand gap of land resources for PHC services
Action: Short
To explore room to consolidate and co-locate health service facilities especially those relating to PHC services
Action: Short - Medium
To devise a policy for land premium concession by non-profit making organisations delivering PHC services
Action: Short
To explore providing space for PHC facilities for the use of healthcare operators (including those to be operated by NGOs) under relevant policies
Action: Medium
Chapter 5 - REINFORCE PRIMARY HEALTHCARE MANPOWER: Action Plan
5.1 PHC manpower Supply
To increase UGC-funded and subsidised healthcare training places
Action: Short
To invite Boards and Councils to increase the weighting of primary healthcare in their accreditation and placement programme
Action: Medium
To attract qualified non-locally trained PHC professionals to practise in Hong Kong
Action: Short
To reflect and refine the PHC manpower projection for healthcare professionals
Action: Short - Medium - Long
5.2 PHC Training
To continue to work with different institutions to provide PHC-related training courses
Action: Short
To strengthen professional training for family doctors, nurses, allied health professionals and social workers in PHC setting
Action: Medium
To establish a structured rotation system to facilitate the training of PHC professionals in different training settings in a co-ordinated manner
Action: Medium - Long
5.3 CMPs
To strengthen the role of CM in PHC settings
Action: Short - Medium - Long
To look into opportunities for further synergies with a focus on chronic disease prevention and health management
Action: Short - Medium - Long
To devise training programme for CMPs on PHC
Action: Medium
5.4 Allied Health Professionals and Community Pharmacists
To amend relevant Ordinances to allow patients’ direct access to certain healthcare professional services (e.g. physiotherapy and occupational therapy) under specific circumstances, without a doctor’s referral
Action: Short
To support the development of community pharmacy in Hong Kong under the advice of the Working Group on Community Pharmacy
Action: Short
To designate community pharmacies to dispense drugs
Action: Short - Medium
To engage community pharmacies to support the CDCC Scheme
Action: Short - Medium
Chapter 6 - IMPROVE DATA CONNECTIVITY AND HEALTH SURVEILLANCE: Action Plan
6.1 eHealth
To extend mandatory use of the eHealth to all subsidised Government health programmes
Action: Short
To put in place incentive programmes that facilitate connectivity by private eHealth solution vendors
Action: Short
To integrate various standalone public health IT systems/modules under the eHealth platform
Action: Medium
To require private medical labs and radiology centres to join and upload lab images to the eHealth
Action: Medium
To transform the eHealth into an integrated system – “One eHealth”
Action: Long
To explore the wider use of eHealth as a platform for outside entities
Action: Long
To consider mandating the use of eHealth through amending the Electronic Health Record Sharing System Ordinance (Cap. 625)
Action: Medium
To continue to develop and enhance the one-stop CM clinical record system EC Connect
Action: Short
6.2 eHealth App
To enable the connectivity of eHRSS/eHealth App with other third-party electronic health apps or wearables
Action: Short
To facilitate tele-medicine and connection to other health technology for patients and health professionals
Action: Medium
6.3 Research and Data Analytics
To transform the existing Research Office into a dedicated Research and Data Analytics Office under HHB
Action: Short
To develop a population-based health dataset
Action: Short
To set up a mechanism including tools and indicators to measure outcomes as listed in the Blueprint
Action: Short
To review the next PHS
Action: Short - Medium
To monitor the progress and evaluate the impact of public health interventions including recommendations in this Blueprint
Action: Medium - Long
