Due to the continued substantial financial support of the SAR Government, the public hospitals in Hong Kong are much cheaper than private medical institutions, but the waiting time is still outstanding. To alleviate this problem, the medical management department of Hong Kong implements a strict and detailed classification and treatment system in public medical institutions.
The reporter was recently hospitalized in a public hospital in Hong Kong for a minor operation. He returned to the hospital several times after he was discharged from the hospital and experienced a grading diagnosis and treatment system in Hong Kong.
The reporter went to a private hospital for treatment because of a long pustule. The doctor recommended surgery for more than 6,000 Hong Kong dollars. But he also gave another choice: "If you have a Hong Kong identity card, I can refer you to a public hospital, the cost is lower, but the waiting time may be longer."
The reporter took the referral letter issued by the doctor to the emergency room of a nearby public hospital. After registering the payment, he was taken to the diversion office. A seemingly experienced nurse simply asked about the condition and measured his temperature and blood pressure. Go to a note with the number on the waiting list and the word "Secondary".
During the waiting period, the reporter learned about the triage system of the Accident and Emergency Department of public hospitals in Hong Kong. The patients were divided into five categories according to the condition: critical, critical, urgent, emergency and non-emergency. They are responsible for the management of public medical services in Hong Kong. The Hospital Authority (HA) of the organisation has carefully laid down the time limits for waiting for the first three types of cases to ensure that more urgent cases are given priority.
The screen on the wall of the waiting room refreshes the waiting list, and from time to time inserts the prompt “The first aid is in progress and the waiting time for non-emergency cases may be extendedâ€. The order in the waiting room is orderly.
The reporter waited for nearly an hour. A nurse came over and asked in Mandarin. "Is it not inconvenient to work in Hong Kong without speaking Cantonese?" The reporter recalled in shock, before the registration and diversion The staff talked about English and Mandarin. Although it was a few questions and answers, I thought that the other party had already made a note about which language the patient used. The details of the triage service can be seen.
After a doctor's diagnosis, the reporter was admitted to the hospital, and he was discharged in the afternoon and was discharged the next day. Before leaving the hospital, the nurse sent a list of appointments for a follow-up visit to the hospital's surgical specialist clinic in a few weeks and a list of the address, telephone and service hours of the surrounding public general outpatient clinics. The nurse told the reporter that the daily care of the wound after discharge can be listed in the general outpatient clinic listed on the list. If the wound is not abnormal, there is no need to return to the hospital except for the follow-up.
Public out-patient clinics in Hong Kong are divided into general out-patient clinics and specialist out-patient clinics. General outpatient clinics are located in various communities to stabilize long-term patients and patients with mild-onset diseases. They also provide general care services such as drug injection and wound dressing. The number of specialist outpatient clinics is relatively small, mainly in large public hospitals.
According to the grading referral system, patients should first seek treatment from a general outpatient clinic or a private doctor, and will be referred to a specialist clinic if necessary. This system helps to prevent patients from swarming to specialist clinics and emergency departments to see the diseases that can be diagnosed by primary care, ensuring that limited medical resources are more appropriately distributed and used on the most urgently needed patients.
According to this system, if the reporter is discharged after the hospital is normal, it is only necessary to care for the wound in the general outpatient clinic; if the wound is abnormal, the general outpatient doctor will consider referral to the specialist clinic or emergency room. Shortly after leaving the hospital, the reporter was referred back to the hospital by a general outpatient clinic for a wound problem. Fortunately, this hospital has a special wound nurse clinic for postoperative wound care, and is regularly reviewed by nurses with experienced wound care every week. The waiting time for a nurse clinic is much shorter than waiting for a doctor to wait a few hours in a surgical specialist clinic.
(Source: People's Network)
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