Promotion of Appropriate Use of Electronic Devices Among Hong Kong Adolescents

The advancement of technology is changing the world so rapidly with implication to people’s daily activities and health. The excessive utilisation of electronic devices, particularly among adolescents, are affecting the physical, psychological and social wellbeing of these young people. Physical inactivity, obesity, musculoskeletal conditions, vision, cognitive development, sleep pattern, family relationship, addiction and gaming are issues of importance and attention arising from the inappropriate use of electronic devices. Stakeholders, including the parents, teachers, government, community organisations and the adolescents themselves, have different but complementary roles in the prevention of internet addiction and in the promotion of appropriate use of electronic devices among adolescents

Transition of Hospital Acute-Centric to Long Term Care in An Ageing Population in Hong Kong - Is it an issue of service gap?

Health expenditure at around 5.7% GDP is low for a developed society like Hong Kong, which is unique in having a dual track of public and private services in its health care system. Such phenomenon has been steady over the last three decades, apparently not affected at all by a major change in the Government in 1997. The public and private sections have equal share of the total health dollars consistently over the years, despite the increase of Government’s annual spending from 11% to 17% since 1990, implying a similar trend in the private sector, which is funded predominantly by out of the pocket expenses with some insurance contribution. However, Hong Kong has the longest life expectancy in the world. This has resulted in the increase in the demand for health and long-term care, casting doubt on whether the traditional model of financing and delivery of care will be sustainable. The Government has pledged that that no one is denied adequate medical treatment due to lack of means, a stance in existence for decades and being reflected by the steady state of public and private share of health expenditure. Apart from two major re-structuring of the governance system, there has been little change in the service provision organisations. The system is often criticized for being heavily hospital based and acute-centric, particularly in the public services. Primary care is taken up predominantly by the private sector, mostly in clinical services, not focusing on prevention. It is apparent that there is a significant service gap, that needs to be examined and addressed systematically before a practical solution can be formulated. A more holistic, humanistic and better integrated system of care, with innovative care patterns, shall be the way forward

Treasure in Elderly Care Learning: A service-learning experience at a neighbourhood centre in Hong Kong

Service-learning is a useful learning activity for students to understand and analyse the health and social conditions of elderly recipients. It offers a practical environment for the study of ageing. Students make the service-learning meaningful, by combining the course idea and concepts in the activity during service. Students enhance learning experience by finding an appropriate health suggestion to the elderly while investigating the health conditions of the elderly. Students enrich additional vision by designing effective activities for the elderly and explaining the course idea to the elderly. The elderly provide opinion in the activity and inspire students to have a better management for further life and service-learning. In this study, an experience of service learning in elderly home is described. It covers several themes: (a) preparation of service learning, (b) analysis of designed activities, (c) reflection on this service-learning, (d) comparison of in-class learning and service-learning

Quality Management of Inpatient Medication Administration in Hong Kong Public Hospitals

Medicine maladministration can result in various side effects to patients, including serious complications, extended medical care, incapacity and death. In Hong Kong public hospitals, the pattern of medication error consists of prescribing error usually made by physicians, dispensing error resulted from pharmacists and dispensers, drug administration error caused by nurses and patient-care workers and technology-related error associated with technology used in the drug administration process. Medication Administration Record (MAR) and ward stock are the usual inpatient medication system within Hospital Authority public hospitals before the development of the electronic system, while the Inpatient Medication Order Entry (IPMOE) functions to provide real-time accessibility in patients’ medication profiles by different professions and health units. However, several factors are related with medication errors. For instance, the ambiguous handwriting orders in the MAR prescribed by physicians affect the transcription by pharmacists and the administration procedures in ward by nurses. Administering medicines in ward stock before pharmacists vetting increase the chance of making errors. Poor interface issues between users and system, and the computer over-reliance are also contributed in resultant technology-related errors. In order to reduce the occurrence of medication incidents, implementation of Automated Pharmacy Distribution Systems  helps moving towards a closed loop medication management system. Modifying technologies in barcode assisted medication administration and enhancing the IPMOE with a pop-up message could help intercepting drug administration errors to patients.. The elimination of the potential risks arising from the prescribing, dispensing and drug administration processes brings the achievement of medication safety in Hong Kong public hospitals

Overview of Palliative Care Service in Hong Kong

Palliative care service is a growing trend for patients with terminal illnesses. The purpose of palliative care is to improve the quality of life for the patients and their family by providing comprehensive care such as symptoms control, pain relief and counselling support. More and more people prefer to spend the final stage of their life in a comfortable environment with adequate care. However, Hong Kong is only ranked 22 in 2015 Quality of Death Index, and hence enhancement of palliative care service is much needed. This review paper aims to evaluate the current resources and development of palliative care service in Hong Kong and suggest improvement of the service. This study reveals that the system in Hong Kong lacks a comprehensive policy, thus limiting organisations to provide the service to small-scale operations and resulting in fragmentation of the co-operation between the public and private sectors. Factors such as professional training, community engagement, culture and financial issues are affecting the development and adequacy of palliative care service.&nbsp

Community Ageing With Health And Dignity Through A Service-Learning Initiative

Background: A new compulsory service-learning subject was introduced in the Practices of Health Promotion module of Bachelor of Science in Applied Sciences (Health Studies), run by School of Professional Education and Executive Development, The Hong Kong Polytechnic University. It aims to develop students’ ability to apply learned principles and concepts of health behaviour from lectures into a community setting, by completing elderly site services arranged at four selected elderly centres. Methods: 36 students were enrolled in the subject. An analytical framework was developed based on specific themes, sub-categories and categories. Data extracted from students’ reflective journals were input into a qualitative analysis software, Qualitative Data Analysis (QDA) Miner 5 of Provalis Prosuite for analysis.  Results: 5 themes and 24 categories were created based on the data analysed from students’ reflective journals. The three highest frequency themes are ‘Skills learned’ (170 text units, 32.6% of total), ‘Challenges’ (140 text units, 26.8% of total), and ‘Elders characteristics’ (135 text units, 25.9% of total). Conclusions: Communication, teamwork and organising activities to the elderly are the most cited skills learned by students. They have also identified elders’ personality and characteristic when communicating with them. Although there were challenges when interacting with the recipients and centres, students have overcome most of them and have learned better ways to communicate with elders and reacted quickly by changing the content of designed activities provided to elders.&nbsp

University Binge Drinking Patterns and Changes in Patterns of Alcohol Consumption among Chinese Undergraduates in a Hong Kong University

Objective: To examine patterns of binge drinking and changes in drinking patterns among Chinese university students. Participants and Methods: Responses to an anonymous questionnaire were compared between a random sample of 411 second year Chinese undergraduate students in 2006 and 2,630 first year students from the previous year. Students reporting any symptoms of alcohol abuse were classified as alcohol abusers whereas those reporting repeated inability to curtail use were categorized as alcohol dependent. Results: After 1 year of university, greatly increased rates of past-month drinking of different degrees were found in both genders. Binge drinking among second year undergraduates was significantly correlated with male gender, living in a student residence hall, smoking, drinking to relieve stress, and having friends who frequently drank. Conclusions: Alcohol misuse is a health hazard to Chinese students in a university environment. Proactive policies aimed at preventing harmful alcohol use should be considered by university authorities.</p