The need for integrated primary health care to enhance the effectiveness of health services.
With the increasing prevalence of chronic illnesses and health compromising behaviours, health care expenditure is escalating with the expansion of hospital services. Integrated primary health care would enhance the cost effectiveness of health care delivery. Recent studies on primary care health services research in Hong Kong indicated that there is a high level of inappropriate utilisation of hospital emergency services, a high prevalence of youth health risk behaviours particularly mental health which would lead to a heavy burden on health services in the future. The community based rehabilitation provided a better quality of life for chronic illness patients, better drug compliance for chronic illness patients in family practice, and a disproportionate amount of budget is spent on law reinforcement and treatment for drug abuse rather than on prevention and education. The findings strongly indicate the need to have a strong primary health care team with well trained family physicians and trained health professionals as primary care practitioners to provide services on health promotion; curative; rehabilitation and supporting services; supporting self help activities of individuals, families and groups. This would minimize compartmentalisation in health care delivery, and is also a cost effective way of providing high quality holistic and comprehensive care that meets the needs of the majority of the population.
Lee
Albert
A
Family Medicine Unit, Department of Community and Family Medicine, School of Public Health, The Chinese University of Hong Kong, Shatin, NT, Hong Kong.
D000293:Adolescent; D000294:Adolescent Behavior; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006723:Hong Kong; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009936:Organizational Innovation; D011314:Preventive Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D011787:Quality of Health Care