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Contents

Executive Summary 2

1 Hong Kong’s Health System 18
Needs to Become Fit-for-Purpose

2 Strategically Purchasing to Become
Fit-for-Purpose: Lessons from
International Examples 40

3 Hong Kong’s Financing Journey in

Partnering with the Private Sector
for Primary Care 68

4 Applying Strategic Purchasing to
Chronic Disease Screening and
Management 108

4.1 The Voices of Local Healthcare Experts 111

4.2 A Population-Based Survey on the Knowledge,
Attitude, and Perception of Chronic Disease
Screening and Management 142

4.3 The Financial Impact of a Scheme
to Promote Diabetes Mellitus Screening
and Management 162

5 Moving Forward:
Strategically Purchasing to
Enable Health for All 194