Healthcare and Ageing | Policy Research Series
"Fit to Practise: Reviving the Role of Non-locally Trained Doctors to Strengthen Hong Kong’s Doctor Workforce Today for a Better Tomorrow" Healthcare Research Report
Hong Kong is renowned for its efficient health system and enviable for its population’s long life expectancy, but it is plagued by a longstanding doctor shortage crisis. Unless quick action is taken to address this problem, the doctor shortage gap will continue to widen, with a projected shortfall of 1,610 doctors by 2030, according to the Government’s 2020 Healthcare Manpower Projection. This contributes to potentially dangerous delays in diagnosis, treatment, and management of health conditions.
Although the Government has taken a multifaceted approach to increase Hong Kong’s doctor supply, Hong Kong has yet to fully leverage a non-locally trained doctor workforce, which is a missed opportunity to relieve the doctor shortage crisis holistically and effectively. Our research reveals that Hong Kong’s policy efforts to encourage the practice of non-locally trained doctors fall behind those in similarly developed economies such as Singapore and the United States. Hong Kong’s policies around internship placements, training, accreditation and career progression for non-locally trained doctors need to be improved substantially to provide fairer opportunities for non-locally trained doctors.
As part of a multi-pronged approach necessary to alleviate the doctor shortage crisis and inspired by exclusive interviews with non-locally trained doctors practising in Hong Kong, we put forth six policy recommendations in response to the six key challenges, so that non-locally trained doctors’ talents can be fully leveraged to provide immediate relief to the local health system:
- Improve governance: 1) Hong Kong must strengthen its governance and strategic vision in health workforce.
- Facilitate registration, internship, training, accreditation, and career progression: 2) Hong Kong can consider providing internship placements and a structured career path for non-locally trained doctors 3) Hong Kong should strengthen its investment in specialist training; 4) Hong Kong must capitalise on and nurture valuable human capital.
- Increase efficiency and equity: 5) Relevant authorities in Hong Kong including the Medical Council of Hong Kong should adopt the Electronic Portfolio of International Credentials to streamline examination application and medical registration procedures; 6) Hong Kong should conduct a review of the Medical Council of Hong Kong Licensing Examination to uphold fair assessment standards.
For specifics, please refer to the full report.
Fostering Medical-social Collaboration in Achieving Quality End-of-life Care
Our Hong Kong Foundation has released the results of a public opinion poll on community end-of-life care services in an advocacy paper entitled "Fostering Medical-social Collaboration in Achieving Quality End-of-life Care". With a laudable life expectancy that ranks top in the world, Hong Kong’s population is ageing rapidly. Greater longevity and the steep increase in co-morbidity in the elderly population have called for increased territory-wide attention on not just the quality of life, but also of death. Yet, our current health system is treatment-focused and hospital-centric, while services are fragmented. Public hospitals are constantly over-burdened in which palliative care development has failed to catch up with the rising needs of citizens. Through understanding public perception and practice related to end-of-life care services in local communities (outside of hospital settings), our study concludes that focusing on end-of-life care at the community level is vital . Key development areas of end-of-life care in Hong Kong include: enhancing public education and advocacy, improving current services in community settings and reorienting development towards primary care level. Echoing our ‘Fit for Purpose: A Health System for the 21st Century’ research report, community resources need to continuously be leveraged upon as we shift care burden from our currently overstretched public hospitals into the community. Our health system should take on a holistic approach in health service provision so that needs of individuals are consistently met throughout the entire life course, including the final stages of life, as we facilitate a better and more dignified end-of-life journey for all Hong Kong citizens.
An Advocacy Study on "Health System Capacity Constraints- The Severe Shortage of Doctors in Hong Kong Public Hospitals"
Our Hong Kong Foundation has released its advocacy study today, entitled " Health System Capacity Constraints- The Severe Shortage of Doctors in Hong Kong Public Hospitals". The study points out that the severe shortage of doctors contributes to the challenge of timely access to quality healthcare for our local population, particularly in the public sector. This longstanding issue is exacerbated by a rapidly ageing population and growing burden of chronic diseases that represent an ever-increasing demand for healthcare services, and immediate action needs to be taken. The study points to the urgent need to be more receptive towards augmenting the role of foreign-trained doctors in our health system. Specifically, procedures currently in place that allow for foreign-trained doctors to practice in Hong Kong should be reviewed to attract more well-qualified foreign-trained talent to join our healthcare workforce to relieve our shortage of doctors, particularly in our public hospitals.
Fit for Purpose: A Health System for the 21st Century
Our Hong Kong Foundation (hereafter referred to as the "Foundation") has published a report today on Hong Kong’s health system, entitled "Fit for Purpose: A Health System for the 21st Century". The report points out that Hong Kong's health system is not fit to meet 21st century challenges. To tackle fundamental underlying problems, system-level changes are necessary to transform the system from its current emphasis on acute hospital-centric care to one that is integrated, person-centred and puts emphasis on primary care for all citizens of Hong Kong so that comprehensive and continuous care could be provided over their life course. The research report recommends policy options covering three key areas including: 1) enabling person-centred care; 2) achieving primary care-led integrated care; and 3) putting in place health governance levers to enable the transformation process.
Gerontechnology Landscape Report
Our Hong Kong Foundation has released its research report on gerontechnology in Hong Kong, entitled “Gerontechnology Landscape Report”. The landscape report studies and identifies the relevant stakeholders and the different gaps and difficulties within the gerontechnology ecosystem. A selection of available gerontechnology products and services in Hong Kong are also explored within four categories: healthcare, food, living and transport.
With a rapidly ageing population and a declining labour force, technology within the elderly health care sector is becoming increasingly important. Gerontechnology could be the key to tackling the problems ahead, and allow Hong Kong to turn these challenges into a golden opportunity to transform into a technologically advanced city, hence benefit seniors and their caregivers.
Aging Society Research Report
Our Hong Kong Foundation has published the first Aging Society Research Report, entitled ‘An Investment for the Celebration of Aging’. The research report recommends key policy options, namely the creation of a Chronic Disease Management Voucher Scheme and a Health-Enabling Network, the establishment of collaborative governance and social capital, and the use of technology, to unleash the potential of a growing older population and generate overall greater well-being throughout Hong Kong.
Stakeholders of each and every sector will need to collaborate and invest in Hong Kong’s physical, social and political institutions for an age-enabling environment so that everyone, regardless of their age and ability, can celebrate their lives.