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Dissertations / Theses on the topic 'Medical informatics - China - Hong Kong'

Author: Grafiati

Published: 4 June 2021

Last updated: 3 February 2022

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1

Lee, Koon-hung, and 勵冠雄. "Communicating patients' medical information by online electronic health record system: physicians anddentists' perception." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971933.

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2

梁綿榮 and Min-wing Raymond Leung. "Design, implementation and evalulation of the user interface for healthcare information systems in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31226309.

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3

So, Fun-mun, and 蘇歡滿. "An application of geographic information systems in the study of spatial epidemiology of respiratory diseases in Hong Kong, 1996-2000." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B3122782X.

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4

Chiu, Y. M., and 招以文. "Nurses' attitudes towards computerization." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972895.

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5

Ho, Lai-ming, and 何禮明. "Evaluation of the development and impact of clinical information systems." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31236984.

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6

So, Ping-cham, and 蘇炳湛. "Development of medical services in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43780556.

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7

Lam, Tai-pong, and 林大邦. "A study of curriculum reform in an Asian medical school and the implications for medical education." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B35781452.

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8

何知行 and Chi-hang Bruce Ho. "Health care financing options for Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31966822.

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9

Chan, Hung-yee, and 陳鴻儀. "Health care delivery and financing in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31966445.

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10

Au, W. M., and 區慧敏. "Childhood obesity in Hong Kong: medical and psychological sequelae." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971416.

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11

Wong, Oi-ling Irene, and 黃愛玲. "Medical ecology of inpatient service utilization in Hong Kong: a population survey." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971337.

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12

Lai, Suk-ha Lowell, and 黎淑霞. "The corporatization and privatization of medical services in HongKong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31964539.

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13

Liang, Miaoyin, and 梁妙茵. "Medical students' attitude towards antibiotics misuse in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4842447X.

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Background Antibiotics resistance is a major public health threat worldwide. Super bugs, for example, drug resistant tuberculosis or Staphylococcus aureus, are increasingly common in the communities. Hong Kong is one of the areas which have the highest antibiotics resistant strains prevalence rate in the world. Irrational use of antibiotics is an important contributing factor to the emergence of antibiotics resistance. Physician stewardship in the prescription of antibiotics is pivotal in the prevention of antibiotics resistance emergence. Medical students are going to be practicing doctors after graduation from medical school. But few studies had been conducted to investigate their knowledge and attitude towards antibiotics resistance and use, and relations with anticipated antibiotics prescription behaviour. Method 145 medical students at the University of Hong Kong were recruited in this study to complete a self-administered questionnaire. There were in total 14 questions in this questionnaire, covering 2 major themes 1.Self-report of current and past antibiotic use and behaviour; 2.Anticipated prescription behaviour of antibiotics upon graduation and practice in the future. Chi-square test was used to investigate the association between attitude and knowledge of antibiotics with their anticipated prescription behavior upon graduation and practice. Multivariable logistic regression model was used to adjust for potential confounders. Results 67.6 % of the participants hold the correct knowledge of the proper use of antibiotics. Compare with the participants who hold the wrong knowledge, they were to 0.18 times more likely to inappropriately prescribe antibiotics for non-complicated Upper respiratory tract infections (URTI). (OR: 0.18, 95 % CI: (0.08, 0.43); p <0.001). Respectively 33.6 % and 4.9% of all the participants perceived the severity of antibiotics resistance in Hong Kong as “Severe” and “Very severe “. Those who rated “Severe” or above were 0.37 times more likely to inappropriately prescribe antibiotics for non-complicated URTIs compared with the participants who rated “Neutral” or below. (OR: 0.37, 95 % CI: (0.15, 0.91); p = 0.03). Logistic regression model was employed to test the interaction effect. Result showed that clinical training significantly interacted with antibiotics knowledge (p < 0.01)and perceived severity of antibiotics resistance (p = 0.02) in their relations with inappropriate prescription for non-complicated URTIs. Conclusion For the medical students who have received clinical training, those who were more aware of the severity of antibiotics resistance in Hong Kong were less likely to inappropriately prescribe antibiotics for non-complicated URTI. For the medical students who have not received clinical training, correct knowledge of antibiotic use is associated with less inappropriate antibiotics prescription behaviour. These suggest that knowledge and attitude towards antibiotics resistance and use are important factors that may impact on physician stewardship in antibiotics use in the community.
published_or_final_version
Public Health
Master
Master of Public Health

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14

Chan, Yee-ying Michelle, and 陳意映. "The formulation and implementation of healthcare reform in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31966469.

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15

謝嘉茵 and Ka-yan Tse. "A study of the healthcare policy in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41012793.

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16

Lau, Wan-ling Elaine, and 劉蘊玲. "Factors influencing turnover of medical doctors in the public hospitals in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724475.

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17

鄧軒寧 and Hin-ning Alexander Tang. "Students' perception of medical professionalism at the University of Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40721991.

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18

Yeung, Yee-hung Stella, and 潘怡紅. "Sustainable healthcare delivery in Hong Kong: organizational initiatives and strategic financing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B3196669X.

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19

Chan, Mee-kie Maggie, and 陳美琪. "Protein-energy malnutrition among Chinese elderly medical patients in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971489.

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20

Lo, Oi-sheung Anne, and 羅愛嫦. "A study of different perspectives on the quality of health care and its implication for medical social service." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31249334.

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21

Ngai, Wing William, and 魏詠. "Review on health care financing options for Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42997653.

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22

Zhao, Zhong Ai Joanne, and 趙仲愛. "The implementation of new health protection scheme in Hong Kong in relationship to expensive chemotherapy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48427421.

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Background: As in the rest of the world, cancer has been a leading killer in Hong Kong. Though technology has been growing rapidly, expensive cancer treatments have continuously been problematic to patients and their families. There are some known risk factors that make some people have a higher risk for cancer than others, but the reason why some develop cancer and some do not is mostly still unknown. In addition, the expensive cancer treatments can distress patients and their families psychologically during the painful and long chemotherapy process which is a common cancer treatment. While it is important for experts to research on effective cancer treatment, it is also important for the government and health care experts to solve associated financial problems. In response to help patients to ease their financial burden of expensive medical treatment, the Hong Kong government has proposed a new health protection scheme (HPS), “My Health, My Choice.” Objective: In this paper, a systematic review on different published literatures is conducted to analyze the prospective outcome of HPS and if it can help patients to ease their financial burden. Results and Discussion: The Health scheme provides a financial aid option for patients who suffer from chemotherapy through monthly premium. However, the implementation of this HPS seems to be difficult both on the patients’ and the providers’ sides. Case study of health care systems in US and Canada is included in this paper to find out what Hong Kong can learn from other countries with completely different payment systems would manage to deal with this problem. Australia which with a universal coverage health care system has also proposed a similar HPS plan aiming to help lower health care cost by increasing individual responsibility on medical expenses. However, it failed by lack of support from the general public. The Australian example would be used to criticize some essential elements that would contribute to the failure of the HPS, and how Hong Kong would use this example to yield a better proposal. Conclusion: As HPS might not be able to ease the burden on cancer patients in Hong Kong, it is suggested for government to allocate more effective and direct resources on helping cancer patients, especially those who are receiving chemotherapy or improve services through better primary care. However, the final outcome remains unknown, and the final option still depends on the ultimate need from the general public.
published_or_final_version
Public Health
Master
Master of Public Health

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23

Mak, Yuen-yung, and 麥菀容. "Hong Kong's health financing system." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50255745.

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Despite attempts to contain health care cost, healthcare expenditure has been surging worldwide. Healthcare financing remains high on the political agenda and nations are struggling hard to balance cost containment with service quality, accessibility, efficiency, etc (Froetschel 2011). Hong Kong, of no exception, faces increasing pressure to raise public expenditure on health and is seeking new ways to finance healthcare. This paper attempts to provide an overview of Hong Kong’s existing health financing system and identify possible reform options.
published_or_final_version
Politics and Public Administration
Master
Master of Public Administration

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24

Fan, Yun-sun Susan, and 范瑩孫. "Medical insurance: the solution to health care financing in Hong Kong?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31964047.

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25

Kong, Lok-sun, and 江樂燊. "Patient satisfaction with medical services provided by a University inHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724438.

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26

Leung, Min-wing Raymond. "Design, implementation and evalulation of the user interface for healthcare information systems in Hong Kong /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B23765999.

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27

Chan, Yuen-yan, and 陳遠欣. "Job satisfaction, stress and mental wellbeing of health care workers in a regional public hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422502.

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Introduction: Amongst all public servants in Hong Kong, health care workers are one of the groups suffering from highest working pressure. They have long working hours and may have overnight shift duties, including Sundays or even public holidays. This may lead to poor job satisfaction, psychological stress and the recent high resignation rate in public hospitals. The aim of this study is to assess the prevalence of the psychological stress, psychological symptoms and job satisfaction of health care workers, the association between stress, psychological symptoms and job satisfaction; and also the factors associated with job satisfaction in a regional hospital in Hong Kong. Method: Health care workers in a large regional hospital of Hong Kong were surveyed by means of a questionnaire assessing basic demographic data, questions of the General Health Questionnaire (GHQ-12), Perceived Stress Scale (PSS), Warr-Cook and Wall job satisfaction scale (JSS). Four groups of health care workers (doctors, nurses, allied health workers and supporting staffs) were surveyed. Summary of descriptive statistics were calculated for each group to compare the prevalence of job dissatisfaction, perceived stress, and psychological symptoms. Two-stage analysis will be used. The first stage analysis will use ANOVA test to access the association between job satisfaction and different variables. The second stage analysis will use multivariate regression model to further assess the coefficient correlation of significant factors drawn from ANOVA test with job satisfaction. Results: There were 674 eligible questionnaires. About half (47%) of the health care workers reported having perceived stress and a third (33.8%) psychological symptoms. Doctors reported the (76.8%, 95% C.I = 69.43%, 84.17%) highest level of job satisfaction amongst all the health care workers surveyed. Among staff reporting a GHQ score equal to or more than three, supportive staff had significantly higher prevalence (38.7%, 95% C.I.=27.96%, 49.44%) and doctors the lowest prevalence (28.1%, 95% C.I.= 15.11%, 41.09%) of psychological symptom but proportions were compatible with their counterparts in other countries. The mean score for GHQ-12 was 2.41+/- S.D. 3.28. The overall mean perceived stress score was 18.14 with SD +/- 5.0. There was no significant difference when different subgroups were compared. The mean PSS scores of all subgroups were lower than their counterparts in other counties but were quite similar to the mean PSS reported during SARS period. Sixty eight percent of all health care workers surveyed were satisfied with their job (respondents indicating “moderately satisfied”, “very satisfied” and “extremely satisfied” on their overall job satisfaction). Values equal to or above 5 reflect being satisfied. The mean value for Job satisfaction was 4.58 +/-S.D. 1.21. The factors including shift duty, perceived stress, and psychological symptoms were negative correlated with job satisfaction. Factors such as clinical work, doctor and secondary school level were positive correlate with job satisfaction. Conclusion: Prevalence of perceived stress and psychological symptoms among health care workers were high when compared with the general population (14-17.6% for perceived stress and 28.1% for psychological symptom), but not as high as expected. In contrast to popular belief, doctors had the lowest perceived stress level, lowest prevalence of psychological symptom and the highest job satisfaction among different groups of health care workers. This may be related to higher income, social status and, education background that might help to protect them from depression and anxiety. Supportive staffs, who felt neglected by management, were found to have the highest prevalence of psychological symptom and higher stress levels. Nurses got highest prevalence of perceived stress. More attentions and resources should be devoted to these groups to cope with their psychological needs and stress.
published_or_final_version
Public Health
Master
Master of Public Health

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28

Yung, Cho-yiu, and 翁祖耀. "An analysis of the provision of primary health care in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31964205.

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29

Pang, Po-yu, and 彭寶如. "An analytical paper: the impact of non-entitled pregnant women on Hong Kong healthcare system and the wayforward." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425199.

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Background: Medical tourism is arising in Asian countries and in Hong Kong, the maternal tourism is evolving due to the influx of non-entitled pregnant women from mainland China for deliveries. The visitors were attracted not only by the technical advancement of Hong Kong healthcare system, but its special administrative background which grants the babies with a permanent resident identity as well as the citizenship benefits regardless to their parental status. Besides, the parents could avoid penalties from the "One Child Policy" in China. With the limited healthcare resources, non-local mothers started to compete with the local mothers for obstetric services. The community raised their concerns in developing of maternity tourism and verbalised their demands in protecting local rights and equity to resources. Aims and Objectives: There are limited published researches available on maternal tourism or the specific situation faced by Hong Kong. By analysing grey literature, this paper would like to suggest the impact exerted on the healthcare system by the influx of non-eligible mothers with a medical tourism framework. Results: The impact of non-local-mother deliveries on healthcare system were discussed in the areas of governance, delivery, financing, human resources and regulation. Future research could be done on assessing the priorities in the framework components and the direction, effectiveness of the management strategies for non-entitled deliveries.
published_or_final_version
Public Health
Master
Master of Public Health

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30

Wong, Ming-yan Sharon, and 黃明欣. "Management of access to Hong Kong public specialist out-patient services." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48426180.

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Introduction Accessibility to care is a key measure for quality health care. Waiting list resulted due to disequilibrium between demand and supply. Waiting time is a common issue in public health care services. Long waits and delays dissatisfy patients, affect clinical outcome and increase health care costs. Access management is therefore important to enhance patient safety, increase satisfaction and reduce service inefficiency. In Hong Kong, waiting lists for public specialist out-patient services have been increasing over the past years. Promotion of appropriate referrals and appropriate utilization between primary and secondary care was identified as one of the current strategies for service demand management. Referral guidelines were introduced to define the clinical conditions to be referred. Appropriate work up and trial of treatment was recommended before referral to specialist care. They were translated into standard referral letter templates and built into the existing electronic medical record system as an execution platform to facilitate workflow and enhance compliance. This electronic referral system was piloted since January 2010 in Department of Accident of Emergency and General Out-patient Clinic at one local public hospital in Hong Kong. Methods The objective of the study was to evaluate the effectiveness of current strategy in access management to public specialist out-patient services. All new case referrals to Medical and Surgical Specialist Out-patient Clinics (SOPC) of the pilot hospital from January 2010 to December 2010 were examined. While, the new case booking data from January 2009 to December 2009 in respective units of the same hospital was used as control group for comparison. Potential changes in number and distribution of new case bookings at medical and surgical SOPC as well as their corresponding waiting time were looked into. Comparison of referral pattern before and after the implementation of new referral system was performed. Results Changes in referral pattern in terms of distribution of triage categories have been observed. Number of semi-urgent cases was significantly increased in 2010 compared with 2009 in both Medical and Surgical SOPC (p=0.006 and p=0.048). Shortening of overall median waiting time was also seen in both Medical and Surgical SOPC of the pilot hospital in 2010. Consistent reduction with statistically significance was noted in all triage categories of both specialist clinics, except urgent cases in Surgical SOPC. Larger effect was seen in non-urgent cases, with 9 weeks and 4 weeks shortening of waiting time in Medical and Surgical SOPC respectively. For overall distribution of waiting time, persistent multimodal patterns were observed in both Medical and Surgical SOPC during the study period. Major peaks were identified within 2 and 8 weeks time of appointment, while scattered clustered bookings were seen along the timeline with waiting time up to years. Discussion The observed result was reinforcing the direction on current strategy, despite direct causal relationship could not be established at the moment. Changes in referral pattern could possibly be explained by the behavioral change of clinicians upon referral and triage of patients due to the introduction of the new referral system. Potential Hawthorne effect during the pilot period should therefore be considered. In view of the complexity and interconnectedness of various service components in the health care system, further studies should be of value to identify the change agent in the system and look into the efficiency gain as well as outcome improvement. Long term and regular monitoring mechanism of waiting time with specific set of performance indicators has to be in place for continuous quality improvement. Taking the public health approach by applying operational studies and simulation models should therefore be the way for further improvement of operational efficiency and service planning in the whole public health system. Conclusion Appropriateness of referrals and utilization between primary and specialist services was introduced for access management of public specialist out-patient services in Hong Kong. Changes in referral pattern with shortening of waiting time were observed. In order to manage the accessibility issue effectively, a balanced approach on demand, queue and capacity management was suggested to be adopted at the organizational level. Collaboration across sectors particularly with the direction to strengthen primary care would also be needed globally at the system level for a healthy, equitable and sustainable system.
published_or_final_version
Public Health
Master
Master of Public Health

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31

Lai, Suk-ha Lowell. "The corporatization and privatization of medical services in Hong Kong." [Hong Kong] : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13762321.

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32

Wu, Ka-yin Christina, and 鄔家燕. "An analysis of severe acute respiratory syndrome (SARS) and the management of Hong Kong's healthcare system." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31967644.

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33

Pang, Pik-ming, and 彭碧明. "Social support, stress and life contentment in relation to diabetes mellitus control." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B3124869X.

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34

Lo, Yen Andrea, and 盧茵. "Doctor-Shopping: implications for continuity of care in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31234343.

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35

Ho, Chi-wan Nelson, and 何志雲. "Factors affecting one's health care choice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31220873.

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36

Ng, Wai-wah George, and 吳煒華. "Market versus state provision: should the provision of public health care services in Hong Kong be corporatised?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31257720.

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37

Ng, Wing-yiu George, and 吳榮耀. "Is auditing useful in avoiding polypharmacy?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B39724232.

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38

Chan, King-chung, and 陳敬聰. "Institute of Chinese Medical Education." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31983777.

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39

Fung, Shuk-man Wendy, and 馮淑文. "A study of medical social services and stroke patients: an application of the unitary approach." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31249425.

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40

Chan, Ho-fung Leo, and 陳可風. "Physicians' attitudes towards the computerization of medical practice in Hong Kong's private sector: a qualitativestudy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724359.

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41

Poon, Hoi-yi, and 潘凱儀. "New industries for the future of Hong Kong: an analysis of policy action in the education and medical servicessectors." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50257389.

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42

Ng, Kwok-ming Raymond. "Administrative reform : the case of the Hospital Authority /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13236295.

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43

Ho, Kam-tim, and 何錦添. "An analysis of the motivation of volunteer members in the auxiliary medical service in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B43895141.

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44

Yeung, Mei-chung, and 楊美忠. "Nurses' knowledge, attitudes and roles regarding advance directives inHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B39724980.

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45

Lee, Shwe-yan, and 李瑞炎. "Physical medical rehabilitation in Hong Kong: a study of the government's policy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31964576.

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46

Pang, Yu-on, and 彭宇安. "To study the professional status of social workers in secondary settings in Hong Kong with special reference to medical socialservice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31248718.

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47

Ko, Yuk-ying Susanna, and 高玉瑩. "An analysis of performance pledges and customer service of the Hospital Authority." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B3196476X.

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48

Chun, Mei-yee Elke, and 秦美兒. "Comparing Hong Kong market experience with the market development in China in minimally invasive surgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31268778.

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49

Tsang, Chi-chung, and 曾子充. "Attitudes of medical staff and patient's relatives towards family presence during cardiopulmonary resuscitation in an adult intensivecare unit of Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425825.

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Objectives: To examine the attitudes of family members of the patients and medical staffs towards the policy of family presence during the resuscitation and any difference in attitudes between two groups, and to examine the factors influencing their attitudes. Methods: Descriptive questionnaire survey to analyze the attitudes, beliefs and concerns of family members of patients and medical staffs in the Intensive Care Unit of a district hospital in Hong Kong. Use chi-square test to compare family members and medical staffs to see any difference in attitudes about family presence during the resuscitation; and use logistic regression analysis to identify factors associated with supportive attitudes towards family presence during the resuscitation in both groups. Results: Among the respondents of 100 family members and 69 medical staffs, there were findings of significant difference in attitudes towards practicing FPDR, advantages of FPDR and disadvantages of FPDR between family members and medical staffs. Family members were more likely to support FPDR compared with medical staff (82% vs 36.2%, p<0.001). The attitudes towards different advantages and disadvantages were significantly different between family members and medical staffs. There was no difference between two groups in attitudes towards prerequisites for FPDR. Logistic regression analysis showed that family members who agreed beneficial effect of FPDR in relatives’ grieving process would be more likely to be supportive for FPDR (p=0.030, odds ratio (OR)=4.92, 95% confidence interval (CI)= 1.17-20.71) whereas the medical staffs who agreed beneficial effect of FPDR on family members would be more likely to be supportive for FPDR(p=0.003, OR=19.7, 95% CI 2.84-136.9). Conclusion: The results showed the great discrepancy of attitudes towards FPDR practice, FPDR benefits and FPDR risks between family members and the healthcare providers. Policy change of implementation of FPDR was at the present moment not feasible and practical in Hong Kong because of the resistance from the medical staffs. But the information acquired in the study did indicate a strong support and need for FPDR by the family members. Further investigations and works were required to overcome the obstacles to enhance the development of FPDR program in Hong Kong healthcare setting.
published_or_final_version
Public Health
Master
Master of Public Health

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黃穎兒 and Wing-yee Victoria Wong. "Patterns of doctor-shopping behaviour in non-attenders of specialist out-patient clinics in Hong Kong: is itrelated to patients' health perception?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971350.

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