Articoli di riviste sul tema "Terminal care – Hong Kong"

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1

Yee, Hilary H. L., Ben Y. F. Fong e Tommy K. C. Ng. "Overview of Palliative Care Service in Hong Kong". Asia Pacific Journal of Health Management 15, n. 2 (21 maggio 2020): S39–44. http://dx.doi.org/10.24083/apjhm.v15i2.411.

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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.
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2

Chan, David W. "Misconceptions and Attitudes Toward Suicide among Teachers and Prospective Teachers in Hong Kong". OMEGA - Journal of Death and Dying 45, n. 4 (dicembre 2002): 361–79. http://dx.doi.org/10.2190/e8fd-gd98-a6ek-5593.

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The misconceptions and attitudes toward suicide among 299 Chinese teachers and prospective teachers in Hong Kong were assessed using a 30-item questionnaire of common misconceptions, risk factors, and issues related to terminal illness and religious beliefs. With few common misconceptions, the general agreement on the unacceptability of suicide and the rejection of the notion of non-intervention provided grounds for optimism. The uncertain views on risks of suicide threats and concrete planning and on ethical and religious issues were areas for concern. Implications of the findings related to cultural beliefs and to teacher training for school-based prevention programs as well as the caution needed to be exercised in interpreting the present findings based on a sample of young teachers and prospective teachers in Hong Kong are discussed.
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Chung, Roger Yat-Nork, Dong Dong, Nancy Nam Sze Chau, Patsy Yuen-Kwan Chau, Eng Kiong Yeoh e Eliza Lai-Yi Wong. "Examining the Gaps and Issues of End-of-Life Care among Older Population through the Lens of Socioecological Model—A Multi-Method Qualitative Study of Hong Kong". International Journal of Environmental Research and Public Health 17, n. 14 (14 luglio 2020): 5072. http://dx.doi.org/10.3390/ijerph17145072.

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End-of-life (EOL) care for terminal illness and life-limiting conditions is a sector in the health service spectrum that is drawing increased attention. Despite having the world’s longest life expectancy and an ever-escalating demand for long-term care, Hong Kong’s EOL care was underdeveloped. The current study aims to provide a holistic picture of gaps and issues to EOL care in Hong Kong. Data collection was conducted using a multi-method qualitative approach that included focus groups and in-depth interviews with key informants and stakeholders, and longitudinal case studies with patients and families. Deductive thematic analysis was used to examine service gaps in current EOL care through the lens of a socioecological model where gaps and issues in various nested, hierarchical levels of care as well as the relationships between these levels were studied in detail. Using the model, we identified gaps and issues of EOL care among older populations in Hong Kong at the policy, legal, community, institutional, as well as intrapersonal and interpersonal levels. These include but are not limited to a lack of overarching EOL care policy framework, ambiguity in the legal basis for mental incapacity, legislative barriers for advance directives, inadequate capacity, resources, and support in the community to administer EOL care, inadequate knowledge, training, and resources for EOL care in health and social care sectors, inadequate medical-social interface, general reluctance and fear of death and dying, as well as the cultural interpretation of filial piety that may lengthen the suffering of the dying patients. Findings highlight the multi-level gaps and issues of EOL care in a place where western and eastern culture meet, and shed light on how best to design more effective and comprehensive policy interventions that will likely have a more sustainable and instrumental impact on facilitating person-centered EOL care during the end of life.
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4

Mak, Mui Hing June. "Awareness of Dying: An Experience of Chinese Patients with Terminal Cancer". OMEGA - Journal of Death and Dying 43, n. 3 (novembre 2001): 259–79. http://dx.doi.org/10.2190/mu91-6k6j-e6ax-dll5.

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Despite the effort to provide an alternate way to dying, there seems to be little effort to examine the real situation of hospice care. For example, the patients' desired outcomes are seldom addressed. It is recently that studies began to investigate the features of “good death.” However, work in eastern cultures, such as Chinese, remains scarce. The purpose of this study is to gain an understanding of what it means to die a “good death” from the perspective of Chinese patients. Thirty-three Chinese hospice patients with terminal cancer were interviewed. Grounded in the analysis of qualitative data, seven elements that contribute to dying a good death emerged. Awareness of dying was identified as the foremost essential element of good death. From the findings of this study, most respondents considered receiving a diagnosis of cancer as one of the significant points of psychological distress in the course of their illness. Half of the patients openly talked about their cancers and more than half of them discussed various issues related to death. That means, about one-third of the respondents talked about death and cancer with openness. These preliminary findings may reflect the progress of hospice work in Hong Kong. Meanwhile, 13 respondents did not mention the word “death” and 16 of them did not mention that they had cancer. They talked about their illness and future using the expressions that they preferred. It is important that health care professionals also respect people who show awareness of dying as much as those who do not present clear evidence of this awareness. Both groups of people can have a positive experience when they die.
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5

Yeung, Nga Yan. "Expectation of the place of care and place of death of terminal cancer patients in Hong Kong: a hospital based cross-sectional questionnaire survey". Annals of Palliative Medicine 9, n. 6 (novembre 2020): 4534–46. http://dx.doi.org/10.21037/apm.2019.09.17.

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6

Mak, Thomas. "Assembly with Multinuclear Silver-Ethynediide/-Ethynide Supramolecular Synthons". Acta Crystallographica Section A Foundations and Advances 70, a1 (5 agosto 2014): C633. http://dx.doi.org/10.1107/s2053273314093668.

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Over the past 15 years, our group has conducted a systematic investigation on the synthesis and structural characterization of a series of silver(I) double and multiple salts containing silver carbide Ag2C2n (n = 1, 2), in which the all-carbon dianion ethynediide C22-is generally capsulated inside a polyhedral Agm (m = 6-10) cage, whereas C42-exhibits variable coordination modes involving each terminal triple-bond and a Agm (m = 3-5) basket. Recently we reported the first successful synthesis of their unstable higher homologues Ag2C6and Ag2C8, which were characterized through X-ray structure determination of their crystalline double salts Ag2C6·8AgCF3CO2·6H2O (3), 4(Ag2C6)·16AgCF3CO2·14.5DMSO and 2.5(Ag2C8)·10AgCF3CO2·10DMSO (Figure 1).[1] Our concomitant research program focused on silver(I) coordination and supramolecular network assembly based on multinuclear aggregates containing various kinds of carbon-rich ethynide ligands has established the robustness of multinuclear metal-ligand silver-ethynide supramolecular synthons symbolized as C2@Agn (n = 5-10), Ag4⊂C≡C–C≡C⊃Ag4, Agn⊂C6H4(n = 7-9), Agn⊂C≡C–R–C≡C⊃Agn (R = o-, m-, p-C6H4; n = 4, 5) and R–C≡C⊃Agn (R = aryl, alkyl, heterocycle,...; n = 4, 5), which function as versatile structural building units for the construction of a variety of discrete molecules, high-nuclearity clusters,[2] as well as 1D-3D coordination and supramolecular architectures.[3] In the absence of a definitive theoretical study, an empirical bonding model involving ionic, covalent and argentophilic interactions that consolidate the above-mentioned supramolecular synthons is proposed, which can account for the fact that analogous synthons have not been found for copper(I) and gold(I). This work is supported by Hong Kong Research Grants Council GRF CUHK 402710
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7

Li, Donald K. T. "Primary care in Hong Kong". Asia Pacific Family Medicine 2, n. 1 (marzo 2003): 2–4. http://dx.doi.org/10.1046/j.1444-1683.2003.00041.x.

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8

Tsao, SY, e A. Leung. "Palliative care in Hong Kong". Palliative Medicine 5, n. 3 (luglio 1991): 262–66. http://dx.doi.org/10.1177/026921639100500313.

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9

Yuen, W. K., e C. H. Chung. "Trauma care in Hong Kong". Trauma Quarterly 14, n. 3 (1 luglio 1999): 241–47. http://dx.doi.org/10.1163/156857199750223721.

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10

Franklin, Cory M. "Accounting from Hong Kong". Critical Care Medicine 27, n. 1 (gennaio 1999): 4–5. http://dx.doi.org/10.1097/00003246-199901000-00003.

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11

Kaur, Baljit. "Cultural Competent Care in Hong Kong". International Journal of Social Science and Humanity 6, n. 2 (febbraio 2016): 136–40. http://dx.doi.org/10.7763/ijssh.2016.v6.632.

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12

Gao, Sherry, Kitty Chen, Duangporn Duangthip, Edward Lo e Chun Chu. "Oral Health Care in Hong Kong". Healthcare 6, n. 2 (11 maggio 2018): 45. http://dx.doi.org/10.3390/healthcare6020045.

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13

So, Hang Mui, e Xi Cao. "Critical Care Nursing in Hong Kong". Connect: The World of Critical Care Nursing 12, n. 3 (1 settembre 2018): 70–72. http://dx.doi.org/10.1891/1748-6254.12.3.70.

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Abstract (sommario):
BackgroundNursing shortage, especially in critical care unit, has become a big concern worldwide.AimThis study aimed to provide the current states of critical care nursing in Hong Kong.MethodsA literature search was conducted. Findings were narratively summarized.FindingsHong Kong faces an increasing demands in critical care service. However, the shortage of nursing manpower in ICU imposes challenges to meet such demands as well as the quality of critical care. Hospital authority has implemented various strategies such as the development of practice through Specialty Advisory Group (Critical Care) and Coordinating Committee in Intensive Care to address these issues.ConclusionEfforts from all stakeholders are needed to meet the demands and improve the quality of critical care.
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14

Chan, Zenobia. "Primary health care in Hong Kong". Education for Health: Change in Learning & Practice 19, n. 2 (1 luglio 2006): 229–32. http://dx.doi.org/10.1080/13576280600783695.

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15

Lee, Diana T. F. "RESIDENTIAL CARE SERVICES IN HONG KONG". International Journal of Nursing Practice 5, n. 4 (dicembre 1999): 230. http://dx.doi.org/10.1046/j.1440-172x.1999.00200-1.x.

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16

Ip, Mary, e Loretta Yam. "Critical care rationing in Hong Kong". Current Opinion in Critical Care 3, n. 4 (agosto 1997): 322–28. http://dx.doi.org/10.1097/00075198-199708000-00013.

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17

Chow, S. P., e F. Leung. "Trauma care systems in Hong Kong". Injury 34, n. 9 (settembre 2003): 684–85. http://dx.doi.org/10.1016/s0020-1383(03)00161-x.

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18

Tso, Alice. "Spiritual Care in Hong Kong Home Care Nursing". Home Healthcare Now 42, n. 2 (marzo 2024): 118–19. http://dx.doi.org/10.1097/nhh.0000000000001222.

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19

Wong, Jacky, Sai Ping Chin e Muthukaruppan Ramanathan. "Kai Tak cruise terminal, Hong Kong: a sustainable development". Proceedings of the Institution of Civil Engineers - Civil Engineering 169, n. 6 (novembre 2016): 49–55. http://dx.doi.org/10.1680/jcien.15.00078.

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20

Chau, Pui Hing, Jean Woo, Michael K. Gusmano, Daniel Weisz, Victor G. Rodwin e Kam Che Chan. "Access to primary care in Hong Kong, Greater London and New York City". Health Economics, Policy and Law 8, n. 1 (1 maggio 2012): 95–109. http://dx.doi.org/10.1017/s1744133112000114.

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AbstractWe investigate avoidable hospital conditions (AHC) in three world cities as a way to assess access to primary care. Residents of Hong Kong are healthier than their counterparts in Greater London or New York City. In contrast to their counterparts in New York City, residents of both Greater London and Hong Kong face no financial barriers to an extensive public hospital system. We compare residence-based hospital discharge rates for AHC, by age cohorts, in these cities and find that New York City has higher rates than Hong Kong and Greater London. Hong Kong has the lowest hospital discharge rates for AHC among the population 15–64, but its rates are nearly as high as those in New York City among the population 65 and over. Our findings suggest that in contrast to Greater London, older residents in Hong Kong and New York face significant barriers in accessing primary care. In all three cities, people living in lower socioeconomic status neighborhoods are more likely to be hospitalized for an AHC, but neighborhood inequalities are greater in Hong Kong and New York than in Greater London.
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21

Chan, David. "Perspectives on Critical Care Nursing: Hong Kong". Connect: The World of Critical Care Nursing 3, n. 3 (settembre 2004): 86–89. http://dx.doi.org/10.1891/1748-6254.3.3.86.

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22

&NA;. "Cancer care focus of Hong Kong conference". PACEsetterS 1, n. 2 (ottobre 2004): 59. http://dx.doi.org/10.1097/01.jbi.0000394006.81211.9b.

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Wong, Linda. "Community Care in China and Hong Kong". Asian Journal of Public Administration 15, n. 2 (dicembre 1993): 159–76. http://dx.doi.org/10.1080/02598272.1993.10800277.

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24

Ho, T. "Psychiatric care of suicides in Hong Kong". Journal of Affective Disorders 76, n. 1-3 (settembre 2003): 137–42. http://dx.doi.org/10.1016/s0165-0327(02)00079-4.

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Yang, Stella Xinchen, Katherine Chiu Man Leung, Chloe Meng Jiang e Edward Chin Man Lo. "Dental Care Services for Older Adults in Hong Kong—A Shared Funding, Administration, and Provision Mode". Healthcare 9, n. 4 (1 aprile 2021): 390. http://dx.doi.org/10.3390/healthcare9040390.

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Hong Kong has a large and growing population of older adults but their oral health conditions and utilization of dental services are far from optimal. To reduce the financial barriers and to improve the accessibility of dental care services to the older adults, a number of programmes adopting an innovative shared funding, administration, and provision mode have recently been implemented. In this review, an online search on the Hong Kong government websites and the electronic medical literature databases was conducted using keywords such as “dental care,” “dental service,” and “Hong Kong.” Dental care services for older adults in Hong Kong were identified. These programmes include government-funded outreach dental care service provided by non-governmental organizations (NGOs), provision of dentures and related treatments by private and NGO dentists supported by the Community Care Fund, and government healthcare vouchers for private healthcare, including dental, services. This paper presents the details of the operation of these programmes and the initial findings. There is indirect evidence that these public-funded dental care service programmes have gained acceptance and support from the government, the service recipients, and the providers. The experience gained is of great value for the development of appropriate dental care services for the older adults in Hong Kong and worldwide.
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Chi, Iris, e Ernest Chui. "Ageing in Hong Kong". Australasian Journal on Ageing 18, n. 2 (maggio 1999): 66–71. http://dx.doi.org/10.1111/j.1741-6612.1999.tb00098.x.

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Lam, W. H. K., Mei-ling Tam, S. C. Wong e S. C. Wirasinghe. "Wayfinding in the passenger terminal of Hong Kong International Airport". Journal of Air Transport Management 9, n. 2 (marzo 2003): 73–81. http://dx.doi.org/10.1016/s0969-6997(02)00044-3.

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Chow, W. K., e C. M. Y. Ng. "Survey on passenger loading in the Hong Kong airport terminal". Proceedings of the Institution of Civil Engineers - Municipal Engineer 163, n. 2 (giugno 2010): 107–13. http://dx.doi.org/10.1680/muen.2010.163.2.107.

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Nagy, M. Christine, S. Colleen Beal, Alex Yui-Huen Kwan e Lorin A. Baumhover. "Are Health Care Professionals Ready for Alzheimer's Disease: A Comparison of U.S. and Hong Kong Nurses". International Journal of Aging and Human Development 39, n. 4 (dicembre 1994): 337–51. http://dx.doi.org/10.2190/7vjb-yp9u-h845-9bwt.

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The Alzheimer's Disease Knowledge Test (ADK) was administered to samples of practicing nurses in the United States and Hong Kong. Nurses experienced with Alzheimer's Disease patients, having specific training on AD, and reporting greater knowledge about AD were, in fact, more knowledgeable. Overall, U.S. nurses were significantly more knowledgeable, but exhibited more negative bias than Hong Kong nurses. Findings suggest that nurses in Hong Kong, as well as in the United States, need more training about Alzheimer's disease.
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Cheung, Eric F. C., Linda C. W. Lam e Se-fong Hung. "Mental health in Hong Kong: transition from hospital-based service to personalised care". International Psychiatry 7, n. 3 (luglio 2010): 62–64. http://dx.doi.org/10.1192/s1749367600005865.

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Hong Kong was a UK colony before 1997 but has since been a Special Administrative Region of the People's Republic of China. It is located in southern China and has an area of 1104 km2. Approximately 95% of Hong Kong's population is ethnic Chinese. Hong Kong is a developed capitalist economy, with a gross domestic product of US$301.6 billion (2009 estimate), of which about 5.5% is spent on healthcare and about 0.24% on mental health (World Health Organization, 2005). Despite the relatively low level of spending on healthcare, Hong Kong nevertheless has one of the longest life expectancies in the world (79.2 years for men; 84.8 years for women) and a very low infant mortality rate (2.93 per 1000 live births) (Central Intelligence Agency, 2010).
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Wilson, James M., Marissa Iannarone e Chunhui Wang. "Media Reporting of the Emergence of the 1968 Influenza Pandemic in Hong Kong: Implications for Modern-day Situational Awareness". Disaster Medicine and Public Health Preparedness 3, S2 (dicembre 2009): S148—S153. http://dx.doi.org/10.1097/dmp.0b013e3181abd603.

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ABSTRACTObjective: We investigated local media reporting during the emergence of influenza A/Hong Kong/68 in Hong Kong to understand how indolent social awareness contributed to delays in warning of the pandemic.Methods: Daily output from 1 English-language and 4 local Chinese-language newspapers published in Hong Kong between July 1 and August 31, 1968 were manually reviewed for all references to the presence of respiratory disease or influenza in southern China and Hong Kong. Public announcements from the World Health Organization Weekly Epidemiological Record were used to approximate international awareness.Results: Influenza A/Hong Kong/68 appeared abruptly in Hong Kong and within 1 week began to affect the functioning of the health care sector as well as civil infrastructure due to worker infection and absenteeism. Substantial delays in communication between Guangzhou, China, and Hong Kong officials contributed to delays in warning globally.Conclusions: The 1968 experience emphasizes the need to use the news media in the operational setting as a critical component in warning of a pandemic. (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S148–S153)
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Sheng, Olivia R. Liu, Paul Jen-Hwa Hu, Grace Au, Kunihiko Higa e Chih-Ping Wei. "Urban teleradiology in Hong Kong". Journal of Telemedicine and Telecare 3, n. 2 (1 giugno 1997): 71–77. http://dx.doi.org/10.1258/1357633971930896.

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We investigated four major teleradiology programmes in Hong Kong. We analysed the overall organizational background of each programme, the context of its implementation, the choice of technology and the decision-making process, and the subsequent dissemination of the technology. Our review suggests that the success of a telemedicine programme is contingent not only on good technology but also on effective management of issues pertaining to human and organizational factors. At the departmental level, the context of the implementation of telemedicine is crucial. At the institutional level, success depends on planning and management. At the professional level, continued education, periodic meetings and seminars are all effective means of promoting telemedicine among health-care professionals and administrators. At the national level, the Hong Kong experience suggests that telemedicine can be effectively developed by starting with urbanbased programmes.
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Sham, Mau Kwong Michael. "Pain Relief and Palliative Care in Hong Kong". Journal of Pain & Palliative Care Pharmacotherapy 17, n. 3-4 (gennaio 2004): 65–73. http://dx.doi.org/10.1080/j354v17n03_09.

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Woo, George C. "Aspects of low vision care in Hong Kong". Clinical and Experimental Optometry 74, n. 5 (settembre 1991): 184–86. http://dx.doi.org/10.1111/j.1444-0938.1991.tb04638.x.

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KING, NIGEL M. "Oral health care services for Hong Kong children". International Journal of Paediatric Dentistry 4, n. 3 (24 aprile 2009): 195–98. http://dx.doi.org/10.1111/j.1365-263x.1994.tb00131.x.

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Lopez, Violeta. "Critical care nursing research priorities in Hong Kong". Journal of Advanced Nursing 43, n. 6 (29 agosto 2003): 578–87. http://dx.doi.org/10.1046/j.1365-2648.2003.02756.x.

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Leung, Gabriel M., Irene O.L. Wong, Wai-Sum Chan, Sarah Choi e Su-Vui Lo. "The ecology of health care in Hong Kong". Social Science & Medicine 61, n. 3 (agosto 2005): 577–90. http://dx.doi.org/10.1016/j.socscimed.2004.12.029.

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Chu, C. H., S. S. S. Wong, R. P. C. Suen e E. C. M. Lo. "Oral health and dental care in Hong Kong". Surgeon 11, n. 3 (giugno 2013): 153–57. http://dx.doi.org/10.1016/j.surge.2012.12.010.

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Leung, Angela Yee Man, Iris Chi e Maria P. Aranda. "Introduction: Long-Term Care Needs in Hong Kong". Home Health Care Services Quarterly 30, n. 3 (luglio 2011): 115–18. http://dx.doi.org/10.1080/01621424.2011.599309.

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Sham, Mau Kwong Michael. "Pain Relief and Palliative Care in Hong Kong". Journal Of Pain & Palliative Care Pharmacotherapy 17, n. 3 (28 gennaio 2004): 65–73. http://dx.doi.org/10.1300/j354v17n03_09.

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Woo, J., S. C. Ho e E. Lau. "Care of the older Hong Kong Chinese population". Age and Ageing 27, n. 4 (1 luglio 1998): 423–26. http://dx.doi.org/10.1093/ageing/27.4.423.

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Fry, John. "Hong Kong: Need for improvement in primary care". Lancet 336, n. 8714 (settembre 1990): 558. http://dx.doi.org/10.1016/0140-6736(90)92104-p.

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Holroyd, E. A. "Psychosocial oncology & palliative care in Hong Kong Richard Fielding, Cecilia Lai-Wan Chan; Hong Kong University press, Hong Kong, 2000, 29pp.,$29.00 (paper)". Social Science & Medicine 52, n. 10 (maggio 2001): 1608–9. http://dx.doi.org/10.1016/s0277-9536(00)00277-x.

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Lau, P. F., e C. C. Lau. "A disaster drill in Hong Kong". Accident and Emergency Nursing 5, n. 1 (gennaio 1997): 34–38. http://dx.doi.org/10.1016/s0965-2302(97)90061-8.

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45

Chia, A. C. L., M. G. Irwin, P. W. H. Lee, T. H. W. Lee e S. F. Man. "Comparison of Stress in Anaesthetic Trainees between Hong Kong and Victoria, Australia". Anaesthesia and Intensive Care 36, n. 6 (novembre 2008): 855–62. http://dx.doi.org/10.1177/0310057x0803600617.

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Abstract (sommario):
A postal survey was sent to anaesthetic trainees in Hong Kong and Victoria, Australia to compare work-related stress levels. Demographic data were collected. Anaesthetist-specific stressors, Maslach Burnout Inventory and Global Job Satisfaction scores were used for psychological testing. The response rates from Hong Kong and Melbourne were 64 of 133 (48.1%) and 108 of 196 (55.1%), respectively. Victorian respondents were older with greater family commitments, but more advanced in fulfilling training requirements. Hong Kong respondents, being faced with both the challenge of dual College requirements, exhibited consistently higher indices of stress (P <0.001) and less job satisfaction (P <0.001). Common occupational stressors related to dealing with critically ill patients and medicolegal concerns. Higher stress scores observed in Hong Kong trainees related to service provision and a perceived lack of resources. Despite the complex nature of stress, its antecedents and manifestations, an inverse relationship between emotional exhaustion and job satisfaction was evident in correlation analysis (P <0.001). This survey suggests that stress was present in some trainees in both areas. Hong Kong trainees may benefit from local development to address mental wellbeing as being important to fulfil this highly competitive training program.
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46

Yu, Ruby, Pui Hing Chau, Sarah M. McGhee, Wai Ling Cheung, Kam Che Chan, Sai Hei Cheung e Jean Woo. "Trends in Prevalence and Mortality of Dementia in Elderly Hong Kong Population: Projections, Disease Burden, and Implications for Long-Term Care". International Journal of Alzheimer's Disease 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/406852.

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Abstract (sommario):
Background. We describe the trends in prevalence and mortality of dementia among older people in Hong Kong over time. Projections of the number of older people with dementia through 2039 and estimation of the disease burden are also included.Methods. Prevalence data were extracted from previous studies in Hong Kong. Mortality data were obtained from the Department of Health of Hong Kong. Projections of the number of people with dementia were calculated by applying the prevalence rates of dementia obtained from previous studies to Hong Kong population projections. The burden of dementia was measured by Disability-Adjusted Life Years (DALYs).Results. The number of people aged 60 and above with dementia is projected to increase by 222%, from 103,433 in 2009 to 332,688 in 2039, with a large proportion of those living in institutions. The number of deaths due to dementia among people aged 60 and above has more than doubled between 2001 and 2009. Mortality rates for dementia have also risen. In 2006, about 286,313 DALYS were lost due to dementia.Conclusions. The information presented may be used to formulate a long-term care strategy for dementia of the ageing population in Hong Kong.
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47

Moles, T. M. "Kai Tak Airport, Hong Kong". Journal of the World Association for Emergency and Disaster Medicine 1, n. 2 (1985): 141. http://dx.doi.org/10.1017/s1049023x00065304.

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Abstract (sommario):
Hong Kong is situated at the center of the air traffic axis for Asia, and has, at Kai Tak, one of the busiest airports in the world. The areahas experienced a ten-fold increase in population over 25 years and now has the highest urban density in Asia. Hong Kong is in the monsoon belt and is subjected to the very severe weather conditions of typhoons.Kai Tak airport is unique. The main 7,000 foot runway is substantially reclaimed from the harbor which in turn lies within a spectacular mountain bowl. The 310° flight path traverses the north end of the Kowloon peninsula with equally spectacular urban development.Overall disaster contingency planning within this broad spectrum is the responsibility of a joint Police/Military Command. An Aircraft Accident Committee coordinates joint emergency service planning, command and communications training and exercises.Response to an aircraft disaster is initated by Air Traffic Control through the joint Fire Service/Police/Military Command which sets up a discretionary response for intervention, search and rescue by land, sea and air.Although the problems are universal, the Maximum Credible Incident scale is extraordinary to Hong Kong. Unique means of dealing with this problem have been specially evolved here, particularly in the field of fire fighting and marine rescue which involve a Catamaran Rescue and Immediate Care Vessel.
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48

Hui, Elsie, e Jean Woo. "Telehealth for older patients: The Hong Kong experience". Journal of Telemedicine and Telecare 8, n. 3_suppl (dicembre 2002): 39–41. http://dx.doi.org/10.1258/13576330260440808.

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summary We studied the feasibility, acceptability and cost-effectiveness of using telemedicine to provide geriatric services to residents of nursing homes. A local 200-bed nursing home supported by the community geriatric assessment team (CGAT) participated in a one-year study, during which videoconferencing was used to replace conventional outreach or clinic-based geriatric care. The feasibility of telemedicine was evaluated by participating specialists in a total of 1001 consultations. Other outcome measures included productivity gains, utilization of hospital emergency and inpatient services, and user satisfaction. Telemedicine was adequate for patient care in 60 99% of cases in seven different disciplines. The CGAT was able serve more patients and see them earlier and more frequently. Telemedicine was cheaper than conventional care, and well accepted by health-care professionals as well as clients. Substantial savings were achieved in the study period through a 9% reduction in visits to the hospital emergency department and 11% fewer hospital bed-days. Telemedicine was a feasible means of care delivery to a nursing home and resulted in enhanced productivity and cost-savings. Linking more such institutions to care providers would further increase cost-effectiveness.
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49

LA GRANGE, ADRIENNE, e BETTY YUNG LOCK. "Poverty and single elders in Hong Kong". Ageing and Society 22, n. 2 (26 luglio 2002): 233–57. http://dx.doi.org/10.1017/s0144686x01008509.

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Abstract (sommario):
This paper proposes a methodology for measuring poverty among people aged 60 years or more and living alone in Hong Kong. It uses a lifestyle approach and is based on an index of subjective perceptions of deprivation consisting of 79 indicators. These cover the main expenditure categories of single elders in Hong Kong: housing, food, clothing, durable goods, fuel and water, entertainment and social activities, medical care and transport. We tentatively identify a poverty threshold of HK $7,000 per month in regard to these expenditure categories. With incomes below $6,000, respondents reduce spending on miscellaneous items and, at incomes of $5,000, they reduce spending on clothing, entertainment and social activities and transport. At incomes below $4,000, they cut down on food, durable goods, and fuel and water expenditure. As incomes drop below $4,000, respondents are forced to cut to a significant degree the ‘necessities’ of life, in particular food, to make ends meet. Despite this, levels of transfer payments to Hong Kong's eligible single elders are currently below this amount. It is noteworthy that respondents do not reduce housing, medical care, services and ‘other’ expenses when their incomes are below $7,000 per month. We conclude that Hong Kong's status as a ‘tiger welfare regime’, and in particular its relatively comprehensive provision of public housing and health care, helps to explain this finding.
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50

Pang, A. H. T., L. C. W. Lam e H. F. K. Chiu. "Developing psychogeriatric services in Hong Kong". Psychiatric Bulletin 19, n. 8 (agosto 1995): 506–8. http://dx.doi.org/10.1192/pb.19.8.506.

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Abstract (sommario):
Hong Kong is an international trade and finance centre situated on the southern coast of China, offering a unique blend of Western culture and Chinese tradition. With a largely private primary health care system, psychiatric services here have been predominately hospital centred. Following the 1992 Government Review of Rehabilitation Program Plan (Secretary of Health and Welfare, Hong Kong, 1992) development of community-based services has become the major local issue. Psychogeriatrics is the first sub-speciality to have achieved major progress in this area. Such a development illustrates how local psychiatrists faced the challenge of applying Western models to suit an Oriental population with a different socio-cultural value system.
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