Gauld R D
Department of Preventive and Social Medicine, University of Otago Medical School, Dunedin, New Zealand.
Soc Sci Med. 1998 Oct;47(7):927-39. doi: 10.1016/s0277-9536(98)00158-0.
This paper considers the involvement and performance in the health sector of the Hong Kong government prior to and beyond the transfer of sovereignty from Britain to China in July 1997. The paper commences with a historical survey of health services development, which provides insights into why the health system functions in its present haphazard manner. This section culminates by discussing the 1991 establishment of the statutory Hospital Authority which was an attempt to alleviate escalating problems in the administration of hospitals and public health services. Next, the paper surveys the present, discussing, respectively, the roles of government and private service providers, health care outcomes and the contribution of traditional Chinese medicine. Finally, the paper outlines a range of pressing issues which Hong Kong's future policy-makers will need to confront: the organization of the health sector, health financing and the health policy deficit. In the conclusion, it is posited that there is a need for government to formulate a health policy and to clarify its role in the provision of services.
本文探讨了1997年7月香港主权从英国移交中国之前及之后，香港政府在医疗卫生领域的参与情况和表现。文章开篇对医疗卫生服务的发展进行了历史回顾，揭示了卫生系统以当前混乱方式运作的原因。这部分内容在讨论1991年法定医院管理局的成立时达到高潮，该管理局旨在缓解医院管理和公共卫生服务中不断升级的问题。接下来，文章审视了当前情况，分别讨论了政府和私营服务提供者的角色、医疗保健成果以及中医药的贡献。最后，文章概述了一系列香港未来政策制定者需要面对的紧迫问题：医疗卫生领域的组织架构、卫生筹资以及卫生政策缺陷。结论部分认为，政府有必要制定卫生政策并明确其在服务提供中的角色。
