Missing Links between Primary Healthcare and Rural Elderly

Sai Kung District Community Center, Hong Kong

Missing Links between Primary Healthcare and Rural Elderly

Sai Kung District Community Center, Hong Kong

Health inequity in rural areas is sometimes neglected in our city.  In Sai Kung alone, there are more than 158,800 senior citizens, accounting for 32% of the district population.  It is estimated that at least 10,000 of them are still living dispersedly and remotely among 110 rural villages, very far away from the closest major government-funded healthcare facilities in the urban town of Tseung Kwan O.

In addition, insufficient internet coverage remains as one of the greatest hurdles for implementing telehealth services there, as concluded in our supported pilot project by Sai Kung District Community Centre (SKDCC).    Despite numerous barriers, as a community-based NGO, SKDCC continues its pursuit to address the service gaps at the first contact point of primary healthcare system and to explore more effective solutions for ageing-in-place in rural areas.

Since July 2022, ZeShan Foundation, together with Kerry Group, has therefore been co-funding SKDCC’s another 3-year pilot project “Mobile Primary Healthcare in Rural Sai Kung for Elderly”. The team has been reaching out to elderly villagers to strengthen their self-efficacy, through combining the use of smart devices for monitoring, health coaching, mobilisation of community health ambassadors and case management, with a more holistic lens of maintaining a better quality of life in terms of healthcare and social connections.   These approaches align with ZeShan’s three guiding principles, namely ‘empowerment’ (by increasing the capacity of older persons to take charge of their own health, and of communities to take care of each), “engagement & collaboration” (by facilitating partnerships among social workers, pharmacies, researchers and community members, including the development of protocols and mechanism of collaboration), and “catalyzing innovations and flexibility” (by providing capital to an NGO such as SKDCC to test new collaborations and engage policy-making stakeholders).

Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
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Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
PlayPause
previous arrow
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Health inequity in rural areas is sometimes neglected in our city.  In Sai Kung alone, there are more than 158,800 senior citizens, accounting for 32% of the district population.  It is estimated that at least 10,000 of them are still living dispersedly and remotely among 110 rural villages, very far away from the closest major government-funded healthcare facilities in the urban town of Tseung Kwan O.

In addition, insufficient internet coverage remains as one of the greatest hurdles for implementing telehealth services there, as concluded in our supported pilot project by Sai Kung District Community Centre (SKDCC).    Despite numerous barriers, as a community-based NGO, SKDCC continues its pursuit to address the service gaps at the first contact point of primary healthcare system and to explore more effective solutions for ageing-in-place in rural areas.

Since July 2022, ZeShan Foundation, together with Kerry Group, has therefore been co-funding SKDCC’s another 3-year pilot project “Mobile Primary Healthcare in Rural Sai Kung for Elderly”. The team has been reaching out to elderly villagers to strengthen their self-efficacy, through combining the use of smart devices for monitoring, health coaching, mobilisation of community health ambassadors and case management, with a more holistic lens of maintaining a better quality of life in terms of healthcare and social connections.   These approaches align with ZeShan’s three guiding principles, namely ‘empowerment’ (by increasing the capacity of older persons to take charge of their own health, and of communities to take care of each), “engagement & collaboration” (by facilitating partnerships among social workers, pharmacies, researchers and community members, including the development of protocols and mechanism of collaboration), and “catalyzing innovations and flexibility” (by providing capital to an NGO such as SKDCC to test new collaborations and engage policy-making stakeholders).

Moreover, this project is also testing a community-based referral system for professional treatment and a co-payment system referencing government subsidy scale like Health Care Voucher and Community Care Service Voucher, etc. Evidence-based evaluation would also be conducted in order to assess the project outcomes, including connectivity between social resources and the actual needs for these underserved communities in remote areas.

As an effort to expand its partnership, SKDCC has also received free health coaching for its nurse staff and free nursing support from the project team of HomeAge of the City University of Hong Kong.

Tsz Kwan Lai
Assistant Operations Manager
ZeShan Foundation

Moreover, this project is also testing a community-based referral system for professional treatment and a co-payment system referencing government subsidy scale like Health Care Voucher and Community Care Service Voucher, etc. Evidence-based evaluation would also be conducted in order to assess the project outcomes, including connectivity between social resources and the actual needs for these underserved communities in remote areas.

As an effort to expand its partnership, SKDCC has also received free health coaching for its nurse staff and free nursing support from the project team of HomeAge of the City University of Hong Kong.

Tsz Kwan Lai
Assistant Operations Manager
ZeShan Foundation

Related Links

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外展護士:
不單照顧鄉郊長者的醫療需要 關心她們心靈及社福需要 @ 卓越實踐在社福2021
Link (Youtube 平台)

《凝聚香港》-西貢鄉郊流動醫療康健計劃 -重溫(7’39‘’開始)
Link (香港電台 Podcast)

Related Links

Website:

Media (Chinese Only):

外展護士:
不單照顧鄉郊長者的醫療需要 關心她們心靈及社福需要 @ 卓越實踐在社福2021
Link (Youtube 平台)

《凝聚香港》-西貢鄉郊流動醫療康健計劃 -重溫(7’39‘’開始)
Link (香港電台 Podcast)

Age-related declines in capabilities may compromise older people’s ability to respond to health and safety hazards in home environment, causing increased risk of home injuries and threatening ageing-in-place. Recognising the growing demand for more personalised and preventive home support, ZeShan Foundation rolled out a new partnership with Habitat for Humanity Hong Kong

Tele-healthcare in Remote Villages of Sai Kung

Sai Kung District Community Center, Hong Kong

Sai Kung District Community Center (“SKDCC”) is committed to breaking the barriers of geographical dispersion and inconvenience in rural areas with technology, anticipating the perception of rural areas of Hong Kong as enticing alternatives to urban regions. By channeling community capital into the rural community, they are realizing their mission: “to connect and mobilize community resources, to love and care our folks and nature across Sai Kung.”

In joint efforts with ZeShan, SKDCC is providing primary healthcare services for village residents in a new program: Tele-healthcare and Medication Guidance Pilot Project in Sai Kung Rural Communities. The concerns of rural residents often remain in the periphery of the government’s attention, and is hardly addressed by healthcare resources currently provided by the government. One particular pain point is the difficulty rural residents face in reaching mainstream services and resources, especially the elderly population. This situation has only been exacerbated by the current COVID-19 epidemic, where it has become more difficult for them to update their health status, get medical follow-ups, and receive necessary treatment. SKDCC’s program aims at filling this service gap.

While the concept behind this project was not created from scratch, it not been realized due to a lack of resources specifically allocated by Hong Kong’s system to improve the aforementioned situation in rural areas. So far, the program has addressed 40 cases through the provision of 173 home-visit sessions by doctors, nurses, and pharmacists. A total of 221 sessions were conducted for tele-nursing consultation, caregiver consultation and case follow-up.

ZeShan and SKDCC are both striving to make stronger impacts on society, optimistic from the attention and media coverage on this pressing issue brought about by this program. We are hopeful that the outcome evaluation will shed new light on both the social and healthcare sectors to improve the effectiveness of primary healthcare in rural areas.

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Let Them Fly

Illuminant, Hong Kong

Established in 2018, Illuminant (registered as The Illuminant Company Limited) is a social enterprise dedicated to introducing the Japanese model of elderly care into Hong Kong.  The concept behind this model is to create an environment and care culture in which older adults can give full play to their own potentials and capacity, enabling the ageing community to look after themselves and enjoy their late years.  Its Chinese name “鐵樹銀花” literally translates to “silver flowers blossoming on iron trees”, an analogy that comes to mean “older people enjoying their life despite being frail”.  

Illuminant derives its stream of income from movie screenings, experiential learning courses, training workshops, and talks, all of which are driven by the aim to enhance and improve the quality of care in elderly homes and family homes across Hong Kong. J-Care, their flagship virtual reality training program, is the first of its kind in Hong Kong, through which people can immerse themselves in a world afflicted by dementia. Through the simulated first-person experience of dementia, participants are able to personally experience the difficulties faced by dementia patients in different scenarios that arise due to different symptoms of the condition. Accompanied by a trainer’s guidance and explanation throughout the simulation, participants emerge from the experience equipped with a better understanding of dementia patients’ needs and feelings. Illuminant’s programs have the potential to reduce the stigma and fear toward different ageing-related conditions in our society, with greater hopes of eliminating the social exclusion experienced by these vulnerable communities.

In 2018, ZeShan Foundation supported the first screening of the Japanese Kaigo movie “Care-Nin” (“照護人 1”) and an accompanying training session, which was well received by practitioners and policy makers in elder care.  In 2021, ZeShan also supplemented Illuminant’s material and staff costs to upgrade both the hardware and software behind their virtual reality program, which also indirectly helped to subsidize the organization’s financial shortage during a period of business re-strategizing. With the goal to broaden the reach of the J-Care concept to a wider professional and public audience, this more advanced VR program will enable the organization to more effectively deliver content remotely in online and mobile learning modes.

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The Japanese Kaigo Movie “Care-Nin” promotes the profession and the value of frontline carers, and brings out an important message that “having dementia does not mean your life is coming to an end.”

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Carers experiencing dementia perspectives through VR devices

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Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit…Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

When an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Photos Grid for Heading 02

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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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Geron-Infusion Education (Phase 1)

HKU & PolyU, Hong Kong

An ageing population has shifted global demographics, in turn creating demand for diverse professionals who possess both the knowledge of ageing consumers’ interests and characteristics, and the necessary skills to adapt to their service and product needs. Incorporating ageing-related content into curricula has been found to be effective in enabling students in diverse disciplines to acquire the knowledge necessary to meet these changing societal needs, which place universities in a critical position to respond to ageing populations through new approaches in teaching, research, and community engagement.

In support of the cultivation of gerontology education and workforce development, the Geron-Infusion Education (GIE) initiative was jointly developed and implemented in September 2018 by the Hong Kong Polytechnic University under the Infusion Active Ageing Education project (GIE-IAAE) and the University of Hong Kong under the Campus Ageing Mix Project for University Students (GIE-CAMPUS). The GIE initiative adopted a ‘soft-socialisation approach’, encouraging academic staff to bring active ageing content into their curricula, while also integrating research into the process of feasibility testing and emphasizing the systematic evaluation of impact at the individual, departmental, and institutional levels.

Research objectives

1)       Identify and form a group of scholar leaders in the university to initiate Geron-Infusion activities through innovative programmes.

2)       Test the feasibility of the ageing infusion approaches to equip students with gerontology knowledge and skills.

3)       Promote the integration of gerontology (active ageing infusion education) into formal curricula in different disciplines at the university.

4)       Enhance the university’s institutional capacity to identify innovative ways to nurture future academic and social leaders to face an ageing society in Hong Kong and globally.

Geron-Infusion education models

In this 2-year pilot study, two theoretical GIE models were developed and tested, each designed to suit the institutional context of PolyU and HKU respectively.

An action-oriented approach, the PolyU IAAE model encompasses four sequential components: 1) Identification of academic champions, who are taught the benefits and value of the approach in promoting their application of ageing-related knowledge and skills in their disciplines; 2) Active infusion of related educational content into course curricula, with gerontology experts and academic champions co-creating inter-generational and discipline-specific educational activities; 3) Activity implementation; and (4) Evaluation.

Taking on an evidence-based approach, the GIE-CAMPUS presents Geron-Infusion in a three-tiered concentric model, extending outward from curricular, to institutional, then societal. At the curricular level are four pillars: 1) intergenerational contact-based education, 2) multilayer, nested teaching and learning activities; 3) collaborative leadership, and 4) stakeholder partnership. The next tier emphasizes four aspects of institutional buy-in: 1) mission and vision alignment, 2) supportive educational infrastructure, 3) faculty champions engagement, and 4) student upholding. Finally, the societal tier refers to the societal impacts of population ageing. Six strategies were used to aid the implementation of the GIE-CAMPUS model: 1) a community-based participatory approach, 2) accumulating good practice and reusable teaching and learning resources, 3) maintaining relationships and communication with stakeholders, 4) partnering and co-creating with champions on innovative curricular activities, 5) university and departmental leadership buy-in, and 6) sustaining and motivating Geron-Infusion with additional resources.

Evaluation Methodology

Faculty were identified and nurtured to take on the role as leaders and champions of the GIE project, who through in-depth interviews, evaluated changes in learning outcomes and curricula throughout the initiative.

Pre- and post- course questionnaires were administered to students to evaluate the effectiveness of GIE, which targeted four factors: 1) knowledge about ageing measured by Palmore’s Facts on Ageing Quiz, 2) gerontological skills, 3) attitude towards older people measured by the Chinese version of Kogan’s Attitude Toward Older People, and 4) professional interest in working with older people.

Exploring impact beyond the institutional setting, a “Productive Interactions” framework was developed to assess the societal impacts of GIE by measuring the direct and indirect interactions between different stakeholders. An interaction is considered productive when it leads to efforts by stakeholders to apply their research to broader societal goals.

Results 

Together, the PolyU IAAE and HKU CAMPUS engaged 18 faculty members from 11 disciplines, who integrated ageing-related content into 13 courses. Faculty champions gave positive feedback towards GIE regarding its relevance and benefits, expressing enthusiasm towards a continued improvement and implementation of GIE in their respective courses.

Between 2018 and 2020, the GIE reached a total of 643 students, of which 396 completed both pre- and post-course questionnaires, resulting in a response rate of 61.6%. Results from both institutions indicate that after the implementation of GIE, significant improvements were observed in gerontological skills, attitudes towards older people, and professional interest in working with older people. The two-year project enhanced opportunities for students to experience ageing-related teaching and learning, as well as to have direct contact with older adults and community stakeholders. The GIE had equipped students to become competent workforce professionals in an ageing society, and has strengthened the formal curricula of different academic departments in ways that align with ongoing socio-demographic changes.

Beyond infusing active ageing content and teaching methods into curricula, the initiative involved the placement of over 200 older adults into formal teaching and learning settings. This has fostered collaboration with local communities, including elderly services agencies, NGOs, industries, enterprises, secondary schools, and the general public, as well as regional and international organisations and research networks.

More broadly, research teams, faculty champions, and senior champions have successfully nurtured ageing literacy by accumulating innovative teaching and learning resources through the GIE. Resulting is the institutionalisation of gerontological competencies through the launch of a new Common Core cluster and transdisciplinary minor, The Human Lifespan.

Conclusion

The GIE is the first initiative in the world to use an ageing-infusion education approach to bring active ageing content into a diverse range of disciplinary curricula at higher institutions. The GIE pilot implemented at PolyU and HKU achieved all four of its objectives, and has made significant progress in increasing sensitivity, interest, and exposure to Geron-Infusion, as well as in advancing the leadership and capacity of tertiary institutions to respond purposefully to an ageing demographic worldwide. Both qualitative and quantitative data provide evidence in support of the GIE project’s impacts on faculty, students, institutions, and the community.

Tested under two different institutional contexts with varying levels of institutional and faculty management buy-in, the success of the two piloted GIE models—IAAE and CAMPUS—demonstrate its viability as pragmatic frameworks for Geron-Infusion curricula. Findings from students and faculty members demonstrate that both models are effective to some extent, yet highlight the importance of adaptability to the institutional context and capacity.

Contributing to its success, the PolyU IAAE and HKU CAMPUS overlapped in three factors: 1) co-creation of Geron-Infusion activities by the research team and faculty champions; 2) bringing older citizens into the classroom, whereby students have direct, personal, and positive contact with older people; and 3) building partnerships with diverse local stakeholders including professional parties, enterprises, community agencies, and organisations.

Identified challenges that impede the GIE’s ability to succeed include faculty resistance to the concept or the execution of Geron-Infusion education, low response from students in data collection, management of senior champions, and civil unrest and turbulence due to the 2019 social movements and the COVID-19 pandemic. Although some faculty members endorsed the continuation of Geron-Infusion in their future curricula, it is uncertain how long it can be sustained due to faculty and course coordinator turnover, unprecedented situations, declining faculty buy-in, and/or competing priorities. Moreover, rather than engaging with faculty members individually, knowledge and experience sharing should be encouraged between faculty champions, strengthening interconnections and communication among GIE participants within and across different universities.

Consolidating identified good practices, a public online teaching and learning e-toolkit on Geron-Infusion education has been developed to support faculty members from different disciplines in designing and downloading their self-created Geron-Infusion education plans. In addition to sharing insight on feasibility, implementation strategies, benefits, and impacts to the various stakeholder groups in Hong Kong and international networks, the GIE initiative can also bring together global initiatives for identifying and refining future Geron-Infusion and age-inclusive approaches in higher education in Asia and worldwide to meet the opportunities and challenges of ageing populations.

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PolyU-IAA team

Faculty of Law_ Outreach Legal Talks Initiative (OUTLET)_ HKU legal talk

GIE-CAMPU​S project legal talk for older adults in the community, co-organized  student-led and extracurricular project Outreach Legal Talks Initiative of Faculty of Law, HKU.

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Big Silver Community

Big Silver Community, Hong Kong

Founded and led by veteran journalist Leila Chan (陳曉蕾), Big Silver Community seeks to mobilize Hong Kong’s society members towards the innovation, experimentation, and refinement of solutions for ageing issues. Through what has been coined as “solutions journalism”, Big Silver Community reports on ideas that individuals are testing in response to different challenges in society, as well as the effectiveness of these innovations.

Recognizing the necessity for Hong Kong to prepare for an ageing population, this social venture address the importance of strengthening community networks, the effectiveness of prevention and early intervention, and the link between poverty and poor health among older adults. In doing so, Big Silver Community has pinpointed three indispensable and interdependent elements to ageing well: accumulating network (儲人), wealth (儲錢), and health (儲健康).

FROM BIG SILVER WEBSITE
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Roundtable Discussion 2014: Improving Services for Elderly

ZeShan Foundation, Hong Kong

To better understand the growing needs brought about by Hong Kong’s ageing population, ZeShan Foundation held a roundtable discussion on April 4, 2014, which was attended by philanthropists and representatives of private foundations, service organizations, research institutions and social enterprises. Ms. Annie Chen, a second generation member of the Thomas Chen family and member of ZeShan Foundation’s Grants Committee, hosted the event.

Hong Kong is experiencing a rapidly ageing population. In 2012, 14% (1.02 million people) of the population was aged 65 or older; by 2041, that number will shoot up to 30% (2.56 million people) according to a projection by the government. Comprehensive services for the elderly rank high on the list of concerns for both the community and the government of Hong Kong.

The featured speaker of the event, Prof Alfred Chan, Chair of the Elderly Commission and Director of the Asia-Pacific Institute of Ageing Studies at Lingnan University began by emphasizing how support from private foundations for pilot projects can be instrumental for developing innovative service models and formulating enlightened policy agenda through effective advocacy. Prof. CHAN suggested forging a strong public-private partnership among government entities, private and corporate funders, service providers, and concerned groups in order to effectively leverage resources and create synergy between these different stakeholders.

Among the participants, Mrs. Mabel Lee, Board member of Simon K.Y. Lee Foundation, and Ms. Bella Luk, Executive Director of Helping Hand, shared their experience in developing and scaling innovative projects to enhance elderly services in selected communities. Ms. Doris Leung, Chief Executive Officer of Diamond Cab, an award-winning social enterprise, shared her company’s lessons in creating impact through social innovation.

Moderated by Mr. Timothy Ma, Executive Director of Project Flame at the City University of Hong Kong, participants examined catalytic roles the philanthropic sector could play in creating impact in the development of elderly services. Emerging from the roundtable discussion, the general consensus was that there are great opportunities for collaboration across sectors in the field of elderly services.

Building on the momentum of the roundtable discussion, an ad-hoc working group was formed to follow-up on ideas brought up during this event and develop suggestions into actionable efforts.

圓桌討論會:改善長者服務 [2014]

回到地圖

擇善基金會於2014年4月4日舉辦圓桌討論會,目的是探討目前長者服務的改善空間及促進該方面的公私營合作,為日後龐大的長者人口提供更完善的服務配套。陳氏家族成員兼擇善基金會董事陳恩怡女士代表擇善基金會,歡迎28位來自私人基金會、非牟利機構、教研組織,社會企業的代表和獨立慈善家參加會議,就議題分享經驗和交流意見。

根據政府統計數字,本地65歲及以上的長者人口將由2012年的102萬人(佔人口的14%),大幅上升至2041年的256萬人(佔當時人口的30%)。香港正逐步趨向老齡化,如何提升長者服務成為當前重要的社會議題。

討論會邀得香港安老事務委員會主席及嶺南大學亞太老年學研究中心總監陳章明教授、李國賢基金會董事局成員李黃眉波女士、伸手助人協會總幹事陸寶珠女士作主講嘉賓。陳教授指出私人資金對開拓各項試點計劃十分重要,可使具創新性的項目得以被政府吸納及擴展。李女士及陸女士均分享在推廣地區老人服務方面的實踐經驗。 社會企業「鑽的」行政總裁梁淑儀女士則分享其以經營社會企業模式提供服務的經驗。

會議由香港城市大學「火焰計劃-社會創新及企業精神在城大」執行總監馬錦華先生主持。馬先生建議加強私人資助者、企業、非政府機構及關注團體之間的合作夥伴關係,產生協同效應,有效地拓展服務範疇及加深工作成效。與會者認同跨界別的合作對長者服務的發展有十分正面的作用。

討論會在熱烈的氣氛下總結成果,大部分與會者同意成立緊密溝通的工作小組,以積極地推動本地長者服務的發展。

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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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Related Links

Cross-sector Task Force on Elderly Services 2014

ZeShan Foundation, Hong Kong

Subsequent to the roundtable discussion convened by ZeShan Foundation in April 2014, a cross-sector working group has been formed with a focus around Hong Kong elderly services. The group was comprised of three task forces to take lead on forum organization, policy and advocacy, and dementia, respectively, which collectively work toward addressing issues raised during said roundtable discussion. 

In the face of a rapidly ageing population in Hong Kong, the working group believes that an effective public-private partnership is required to mobilize the community and the government to work in concert towards the needs of this shifting demographic. Only in coupling policy change with innovative solutions can Hong Kong be made an exemplar of quality elderly services for the region. 

In line with the group’s goal of encouraging cross-sector collaboration, the twenty members themselves are representatives of different sectors, such as grant-making foundations, academia and service providers, so as to join forces and work in synergy towards the common goal of improving elderly services.

Task Force 1: Conference Organization

The first task force organized a 2-day forum with a focus on building sustainable public-private partnership in elderly services, which was held in Hong Kong in mid-November 2015 just ahead of Hong Kong’s Senior Citizens’ Day. The goal behind this forum was to bring together private foundations, policy-makers, academics and service providers in a platform to develop private-public partnerships, as well as to demonstrate the importance of creating sustainable partnerships detailed through case studies.

Task Force 2: Policy & Advocacy

Convenor: Mr Patrick Cheung, Managing Director, The Jade Club

The second task force reviews elderly-related policies and advocates for greater cross-sector collaboration. In meetings convened with Miss Annie Tam, JP, Permanent Secretary for Labour and Welfare, and Dr. C. K. Law, Principal Investigator of the Consultant Team for the Elderly Commission’s Working Group on Elderly Services Program Plan (ESPP), members of this task force introduced the work and future plans of their respective organizations, discussed policy developments, and expressed views on the role and involvement of private foundations in the development of elderly services in Hong Kong.

Task Force 3: Dementia and Caregiver Support

Convenor: Ms Florence Ho, General Manager of the Jockey Club Centre for Positive Ageing & Jockey Club CADENZA Hub

The third task force looks specifically at dementia, diving into the policy and institutional support given to caregivers of dementia patients in Hong Kong. There are some 18,000 new cases of dementia every year in Hong Kong, and with the city’s ageing population, this neurological condition is expected to affect some 280,000, or 4% of the local population, by 2036.

 

跨界別安老服務專責小組 [2014]

擇善基金會於2014年4月召開探討本港安老服務的圓桌討論會,與會者其後成立跨界別工作小組,推行後續工作及保持緊密聯繫。工作小組設有三個專責小組,分別負責籌辦論壇、政策及倡議、腦退化症方面的工作。

工作小組認為,香港面對人口急劇老化所帶來的各種挑戰,必須透過有效的公私營合作,才能促使政府與社區攜手解決難題。香港若要推動優質安老服務,並在區內起牽頭作用,必須具有推動政策的決心和創新的解決方案。

工作小組的20位成員來自慈善基金會、學術界及服務提供者等界別,貫徹小組鼓勵跨界別合作的宗旨。小組為不同界別人士提供了協作平台,以共同實現提升安老服務質素的願景。


專責小組(一):籌備會議
第一個專責小組負責籌辦有關發展可持續公私營合作的研討會,於2015年11月香港長者日前夕於本港舉行。研討會為私人基金會、政策制定者、學者以及服務提供者等提供平台,一方面催化公私營合作機會,另一方面透過案例來探討可持續公私營合作模式的建立。

專責小組(二):政策及倡議
召集人:尊賢會創辦人 張瑞霖先生

第二個專責小組負責研究長者政策及倡議跨界別合作。專責小組先後約見了勞工及福利局常任秘書長譚贛蘭小姐JP, 以及安老事務委員會轄下「長期護理服務模式」工作小組顧問團隊首席研究員羅致光博士。小組成員在會上介紹了各自組織目前及計劃中的工作,就長者政策的發展方向進行了討論,以及就私人基金會在本港安老服務發展過程中可以擔當的角色提供了意見。

專責小組(三):認知障礙症及護老者支援
召集人:賽馬會耆智園 賽馬會流金匯總經理 何貴英女士

第三個專責小組負責研究腦退化症,以及本港在政策及製度上對護老者所提供的支援。香港每年新增約1.8萬宗老退化症個案,而隨著人口老化,預計2036年,老退化症患者將達28萬人,佔全港人口4%。

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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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