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Figure A
The elements of strategic purchasing, based on a synthesised
framework of strategic purchasing definitions

Population
health

Incorporating Citizen
cost-effective empowerment
contracting
Strategic
purchasing

Developing Strengthening
effective government
purchaser and stewardship
provider and
organisations capacity

Source: Klasa et al., 2018

APPLYING STRATEGIC PURCHASING TO
ENABLE A FIT-FOR-PURPOSE HEALTH

SYSTEM IN HONG KONG

Achieving the vision of a fit-for-purpose health system necessitates a massive, complex, and
continuous transformation of our health system and health financing structure, for which
strategic purchasing is a critical and currently underutilised mechanism. Consideration needs
to go into how to apply strategic purchasing to enhance programmes strategically designed
to meet health system goals and population needs. Along the way, decisions need to be
made on which programmes to apply strategic purchasing and how to link up programmes
to promote better integrated care.

Acknowledging the many policy actions underway to promote PHC development in Hong
Kong, this report leverages this momentum and proposes a localised strategy specific
to our pluralistic health system to promote innovative, effective and
equitable financing of healthcare, with a primary aim of accelerating PHC
development. We present policy recommendations informed by strategic purchasing
principles that seek to move Hong Kong closer towards achieving a health system which
provides well-integrated primary care that is person-centred to meet population health needs.

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