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Stakeholders’ voices




                                                    PPP programmes have been set up in the United Kingdom to
                                                    reduce waiting times for certain public healthcare services.
                                                    The private sector has been encouraged to invest in building
                                                    capacity to reduce the waiting times. This allows the private
                                                    sector to respond to inadequacies in the public sector.
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                             Our stakeholders, however, pinpointed that the current political landscape in Hong Kong and
                             various obstacles in the course of implementing a new voucher scheme will complicate the
                             process of applying strategic purchasing. Stakeholders pointed out that political momentum
                             for significant policy reform is often hard to gain or maintain throughout an extended period.
                             To succeed under these limitations, the Government should modify the proposed Scheme
                             based on healthcare demand. At the same time, the Government should invest in and
                             design a vision for future development, including support for future
                             initiatives in terms of promotion, research, and regulation, rather than roll out
                             fragmented policies. The Government should give clear directions on important topics such
                             as payment and liability, beyond ensuring smooth execution and fulfilment of intended
                             objectives. Efforts must be made for public education and promotion within the community
                             so that the public has a higher buy-in rate.


                                   Stakeholders’ voices




                           If you (the Government) don’t have a targeted policy, you’re not
                           going to get anywhere. I thought that [setting up a policy] was a
                           really big improvement already. Because when you have a policy,
                           people can start working on strategic purchasing. The Government
                           can then convince people step-by-step, by doing focus groups
                           where people say, “Wow this is great, I wish we had more”. Through
                           these documentation and research, the Government can build up
                           evidence to support the continued effort of implementation.

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                                               Strategic purchasing might be the only goal they (the Government)
                                               can achieve under the current political reality–the Government
                                               needs to be aware of this. Nonetheless, they need to set out clear
                                               priorities, a long-term direction, and identify gaps in the
                                               implementation. Be it public-private partnerships or voucher
                                               schemes, they need to remember the gaps in any of these projects
                                               and have a vision to resolve them later.
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