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Table 1.2
Major strategic papers on primary healthcare development in Hong Kong

Title Primary Care-related Recommendations
Health for all, the (a) Establish a Primary Health Care Authority by the Government to
way ahead: report monitor the delivery of primary healthcare services.
of the Working
Party on Primary
Health Care, 1990
(Working Party on
Primary Health Care,
1990)
Improving Hong (a) Expand primary outpatient services to poor and low-income residents,
Kong’s Health Care and promote the development of Family Medicine;
System – Why and (b) Conduct pilot projects to promote integration between primary and
For Whom?, 1999 tertiary care and the public and private sectors by contracting out
(The Harvard Team, certain services such as Maternal and Child Health (MCH) Services in a
1999)
particular region, or specific services which currently have long waiting
lines at HA facilities.
Building a Healthy (a) Promote the family doctor concept which emphasised continuity of
Tomorrow, 2005 care, holistic care, and preventive care;
(HWFB, 2005) (b) Put greater emphasis on prevention of diseases and illnesses through
public education and family doctors; and
(c) Encourage and facilitate medical professionals to collaborate with other
professionals to provide coordinated services.
Your Health Your (a) Develop basic models for primary care services;
Life, 2008 (b) Establish a family doctor register;
(FHB, 2008b)
(c) Subsidise patients for preventive care;
(d) Improve public primary care; and
(e) Strengthen public health functions.
Recommendations (a) Develop primary care conceptual models and clinical protocols,
by the Working especially for the prevention and management of common chronic
Group on Primary diseases, with a view to guiding the provision of enhanced primary care;
Care, 2009 (b) Set up a Primary Care Directory with a view to promoting enhanced
(Legislative Council primary care through the family doctor concept and adopting a
Panel on Health multi-disciplinary approach; and
Services, 2009)
(c) Devise feasible service models to deliver enhanced primary care
services in the community through pilot projects as appropriate,
including the setting up of community health centres.
Primary Care (a) Develop conceptual models and reference frameworks;
Development (b) Establish a Primary Care Directory;
Strategy Document,
2010 (FHB, 2010b) (c) Launch pilot projects to improve chronic disease management;
(d) Set up community health centres and networks;
(e) Strengthen primary dental care;
(f) Improve community mental health care;
(g) Release the electronic health record (eHR) sharing system;
(h) Strengthen primary care-related research;
(i) Establish the Primary Care Office.
Towards 2025: New Strategic directions are proposed in line with WHO recommendations:
Strategy and Action (a) Government demonstrating leadership;
Plan to Prevent and
Control NCD in (b) Schools transformed into healthy settings (e.g., Health Promoting
Hong Kong, 2018 Schools);
(DH, 2018) (c) Supportive physical and social environments created for physical
activity;
(d) Effective partnerships with primary care professionals; and
(e) Consideration and adoption of “best buys” and other recommended
interventions at appropriate stages.
The Strategy and Action Plan (SAP) defines a set of 9 local NCD targets and
34 indicators derived from the WHO’s global monitoring framework (GMF).
33