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Conference Paper: Tackling complex chronic conditions - Apply what we already know

TitleTackling complex chronic conditions - Apply what we already know
Authors
Issue Date2013
PublisherHospital Authority.
Citation
Hospital Authority Convention, Hong Kong, China, 15-16 May 2013 How to Cite?
醫院管理局硏討大會, 香港, 中國, 15-16.5.2013 How to Cite?
Abstract“Global Burden of Disease 2010” estimates that 54% of all Disability-Adjusted Life Years (DALYs) worldwide and the top 10 causes of DALYs in high-income Asia Pacific as well as East Asia can be attributed to non-communicable diseases (NCDs). In post-modern Hong Kong, the attributable fraction due to NCDs can only be more burdensome. Whereas hospitals and by extension specialist clinics are the final common pathway for patients with NCDs, the solution to tackling this burden is of course upstream along the referral chain in primary and preventive care. Rose’s prevention paradox specifies a more nuanced but no less intensive approach towards purveyors of processed foods as per big tobacco. It also requires pervasive attention in all policies and deliberations regarding health impact, just as environmental impact assessments are de rigeur. Dahlgren and Whitehead’s conceptualisation of social determinants and Marmot’s World Health Organisation Commission findings instruct that root causes be identified and addressed, whereas victim blaming must cease. Alma Ata and Starfield’s empiricism have demonstrated the utility and economy of primary care. Screening should be meticulously evaluated then judiciously applied according to Lalonde’s “populations at risk” approach. Research must continue into better understanding pathogenesis as well as devising therapeutics. Nothing less than a comprehensive strategy, however incrementally but systematically executed and measured, will suffice to mitigate this complex, chronic burden of NCDs. Health and wellbeing aside, our productivity and economy depend on its success.
DescriptionSymposium 5 - Modernising healthcare: the need to change, S5.2
Theme: Consolidating Healthcare
Theme: 固本培員, 健行不息
Persistent Identifierhttp://hdl.handle.net/10722/183901

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_US
dc.date.accessioned2013-06-18T04:24:54Z-
dc.date.available2013-06-18T04:24:54Z-
dc.date.issued2013en_US
dc.identifier.citationHospital Authority Convention, Hong Kong, China, 15-16 May 2013en_US
dc.identifier.citation醫院管理局硏討大會, 香港, 中國, 15-16.5.2013-
dc.identifier.urihttp://hdl.handle.net/10722/183901-
dc.descriptionSymposium 5 - Modernising healthcare: the need to change, S5.2-
dc.descriptionTheme: Consolidating Healthcare-
dc.descriptionTheme: 固本培員, 健行不息-
dc.description.abstract“Global Burden of Disease 2010” estimates that 54% of all Disability-Adjusted Life Years (DALYs) worldwide and the top 10 causes of DALYs in high-income Asia Pacific as well as East Asia can be attributed to non-communicable diseases (NCDs). In post-modern Hong Kong, the attributable fraction due to NCDs can only be more burdensome. Whereas hospitals and by extension specialist clinics are the final common pathway for patients with NCDs, the solution to tackling this burden is of course upstream along the referral chain in primary and preventive care. Rose’s prevention paradox specifies a more nuanced but no less intensive approach towards purveyors of processed foods as per big tobacco. It also requires pervasive attention in all policies and deliberations regarding health impact, just as environmental impact assessments are de rigeur. Dahlgren and Whitehead’s conceptualisation of social determinants and Marmot’s World Health Organisation Commission findings instruct that root causes be identified and addressed, whereas victim blaming must cease. Alma Ata and Starfield’s empiricism have demonstrated the utility and economy of primary care. Screening should be meticulously evaluated then judiciously applied according to Lalonde’s “populations at risk” approach. Research must continue into better understanding pathogenesis as well as devising therapeutics. Nothing less than a comprehensive strategy, however incrementally but systematically executed and measured, will suffice to mitigate this complex, chronic burden of NCDs. Health and wellbeing aside, our productivity and economy depend on its success.-
dc.languageengen_US
dc.publisherHospital Authority.en_US
dc.titleTackling complex chronic conditions - Apply what we already knowen_US
dc.typeConference_Paperen_US
dc.identifier.emailLeung, GM: gmleung@hku.hken_US
dc.identifier.authorityLeung, GM=rp00460en_US
dc.description.natureabstract-
dc.identifier.hkuros214813en_US
dc.publisher.placeChina-
dc.customcontrol.immutableyiu 140207-
dc.customcontrol.immutableyiu 140313-

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