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Primary Care Medicine

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Primary Care Medicine
__ of HK residents are regular attenders - ANSWER-20%

__ of the elderly are with HT - ANSWER-70%

3 type of health - ANSWER-- Physical health

- Psychological health

- Social health

Chronic Disease Management Program - ANSWER-- Risk Assessment & Management Program-RAMP

Collaboration of different healthcare providers in the healthcare system - ANSWER-- Communication
between healthcare providers

- Communication between healthcare provider and patient

Communication between healthcare providers - ANSWER-- Referral letter

- feedback letter

- Exchange of ideas

Communication between healthcare providers and patients - ANSWER-- consultation is a process of
communication and exchange of information

- Good communication is a basis of better clinical outcome

Consultation Services - example - ANSWER-- Chronic disease & Episodic disease (HA Go)

- Outreach Services: Disabled and handicapped homes

- Nursing Services

Designated clinic - when open - ANSWER-- outbreak of highly Infectious diseases

Diabetes Conversation map - ANSWER-- Under the guidance of a healthcare professional

- facilitate DM patients to discuss on topics related to DM

- Increase understanding of the disease

- Improve self care

Diabetes Mellitus Complication Screening - ANSWER-- BMI/HW ratio

- Fundus photo

- ECG

- Feet assessment

- Measure blood pressure

- Life style assessment

, Primary Care Medicine
- Check drug compliance

- Check blood + urine ACR

Dietitian Service - ANSWER-- assessment

- dietary advice

- weight management

Dietitian Service - Target patients - ANSWER-Chronic disease with problem of diet control

Disabled and handicapped homes- service - ANSWER-- Chronic diseases consultation

- General care (blood taking, specimens collection)

- Body check

- Provide health talks

- With facilities for rehabilitation

DM - A1C - ANSWER-A1C ≥ 6.5%



normal< 5.7

DM - plasma glucose - ANSWER-FG >=7.0 mmol/L



normal < 5.6

Episodic disease patients - exmaple - ANSWER-- influenza

- cold

Fall Prevention - service - ANSWER-- Fall Prevention education talk

- Individual fall risk assessment & interventions

Fall Prevention - target - ANSWER-- Elderly has history of fall and nearly fall within 1 year

- Potential faller with risk factors

Family Doctor - ANSWER-- provides whole-person health care to individuals and families in their living
environment

- time as a diagnostic tool, selectivity with evidence in examination, investigation and management, and
efficient communication

Family doctors as patients' partners in health - obesity management as an example - ANSWER-- The
identification, assessment and interventions for obese patient

- continual and long term relationship

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