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02 封面故事 COVER STORY 封面故事 COVER STORY 03

智慧連結病人
Connecting patients to smart initiatives

無 或是史提芬史匹堡的《E.T. 外星人》,
論是米高安哲羅的《創造亞當》,抑

一切的歷史都是由連繫開始,接觸就是創
I n both Michelangelo’s Renaissance masterpiece The Creation of Adam
and Steven Spielberg’s classic film E.T. the Extra-Terrestrial, everything
is sparked off by connection, and that is how history is created. All
造歷史,沒有接觸,所有的創造都變得無 creations lack soul without connection.
意義。
The ultimate goal of smart hospital is to connect patients through the
智慧醫院的目標,就是透過科技及智慧型 adoption of technology and smart initiatives, in a way creating better
措施連繫病人,創造更佳的病人護理,同 patient journey and work environment for colleagues.
時減輕同事工作負擔。
The field of robotics is just one small element of ‘Smart Care’. In this
其實機械人只是智慧醫療的一小部分,還 edition, we look at the diversity of smart initiatives being put into
有更多智慧型措施,以及大數據和人工智 operation, as well as the application of big data and artificial intelligence.
能的應用,今期會為大家詳盡介紹。
The Hospital Authority has celebrated its 30th Anniversary. The issues
醫管局走過 30 年的歲月,今期內容見證著 and strategies we explore in this edition show that we not only have a
我們擁有豐盛的過去,而只要我們繼續探 rich past but a rich future as well, if we are bold enough to reach out
索,未來將會更精彩。 and explore the immense possibilities of ‘Smart Care’.
04 封面故事 COVER STORY 封面故事 COVER STORY 05

One-stop smart L ong waits for consultations have always been tiring. However, new features are developed, they can be adapted quickly

病 人「 至 醒 」門 診 體 驗 patient journey
patients are now being offered a faster and more convenient
treatment journey at two pilot smart hospitals - Tin Shui Wai
Hospital (TSWH) and Tseung Kwan O Hospital (TKOH). Specialist
outpatient clinics (SOPCs) at these two hospitals have introduced
to provide a better patient experience.”

The very essence of sustainable development is not about


changing the mindset and behaviour of patients but rather
one-stop electronic service that allows patients with follow- offering them more options for quality service, Ms Wong
up consultations to complete procedures from registration argues. “Elderly patients who are not good at technology
看 院作為智慧醫院試點,其專科門診均推行
病最怕漫長等待,天水圍醫院及將軍澳醫
and recording blood pressure to settling bills and collecting can still register and
medication by themselves. Patients need not have to queue up at pay for their medication
一站式電子化服務,前來覆診的病人從登記、量
every step along the way. Meticulous forward planning is the key at the counter, but
血壓,到繳費取藥,一概可透過手機及電子平台
to smooth operation of a smart clinic, according to Department when some of the
自助完成,免卻逐次排隊,務求為病人提供方便快
Operations Manager (SOPC) at New Territories West Cluster younger patients use
捷的求診體驗。新界西醫院聯網專科門診部門運作
Wong Wai-kuen, who compared it to an intricate game of chess. the electronic means,
經理黃惠娟說,智慧診所能運作完善,關鍵是團隊自
“Like playing chess, for each step we take, we have to think of the queuing times for the
2017 年開院已在「下棋」:「每行一步,便要想好之後的
next ten or even 100 steps,” she explains, “although the system elderly are shortened
十步、一百步,雖然現時只在天水圍醫院試行,但未來能
is being piloted only, it is worth to share the results with more too,” she says, “we
夠在全港醫院或診所共享成果,作為試點就更有意義。」
hospitals and clinics in Hong Kong.” always solicit views
of patients on the
黃惠娟表示,該院專科門診一開始已採用專科門診輪候管理系 「智聰廁」的管理系統可實時監察
The Queue Management System was installed by the TSWH frontline so that we 消耗品用量,方便環境及衞生管理。
統,毋須醫護人手處理病人掛號、分流及廣播等工作,「我們在
SOPCs from the outset of the project to free the medical staff keep improving the The smart toilet management system
成為智慧醫院試點前已未雨綢繆,電子系統一早便與醫管局一站 monitors the use of consumables in
of duties like registration, triage, and announcements, Ms Wong patient journey.”
式電子服務站(KIOSK)和 HA Go 手機應用程式整合,每當開發 toilets, allowing for better environmental
mentions. “We began and hygiene management.
新功能,便能迅速推行以提升病人體驗。」
preparing for the
future long before we
黃惠娟稱,持續發展的智慧不是要改變病人思維,而是提供更多
優質服務的選擇:「不擅長科技的年長病人仍可在櫃台登記、繳
費取藥,不過當一部分年輕病人用了電子化方式,老人家的排隊
became a pilot smart
hospital,” she says,
智 能 廁 所 善 用 科 技「 小 智 慧 」
“our electronic system
時間也會相應縮短,我們也經常在前線了解病人的親身感受,務
求不斷改進病人看病流程。」
for the SOPC was Technology is a breath of fresh air for toilets
integrated with the ‘KIOSK’

智慧覆診流程 system and ‘HA Go’ mobile


app at an early stage. In

慧醫院不單善用科技改
善病人流程,連廁所管理 S mart technology isn’t just a breath of fresh air in
terms of reducing waiting times and paperwork:
Steps along the 2 3 4 this connection, whenever 也充滿智慧元素。如基督教聯 it makes visiting the toilet at hospital a more pleasant
smart patient 到醫院後直接到電子健康監 診症過程中,若病人或家屬需 藥單同樣採用電子簽署,
合醫院早前引入「智聰廁」 ,提 experience as well. The United Christian Hospital
journey 升專科門診洗手間的環境及衞 (UCH) has introduced the smart toilet to help improve
測站,掃描手機上的繳費單 簽署同意書,醫護會透過平板 以條碼代替醫生簽名。病人
生水平。九龍東醫院聯網行政 the cleanliness and hygiene of the toilets at SOPCs.
1 條碼,然後自助量血壓和度 電腦提供電子同意書,減省耗 可於 HA Go 內的 Pay HA 繳 5 事務總經理湛偉民說: 「門診 “The toilets are heavily used and require huge
高磅重,測量結果會即時上 紙,相關文件紀錄亦會即時儲 費,再到藥房繳交藥單。
洗手間的使用量龐大,需要動 manpower and resources for their management and
病人在家透過 HA Go 手機應 載到病人電子檔案。 存於病人電子檔案。 Electronic signatures are 當藥物配備妥當,HA Go 會透 用許多人力物力管理和清潔, cleaning – and even then there will be bad smells from
用程式完成登記及繳費手續。 After arriving the SOPC, During the consultations, also applied for medication 過手機提示病人到藥房取藥。 惟間中仍傳出陣陣臭味。於是 time to time,” explains Terence Cham, Cluster General
Patients can complete the patients can scan the medical staff provide an orders, with a doctor’s hand- 病人亦可於 HA Go 查閱下次 我們嘗試建造智能洗手間,包 Manager of Administration Services at Kowloon East
registration and payment payment slip barcode on their electronic consent form on written signature replaced by a 覆診時間及藥物紀錄。 括引入空氣監察系統,定時監 Cluster. “We have therefore created a smart toilet with
at home using the ‘HA Go’ mobile phone at the eHealth a tablet for patients or their barcode. Patients can complete When the medication is ready, 測洗手間內的溫度、濕度、臭 an air-monitoring system to monitor the temperature,
mobile app. station, and measure their family members to sign to payments using the ‘Pay HA’ a notification from ‘HA Go’ app 味和懸浮粒子等,確保環境 humidity, odour, and suspended particles in the toilets
blood pressure, as well as reduce paper waste. The function in the ‘HA Go’ app, will remind patients to pick it 清潔乾爽。我們更善用智能 to ensure a clean and dry environment. We also use
height and weight. The results documents are registered and then collect prescriptions up at the pharmacy. Patients 管理系統,用大數據分析 the e-management system to analyse
will be uploaded instantly. immediately. at the pharmacy. can also check their next 不同時段的使用率、消 the usage rate, use of consumables,
天水圍醫院
appointment and medication 耗品用量及清潔服務 and the performance of cleaning
智慧門診流程影片 records on ‘HA Go’. 表現等,有助規劃 services at different timeslots to help
Video of smart
patient journey at 清潔人手及時 us better plan for manpower and 「智聰廁」影片
TSWH SOPC 間表。」 cleaning schedules.” Smart Toilet video
06 封面故事 COVER STORY 封面故事 COVER STORY 07

5G 手術室 5G Operating Theatres With the implementation of 5G technology in the OTs in the two clusters,
doctors can monitor the progress of surgery and even provide guidance from
兩個聯網的手術室引入 5G 技術後,醫生能遙距 a distance to enhance the efficiency of the surgery. “Previously, surgeons
智能儀表板 監察手術進度和提供零距離指導,提升手術效 would have difficulties in describing surgical situations to senior
The Smart Dashboard 率。擔任將軍澳醫院智慧醫院發展統籌的麻 doctors by phone”, explains Dr Dione Szeto, Coordinator of Smart
手術室
醉科及手術室部門主管司徒靈醫生說: Hospital Development and Chief of Service of Department
將軍澳醫院麻醉科及手術室運作經理 「以前手術進行時想找資深醫生指 of Anaesthesia and Operating Theatre Services at TKOH, 導航新招
盧惠貞及資深護師顏海狄表示,推動智慧手術 導,單靠電話難以清楚描述手術畫面和具體部位,將軍澳 “TKOH is the first hospital in Hong Kong to adopt 5G technology. Now, with New ways for OT guide
室必須得到整個團隊的配合,做到以人為本。團隊 醫院是全港首間醫院引入 5G 技術的手術室,即使資 the 5G technology adopted, even if the senior doctors are far away from
深醫生身處手術室外,仍可在其 5G 平板電腦同 the OT, they can still share high-definition surgical images instantly 不同醫院為讓病人和家屬更了解手術
五年前首創的「手術室智能儀表板」便是例子之一。身
步共享高清手術畫面,包括 3D 影像,甚 on the 5G tablet. They can also make remarks on the 3D 過程各出新招。天水圍醫院引入虛擬實
兼醫院護理資訊統籌的顏海狄表示:「智能儀表板記錄了
至即時劃上標記,遙距提供指導, surgical views in real time to provide remote guidance 景(VR) 手術室導航,只要戴上 VR眼鏡,
醫護人員的手術經驗,當遇到複雜或罕見的手術時便能大派
善用科技提升手術效率 to the surgeons in the OT, increasing the 或是在家透過手機觀看相關片段,便仿如親歷
用場:實時配對合適人手,比以往全靠負責編更的資深護師用
及精確度。」 efficiency and accuracy of surgery.” 手術室現場,減低入院前的焦慮。基督教聯合
人腦記憶來安排人手更有效率。」
醫院則引入一隊機「智」奇兵,由機械人分擔同事
繁重工作,如日間手術中心便引入了「禮賓機械人
智能儀表板更採納了文職同事的意見,將麻醉科及手術室約 200 名醫
(Pink Lady) 」(圖),為病人及家屬提供手術須知和
護人員及支援服務同事的更表智能化,一走入手術室便一目了然。盧
手術室資訊,更內置小遊戲及短片,讓病人放鬆心情
惠貞表示:「以往都是由文職同事每日花兩小時,以人手在白色磁石板
上更新更表,相當費時。智能儀表板大大簡化同事日常的繁瑣工序,當
他們親身感受工作效率提升後,就更投入一同發展智慧醫院。」 智慧手術室 以人為本 之餘,最重要是讓醫護更專注臨床工作。

Different hospitals have different ways


to help patients and family members
The success of a smart OT depends on teamwork and a people-oriented spirit,
according to Department Operations Manager Doris Lo and Advanced Practice
Smart operating theatres 將軍澳醫院
5G手術室影片
天水圍醫院
5G手術室影片
understand surgical processes – TSWH
has launched a virtual reality (VR) guide
Nurse Dick Ngan of TKOH’s Department of Anaesthesia and Operating Theatre
Services. One example is the Smart Dashboard pioneered by the team five years
emphasise people -oriented spirit Video of TKOH
5G OT
Video of TSWH
5G OT to the OT. Patients and family members
can wear VR glasses to experience a
ago. Dick, who is also the Nursing Informatics Coordinator, explains it records the
surgical experience of clinical staff, which can be extremely useful when complex
or rare operations arise. “The Smart Dashboard helps identify suitable manpower
九 力發展智慧手術室,既能簡化
龍東及新界西醫院聯網近年致

日常繁瑣工序和提升手術效率,同
T he Kowloon East Cluster (KEC) and New Territories West Cluster
(NTWC) have developed smart operating theatres (OTs) that not
only can simplify routine procedures, improve surgical efficiency, but
simulated OT environment to ease their
anxiety before an operation. They can
even watch a video of the simulation
shortly according to the data base of staff surgical experience, which is more 時為病人和家屬提供貼心安排,情 also provide considerate and caring service for patients and their at home.
efficient than relying on the memory of senior nurses, who used to be responsible 理兼備。要「有智慧」,除了靠硬件 families. This smart breakthrough underscores the importance of
for scheduling rosters for the team in the past,” he says. 和技術,更有賴一顆為同事及病人 always considering the wellbeing of patients and employees while Elsewhere, UCH has introduced a
設想的心。 adopting new hardware and technology. team of smart robots to ease the heavy workload
On the suggestion of clerical staff, the Smart Dashboard allows for the of staff. The Pink Lady (pictured) in Day Surgery
digitalised schedules of about 200 clinical and supporting staff in the OTs, Centre, for instance, gives patients and
so that details can be seen at a glance when they step into the OTs. Doris their families tips about the surgery and
recalls, “In the past, clerical staff spent two hours a day for updating roster 家屬諮詢平台 FamilyLink information about the OT. The Pink Lady
on the white magnet boards, which was very time-consuming. The Smart is also equipped with a variety of
Dashboard has simplified this tedious routine work, and allowed 親人做手術, When a loved one undergoes surgery, family members are games to keep patients entertained
our colleagues to improve their work efficiency as well 家屬難免心急如焚, inevitably anxious for progress updates, but busy surgeons and and help them relax before
as being engaged in the development of a 但參與手術的醫護未必可即 nurses are not always available to respond immediately to their enquiries. surgery, allowing medical
smart hospital.” 時回應家屬查詢。天水圍醫院今 To address this, TSWH launched a trial surgery platform called FamilyLink in staff to focus on
年 7 月起試行手術進度諮詢平台,家 July. Patients’ relatives can get a personal QR code and check the real-time status their clinical
屬可透過專屬二維碼得知病人的實時情 of patients and information to save them from long waits in the hospital. work.
況,例如手術進行中、已送回病房等,毋須
親身查問。新界西醫院聯網麻醉科及手術室服 FamilyLink was developed as part of the infection control measures for the COVID-19
務部顧問醫生林嘉雯表示,研發該平台的契機是 pandemic, explains Dr Carmen Lam, Consultant of the Department of Anaesthesia and Operating
疫情期間實施感染控制措施,「家屬不方便在手術室 Theatre Services of the NTWC. “Family members are not supposed to wait outside OTs, but they
門外等待,但仍忍不住『扮路過』想了解進度。我們非 would make excuses to pass by the OT to try to find out how the operation was going,” she says, “we
常理解他們的焦慮,便想借助智慧元素便利家屬,下一步 understand their anxiety, and we hope this smart initiative can help keep them informed. The FamilyLink
計劃擴展至博愛及屯門醫院等手術室。」 platform will be introduced to OTs in Pok Oi Hospital and Tuen Mun Hospital in the next stage.”
08 封面故事 COVER STORY 封面故事 COVER STORY 09

指 揮 中 心 掌 大 局 打 通 醫 院「 任 督 二 脈 」 New intelligent Command Centre


breaks through bottlenecks
W ith constant flow of patients seeking treatment, the
Queen Elizabeth Hospital (QEH) is one of the busiest
hospitals in Hong Kong. “The Accident and Emergency
launch of the pilot programme, the number of patients waiting
in A&E for admission once dropped to single digits. “Our
colleagues describe it as a miracle and we are all thrilled with the
Department (A&E) was often packed with patients waiting outcome,” Li says with a smile.
for admission. Sometimes there were 80 or even a hundred
people waiting at a time,” Kowloon Central Cluster General Shaping a smarter healthcare future
Manager (Nursing) Li Wah-chun says. “Even not at the
Apart from improving the admission and discharge process,
time of winter surge, there is a surge everyday right here.”

「我 利沙伯醫
們總說伊 patient transfer arrangements have been enhanced. Advance
Overcrowding at A&E became a pressing issue especially
Practice Nurse (Pre-Discharge Services) Elaine Wong explains
during the COVID-19 pandemic as it would increase the
院『見床不見地』, that ward staff previously have to call different departments
risk of cross-infection. QEH colleagues tried to resolve the
急症室不時擠滿等待入院的病人,動輒有 80 including the rehabilitation hospital to check availability of
problem for a long time and realised that inter-departmental
甚至過百人,即使不是冬季服務高峰期,這 bed and also the Non-Emergency Ambulance Transfer Service
communication was the key as patient treatment journey
裏都是天天高峰。」九龍中醫院聯網護理總經 (NEATS) to arrange a patient transfer. It can be chaotic if
involved different departments. As such, they adopted
理李華珍指,同事過去一直想盡辦法疏導急 the patient transfer is arranged during mealtime or there is
advanced technology to connect different teams for better
症室人潮,避免病人聚集增加交叉感染風險。他們發現由 易出現混亂。「現在護士可透過系統看到復康醫院的床位數 unexpected situation happened in the ward such as a patient left
coordination in order to reduce patient waiting times.
於病人在醫院的看病流程牽涉多個部門,僅僅著眼處理急 目,加快出院安排,『翻床』更快;同時車隊同事知道當天 his/her bed.“Now nurses can check the number of beds available
症室的堵塞並不足夠,必須運用科技連結不同團隊統籌溝 準備轉院的病人數目,可適時安排人手靈活調配。我們掌 in rehabilitation hospitals through the dashboard, speeding up the
Maximising our capacity for care discharge arrangements and expediting the turnover of hospital
通,打通各部門,從而減少病人等候時間。 握數據早著先機,找出瓶頸位,即時解決問題;病人投訴
Opportunity finally arose at the beginning of the COVID-19 beds” Elaine says. “Meanwhile, our NEATS colleagues are aware of
都減少,的確是三贏局面。」王詠怡說。
as new isolation wards were added to the QEH. The hospital the number of patients who are ready to be transferred and hence
統籌床位好幫手
pioneered the use of an electronic dashboard to replace manual timely transportation will be arranged accordingly. With the help
團隊未來將研究把維生指數監察系統連接儀表板,並利用
轉捩點出現在疫情初期,當時伊利沙伯醫院新增隔離病房, records of allocation of beds and wards for patients ,which of technology to analyse data, we can identify the bottlenecks in
人工智能評估病情轉差風險及預測住院時間。除了現時試
院方首創電子儀表板取代人手記錄,以統籌病床分配及安排 gradually formed the prototype of the new QEH Command advance and tackle them. There are fewer patient complaints, and
行的內科病房,服務範圍將擴至外科、骨科及腦外科較常
病房等工作,做法成為指揮中心的雛型。走入伊利沙伯醫院 Centre. Today, there are three large screens hanging on a wall it is definitely a win-win-win situation.”
導致急症室擠塞的專科。李華珍稱,希望在醫院服務遷入
指揮中心,可以看到牆壁掛著三個大屏幕,還有桌上10多台 and more than 10 computer screens installed at the Command
啟德發展區新急症醫院時,指揮中心可以瀏覽聯網內所有
電腦螢幕,眾人聚精會神盯緊電腦畫面商討著病人出院狀況。 Centre. Colleagues are closely monitoring the status of each Looking ahead, the team will explore the possibility of linking
床位,務求將資源物盡其用,讓整個病人流程更暢順,實
patient to speed up the discharge process. the eVital system to the dashboard, and make use of artificial
現發展智慧醫院的初衷。
指揮中心今年 4 月開始試行,現分為臨床作業管理、床位流 intelligence to estimate patients’ risk of deterioration and to
量管理和資源調配管理三個範疇,全面跟進病人由抵達急症 The QEH Command Centre was piloted in April this year predict their length of stay. The service of Command Centre
室、安排入院、轉送到復康醫院或出院「一條龍」流程。系 with three key functions: clinical management, bed capacity will also be extended to the specialties of surgery, orthopedics
統整合病房和床位數據,展示整體病房使用量的數據,包括 management, and resources management with a view to and neurosurgery, which usually cause access block in A&E. Li
病床佔用率、平均住院日數、當日出入院人數等,從而協助 keeping track of the entire patient treatment journey from hopes that by the time the new acute hospital in the Kai Tak
團隊掌握病人出院流程及狀況,縮短入院病人輪候時間。透 arrival at A&E to admission, transfer to rehabilitation hospital Development Area commences service, all hospital beds within
過科技的應用,瓶頸位一目了然,例如個別病人遲遲未完成 or discharge. The system integrates figures of beds and wards the cluster could be monitored by the Command Centre with a
出院手續,醫護可即時跟進。指揮中心開始試行後,急症室 to give a full picture of the overall ward utilisation including the view to maximising the utilisation of all resources and facilitating
等候入院人數曾跌至單位數,李華珍笑言: 「同事形容為前 bed occupancy rate, the average length of stay, daily admission the patient flow, hence the vision of smart hospital will be fully
所未見的奇景,大家都很雀躍。」 and discharge statistics which helps the team understand the realised.
discharge process and the status of the patients, as well as
轉院「走快幾轉」 shorten waiting times for admission.
除了出入院流程更暢順,轉院安排亦更完善。中央護理部
病人以往轉院一般要等三、四小時,指揮中心試行後,七成病人能在
資深護師王詠怡提到,以往安排一名病人轉院,由病房同 「早更」順利轉院,護士可集中照顧留院病人及接收新症。
With the help of technology, the reason of access block
事聯絡復康醫院安排病床,然後安排非緊急救護運送服務 Patients used to wait three to four hours to be transferred in the past. could be identified easily. For example, healthcare
With the establishment of QEH Command Centre, 70% of patients can workers can promptly follow up on a case who has
車輛,以至病人運送服務,動輒需要三、四通電話,才可 be transferred smoothly within the morning shift. Nurses can then focus
以完成轉院安排。有時遇上餵飯時間或病人離開病床,更 on taking care of other patients and handling new admissions. waited to be discharged for a long time. After the
10 封面故事 COVER STORY 封面故事 COVER STORY 11

解碼:甚麼是糖尿病風險管理引擎?
AI 助中年慢性病病人管理健康
within eight years. To help improve the health
quality of these patients and relieve the strain on
public hospitals, the HA launched a pilot programme
How the DM risk engine was put into gear
to adopt a newly developed DM risk engine to stratify
AI helps manage chronic diseases in middle-aged patients DM patients under the existing PSCC Chronic Disease
Management Programme. Those of younger age and
糖尿病風險管理引擎由醫管局總辦事處統計及數據科學部建立,
用以預測糖尿病病人出現併發症的風險。自去年 7月,相關專
科醫生和護士共同探討建立風險管理引擎,並與有關統籌委員
with relatively higher risk of developing or having

近 會增加公營醫療系統的負擔。事實上,公立醫院病床使
年慢性疾病有年輕化趨勢,慢性病患者如病情惡化無疑 HA Go 助病人自強 會、中央委員會商討應用模式。經過反覆驗證並與海外使用
developed moderate kidney disease are selected to receive
的類似模型比較表現後,糖尿病風險管理引擎由此而生。
鄺倩儀解釋:「這個先導計劃的 an individualised special module related to diabetic kidney
用率亦以中年人的增幅最大。故此,醫管局於下半年推出先導
對象是 45 至 64 歲較年輕的糖 disease with an aim to help prevent or delay the onset of The Statistics & Data Science Department at HA Head
計劃,利用科技、人工智能(AI)及大數據,在現行的護訊鈴
尿病病人。除以電話聯絡病人 complications and associated morbidity. Each patient will Office developed the DM risk engine to stratify patients
糖尿病病人賦能計劃中識別較高危的病人,透過及早介入及提
提供健康建議外,護訊鈴亦 receive around 11 calls over a six-month period. into different risk levels of developing complications.
升病人自我管理能力,為他們提供個人化慢性疾病照顧計劃。
會透過 HA Go 手機應用程式 Since July 2020, specialists and nurses of relevant
提供個人化資訊,例如按病人 The Unit Manager of PSCC, Patty Kwong (photo in the circle), specialties discussed the development of the risk
為較高危病人提供更佳支援 需要提供健康教育資訊和社區 says that the programme facilitates patients to recognise their engine, and developed the model in cooperation
資料顯示,百分之十四的糖尿病、高血壓或高血脂的病人,在 資源,以增加病人互動,提升病 own risk and customises care specially related to their underlying with the HA Coordinating Committees and Central
八年內會出現心血管問題或慢性腎病。為改善病人健康,減輕 人賦能。」 risk. PSCC nurses conduct risk assessments according to each Committees. The DM risk engine was adopted after
公立醫院壓力,醫管局推出先導計劃,採用臨床數據再結合人 patient’s individual profile and set short-term goals to manage its performance was evaluated and comparison made
工智能,以新建立的糖尿病風險管理引擎,分析現行護訊鈴慢 展望未來,病人將可走出傳統的電話通話形式,以視像通話 risk factors related to DM and chronic kidney disease. Guided by with similar models used overseas.
性疾病管理計劃中的糖尿病病人的風險程度。年紀較輕、有相 與護訊鈴護士就藥物或個人飲食習慣等溝通。病人亦可自行 clinical protocols, personalised care plans including dietary advice
對高風險出現或已有輕微腎病的病人,將會被邀請參與相關計 記錄血壓、心率及體重等,並上傳到 HA Go 作自我監察及方 and advice to stop smoking are provided in specific cases. If PSCC 糖尿病風險管理引擎操作 Operation of DM risk engine
劃,目的是防止或延遲出現慢性腎病。護士會在半年內致電每 便日後評估。 nurses identify patients requiring earlier follow-up or having medical
名病人大約 11 次,以制訂及跟進個人化方案。 needs, there are mechanisms in place to seek professional advice 臨床醫療管理系統內的病人臨床數據,包括統計資料、
由於將 AI 及資訊科技發展揉合到護訊鈴服務屬於新嘗試, and support from parent teams in a timely manner. 各種病症、體重指數、壞膽固醇、血糖、血壓等
護訊鈴科組經理鄺倩儀(見圓圖)表示,先導計劃有助病人認 故計劃先以較小規模進行。醫管局會監察先導計劃的成效, Clinical data in CMS, including demographics,
識自己的風險,服務內容亦是針對他們的潛在風險度身訂造。 並檢討擴大有關計劃的可行性。長遠而言,醫管局會考慮將 comorbidity, BMI, LDL, HbA1c, blood pressure
Help and advice through ‘HA Go’
護士評估病人個別情況後,制訂與糖尿病和慢性腎病相關的短 計劃擴展至其他慢性疾病。
Patty explains, “the target group of this pilot programme is
期目標,並根據臨床治療規程,向病人提供個人化照顧計劃,
younger DM patients aged 45 to 64. Apart from providing health 以人工智能經機器學習模型處理
包括飲食建議或建議吸煙人士戒煙。如護士認為病人需要提早
跟進或有醫療需要,便會跟從現有機制適時尋求專業意見及相
關團隊支援。
T he prevalence of chronic diseases among younger
age patients has been on the rise in recent years, and
their associated complications and morbidity increase the
advice through phone calls, PSCC will make use of the ‘HA Go’
mobile app to prescribe individualised information, e.g. health
Processed by machine learning model with AI

education materials and community resources, according to


service demand on the public health sector. In fact, bed 預測病人五年內出現併發症的機率,
patient needs, in order to increase patient interaction and
utilisation in public hospitals has been observed to be 與同一性別同一年齡組別人士做比較,例如:
enhance self-care ability.”
rising the fastest among middle-aged patients. In response, 慢性腎病、中風、心臟衰竭、冠心病及死亡
the Hospital Authority (HA) has piloted a special module Predicted probabilities of adverse events in five
Looking to the future, patients will be able to go beyond the
under the existing patient empowerment programme years for an individual and comparison with
traditional phone service and make real-time video calls to PSCC
of the Patient Support Call Centre (PSCC) in the second people of the same sex and same age group, e.g.
nurses to support communications on, for example, drugs or
half of 2021 to identify higher risk patients suffering from chronic kidney disease, stroke, congestive heart
personal diet details. They will also be able to record their
diabetes mellitus (DM), with the help of technology, artificial failure, coronary heart disease and mortality
own blood pressure, pulse rate and weight, etc. and upload
intelligence (AI) and big data. Personalised care plans are
details to the ‘HA Go’ for self-monitoring as well as facilitating
provided to support such patients in the management of
assessment of their condition for better patient care.
chronic diseases through earlier intervention and patient
empowerment.
The incorporation of AI and IT advancements into the
HA PSCC service is a new initiative, and so it is planned
Identifying patients at higher risk for better to start on a small scale. The outcome of the pilot
patient support programme will be monitored and reviewed for
Studies have found that 14% of patients suffering from potential enhancements. In the long run, the HA is
DM, hypertension or hyperlipidemia go on to develop expected to explore extension of the service to
cardiovascular disease or chronic kidney disease cover other chronic diseases.
12 局內動向 WHAT'S NEW 局內動向 WHAT'S NEW 13

醫管局大會新成員 New HA Board Member Speeding up the application of technology


in pandemic
Reflecting on recent developments, Dr Leung says the
COVID-19 pandemic has played a role in speeding up
the application of technology, pointing out the positive
changes it has brought about in consultations and the
preparation of treatment plans.

A good example is the recent establishment of a FMPRG


website in his subspecialty of Maternal Fetal Medicine
(MFM) with the help from the Department of Pathology,
梁醫生在疫情之前與同事出席一名專科培訓醫生的婚禮。梁醫生自覺十分幸
運,任職部門主管期間,聘請了一班令他非常滿意的婦產科專科培訓醫生, Hong Kong Children’s Hospital. FMPRG stands for the

今醫管局頒發的 30 年長期服務獎,復因任期屆滿,卸下已任職 11 年的
年對廣華醫院婦產科顧問醫生梁永昌來說,是特別的一年。剛獲得 相信他們將來可把知識和技術傳承下去。 abbreviations of medical terms: Fetal Medicine, Pathology,
A photo taken with trainees and trainers in the Department at one trainee’s
wedding party before COVID-19. Dr Leung feels so lucky to have such Radiology, and Genetics or Genomics. It is an online
婦產科部門主管一職,並獲委任為醫管局大會成員。 wonderful O&G specialty trainees over the years when he was Chief of Service. interactive platform for uploading special prenatal fetal
He trusts they would disseminate knowledge and skills to the next generation.
medicine cases among the multidisciplinary team members
卸任後,梁醫生多了時間參與臨床、醫管局大會、香港醫學專科學 for education and voting to select appropriate cases for
院及其他專業的工作。他說從小擅長與人溝通,團隊裏有不同年
齡層的同事,他不諱言不同世代各自有不同追求,惟有互相尊 2 021 is a year of commemorations for Dr Leung Wing-
cheong, Consultant of the Department of Obstetrics
and Gynaecology (O&G) of Kwong Wah Hospital (KWH). He
further genetics and genomics investigations, Whole
Exome Sequencing (WES) or Whole Genome Sequencing
重才能「有偈傾」。而通過和同事溝通,以及長年在前線工作, (WGS). The entire discussion and decision-making process
讓他明白到醫護人員的困難和需要,希望醫生這個身分讓他 received an award for 30 years of service in Hospital Authority
can be completed online in a timely manner without
在醫管局大會中發揮作用。 (HA), stepped down as Chief of Service of O&G after serving
the need of in-person meeting. And all the cases can
for 11 years, and was appointed as a member of the HA Board.
be archived on the website for education and research
廣華醫院婦產科顧問
purposes together with secured patient privacy.
醫生梁永昌每星期都 After his departure from office, Dr Leung has devoted
會和太太及兒子打
網球,他說是 social more time to his clinical duties and his work with the
挽留人才成最大挑戰 Outside of work hours, Dr Leung loves to write articles,
tennis,希望多活動筋 HA Board, Hong Kong Academy of Medicine and other
骨。圖為他和太太在 submitting to local and international journals for publication,
可持續發展是醫管局的主要發展方向,梁醫生認為在硬件 professional activities. Dr Leung describes himself as a
2019 年出席兒子的劍 covering not only O&G and MFM, but also other subjects of
背後,人才是最重要。「始終醫療專業與人有關,我比較 橋大學碩士畢業禮。 good communicator. Now that he finds himself working
interest. He has recently finished an article for Hong Kong
關注如何令病人服務持續下去。」梁醫生說。 Dr Leung Wing- with colleagues from different generations with different
cheong, Consultant Medical Journal about the historical labour room records
of the Department of life goals, and hence considers mutual respect is the key to
of KWH from the 1930s to 1950s, which gives a fascinating
他認為現時公營醫療系統面臨最大的挑戰是挽留人才,他 O&G of KWH, plays achieving understanding. He hopes effective communication
social tennis every insight into the social environment of Hong Kong at that time.
期望醫生接受培訓,考獲專科資格後,能夠留在公立醫院 with colleagues combined with a wealth of frontline
week with his wife
工作五至 10 年,將經驗和知識傳授給新人,病人也得益。 and son. The picture experience help him understand the difficulties and needs of
was taken in the
So, even when he is away from work, Dr Leung’s mind is very
healthcare workers better and fulfil his role in the HA Board.
master’s graduation much on his profession. He laughs off the suggestion he is
疫情造就科技應用 ceremony of his son a workaholic and explains, “I just enjoy working from the
at the University of
2019 冠狀病毒病疫情已持續超過一年半,梁醫生最深刻 Cambridge in 2019.
Rising to the challenge of staff retention bottom of my heart.” It could also be reflected in his interest.
的是疫情造就了科技的應用,尤其是在診症及治療計劃 Dr Leung believes safeguarding manpower is key to the
方面。 HA achieving its goal of long-term sustainability. “The
medical profession involves human relationships,” he says,
最佳例子是由香港兒童醫院病理學部協助設立的產前診 在網上進行,毋須舉行面對面會議。所有個案可以在網 “manpower management is what matters in sustainable
斷科網頁 FMPRG,它包含了與單基因病變測試有關的專 站永久保存,作為教育和研究用途,亦保障了病人私隱。 healthcare services.”
科名稱,即 Fetal Medicine(胎兒醫學)、Pathology(病
理學)、Radiology(放射科)、Genetics(遺傳學)或 梁醫生閒時會投稿本地和國際性期刊,文章不只於婦產 Staff retention is one of the most pressing issues for the
Genomics(基因學)。 科或產前診斷科,也有他覺得有趣的題目。他剛完成一 public healthcare sector, Dr Leung argues, saying he would
篇有關廣華醫院 1930 至 1950 年代產房紀錄的文章,並已 like to see doctors staying in public hospitals for five to 10
FMPRG 是一個網上互動平台,讓不同團隊的成員提交產 向《香港醫學雜誌》投稿,藉這篇文章可窺見當時的社會 years after receiving their medical specialty training. Hence,
梁醫生先後獲得醫管局 10 年、20 年及 30 年長期服務獎。
前診斷科特別個案,作為個案研究或投票選出合適的個 情況。他笑言自己不是工作狂,只因他對工作充滿熱情 they can pass on their experience and knowledge to the Dr Leung received awards for 10, 20 and 30 years of service in
案進行單基因病變測試。整個討論及決議過程都可迅速 且樂在其中,這從他公餘時間的愛好可見一斑。 next generation of doctors, and patients will benefit too. HA respectively.
14 局內動向 WHAT'S NEW 局內動向 WHAT'S NEW 15

醫管局大會新成員 New HA Board Member With regard to the new appointment, he wishes that he
could, as always, be able to make recommendations based

陳 治委員會成員,近日更獲委任加入醫管局大會,而
永佳身兼醫管局公眾投訴委員會及聖母醫院醫院管 on his experiences and understanding about patients’
needs, enhance patient participation and promote
他與醫管局的緣份更可追溯至上世紀八十年代。一人肩 relevant public discussions.
負多重身分,相信可為醫管局大會帶來另一視野。
Connecting HA and the community
「我本身患有哮喘,40 年前曾在瑪麗醫院就醫,當時在 Chan Wing-kai says, “patients are important stakeholders
醫生的悉心治療下,大約三年內便逐漸減藥成功,病況 in the public healthcare system. I wish to play the role as a
亦一直控制得宜。因我能用英文對答,醫生就讓醫科生 bridge to strengthen the ties and communications between
在旁觀察,如今想來都是一段頗為有趣的經歷。」陳永佳 HA and community and patient groups after joining the HA
分享道。 Board. I believe that promoting conversations and soliciting
New member’s diverse identities different views on topics like HA Drug Formulary, Public-
從病人角度出發 bring fresh perspectives to HA Board Private Partnership programmes, community support and
也許是因為哮喘病人這一重身分,又或是從事社工多年, the development of rehabilitation services for chronic
陳永佳對病友及其家屬的看法及感受,往往比旁人多一 patients, would certainly be conducive to improving our
份同理心。「在舉行病友活動時,參加者往往會有很多問 healthcare services.” Furthermore, he is very concerned
題,例如認為病情沒有改善是用藥問題,甚至因此對醫 about the manpower and resources problem in public
護人員產生不信任。但大概我也是病人,比較理解病友 hospitals and hopes to inject innovative ideas into the HA
想法,更能夠開導他們走出『牛角尖』。」 Board in the future.

對於獲委任為醫管局大會成員,他希望能一如以往地, Chan Wing-kai also organises guided tours on life and


運用自身的經驗以及對病人需要的了解,提出建議,同 death education. When he travels aboard, he would
時加強病人參與,推動相關討論。 pay visits to relevant places in addition to the popular
陳永佳本身為哮喘病人,亦有參與病人組織,更明白病人所需。 attractions, “I would visit temples and cemeteries when I
Being an asthma patient, Chan Wing-kai’s participation in patient am staying at Japan. This allows me to learn more about
盼加強社區與醫管局溝通 groups allows him to better understand the needs of patients.
the Japanese views and culture of life and death, as well
陳永佳說:「病人是公營醫療系
as their funeral traditions and rituals, giving me a lot of
統的重要持份者,我希望加
insights in designing courses and guided tours to promote
入醫管局大會後,可發揮
life and death education. On the other hand, I travel to
到『橋樑』角色,促進醫
陳永佳會專程到台灣製作陶瓷,認為可放鬆身心。 medications in about three years. My condition has been Taiwan for pottery-making.
管局與地區組織及病人 Chan Wing-kai would make special trips to Taiwan for
well-controlled since then. Besides, as I could communicate They have the wood-fired
團體的溝通和聯繫,就 pottery-making as he thinks that it can help relax his
mind and body. with my doctor in English, he let the medical students kilns which could not be
醫管局藥物名冊、公私
to observe during the consultation, which is quite an found in Hong Kong. The
營協作計劃、長期病患
interesting experience,” Chan Wing-kai recalls. colour and texture of tea
者的社區支援和康復服
ware fired by this specific
務發展等各項議題,多
加討論及聽取各方意見,
相信更有利提升醫療服
I n addition to being a member of the Public
Complaints Committee of Hospital Authority
(HA) and the Hospital Governing Committee of
Adopting the perspective of patients
It might be something to do with him being an asthma
kind of kilns are much
better and fine, plus the
process of pottery-making
務。」他亦十分關注公立醫院 Our Lady of Maryknoll Hospital, Chan Wing-kai has patient or a seasoned social worker, Chan Wing-kai always
is very therapeutic and
人手及資源問題,希望日後可 recently been appointed to join the HA Board. It turns has a deeper empathy and understanding for patients and
relaxing too.”
於醫管局大會內注入新思維。 out that his ties with HA could date back to the 1980s. their family members than the others. “It is very common
With his diverse social roles and expertise, it is expected that for participants to have questions or concerns about their
陳永佳平日會舉辦生死教育導賞團,到外地旅遊時亦會 Chan would bring new impetus to the HA Board. conditions during patient engagement activities. For instance,
參觀相關設施,「在日本,我會特地參觀寺廟和墳場,了 some patients might think that their health is not improving
陳永佳熱愛旅遊,疫情前更會每
解日本人對生死、殯葬的看法和文化,對我設計生死教 “Suffering from asthma myself, I was once a patient of due to their medication, eroding the trust between patients 月到訪日本或台灣。
育課程及導賞團帶來很多啟發。我亦喜歡去台灣,主要 the Queen Mary Hospital 40 years ago. Thanks to the and the healthcare professionals. But perhaps I am also a Chan Wing-kai is a travel
enthusiast who used to visit
是為了造陶瓷,那裏的柴窯是香港沒有的,燒出來的茶 professional treatment and thoughtful guidance of my patient, which allows me to better understand their way of Japan or Taiwan once a month
具色澤、質感更佳,製作過程亦可讓我放鬆身心。」 doctor, I was able to gradually reduce the dosage of thinking and help them get out of the dead end.” before the COVID-19 outbreak.
16 專題 FEATURE 專題 FEATURE 17

復 Advanced technology introduced in rehabilitation 醫管局社區復康中心團隊由不同專業人才組成。

輪椅
左起為高級職業治療師陳家樑、中心主管吳倩華
博士及助理經理(科技)余經邦。

services – a boon for disabled patients



The CRSSC is consisted of professionals
from various disciplines, (from left) including

特訓區
特訓區
Marko Chan, Senior Occupational Therapist,
Dr Serena Ng, Centre Head and Jason Yu,

服 N
Assistant Manager (Technology).
ot only does technology change the world,
but also contributes to the development
of rehabilitation services. The Community
Wheelchair
務成
Rehabilitation Service Support Centre (CRSSC)
of the Hospital Authority (HA) was established
five years ago to apply the innovative and cross-
special
引癱 disciplinary technological tools and techniques for
disabled patients with special or complex needs, lectric wheelchairs
E
training

入瘓
helping them to regain their hope in life. Last year, offer a helping hand for


the centre moved from the temporary premises 動輪椅協助 disabled patients to rejoin social life.
at Kowloon Hospital to the Multi-service Centre 殘障病人重 Apart from modifying or selecting wheelchair

高病
of the Queen Elizabeth Hospital, providing more 投社交生活,社區復康中 for individual complex case, the ‘Wheelchair

科 務的發展。醫院管理局(醫
技改變世界,也促進復康服 space and resources for the development of rehabilitation training 心特設「輪椅重案組」,除了 Special Unit’ in the CRSSC also provides outdoor
according to patients’ needs. A variety of intelligent aids has 為個別複雜個案改裝或選配輪椅 and indoor assessment and skill enhancement training.

科人
管局)社區復康中心於五年前成 hence been developed. 外,更會提供戶外和室內評估及技 “Many wheelchair users are concerned about taking public
立,把創新及跨專業的科技工具和 能提升訓練,吳博士表示:「不少輪 transportation due to unexpected situations. The special
技術,應用到有特殊或複雜需要的 Dr Serena Ng, Centre Head of CRSSC, states that the demand for the

技福
椅人士擔心乘坐公共交通工具,怕有突 training focuses on their wheelchair controlling skills, as well
殘疾病人身上,讓更多病人重拾希 rehabilitation services involving advanced technology is rising. The 發情況,我們提供的特訓除了針對其操控 as managing and repairing their wheelchairs to cope with
望。該中心去年從九龍醫院臨時會 opening of the new centre expands the service capacity. Currently, 輪椅技術,也讓他們學習管理和維修輪椅, various scenarios, such as out of battery or malfunction. It helps
址搬到伊利沙伯醫院綜合服務區, the centre provides about 1,500 quotas per year and only accepts 應付輪椅無電或故障 patients adapt to the


有更大空間和資源為病人度身訂造 referrals of cases with special needs from hospitals, of which more 等各種情景,讓他們 社區復康中心為輪椅人 community easier,”
各種復康訓練,並因此研發出各式 than 100 cases require specially designed or modified auxiliary 更容易適應社區環境。」 士特設 VR 訓練,分析 says Dr Serena Ng.
其泊車、落車等準確度
各樣的智能輔助工具。 equipment. “Patients with quadriplegia and traumatic brain injury
和時間,讓用家可從中
were once unable to find suitable aids for locomotion and could only 該中心高級職業治療師 學習。 Marko Chan, Senior
醫管局社區復康中心主管吳倩華博士表示,涉及高新科 stay at home. With the development of technology, they now have The CRSSC provides VR
陳家樑稱,輪椅訓練分 Occupational Therapist
training for wheelchair
技的復康服務需求漸多,新中心的啟用可擴大服務量, the opportunities to step into the community and enhance their life 為兩部分,第一部分是 users and analyses the of CRSSC, indicates the
目前每年提供應診名額約 1500 個,只接受由各醫院轉介 quality with the assistance of advanced technology. For instance, VR 訓練,讓病人置身於 accuracy and timing of wheelchair training is
parking and getting off
有特殊需要的個案,當中逾百個案需要度身訂造或改裝 there are virtual reality (VR) programmes in the centre to enhance 各種虛擬場景,例如巴 the bus, so as to improve divided into two parts,
輔助設備,「隨著科技發展,往日找不到適合的輔助工 the effectiveness of training. Technologies such as face 士、升降機等,好處是 their skills. with VR training as the
具、只能留在家中的四肢癱瘓、腦創傷的病人,如今也 recognition control system are also introduced to enhance 可重複練習輪椅操作, first part. Patients will
有機會在高新科技的幫助下走進社區,改善生活質素, the communication of patients with the outside world. All 避免在真實環境訓練時撞到路人或物件。VR be situated in different virtual scenarios, such as on a bus or in a lift.
例如中心有虛擬實境(VR)程式增強訓練效能,又引入 these latest technologies contribute to safe independent 的反饋功能更可用來分析病人在訓練過程中 This allows them to practise the operation of wheelchairs repetitively
人臉識別等技術加強患者與外界溝通,這些新科技都能 living for disabilities and fulfill their daily needs.” 的表現,以作改善。 and reduces their risks of hitting passers-by or objects in the real-
協助殘疾人士安全地 life environment. Besides, the VR feedback function helps analyse
獨立生活、並配合其 第二部分則是實戰訓練,中心設計了全 patients’ performance during the training for further improvement.
日常需要。」 港唯一一個按真實巴士比例,由貨櫃
改裝而成的模擬巴士訓練場,其內 The second part is practical training. The centre designed
該中心設計全港首部模擬巴士訓練場,
部安裝上真實的巴士配件,例如 the first 1:1 scale simulated bus by converting a container
巴士由貨櫃改裝而成,並一比一還原真 扶手、座位和輪椅泊位背墊。 in Hong Kong for training. Real bus accessories like
實巴士比例,只有內部通道稍為加闊, 引入模擬巴士訓練場後, armrests, seats and wheelchair position have been
方便輪椅人士「實戰」學習。
The first simulated bus in Hong Kong was 可讓輪椅人士在接近 installed. With the introduction of the simulated
converted from a container and restored 真實的場景接受 bus, wheelchair users could have training
the actual proportion of the real bus. Only
the aisle has been slightly widened to
訓練。 in a setting that is close to the
facilitate wheelchair users for training. actual environment.
18 專題 FEATURE 專題 FEATURE 19

百 Disabled’s home
with a thousand looks 自食其飯
跨專業團隊
變 癱
瘓病人及其照顧者要重新適應家居生活是一大挑戰,醫 A meal of
self-reliance
「百足咁多爪」

管局社區復康中心助理經理(科技)余經邦表示,該中
心治療師會評估病人剩餘的功能、生活需要及家居環境,從
本地及外國選取可行的輔助裝置,然後由工程團隊加以改良,
Interdisciplinary
為協助上肢無力、有進食困難的病人,
collaboration with

或按病人需要自行研發,其中包括使用電路板、3D 打印技術、
團隊從外國引入機械餵食器,病人只需
自行編寫程式等。團隊過往引進或改良的成品五花八門,例
如電動站立式助行器、智能穿戴式垂足輔具和機械手套等等。
按動身旁的按鈕,機器便會代為餵食,
並透過 3D 打印特製配件,以更換餐具和
different expertise
碗碟,增加靈活性,方便病人自行用餐。

I t is a huge challenge for quadriplegic patients and their carers to


adapt to living at home. Jason Yu, Assistant Manager (Technology) of
CRSSC mentions that the therapists of the centre will assess the body
The team introduced robotic eater from overseas for 要
為病人度身訂造各類復康器材,除了硬件配置,
跨專業人才更是團隊的靈魂。吳倩華博士指出,
patients who cannot eat properly by themselves with 該中心同事來自不同專業,包括13名治療師(10名職
functions of the patients, their daily needs and home environments, weak upper limbs. With the device, the patients would 業治療師、兩名物理治療師及一名義肢矯形師)以及
then will select suitable local or foreign aids for them. By using circuit be fed by pressing the button. Tableware of the device 三名臨床工程師,
「大家也是『百足咁多爪』 。」
boards, 3D printing techniques and coding etc., the engineering can also be replaced by the 3D printed accessories,
team will modify the devices or develop their own ones according to enhancing flexibility and providing 臨床工程師是醫管局新引入的跨專業工種,除了對
patients’ needs. The team has introduced or modified a great variety of a convenient way for patients to 醫學或生物醫學知識有一定基礎,更要掌握 3D 打印、
innovative products, including electric standing mobile devices, smart have meal by themselves. 微型電腦控制、人工智能、基本木工及物理學等各
wearable foot drop AFO and robotic gloves. 機械餵食器示範影片 類技能,並會與治療師一同會診。余經邦約四年前
Video of robotic eater 加入該中心,是團隊內首名臨床工程師,「專門做
臨床工程的公司開始在外國盛行,高新科技發展很
快,跨專業應用更有助發展智慧復康服務,令病人
「身」控起床 得益。」

‘Voice out’ to raise the bed 「眼神」交流


部分因重度中風、高位脊椎損傷而四肢癱瘓的病人需長期臥床,例如全 Communicate with an ‘eye contact’ A part from building-up hardware, interdisciplinary
collaboration is the essence of rehabilitation
service. The centre recruited a group of professionals
身只有一隻手指頭能稍微活動。團隊以 3D 打印研發的電動床遙控配置器,
from different disciplines, including 13 therapists (10
可按病人的剩餘功能來操作,如使用特殊按鍵或身體訊號來控
occupational therapists, two physiotherapists, and a
制。另外,配置器會發出不同頻率的聲音作反饋,高頻聲
prosthetist and orthotist) and three clinical engineers,
音代表升床,低頻時代表降床,方便病人隨時自行轉
“we all have lots of irons in the fire,” describes Dr
換姿勢,毋須照顧者幫忙。
Some quadriplegic patients Serena Ng.
Some quadriplegic patients, due to severe stroke and cannot communicate with
high-level spinal cord injuries, can only control minor language or motion, their Clinical engineer is a cross-professional discipline
movement with a fingertip and require long stay in family members or carers newly introduced by the HA. Other than medical
bed. The team developed add-on remote control 部分癱瘓病人無法以語言或動 may not be able to understand and biomedical knowledge, they are also equipped
of the electric bed by 3D printing which operates in 作溝通,家人或照顧者往往未 their needs accurately. As a with skill set of 3D printing, microcomputer
accordance with the patients’ remaining functions. 必能準確理解他們的需要,此 result, assisting communication tools controlling, AI, carpentry and physics. They will
For example, the device can be controlled by 時便需要輔助溝通工具。團隊 are required. The team invented a face recognition meet patients together with therapists. Joining the
special key press or body signal. The device 研發出可連接平板電腦的人臉 control system which is connected to tablet for issuing centre four years ago, Jason Yu is the team’s first
will respond by emitting sounds with different 識別系統,病人只需向畫面上 respective orders after the patient blinks or sticks clinical engineer. “Companies specialising in clinical
frequencies – a high-frequency sound means 的關鍵字眼,如擦身、飲水、 out the tongue towards the key words on the screen, engineering are becoming more popular in foreign
‘raise the bed’ while a low-frequency sound represents ‘lower 去廁所等眨眼或伸舌頭,電腦 such as ‘wipe body’, ‘drink water’ or ‘go to the toilet’, countries. With the rapid growth of advanced
the bed’. It enables patients to change their postures by 便會發出指令,方便病人和照 facilitating daily communication between the patients technology, application of cross-professional
themselves anytime without the assistance of carers. 顧者日常溝通。 and their carers. knowledge can help develop smart rehabilitation
services which benefit the patients,” says Jason.
20 醫道有段故 THE INSIDE STORIES OF HONG KONG'S HOSPITALS 醫道有段故 THE INSIDE STORIES OF HONG KONG'S HOSPITALS 21

cited the example of giving ‘flexibility’ to doctors in order


to retain talent by the time that a newly built hospital in
Kowloon had led to a high turnover rate in OLMH. “Four
doctors out of six resigned. It was impossible to continue

T
to operate in long run. I proposed allowing our doctors
he quote ‘For charity is of God’ is engraved on the to practise in other clinics after work in order to attract
「愛
出於天主」,是聖母醫院建院基石上的刻
cornerstone of Our Lady of Maryknoll Hospital (OLMH). more doctors to join,” says Dr Lam. He was appointed as
文。這座位於沙田坳道山坡上的醫院,已
The hospital, located on the hillside of Shatin Pass Road, has Medical Superintendent in 1972 after the former Hospital
陪伴了黃大仙區居民 60 載,由當初為難民服務,
been serving the residents of Wong Tai Sin district for 60 Administrator had left Hong Kong. He is proud of the
慢慢發展成各科齊全的綜合醫院,為貧苦病者服務
years. From a hospital taking care of refugees to a general development of OLMH, saying that “we were the first local
的初心,始終不變。與聖母醫院結緣大半生的首任
hospital with a full range of services, the intention of serving general hospital cooperated with the government and
華人院長林鉅成醫生,向《協力》細數當年管理醫
the impoverished has never changed along its journey. Dr church, providing medical services for more than 500,000
院的苦與樂。
Conrad Lam, the first Chinese Medical Superintendent of residents in Wong Tai Sin. We had a full range of medical,
OLMH, has contributed to the hospital for most of his life. He surgical, gynecological and paediatric services, as well as
50 年代正值大量難民由內地湧到香港,美國瑪利諾
聖母醫院首任華人院長林鉅成醫生 shares his bittersweet memories of managing the hospital in independent operation theatre, laboratory and kitchen.”
女修會有意在難民社區附近設立一所慈善醫院,最
Dr Conrad Lam, the first Chinese the early years with HASLink.
後敲定當時人口急增的黃大仙區。聖母醫院在 1961
年正式開院,人手裝備未齊全,修女們既要肩負醫 Medical Superintendent of OLMH Catering the community development with
護工作,還要負責院內清潔消毒,並向有需要家庭
In the 1950s, there was an influx of refugees from mainland service transformation
China to Hong Kong. The Maryknoll Sisters planned to
提供生活物資,同時每天也要抽時間學廣東話。 After operating by subvented organisation for 30 years,
set up a charitable hospital near the refugee community
區 50 多萬基層市民的全科地區醫院,內外婦兒一應 OLMH joined the Hospital Authority (HA) in 1991. Since
and finally decided to build it in Wong Tai Sin, a densely
醫科師兄弟與教會朋友助義診 俱全,還有獨立手術室、化驗室和廚房。」
populated district. OLMH was officially opened in 1961. With
then, the hospital’s environment had been greatly
improved – with a newly constructed out-patient block
當年剛畢業的林鉅成醫生在 1963 年加入聖母醫院, limited manpower and resources, apart from healthcare
經歷該院最艱難時期,他憶述當年除他以外只有兩 服務轉型配合社區發展 services, the sisters also took up the duties of clean up
and same remuneration and benefits as other public
hospitals. Dr Lam admits that joining the HA was a
名醫生,包括一名負責外科的修女,「我們沒錢再請 以補助醫院運作 30 年後,聖母醫院在 1991 年加入醫 and sanitation. Meanwhile, they had to provide daily
turning point for OLMH, allowing it to centralise the
醫生,連街坊也主動為我們籌款,於是我便找了醫 院管理局,自此全院環境大有改善,新門診大樓落 essentials for the families in need, and spare some
resources on service improvement. In response to
科師兄弟和教會朋友仗義幫忙,每星期義務診症一 成,醫護福利待遇亦與公立醫院看齊。林醫生表示, time to learn Cantonese.
aging population of the community and ‘hospital
兩節,就這樣竟也齊備了婦產科、胸肺科、皮膚科 加入醫管局是該院發展轉捩點,能集中資源改善服
clusterisation’, the hospital had to make a choice.
和外科等。」 務,但也因應人口老化、醫院聯網化等社區需求要 Free medical consultations by Hence, the obstetrics service was suspended in
有所取捨。該院產科於 90 年代停止服務,主力發展 volunteer doctors the 1990s and OLMH then focused on medical
林醫生笑言,聖母醫院的許多獨有制度是「被逼出 內科與老人科等服務。
Dr Conrad Lam was a fresh graduate when he and geriatric services.
來」的,例如因九龍區有新醫院落成而遇上離職潮,
joined OLMH in 1963, whilst he experienced
就衍生了「自由兼職」的制度。「六個醫生走了四個, 時光荏苒,60 年一晃而過,聖母醫院明年將展開重
the most daunting time of the hospital. Time flies and it is already 60 years. The
長久下去不可能繼續運作,我便提出以『自由度』做 建工程,未來會配合九龍中醫院聯網其他醫院,包
He recalls there were only two doctors redevelopment of OLMH will kick off next
賣點,允許醫生們下班後可到其他診所應診,才聘 括正於啟德發展區內興建的新急症醫院組成服務網
except himself by that time, including a year. A service network consisting of the
請到更多醫生。」隨著前任修女院長離港,林醫生在 絡。年邁八旬的林醫生寄語,發展社區醫院是多年
sister working as surgeon. “We couldn’t new acute hospital in Kai Tak will be formed,
1972 年接任院長,他為聖母醫院發展感到自豪,「我 來的共同抱負,期望聖母醫院能迎合時代轉變,繼
afford to hire more doctors and even the under the collaboration with other hospitals
們是首間政府和教會合作,提供醫療服務給黃大仙 續提供質量並重的服務。
neighbourhood had raised money for us. I in Kowloon Central Cluster. Dr Lam is in his
sought help from my fellow schoolmates eighties, says developing local hospital is a
身兼數職的修女們正監督醫院興建工程。 and friends from church to provide free shared vision. He wishes OLMH could cope
The multitasking sisters were overseeing medical consultations one to two sessions a with the ever-changing society and continue
the hospital construction work.
week. With this arrangement we managed to provide services with due emphasis on
聖母醫院於 1960 年「世界難民年」奠基,院 to provide specialties in obstetrics and both quality and quantity.
方特此刻上基石紀念,並以「愛出於天主」 gynecology, tuberculosis and chest,
金句勉勵大家以愛行善。
The groundbreaking ceremony of OLMH was dermatology and surgery,” says Dr Lam. 聖母醫院內有不少富天主教色彩的建築,其中門診大樓
held in the ‘World Refugees Year’ in 1960. A 內的聖母像便有不少人來朝拜。
cornerstone was engraved with an inscription There are many Catholic structures in OLMH, including
‘For charity is of God’ to commemorate the He laughs off the unique system of OLMH the statue of Our Lady in the Out-patient Block which
moment and encourage people to act with love. was put into force by the circumstances. He attracted many people.
22 醫道有段故 THE INSIDE STORIES OF HONG KONG'S HOSPITALS 醫道有段故 THE INSIDE STORIES OF HONG KONG'S HOSPITALS 23

rvices
Pioneering new se
屢創服務先河 MH became more
七、 The services at OL s. In
聖母醫院的服務於 the 1970s and 1980
,其中 comprehensive in to initiate
八十年代更趨完備 1970, OLMH was
the first hospital
康 護理 iding
於 1970 年首創社 e Programme prov
提供家 Community Nurs tients.
計劃,為出院病人 follow-up service
s for discharged pa
77 年, up the Pastoral M
inistry
居護理服務。至 19 In 1977, OLMH set
部,亦 l and
該院成立懷民服務 Programme offer
ing psychologica
服務, hospital
是首間醫院推行此 spiritual care. OL
MH was the first
靈性上 , the
為病人提供心理和 to provide this se
rvice. Later in 1982
該院成 ed,
的照顧。1982 年, Palliative Care Te
am was establish
ith hogs
Neighbouring w
動本港 tive
立紓緩治療科,推 promoting the de
velopment of pallia
與豬為鄰 the poorest 紓緩治療發展。
貧 W on g Ta i Sin was one of care in Hong Kong
.
港最 d immigrant
當時黃大仙是香 d m os t densely populate
的移民 an t blocks
窮和人口最稠密 past. Resettlemen
大廈和 com
m un iti es in th e
found everywhe
re 男護的誕生 The first male nurse
社區之一,徙置 d sq ua tter huts could be
周,聖 an th e
山坡木屋佈滿四 squatter huts in 聖母醫院高級護士長黃偉賢於 Eric Wong, the Senior Nursing Officer, joined
, in th e di strict. Inside the ld
區內 ts w ou
母醫院旁的木屋 of OLMH, residen 1995 年加入醫院大家庭,是該院 OLMH in 1995, was actually the first male
豬 隻 、 種 neighbourhood ta bl es. It was 首位由醫管局聘請的男護士。他 nurse in the hospital hired by the HA. He was
居民更會飼養 ra ise ho gs an d grow ve ge
見到豬 even e the animals
菜,因此經常會 t a su rp rise for staff to se
表示初來報到時發現只有女同事, so surprised on his first day of reporting duty.
散步」的 no
群在醫院附近「 the hospital. 感到十分驚訝。而當時尚未設立 There was no male changing room nor male
wandering around 男更衣室和職員廁所,更沒有男 staff toilet, and even no male nurse uniform.
奇景。
護士制服,他只好暫時穿上舊醫 Under this condition, he had to wear his old
opening
Visit of Typhoon Wanda in
院的制服,要一年後才有自己的 uniform from the previous hospital not until
開幕遇颱風 hospital’s out-patient
新制服。直至三、四年後,才陸 1996. Three to four years later, there were male
年 9 月 1 日舉 The opening ceremony of the 續有其他男護士加入該院。 nurses gradually joining OLMH.
聖母醫院門診部原 定於 1962 led on 1 September, 1962,
號風 球, dep art ment was originally schedu
行開幕禮,卻遇上颱風「溫
黛」 10 roofs of squatter
yet Typ hoo n No . 10 Wanda was hoisted. The
捲走,甚至從 past the windows of the
不少木屋頂的鐵皮都被強風 hut s we re blown off and even flew
渾身 濕透 頂住
醫院的窗前飛過,護士們都 hospital. The nurses were tho
roughly wet and struggled
Y2K bug nightmare
醫院 上班 。醫
強風奮力行上斜坡 才能 抵達 e night, 150 homeless
毀、 無家 可 up the hill to report duty. At the sam 千年蟲驚魂
院當晚更接收了 150 位家園被 residents were received. Eric Wong (the front row) rec
alls on the new
賢 (前 排)表示 ,2000 年來
歸的居民。 黃偉 s about Y2K bug
會有 「千 年蟲 」 year’s eve of 2000, rumour
臨前夕,坊間 傳言 ng Kong including
,包 括醫 院內 attacking all networks in Ho
病毒 襲擊全港 網絡 re spread all
昔日的廚房 理層 various hospital facilities we
的各種設備。 於是 該院 由管
ult, from senior
該院昔日廚房負責供應病人每日三餐和宵夜,初期採用「分區膳食 合作 ,通 宵留 over the community. As a res
至前 線、 多個部門 numerous
供應」制,即食物送至病房後才由護士盛起分派給病人。至 1978 年 參與 ,每 小時 management to frontline of
守醫院,他亦 有份 overnight at
改行當時香港少見的「綜合膳食供應」,即食物依指定份量分盛至 果證 實是 虛驚 departments in OLMH stayed
報告 最新 發展 ,結 them to report the latest
個別餐盒內,再存入熱櫃送至病房待用,以減輕護士工作量。廚房 the hospital. Eric was one of be a false alarm.
一場。
elo pm ent onc e per hou r. It was however proven to
其後隨醫院轉型而早已結業,改由聯網統一出餐。 dev

Kitchen in the past


In the past, the hospital’s kitchen was responsible for providing three 未來 Future 聖母醫院明年將展開住院大樓原
meals and late-night supper to patients every day. In the beginning, 址重建工程,預計最快 2026 年完
成,屆時將增加床位和提升配套
the meals were delivered to the wards before being further served ,以新面貌服務黃大仙區居民。
and distributed by nurses. It was not until 1978, the meals were packed OLMH will undergo an in-situ red
evelopment of the Main Block
according to individual quantity, and then put into the warming cabinets year. The construction work is next
expected to be completed in 202
and delivered to the wards in order to reduce the workload of nurses. the earliest. By then, the number 6 at
of beds will be increased and
Afterwards, the kitchen closed down due to the service transformation. associate facilities will be upgrad the
ed to serve the needs of residen
Centralised meal delivery by cluster was adopted. in Wong Tai Sin with a brand-new ts
look.
24 人物素描 PEOPLE 人物素描 PEOPLE 25

C han Leung, Analyst Programmer of Hospital Authority


(HA), loves DIY (Do It Yourself) since he was young.
He made models learning from magazines, and his passion
in making models did not fade even he had grown up. He
built a robotic cat and included ‘smart’ elements in it. The
具提示功能的家用藥物機,可輸入指令提醒病人
creation process was long but he enjoyed a lot.
準時服藥,並確保病人不會食錯藥,同時會以短
訊通知家屬。
Back in secondary school, Chan loved building models by A household pill machine with reminder
function. Instructions can be inputted in the
following the imagery tutorial on the magazine ‘Science and machine for reminding patients to take
Models’, which could be considered as the starting point medicines on time and ensuring they will
not take the wrong ones. Their family
for becoming a ‘maker’. According to Wikipedia, makers
members will be alerted at the same time.
are people who love technology and are enthusiastic about
putting things into practice. They are mainly interested in
仿生步行獸身體佈滿腳猶如蜈蚣,方便在地氈上行走。身上 electronic gadgets, machinery and 3D printing etc., which
設有鏡頭,利用流動裝置操作,可以看到鏡頭拍攝到的畫面。
are all Chan’s hobbies.
Created with many feet like centipedes, the bionic Being asked about the reason he fell
walker is designed to walk on carpets
easily. With camera installed on
in love with DIY, he says that he would
However, the first product made from scratch by Chan
its body, the bionic walker always want to create those could
captures shots which could was actually a wallet, which was a folded
not be found on the market by himself. His
be viewed through the transparent file. He considered that
control by mobile latest creation was a robotic cat. Although there were quite a lot of
wallets were normally made by
device. similar works, he wished to create one with joints similar to
leather, which were heavier and
a real cat. So he decided to 3D print the body of a cat, and
thicker than notes and credit
control its movements with a mobile device.
cards. Therefore, he came
up with the idea of
Chan points out that intellectual devices could be
creating his own
created through programming. “It is not that difficult to build a
wallet and even shared
full manual device, but it cannot be fully-automated by AI (artificial
a tutorial online with
intelligence). Hopefully, semi-automatic can be achieved by
DIY lovers.
醫 DIY,跟著雜誌砌模型。長大後熱情不減,
管局分析程序編製主任陳亮自小熱愛 陳亮表示,透過編寫程式,可以造 programming and AI at the current stage. And it is already quite
出智慧裝置,「做一件全手動的裝置 satisfactory to lower manpower in operation.”
自己動手砌機械貓,加入智慧元素。他說創作 不太難,但要全自動暫時 AI 仍未做
過程漫長,但自得其樂。 到。現階段希望可透過編寫程式和 AI Six years ago, Chan joined the Geek Team promoting innovative
做到半自動,減少人手操作已算不錯。」 technology. With other staff in the HA who shared the same
中學時,陳亮愛按著《科學模型》雜誌的圖示 interests with him, they give full scope to creativity using
砌模型,可說是今日他成為創客 maker 的基 六年前,陳亮加入了推廣創新科技的極客 this platform. Chan believes that although creation could be
礎。根據維基百科,創客指酷愛科技、熱衷實 團隊(Geek Team),與其他志同道合的醫管 imaginative, it could only be successful if they are inspired
踐的人。他們的興趣主要圍繞電子、機械和 3D 局同事,利用這個平台發揮創意。他表示, by user needs in real life. “Users know best what they
打印等,正是陳亮的愛好。 雖然創意可以天馬行空,但創作源自生活, need. It is the most ideal for us to bring ideas to life,” he
要從用家角度出發,才會成功:「用家最清 explains. Mentioned in articles themed with Community
不過,要數陳亮第一個真真正正由零開始創作 楚自己需要甚麼,我們去創作並將之實現, Rehabilitation Service Support Centre on P16-19 of this
的作品,卻是用透明膠文件套摺成的銀包。他 就最理想不過。」本刊第 16 至 19 頁有關社區 issue, Virtual Reality technology has been using in
說銀包一般都用皮革製造,比紙幣和信用卡還 復康中心的專題,當中提到該中心利用虛擬 機械貓用 3D 打印機打印出來, the centre to assist patients in electric wheelchair in
要重和厚。於是,他萌生自己動手摺銀包的念 實境技術協助電動輪椅病人適應生活,便是 配合流動裝置,機械貓會做出 adapting to daily life. It was a demand raised by Allied
站立、點頭和擺尾的動作。
頭,更把製作方法放上網公諸同好。 由專職醫療同事提出要求,出自極客團隊的 Made by 3D printing, the
Health colleagues and realised by the Geek Team.
手筆。 robotic cat poses gestures
問他為何愛上 DIY,他指有些東西市面上無法 of standing, nodding its Chan reveals that he is still exploring and many
head and
找到,就會想動手做。他的最新作品是機械 陳亮說他還在摸索階段,很多作品都有待進 wagging its tail creations are to be further developed. He also highlights
貓,儘管已有不少人做過,但他想做一隻關節 一步研究,最重要是上網與人交流,失敗了 with mobile the importance of communication with people online, and
installation.
與真貓相似的機械貓,於是決定用 3D 打印機打 就再想另一個方法,但光是有新靈感誕生就 thinking of another way when one failed. Anyhow, coming
印貓身,並配合流動裝置控制機械貓的動作。 已經讓他很興奮。 up with new ideas was already an excitement to him.
26 八卦掌門人 HELEN HA 員工天地 STAFF CORNER 27

全新流動捐血車遊走校園
熱血 Donor 遊 ! A ‘new blood’ has


joined the Hong
Kong Red Cross


「新血」加盟香 Blood Transfusion
港紅十字會輸
New blood donation vehicle Service (BTS)! This


血服務中心!就係呢 new comer is a brand
架全新流動捐血車,
已經喺 8 月投入服務。
visiting school campuses new vehicle designed
for mobile blood


車身上集齊本港各區 donation, which
地標嘅特色設計,正好配合番呢架車肩負走 has already commenced service in August. Landmarks across the city are
訪各區招募捐血者嘅重要使命。首個任務就係 featured in the appearance of the vehicle, symbolising the mission of the
到訪各大校園同學生見面,梗係唔少得招募 BTS to recruit blood donors in the communities. Its first mission is to visit


「新血」啦! school campuses in order to recruit ‘new blood’.

解構捐血車 Looking inside the vehicle


呢架流動捐血車內置三張電動捐血椅,可以 The new vehicle equipped with three adjustable donor chairs, offering
調校仰臥角度,等各位「熱血」人士捐血時更 a comfy experience for blood donor. Besides, there are a waiting area, a
加舒適。車廂內亦設有等候區、面見室及工 screening station and working tables, making it comparable with a donor
centre. The vehicle is relatively slim compared to the current one, enhancing


作枱,可謂麻雀雖小,五臟俱全!車身外又
裝咗一部 43 吋高清屏幕電視,隨時隨地播放 the mobility of blood collection across a wider community network,
教育及宣傳短片,為附近市民提供捐血資訊。 reaching parking spots like large housing estates, shopping malls, schools,
community centres and parks. A 43-inch high definition television is also
瓹窿瓹
新捐血車流動性高,深入社區瓹 瓹罅都一 mounted on the vehicle body to show educational and promotional videos
樣無難度,無論泊喺大型屋苑、商場、學校、 on blood donation.
社區中心或公園都得。新捐血車將會走訪各
大專院校及中學校園招募「新血」,年輕人屆 The new vehicle will visit
時就有機會親身體驗流動捐血車服務! tertiary institution and
secondary school campuses
to spread the blood donation
message and recruit new
在 疫情下,因「中招」而要即時被隔離,即使成年人都
難免感到不知所措。對病童而言,突然要和父母及
童病況和治療計劃。在同事悉心照顧下,男童住院期間
情緒穩定,沒有穿過約束衣。
家人分離,更令他們感到恐懼、無助,我們病房一班醫護
blood donors. Youngsters will 人員在提供治療的同時,更要擔當起「父母」的角色。 現實中,不只病童會有分離焦慮症,家長亦然。曾經有位
have a chance to experience 12 日大的初生嬰兒,他是全港最年幼的確診者,他的媽媽
the service of blood donation 由疫情開始至今年7月,我們病房共接收了逾170位懷疑及 也「中招」。她因不能照顧孩子,終日憂心忡忡,寢食難
捐血椅 Adjustable donor chair
vehicle firsthand! 確診兒童。醫護人員除了定時向病人家屬更新病人身體狀況 安。同事於是想出「計仔」為這位媽媽打打氣,就是每日
等候區 Waiting area 和治療計劃外,每晚更穿上全套個人防護裝備,坐在床邊講 替初生嬰兒拍照,並將照片傳送至母親手機,向她報平
故事哄年幼病童入睡,或安排病童與家人視像通話,令他們 安。直至母親在成人隔離病房退燒及情況穩定後,安排
有安全感。大家同心,一人多走幾步,人性化安排的目標只 她轉往兒科隔離病房,與初生嬰兒共處一室,一邊繼續
2.5 米 M 10.6 米 有一個:希望減低病童不安,一路伴著他們把病治好。 接受治療,一邊陪伴兒子,減輕她的焦慮。
M
最難忘的是,病房曾接收一名 13 歲確診男童,他有學習和 我們偶然也會看到年幼病童因害怕而哭著拍打隔離病房
香港紅十字會 智力障礙,間中有暴力行為。知道這個消息時,我們非常 內的門叫「媽媽」,但在同事安撫和與他們傾訴後,他們
輸血服務中心獲
中銀香港捐贈全
擔心他未必願意留在隔離病房,於是我們即時聯絡社區支 很快便能穩定情緒。病房內的病童或許當時只看到面前那
新流動捐血車。 援同事,希望盡早知道男童在學校和院舍的喜好和習性, 兩道無情的門,把自己與外界隔開,但他們很快便感受
BTS has received 讓我們預早計劃如何安撫他的情緒。結果,我們從男童的 到在病房門外,其實是更多的愛與關懷包圍著他們呢!
a brand new 3.6 米 M 學校和院舍導師口中得知,他愛聽搖滾音樂和吃零食,於
blood donation
vehicle from 是我們預早輯錄搖滾音樂作為見面禮;同事亦不時準備零 梁美華
Bank of China 面見室 Screening station
(Hong Kong)
食獎勵男童,讓他在住院期間,仍能維持熟悉的生活習 資深護師(兒童及青少年科)
Limited. 慣,減低其不安和恐懼。同事每日致電男童家人,更新男 基督教聯合醫院
28 員工天地 STAFF CORNER

為配合東華醫院病房改善工程,療養病房的病人於今年 3 月
起,需暫時遷往葛量洪醫院,直至重建工程完成。由於他
們大多在東華醫院住了一段長時間,今次搬「家」,病人和
家屬都有點不捨和憂慮難以適應新環境。有見及此,主管
對 就像他們的「家」,病人及家屬早已對這
於長居於療養病房的病人來說,療養病房
醫生和護士在搬「家」前數月,已親自與病人及家屬詳細講
個「家」產生歸屬感。而病房職員就像他們的 解安排,以釋除他們的疑慮。幸好有部分病房職員轉到葛
「家人」一樣,彼此關心,一旦分開,難免 量洪醫院繼續照料病人,緩解病人的不安。
有離愁別緒。
臨近暫遷的日子,
院方更花了一點心
思歡送病人。病人資
源中心和病房職員在
疫情下仍盡力安排,
為病人拍照留念,並
送上自製心意卡。卡
上每一句祝福,都為
病人帶來多一點溫暖,
安撫他們的情緒。

F or the long stay patients 千言萬語,盡在不言中,衷心祝願病人


in infirmary wards, they 盡快適應新的「家」。
have already perceived the wards
as their ‘home’. Both patients and doctors and nurses explained the arrangement
their relatives have developed a to them months before. Fortunately, some of
sense of belonging to their ‘home’. the ward staff moved in to GH with patients, which
To be parted from the ward staff who are largely reduced their worries.
like family members of them caring for each
other would trigger a tinge of sadness for sure. The Patient Resource Center and Department of Medicine
of TWH therefore made special arrangement to bid a fond
Due to renovation of the medical wards in Tung Wah farewell under the COVID-19 pandemic. The staff took photos
Hospital (TWH), infirmary patients have been temporarily with the patients and wrote handmade
relocated to Grantham Hospital (GH) since March this year, greeting cards, bringing them
until the completion of redevelopment works. As most warm wishes and blessings.
patients had stayed for a longer period of time in TWH,
the patients and relatives would indubitably be reluctant Silence is worth a thousand
to leave and even had worries about adapting to a new words. Wish them settling well
environment. To allay their concerns about relocation, in the new environment.

編輯委員會:葉根銓、蔡梓謙、張婉琳、莊慧敏、林欣怡、許頴秀、李美鳳、李慧雯、凌詠儀、
盧雪穎、馬玉蓮、彭慧中、談美琪、楊秀玲
編輯及採訪:吳雪文、李任生、黃漪文、司徒沛怡、潘澧瑤、梁杏怡、吳奇恩
立即下載!
Download now! 有意見或投稿,請電郵 [email protected],傳真 2808 0242 或郵遞醫管局大樓 216N 室《協力》
編輯組收。
HA Go Android/iOS
© 醫院管理局 2021 年
歡迎轉載,請先聯絡醫院管理局總辦事處機構傳訊部。

Editorial Board: Frankie Yip, Michael Choi, Euthy Cheung, Vivien Chuang, Jessica Lam, Cecilia Hui,
Assunta Lee, Ella Lee, Karen Ling, Sharon Lo, Evanna Ma, Michelle Pang, Maggie Tam, Stephanie Yeung
瀏覽網頁
Visit the website Editorial Team: Ella Ng, Vasco Lee, Angie Wong, Kylie Szeto, Mori Pun, Riki Leung, Grace Ng
For opinions or sharing, please email to [email protected],
fax to 2808 0242 or mail to Editorial Team at 216N, HA Building.
© Hospital Authority 2021
Articles may be reproduced with the prior consent of the HAHO
醫院管理局 Hospital Authority
Corporate Communication Department.

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