49
醫院管理局年報
2013-2014
為應付治理危疾的龐大需求，我們加強心臟科加護
服務。基督教聯合醫院、瑪嘉烈醫院及威爾斯親王
醫院緊急冠狀動脈介入治療服務由
8
小時延長至
12
小時。東區尤德夫人那打素醫院、伊利沙伯醫院及
威爾斯親王醫院開展
24
小時溶栓治療，加強對急
性中風病人的治理。港島東及新界東聯網設立短暫
性腦缺血診所，由腦科醫生及護士團隊迅速提供適
當診斷和及早治理，減少日後再次中風的機會。我
們亦為末期腎病患者提供額外
28
個醫院血液透析
名額，並加強癌症服務，增加放射治療人手，以及
採用高端放射治療治理癌症。
我們加強慢性疾病管理及中層預防，包括為約
500
個老年黃斑病變的新症提供抗血管內皮生長因子
藥物治療，以及為糖尿病相關眼病患者提供額外
4,000
個眼科服務名額，其中包括因糖尿病視網膜
病變引致視力受影響的患者。
為更有效管理不斷增加的長者醫療服務需求，醫管
局優化支援長者離院綜合服務，減少長者再入院的
風險。推行的措施包括加強不同專科聯繫的資訊平
台，以及為約
100
名參與綜合服務的成員提供培訓
課程，其中包括個案經理，以加強他們的跨專業知
識和技能。我們亦加強社區健康電話支援服務，支
援高危長者病人及糖尿病患者。
HA was also committed to managing high demand life threatening
diseases. Cardiac care was enhanced with expansion of emergency
percutaneous coronary intervention service from eight to 12
hours in United Christian Hospital, Princess Margaret Hospital and
Prince of Wales Hospital. Clinical treatment for stroke patients was
strengthened with 24-hour thrombolytic service in Pamela Youde
Nethersole Eastern Hospital, Queen Elizabeth Hospital and Prince
of Wales Hospital. Transient Ischaemic Attack clinics were set up
in Hong Kong East Cluster and New Territories East Cluster, where
patients were managed promptly by teams of neurologists and
nurses for proper diagnosis and early treatment, hence reducing
the likelihood of future stroke events. 28 additional hospital
haemodialysis places were provided for patients with end stage
renal disease. Cancer service was enhanced with strengthened
radiation therapist manpower as well as the use of high technology
radiotherapy in cancer treatment.
Management and prevention of chronic diseases was enhanced
with anti-vascular endothelial growth factor treatment offered to
around 500 new patients with age-related macular degeneration
and specialist eye services for 4,000 new patients of diabetic-related
eye diseases, including sight-threatening diabetic retinopathy.
For better management of increasing demand in elderly medical
care, HA refined the integrated care model (ICM) for supporting
elderly patients with high risk of hospital readmission. Implemented
measures included an enhanced electronic platform for information
sharing with different specialties, and training courses for around
100 ICM team members, including case managers, to strengthen
their trans-disciplinary knowledge and skills. The Community Health
Call Centre (CHCC) service was strengthened to support high risk
elderly patients and diabetic patients.
