By Lecturer in Geography David R Phillips, Alfred C M Chan
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Extra info for Ageing and Long-Term Care: National Policies in the Asia-Pacific (Social Issues in Southeast Asia)
This includes providing home-based care to enable the “continuum of care” at home; re-engineering home-help services through open tenders, to make them more cost-effective; improving support for carers; strengthening day-care and respite services; and special provision for dementia and for people deemed at risk of suicide. A sense of health and worthiness. This area focuses on health, an obvious concern for an ageing population. In addition to the Hong Kong Government’s promise to maintain the present level of health-care services for the needy, resources have been injected into running health promotion and health maintenance programmes for the older people in the community.
A range of services is available, including community geriatric and psychogeriatric assessment teams (CGATs or PGTs), community nursing services (CNS, both general and psychiatric) and day hospitals. CGATs and PGTs are multi-disciplinary teams conducting regular out-reach services in centres for the elderly and private nursing homes. Their main task is to make accurate assessment of the needs of elderly people and to provide the necessary medical and health support. In 2001, there were 10 CGATs serving about 16,500 patients a year, and 9 PGTs serving about 42,000 patients a year.
There is a plan to integrate these three types of centres into a district-based centre for the elderly, on the basis that different services would be better coordinated and utilized for needy people under one structure. As “ageing in place” and a “community care” philosophies become the guiding policy principles for the development of services for older persons in Hong Kong, there are conscious moves to re-engineer these centre-based services. The new model is to offer an out-reach component, with services targeted to frail older persons confined at home, which will enhance home-care packages.