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Peter H.T. Chan MSW MPH Chief Project Administrator “Celebrate their Accomplishments; Discover their Effervescence and Never-ending Zest as they Age”.

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Presentation on theme: "Peter H.T. Chan MSW MPH Chief Project Administrator “Celebrate their Accomplishments; Discover their Effervescence and Never-ending Zest as they Age”."— Presentation transcript:

1 Peter H.T. Chan MSW MPH Chief Project Administrator “Celebrate their Accomplishments; Discover their Effervescence and Never-ending Zest as they Age”. Role of CADENZA in the Development of a Primary Care Model

2 What is a Model? A MODEL represents core aspects of a business: Vision, Objectives, Principles Strategies Process (practice & procedure) Organization (infrastructure) (Wikipedia)

3 CADENZA’s Objectives 1.Promote image of the elderly; 2.Plan for the needs of the “soon-to-be-old” whilst enhancing skills and service for the current old; 3.Devise new services in response to changing needs; 4.Train different levels of professionals, formal and informal caregivers; 5.Encourage inter-generational understanding; 6.Nurture academic leadership in gerontology.

4 Older Persons The changing health and social needs of the soon-to be old and old Cope with End of Life Involves preparing for death with dignity Involves remaining stable Manage Long Term Care Involves managing disability Stay Healthy Involves maintaining health and wellness from birth through end of life Manage Chronic Disease

5 AgeAge 2000’s2000’s 1990’s1990’s 1980’s1980’s Source: Dr. Janet McElhaney Why Soon to be Old?

6 Why New Service? Why Primary Healthcare? “The current care systems cannot do the job. Trying harder will not work.”…….we cannot work any harder. “Changing care systems will.”……… we must change the system health and social care system must bring health Dr. Don Berwick, Institute of Healthcare Improvement & social sectors together. We must try primary health care.

7 To bring together health and social care system……...; so that the services will be: 1. Integrated 2. Client centred 3. Sustainable Vision & Operating Principles of Primary Health Care

8 Role of Cadenza in the Development of a Primary Healthcare Model for the Seniors 1.Support the building of primary healthcare capacity. 2.Try a primary healthcare pilot project for the seniors. 3.Expand disease prevention and health promotion. 4.Promote evidence based primary health care practice.

9 Support Building of Primary Healthcare Capacity (hub of coordination, exchange point) Primary Healthcar e Centre Residentia l Care Specialty Clinics Day Hospita l General Practitione rs Private Hospita ls EHCCS DECC Home Care ER Elderly Health Centre Public Hospita l Adult Day Care Day Surger y Eye Care Ear Care TCM HKJC CADENZA Hub

10 Support Building of Primary Healthcare Capacity (Cadenza Training Program, The Nethersole School of Nursing, CUHK) Successful aging & intergenerational solidarity Psychosocial & spiritual care Chronic disease management & end-of-life care Dementia: preventive & supportive care Community & residential care for older people Caregivers, Different Level of Professionals Aged Care 101 in Aged Care

11 What is Primary Health Care? Primary Health Care brings Health Promotion Disease Prevention Cure & Care under one setting.

12 CADENZA Hub - a Pilot Project on Primary Healthcare Centre for the Seniors Day Care Centre Wellness focused Primary Care Co-location Services Waiting Area

13 Expand Health Promotion & Disease Prevention Public Awareness Programs to promote health: raising health literacy

14 Expand Disease Prevention & Health Promotion Community projects to support individuals to take control of, and improve their health through increased client empowerment, group and community support

15 Promote Evidence Based Primary Healthcare Practice Robust evidence-based research of both service and cost effectiveness.

16 Promote Evidence Based Primary Healthcare Practice Research into new solutions to primary health and social care problems. Health trends Mortality trends Elderly service needs Elderly friendly environment study Managing world cities project End of life care study Health/social service disparity study Health care rationing study

17 One Giant Leap for Primary Health and Social Care for the Old and Soon to be Old in HK Cadenza is taking a STEP wise approach; Our work is developmental and not operational, we may make mistakes; In the last 2 years, we have made some progress; The gains we’ve made are still fragile – they rely on buy in from the bigger system Everyone in this auditorium can help as you are part of the bigger system. One Small Step for Cadenza


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