Abstract
District Health Care Movement is an important process to achieve integrated healthcare delivery through an organised whole-of-society multidisciplinary care approach by effectively and efficiently utilising healthcare resources at the community level, making it more accessible, available, and affordable to address healthcare needs of the community. In the chapter, an overview is provided on the District Health Care Movement from the perspectives of accessibility to health services, primary health care, infrastructure establishment, and team-based participation of healthcare professionals and providers. Putting District Health Care Movement in action, various approaches are discussed with Hong Kong’s District Health Centre model and Singapore’s Primary Care Network models as illustrations. The challenges and barriers of implementing the District Health Care Movement are addressed. Family Doctors are essential participants of the multidisciplinary care team. A study conducted by the Hong Kong College of Family Physicians in 2021 was to explore Family Doctors’ understanding of the District Health Centre model in Hong Kong and to collect opinions from Family Doctors in enabling the primary healthcare team to fulfil the mission and vision of District Health Care Movement. This is an important initiative to fill the existing gaps of the healthcare system in meeting healthcare needs of the community.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Census and Statistics Department. (2019). Hong Kong monthly digest of statistics—The profile of Hong Kong population analysed by district council district, 2019. https://www.statistics.gov.hk/pub/B72009FB2020XXXXB0100.pdf
Chatora, R., & Tumusiime, P. (2004). Health sector reform and district health systems. World Health Organization. https://staging.afro.who.int/sites/default/files/2017-06/dsdAFR-DHS-0301_0.pdf
Lee, A. (2019). Family physicians and district health system. The Hong Kong Practitioner, 41(3), 57–59. https://www.hkcfp.org.hk/Upload/HK_Practitioner/2019/hkp2019vol41Sep/editorial.html
Lee, A., & Poon, P. K. (2020). District health systems and capacity building. In B. Y. F. Fong, V. T. S. Law, & A. Lee (Eds.), Primary care revisited: Interdisciplinary perspectives for a new era (pp. 369–381). Springer. https://doi.org/10.1007/978-981-15-2521-6_23
Leung, W. L. H., Chan, A. C. Y., Chan, D. C. C., Ho, R. Y. F., & Wong, S. Y. S. (2021). Survey on family doctorsʼ perception of the District Health Centre (DHC) in Hong Kong. The Hong Kong Practitioner, 43(3), 68–79. https://www.hkcfp.org.hk/Upload/HK_Practitioner/2021/hkp2021vol43Sep/original_article.html
Ministry of Health, Singapore. (2020). Primary care networks. https://www.moh.gov.sg/home/our-healthcare-system/healthcare-services-and-facilities/primary-care-networks
Ministry of Health, Singapore. (2022). Primary healthcare services. https://www.moh.gov.sg/home/our-healthcare-system/healthcare-services-and-facilities/primary-healthcare-services
Tan, K. B., & Earn Lee, C. (2019). Integration of primary care with hospital services for sustainable universal health coverage in Singapore. Health Systems & Reform, 5(1), 18–23. https://doi.org/10.1080/23288604.2018.1543830
Tarimo, E. (1991). Towards a healthy district: Organizing and managing district health systems based on primary health care. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/40785/9241544120.pdf?sequence=1&isAllowed=y
Wagner, E. H. (2000). The role of patient care teams in chronic disease management. BMJ, 320(7234), 569–572. https://doi.org/10.1136/bmj.320.7234.569
World Health Organization. (2021). Primary health care. https://www.who.int/news-room/fact-sheets/detail/primary-health-care
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Leung, W.L.H. (2023). District Health Care Movement. In: Fong, B.Y.F., Wong, W.C.W. (eds) Gaps and Actions in Health Improvement from Hong Kong and Beyond. Springer, Singapore. https://doi.org/10.1007/978-981-99-4491-0_25
Download citation
DOI: https://doi.org/10.1007/978-981-99-4491-0_25
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-99-4490-3
Online ISBN: 978-981-99-4491-0
eBook Packages: Social SciencesSocial Sciences (R0)