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Patients forced to wait outside the accident and emergency department at Queen Elizabeth Hospital in Jordan, Hong Kong on February 22. Photo: Dickson Lee
Hongkongers are feeling the impact of the Omicron variant in every facet of life. From surging fresh grocery prices and long lines for Covid-19 testing and vaccinations, to overcrowded public hospitals amid heartbreaking scenes of patients camping outside to wait for medical attention, Covid-19’s latest disruption is undeniable.
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While the priority should be to win the city’s war on Covid-19, the needs of patients wait-listed for non-urgent services and of chronic disease patients requiring regular follow-up care cannot be ignored.

Temporary and emergency solutions have emerged, with the talk of the town being the new-found reliance on private sector services, including the creation of public-private partnership programmes to offer services paused in the public sector.

We are facing the consequences of failing to institute community-based primary health care efforts such as disease prevention and early identification and management, efforts that would have helped to sustain the health of the public when resources are under strain.

The Hong Kong government has long overseen the slow development of its primary health care, particularly in the community; services such as follow-ups for chronic disease management and health checks are routinely and unnecessarily conducted by specialists or delayed until conditions worsen.
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The private sector is responsible for providing roughly 70 per cent of Hong Kong’s primary care services. But given the high quality and low cost in the public sector, Hongkongers with low income and a lack of insurance or funds are deterred from accessing private primary care services outside specialist and hospital settings.

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