The Role of Hospitals in the New Century

Dr. Sammy S.C. Sou

BDS, MDS, University of Hong Kong

MPH, Harvard University

Senior Hospital Executive

Canossa Hospital (Caritas)

Gov’t Resources used

30%

70%

People benefited

30%

70%

Public Health

Hospital

In the beginning, hospital was a place to die…

Now, hospital is a place to get good care, expecting disease cured

(or at least, not worsening so fast)…

In the coming decades, hospital will be...

AcuteChronic

Primary

Secondary Tertiary Teaching

for profit

non-profitCharity PublicPrivate

?? ??

Determining Factors for

of the role of hospitals

Disease pattern of developing countries has changed rapidly and followed closely to that of developed countries.

Disease pattern in developed countries -- changed from acute to chronic

DEPRESSION has become the second most common killer disease….

Attempted suicide cases numbered to 7,000 in HK last year….

Determining Factors for

the role of hospitals

MRI guided cryosurgery

Determining Factors for

the role of hospitals

Cost-benefit, market analysis

Transparency

Accountability

Competition (friendly)

Downsizing ?

Evidence based practice

Efficiency to Size of hospitals

Hospital size (no. of beds)

Financial Performance

100 300

Downsizing of giant hospital ?

Determining Factors for

the role of hospitals

Cyber café and internet into rooms

Baby Smart Card

Determining Factors for

the role of hospitals

Perception management :

From the first step into

the hospital

to the last step out

contact with

of the premises

Determining Factors for the role of hospitals in this century

Disease pattern

Medical technology

Budget or money

Clients’ expectation and perception

Information technology