would come only those patients requiring such special care or services.
(b) One or more district hospitals equipped with ordinary hospital facilities such as operating theatres and a radiodiagnostic depart- ment. These would serve as a first-line defence for casualty cases. They would receive patients referred from clinics and might themselves refer patients to the regional hospital. They would also receive from the regional hospital, as part of a two-way traffic between the two types of hospital, some patients for later stages of treatment.
(c) One or more specialist clinics or polyclinics.
(d)
A number of general clinics.
45.
Such an organization could be achieved fairly readily around four regional hospitals-Queen Mary, Queen Elizabeth, Kwong Wah and Princess Margaret-as follows:
(a) Hong Kong Island
(i) East: Violet Peel Clinic, Lady Black Clinic, Shau Kei Wan Clinic, Chai Wan Clinic- →Tang Chi Ngong Specialist Clinic-Tang Shiu Kin Hospital, Tung Wah Eastern Hospital Queen Mary Hospital;
(ii) West:
Central Dispensary, Sai Ying Pun Clinic, Kennedy Town Clinic, Aberdeen Clinic, Stanley Clinic- →Sai Ying Pun Polyclinic-Tung Wah Hospital-Queen Mary Hospital.
(b) Kowloon and the New Territories
(i) Clinics in Central Kowloon- Yau Ma Tei Polyclinic or Q.E.H. Specialist Clinic- →Buddhist Hospital- →Kwong Wah Hospital/Queen Elizabeth Hospital.
(ii) Clinics in South Kowloon and East New Territories- Yau Ma Tei Polyclinic or Q.E.H. Specialist Clinic- Buddhist Hospital Kwong Wah Hospital/Queen Elizabeth Hospital.
(iii) Clinics in East Kowloon-
→
>East Kowloon Polyclinic-
→Queen Elizabeth Hospital.
South Kwai Chung Poly- →Princess Margaret
United Christian Hospital- (iv) Clinics in West Kowloon-
clinic- →Caritas Medical Centre- Hospital.
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(v) Clinics in North Kowloon and West New Territories-
South Kwai Chung Polyclinic-Fanling Hospital→→→→ Princess Margaret Hospital.
46. The main requirements for such a change are:
(a) New administrative processes; for example, doctors at Govern- ment clinics would, in many cases, refer patients to Government- assisted hospitals.
(b) Improvements to existing hospitals.
(c) Changes in hospital charges.
47. The main hospital improvements required would be:
(a)
(i) To raise the Kwong Wah to regional hospital capability by adding a new clinical pathology unit, by developing the physiotherapy and medical social services, and by establish- ing an occupational therapy unit. The cost to Government for these three items would be about $8 million non- recurrent and $0.8 million in increased annual subventions from 1975 onwards.
(a) (ii) Also required would be the addition of 40 orthopaedic beds, to increase the capacity to handle casualty cases. Because further space is not available on the site, these beds would be provided within existing buildings and other categories of bed reduced correspondingly. New expenditure would therefore be restricted to some new equipment, e.g., orthopaedic beds, and the additional cost would be small. (b) To raise Tung Wah Eastern to district hospital capability. Many of the necessary improvements have already been made (new theatres, enlarged laboratories, improved wards and kitchens, etc.) but if staff numbers-especially senior doctors are to reach necessary levels, some staff quarters will be needed. A 20 storey block comprising 40 married quarters would cost about $6 million.
(c) To raise Fanling Hospital, which Government took over in April 1973, to district hospital capability. Although the full extent is not yet known, additions and improvements in both buildings and staff will be needed.
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