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Recommendations of the MDAC
Before any further polyclinics are constructed their design should be reappraised (paragraph 38).
Subject to the agreement of the Government-assisted hospitals concerned, hospital services in the Colony be regionalised by the establishment of 4 regional units each consisting of clinics, polyclinics, district hospitals and a regional hospital. This arrangement would also permit recrganisation of the accident service; this aspect should be kept under review (paragraphs 44-47).
An early increase of the daily fee for third class Government hospital beds from $2 to $3, and a further increase to $5 within 12 to 18 months thereafter; that the Government-assisted hospitals partaking in the regionalisation scheme also charge their third class patients $5 a day when that becomes the Government fea, regardless of whether this means charging fees where they were not charged before, raising fees, or lowering fees; that to meet the requirements of the proceding recommendation the Government-assisted hospitals concerned be subvented on a deficiency grant basis if this is not the basis of their subvention already (paragraphs 48-51).
Consideration be given as to how a requirement for additional doctors in the public and private sectors of about 100 a year by 1982-83 is to be met (paragraphs 66 and 67).
A third general nurses training school be constructed by Government, on a site adjacent to the Princess Margaret Hospital, with a minimum capacity of 150 students annual intake (paragraphs 80-82).
Proposals in the draft White Paper
Present proposals are that polyclinics, besides the Teng Chi Ngong Specialist Clinic on Hong Kong Island, will be opened in East Kowloon, South Kwai Chung, Sha Tin, Tuen Mun and Kwun Tong. These will be designed to take account of the MDAC recommendations (paragraph 8.3).
Medical and health services will be organised on a regional basis. Planning will be based on the need for each region to be served by all appropriate general and specialist facilities. Reorganisation of the accident and emergency services will be worked out in greater detail as soon as the new regional structure permits. Planning is related to 5 regions but there will be only 4 initially (Chapters 5 and 6).
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Government and some Government-assisted hospitals will be brought together in an integrated (regionally based) structure with uniform charges for third class beds. Charges in Government hospitals will be raised first to $3 per day and to $5 per day on 1st April 1975. that date charges in Government-assisted hospitels should become uniform and new subvention arrangements apply where necessary. Regionalisation should commence on 1st April 1975 (Chapter 6).
A second medical school will be established at the Chinese University of Hong Kong to produce about 100 doctors a year (paragraph 9.11).
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A third general nurses training school will be built to take up to 300 students per year (paragraph 10.3).
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