increased to 1,164-the result of the addition of a number of cots in the paediatric ward, and some maternity beds.
QUEEN ELIZABETH HOSPITAL (Tables 52-53)
104. The Queen Elizabeth Hospital serves a population of approx- imately 2.3 million in Kowloon and the New Territories as a medical centre for emergency and specialist care.
105. During its eighth year of operation, allendances at the casualty department rose by 12.1 per cent compared with the previous year. Of these attendances, 29.5 per cent were duc to trauma, the main causes being, in the order of frequency, industrial, domestic, traffic and assauli cases. A total of 39.9 per cent of all cases seen in the casualty department required immediate admission to hospital, and 1.6 per cent were referred for admissions to other hospitals such as the Kwong Wah Hospital and the Lai Chi Kok Hospital. (Paragraph 177 below gives details of the operation of the casualty department of the Kwong Wah Hospital). The average time spent in the Queen Elizabeth Hospital by each in-patient was 6.5 days. Once the acute period of the illness was over, patients were either discharged, or transferred to Kowloon or Lai Chi Kok hospitals for convalescence. The pressure of admission necessitated increasing beds to 1,893, although the hospital's normal capacity is 1.596 beds.
KOWLOON HOSPITAL
106. This hospital serves partly as a subsidiary centre for the Queen Elizabeth Hospital, and partly as a centre for chest diseases requiring both medical and surgical treatment. It has an acute psychiatric ward, and a paraplegic unit.
107. With the completion of the west wing in October 1970, the total bed complement of the hospital increased from 500 to 1,042, including an acute psychiatric unit of 67 beds, a paraplegic unit of 50 beds, 192 beds for thoracic diseases, and 733 convalescent beds for the Queen Elizabeth Hospital. Towards the end of the year, the west wing was almost fully operational, while some wards in the old section underwent renovation.
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TSAN YUK HOSPITAL (Table 55)
108. The Tsan Yuk, under the clinical supervision of the Professor of Obstetrics and Gynaecology of the University of Hong Kong, is the main specialist obstetric hospital in Hong Kong. It has 300 beds, including 50 beds for the care of premature and sick babies. It is the teaching centre in obstetrics for medical undergraduates and the training school for midwives.
109. About 90 per cent of admissions during 1971 were booked cases. These were mainly primigravidac, grand multiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from government maternity homes. There were 5,985 deliveries with no maternal death.
MENTAL HEALTH SERVICE (Tables 56–58)
Castle Peak Hospital (Table 56)
110. This hospital of 1,242 beds was required to accommodate 1,916 patients at the end of the year-1,798 actually living in, and 118 on trial discharge. It is the only hospital in Hong Kong for the full-time care of all types of psychiatric patients.
111. The hospital continued its development during the year, in accordance with contemporary psychiatric practice, into a modern therapeutic community. Except for one closed ward for patients involved in court proceedings, the rest of the wards are in various degrees 'open', having also free access to their own gardens. Six wards are entirely open, the patients housed being convalescent and receiving attention in preparation for discharge. Some patients travel daily to Tsuen Wan, Sham Tseng, and San Hui to work in factories. Others go to the adjacent New Life Rehabilitation Farm each week. for a short period of rehabilitation prior to final discharge, and many are given permission to move freely within the hospital.
[12. All modern treatments in psychiatry are administered. Reliance is placed on drug treatment and social measures, with emphasis on inter-disciplinary, participatory-democratic teamwork, co-ordinating the functions and resources of social worker, nurse, occupational ther- apist, doctor and others in therapy. There was an increasing tendency
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