406
Principal Medical Officer in the same way as members of the permanent staff.
Question 3.Whether it is desirable that any member of the staff should be allowed private practice.
Answer. We consider that in no case should private practice be allowed to officers of the me dical staff of the Government, and have based our proposals for the reorganisation of the start on the understanding that this privilege, where It now exists, will be withdrawn, and that the services of the whole staff will be entirely at the disposal of the Government.
We, however, make the above recommendation conditionally upon medical officers of the Go vernment being allowed, as hitherto, to be called in by private practitioners for the purpose of holding consultations, to which we see no objes tion whatever.
THE HONGKONG WEEKLY PRESS AND
$1896
be, it would be obviously undesirable on the | -- Question 7 (3)—In the eve grounds of their nationality andorigin to spoord of the plagud what them spoh equality. Subject to the above limita be made for the dom tions, we are prepared to recommend the scheme Golony? cl 38 as a tentative; measure and on the grounds of economy. We understand that, in the, future i two of the sisters will be away on, leave at the † same time, and it is anticipated that with the assistance of the young women whom it le proposed to train, the remainder of the nur« sing staff will be able to carry on the work 4. satisfactorily, and that the necessity of obtaining i an extra sister from home to enable members $10) the nursing staff to take leave when it falls due, will thus be obriated. We are also, prepared to recommend the scheme on independent grounds in the hope that, if it succeeds, the want of an outside nursing staff which would be able for private cases would be graduall plied. Whether or not the young women will ultimately,
met Jodidado, dad, quidi Answer, soWe arer oll opinion that all perións, wishing to do so; shdäkb be allowed to losun the Colony, subject to the following: maskio gamën ta for and conditions af: bandyalls-jou da ne c
(1) Patientinton: be: romevid Kit Jount :90: miilos 40(as the wrówi£lbakefalməklə «Colonyat Bajad (2) Sporini jünki, útlitiɗop to the initia
of the e in both oil tác
40
le the Govern
thas purposeɗin the Eastern Distribta,
(3) Sook‹junka sto
F
than 20 miles/{z
·Colony under:
Jou MALI
openmi before discha (4); Mateheda ♬ taṛzbo
-whalvd, for the bona i of the sich pride tec (5)¿Ona- European ʼn polio -medibalyomoné, if pupa
each of the thatcheddalay (6) Patjonia, wishing: td ba
Colony, tał zuport
In connection with the question of private practice, it has been brought to our notice that, ex-patients of the Government Civil Hospitalment to reduce the staff of European sister often visit Hongkong from the Coast porta for are unable at present to say. It is posi the purpose of consulting the medical offers ever, that if they prove to be at the Hospital, who are well acquainted with duties of the sisters may gradually become.. their cases, having treated them during their lighter and more supervisory nature, and periods of sickness. In such cases we are given event their number might eventually to understand that unless these ex-patients to what is necessary f
for the purpPIE
the matabel, who khould; re-enter the Hospital, the doctors are not vision, the nurses so-called doing much of temporary accommodation allowed to tender advice or opinions, and it the work at present performed by the sisters: »in the manner pessoribed has been suggested that to this extent and We are not, however, in a position te forechst In this connections do makeichi: strictly within these limits private prac events, and we therefore make no recommends that dead bodies mijjht also swith wd v tice should be allowed and the doctor tion for the reduction of the European nursing removed from the Colony cpmovided authorised to see such patients and staff unless circumstances justify such reduction, removal is carried out speedily, and thm charge a fee therefor. We are not, however, We think that the Superintendent of the Go- ; distance from The Colony Irintekt prepared to endorse this latter suggestion; it vernment Civil Hospital should report upon the Haring now dealt with all 4 appears to us that there is no objection to these success (or otherwise) of the scheme herein remitted to us for enquiry we ex patients consulting, if they so desire, the ferred to after twelve months, and that its con- the or two auggestions, which medical officers of the hospital service in these tinnance should depend upon the nature of that he jir connection with she subject
b. It hasićome under our Rotjou: in thi cases, but seeing that the medical service is pro- report. vided by the Government, and that the doctors Question 7(a). How far the establishment of our enquiry» that the prment obserie are consulted in such cases quà officers of the dispensaries for the sale of European drugs at at the Government Civil Hospital in wholly un- Government Civil Hospital and not qud private nominal prices to Chinese is practicable! Whe suitable for the purpose for which it is intuendod. practitioners, we think that all fees so chargeable ther such establishments, could be made | Being a wooden structure. It is hecessarily very should be credited to the Government and not self-supporting without sacrificing the ob- | inflammable là Who'dry dolabil, aM UMIärn that to its individual officers,
ject in view, and, if not, what extra it has been more than nato partially destroyed Question 4.-To what extent the Chinese com-cost would be involved thereby Further, whe- by fire. We would therefore respectfully sub- munity avail themselves of the Civil Hospital, ther such institutions should be placed under - nit the grbatidaingqe te Which pufidato Aka and what steps, if any, can be taken to make it Government control, or whether satisfactory nee posed by being housed in a wooden bu more popular with the Chinese ?
rangements could be made with the Chinese urge the early berection of my Answer. From the evidence taken on this College of Medicine for their efficient working stone structure, for which we
have already boom propieda subject we are of opinion that, having, regard to and management ? * the accommodation provided, the strength of the Answer-We approve of the above sehema | 3-Wa drould further begető) medical and nursing staff, &o., the advantages of and the object which it has in low, but-healiste | Konnedy Town Polios Station the hospital are fully availed of by the Chinese, to suggest its general adoption, not being in my reserved ud i Hospital for the and that the number of beds is at times hardly position to form an accurate estimate of the ex equal to the number of patients applying to be penditure that would be involved thereby and of admitted. As regards the out-patients we learn its relative utility. In view, however, of the that there are more applicants than, under the ex- fact that British Kowloon is without either a isting arrangements, can possibly be attended to, qualified private medical practitioner, or a diss and that they have constantly to be sent away in pensary for the sale of European drugs, we sons consequence. It is anticipated that if the re-sider it highly desirable that the latter at least arrangement of the staff, which we have proposed should be provided without delay and beg to above, is approved, the work of this branch of recommend acordingly the establishment of ■ the Hospital will be more efloiently performed dispensary in that locality with a Chinese practis than at present, and will increase accordingly. tioner qualified in Western medicine in charge Question 5.-To what extent non-Government but under the direct control and supervision of Hospitals have been visited and inspected in the the Government. past, and what improved arrangements, if any, should be made for the frequent and regular in spection of such institutions in the future,
Answer. We find that the only non-Govern- ment Hospital hitherto regularly inspected is the Tang Wa Hospital. We are of opinion that that institution should in future be visited at least once daily, and have already provided for the performance of this duty by a member of the medical staff. As regards other non-Government Hospitals we consider that power should be taken (by law if necessary) providing for the periodical inspection by an officer of the Govern- ment of all hospitals in the Colony, public and private.
Question 6.Whether the scheme suggested in the enclosed letter from the Aoting Super- intendent of the Government Civil Hospital for the training of nurses locally is practicable, and if so, whether it is desirable in the interests of Bconomy and efficiency?
1
܂
We consider that a small charge should be made for drugs supplied to Chinese, this being the practice of the Medical Missions in China; and from the results shown by those societies we have every reason to anticipate that the dispen sary would prove a financial success. The neces sary checks, in view of the native character;: should of course be exercised over the Chinese practitioner in charge, who should in our opinion be secured for a certain amount.
*#
As regards the cost of the proposed dispensary, we understand that a sum of $1,500 a year would be sufficient to cover the expenditure for rent, drugs, and salary of the officer in charge, the latter to be fixed at $60 a month without private practice.:
In addition to his duties in the dispensary we consider that the Chinese dispenser should be required to make himpelf soquainted with and give early information of the existence, of any epidemic disease, to enquire into the causes of Answer-We consider that the scheme re-suspicious deaths for the information of the Re- ferred to is practicable to this extent, viz., that the gistrar-General, and to act as public vaccinator young women whom it is proposed to train for the district of Kowloon, should be trained on the understanding that If the experiment proves successful in Kow- they can qualify as "nurses" only and can never loon, we recommend the general extension of attain to the rank of sisters," to whom they the scheme to the Colony, but would point out will and must always remain subordinate. We that the Alice Memorial and Nethersole Hos are of opinion they cannot be trained locally pitals would appear to meet the requirements of with a view to ultimately taking the place of the the native population in the districts in which European sisters, and that, even if they could i they are leented.
|
factions or/cottagʻious dinèndon) is full or when it in undevirib) patients)morous the waters With the tional suggestions, which we trunt wHE the favourablé consideration of othe we beg to conblude our report
Thos. H. Kxōtai bei nuo 403. DeputysInspector Chemeral,
Beds Chaseniden 200 F/ FuEston;m, İstan Barat Surgiỡn Gólowels A‚M A«M«CONKACHÍRJE
J. THURBURNOUT JAB. CANTEK,
Dipl: Public Heutik,”
R.CP. London
· Hongkong, Aprilə 1895:
ог
SUPPLEMENTARY FÉPORT OF THE
RETRENCHMENT COMMITTEĮ ON THE PUBLIC:MORA
DEPARTMENTS
The following supplementary report by the Retrenchment Committee was laid before the Legislative Council on Thursday are kissi
With reference to, paragraphs 24,125, and ge of our report on the expenditure of the salony, having taken the evidence of Mr. Cooper, we have now the honour to submit the following observations respecting the staff of the Public Works Department.
2.In paragraph 25 of the main report iwo set out the value of the work dona- every guar since 1882, together with the salaries and other charges. As pointed out by us, the salaries of the indoor, staff-proper amounted in 1824 to $19,225, and in 1884 to 825.428, whilst in the estimates for this year they reached the figure of $49,682,1 S.
1: 8–4; reference to the per
will show the ye
1882; It is, therefore, a
sited
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