Attendances at these clinics remain constantly high (general out-patient : 4.34 million, specialist : 8.17 million). Evening, Sunday/ public holiday s esaiona are available at some clinion where required.
Ophthalado Services
The Unit runs two main full time out-patient specialist sye centres. In addition, mobile ophthalmic teams are sent around to operate other regional clinice, A total of 221,348 attendances were recorded on a sessional basis in 1980. The Unit is also providing a specialist Casualty service in the major regional hospitals on a call basis. There are a total of 78 ophthalmic beds in both regional and district hospitals. Mobile ophthalmic teams visit the hospitals on a sesei mal basis to perform surgery and to deal with cases referred from other clinical unita. In 1980 a total of 1, 654 operations were performed in the hospitale and a further 2,598 operations were performed in the out-patient clinica. 11 corneal transplantations were done but only two transplantations were from local donor tissues. The number of persons first registered as blind were 596, The pattern of causes of blindness baa remained unchanged and is observed to ba mainly degenerative in nature occurring both in the senile and inborn group.
Ear, Nose and Throat Servi cee
The ENT Unit comprises of two in-patient divisions with 34 bada based in Queen Mary Hospital and queen Elizabeth Hospital. The total number of in-patient treated in 1980/81 wen 4,874 with 1,877 major Operations performed. The Unit also runs 11 full time and part time olinice in urban and rural area. In 1980/81 total attendances were 66,630. Minor surgeries were also performed in out-patient clinics. Speech therapy services were available for those who have developed speech difficulties as a result of recent diseases or Burgery. There are 3 speech therapists in the unit and over the year a total of 6, 420 assessment and treatment was performed.
Maotal Health Service
The mental health service is geared towards a multi-disciplinary approach using medical, paramedical and other professional staff including paychiatric doctors, nurses, occupational therapists, clinical psychologists and medical social workers.
Until recently, Castle Paak Hospital had beon the only Mental Institution in Hong Kong with its bed state progressively increased from the original 1,500 to 1,900 over the years. With the opening in 1981 at the new 1,300-bed Kwai Chung Hospital the overcrowded conditions in Castle Peak Hospital have been considerably relieved. The new hospital incorporates a variety of new specialist functions such the provision of child psychiatric wards, psychogeriatric warda and the establishment of a small core of psychiatrie community nursing service in the later part of 1981.
/In 1980,
In 1980, there were 5,284 admissions to the mental hospitals, 647 to the various day hospitals and 164, 130 attendances at the out- patient psychiatric centres. Medical staff were hard pressed by the increasing number of medical boards, and of referrals from courts, probation officers and police as well as the newly established Social Security Appeal Boards and the Compensation Boards for assessing emotional damage of sexual offence and other violent crimen. Clinical psychologists of the Mental Health Services conducted a total of 3, 246 interviews which entailed assessment and therapeutic function. Continuing efforts are being directed towards the re-integration of the mentally 111 back into the community.
The Psychiatric Unit at Kowloon Hospital, United Christian Hospital and the University Peychiatric Unit at Queen Mary Hospital also provide comprehensive psychiatric service in a general hospital setting. Baving regard to the modern, universal trend in hospital development, future psychiatric units will be incorporated in general hospitals along with other specialised treatment unit. Convalescent/ infirmary type of residential psychiatric care was provided in the Lai Chi Kok Hospital.
Supplementing the hospital facilities are five major day centres The Hong Kong Paychiatric Centre, the Psychiatric Unit at Kowloon Hospital, the Yau Ma Tei Psychiatric Centre, the Chai Wan Paychiatric Centre and the South Kwai Chung Peychiatric Centre. They provide a range of services s day hospital, out-patient treatment, aanessments and analytical, occupational, social and recreational therapy services,
Severely mentally-bandi capped patients are cared for at the 200-bed Siu Lâm Hospital. The Caritas Medical Centre also provide 300 places for this category of patients. The Government plans to expand facilities for the mentally ill by providing a further 1,700 peychiatric hospital beds by the end of the decade. In addition, six paychiatric
out-patient clinics and 300 day centre places will be made available in the next six or seven years,
Fedical Social Service
A Medical Social Unit is attached to each of the regional hospitals and clinics. There is also a special neotion serving apecialist unite such as Mental Health Services, Chest Services, Special Skin Services and the Narcotice and drug administration. The number of cases handled in 1980 was 72,699.
Medical social workers help patients and their families to cope with or solve their personal and social problema which often adversely affect their illness or disabilities. They interview patients or their family members at the hospitale or clinics or visit their homes. They also make full use of the facilities and services provided by government or other social welfare agencies, (e.g. public assistance, compassionate rehousing, vocational training, job placement services, child care centres, sheltered workshops etc.) in order that the sick or disabled can obtain a speedy recovery.
/Physiotherapy
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