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Research & Educaiton
Over the past one year, the Department of Medicine has expanded considerably. The Department is being led by Dr. Pearl Pai (CoS), Professor Patrick Chu, and Drs. KH Yiu, WK Seto, C Hui, M Chan, L Lam, assisted by Drs. LJ Zhang, XM Liu, XF Li, R Wang, M Wu, XS Zhang, JF Gu, XY Li, JF Cai, DH Yang, L Rong, T Lv, W Liang, MY Liu, CT Zhao, TH Ren, HB Xiao, G Wang, J Wang, SC Hou, ZY Zhang, backed by Nurses FM Huang, JF Cao, XC Zeng, CH Liu, Y Lu, JF Tang, T Bo, Y Chen, XM Hu, HX Sui, YY Sun.
Our daily outpatients have increased from 650 last year to 1,000 and the medical in-patient bed-use was close to 280, provided by 7 wards. Now with more resources allocated, we are trying to reinforce and strengthen our Department. Additional resources made available to us have enabled us to initiate new services to meet patients’ demands and to handle diseases more complex in nature and with more efficacy. We have extended our services to the International Medical Centre (IMC) and V Block, and the Emergency Medical Admission Unit (EMAU). HKU professoriate visitors travel to HKU-SZH twice a week to conduct teaching ward rounds and to discuss complex cases.
Presently the DSA lab and coronary service, the neurology diagnostic unit, the dialysis centre, and the endoscopy suite are all providing excellent services. Some of the OP services we are offering is getting more sophisticated and specialized. In 2015, for cardiac, we have established AF clinic, HF clinic, psoriasis and laser clinics in dermatology; for endocrinology, there is a joint gestational diabetes clinic, adrenal and obesity clinics; for gastroenterology, we have a liver and pancreas clinic; then there is a smoking cessation clinics; a gout and a lupus clinic to name a few. In 2016, two other areas will be introduced including a sleep centre and respiratory HDU and a bone marrow transplant facility just to give you some rough ideas.
The development of clinical pathway and care plan to ensure high quality and consistent result has been recognized by our peers at international meetings.
1) Further expansion of HD and PD service.
2) Start once a month public education program in the hospital forum.
3) World Kidney Day March 2016.
4) To participate actively in specialty forums held nationally and internationally .
5) To start a phase 4 clinical trial study about IgA.
The HKU-SZH in conjunction with the University of Hong Kong is offering GI patients with high quality service of international standard, putting patient care quality and safety first. The Department is staffed by a consultant, 14 GI specialists and 4 GI trainees. The GI ward is currently based on B2W with 39 beds.
2) We have applied successfully for Shenzhen medical insurance to include Infliximab, a therapeutic drug used in Inflammatory Bowel Disease (IBD) in 2016.
Inpatient number and discharges in 2015 has increased to 1311, 50.17% more than 2014. The average hospitalization stay was 8.7 days.
5) Cardiac rehabilitation was opened in 2015.
3) Development of a Heart Failure and a Hypertension Clinical Pathway.
In 2015, there were 23518 consultations compared with 13359 in 2014, an increase of 76%. Bronchoscopy increased from 121 to 265, representing an increase of 119%.
The smoking cessation clinic was opened to the public in the middle of 2015. Along with the clinical pharmacists, the clinic offers information on smoking cessations as well as medication to control it. Many campaigns have been held in conjunction with the Health Promotion Team. It is hoped that through the promotion of the preventive medicine will improve the health of the lungs of the public and reduce smoking among SZ residents.
Currently, the ward has 39 beds, with 30 more to be added soon. The next plan is to set up a HDU and the Sleep Monitoring Centre.
Out-patient Clinical Service
There were approximately 20000 patient-visits in 2015. The out-patient number has reached 2096 in December 2015 compared with 153 in January 2013. The return visit rate of NOPD has increased from 5.4% in February 2013 to 41% in December 2015.
A new botox injection clinic has commenced in Nov 2015 to treat special neuromuscular disorder.
The number of discharged in-patients per month has increased from 24 in Nov. 2013 to 120 in Dec. 2015, giving a total of about 1000 patients in 2015.
1) The number of out-patient from Jan 2015 to Nov has increased to 22362, a 1.15 folds increase compared to 2014;
2) The Obesity Clinic and Adrenal-Hypertension Clinic were set up in Nov. 2015.
In-patient work load
1) The endocrinology in-patient ward has opened since Mar 9th 2015, and contains 37 beds and an education room.
2) Between Mar. and Dec. 2015, the number of discharged patients have exceeded 800.
1) A public diabetes education program has been scheduled monthly since Mar.
2) A multidisciplinary free medical consultation including osteoporosis was organized on May 26th
3) A diabetes diet workshop was delivered in Oct.
4) A “free” clinic on Diabetes management and a free lecture were held in Baoan Library on Nov. 14th
5) An osteoporosis “free” clinic was held in Dec.
Future development plan:
1) A provincial CME meeting about bone metabolism is scheduled in May.
2) 5 public diabetes education programs will follow.
3) 2 osteoporosis lectures and “free” clinics will be scheduled, also lectures about Obesity and Adrenal-Hypertension to coincide with the opening of two new clinics.
1) The rheumatology clinic (including gout clinic and lupus clinic) received 13,500 patient visits in 2015, an increase of 50.9% compared to 2014.
2) Gout clinic has received 980 patient visits since Oct 2014. The Lupus clinic has proven very popular since its opening in Nov. 2015.
3) The team has applied successfully, charity drugs for expensive drugs such as infliximab, adalimumab, bosentan; and insurance for major diseases is applicable at our hospital.
1) The in-patient number was 460 in 2015, with an increase of 37.3% compared to 2014.
2) Multiple cases of severe and refractory autoimmune diseases have been referred to the Division for management.
3) Plasmapheresis, novel immune suppressant and biologics have been successfully applied to refractory autoimmune diseases.
4) Corticosteroid and immune suppressants were used with special care. Risk assessment was made and severe complications have been avoided.
5) Clinical procedures: 80 cases of labial gland biopsy, 85 cases of arthrocentesis, 63 cases of bone marrow aspiration and 31 cases of lumber puncture.
There is a steady increase in the out-patient activity with an average of 20-25 patients per day.
The average in-patients was 25, more than 100% increase compared with 2014.
1) To develop a Clinical Pathway for the management of immune thrombocytopenia
2) MDT meetings are being planned to review lymphoma cases with the pathologists and radiologist.
3) It is planned for the BMT service to start in the middle of 2016 when both the haematology ward and the BMT centre will go to C7.
4) A Symposium to mark the opening of the BMT centre is planned for June 2016
5) A public education forum about common haematology problems will be launched.
The University of Hong Kong - Shenzhen Hospital is implementing the appointment system for the outpatient services. Please make an appointment in advance and bring the relevant medical records or inspection reports to see your doctor on time.
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