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Healthcare Reform Consultation

Prof. Stephen Cheung from City University of Hong Kong addresses the need for healthcare reform, consequences of the status quo, and sustainable development strategies. The consultation explores rising medical inflation, aging population issues, and strategies for controlling healthcare expenditure.

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Healthcare Reform Consultation

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  1. Healthcare Reform Consultation Prof. Stephen Cheung City University of Hong Kong

  2. Two Questions • Do we need the healthcare reform? • The consequences of Status Quo?

  3. Question One • Medical Inflation • Aging Problem • Life Expectancy • Dependency Ratio increases - One out of four >65 year old

  4. Average annual real growth rate of total health expenditure and real growth rate of GDP in Hong Kong and selected economies (1995-2004)

  5. 2033 2007 Population Pyramid

  6. Average number of public hospital bed days utilized by age (2006)

  7. Projection of total population, elderly population and elderly dependencyratio 2007-2033

  8. International comparison with OECD countries • Total healthcare expenditure is relatively low • Public healthcare expenditure is in line with the public expenditure

  9. OECD CountriesHK’s Healthcare Expenditure HKSAR

  10. Public Healthcare Expenditure VS Public Revenue HKSAR

  11. Question Two • Projection (from 2004 to 2033) • GDP grow 1.7 times • Total health expenditure 3.6 times • Public health expenditure 3.9 times • From 2.9% to 5.5% / GDP

  12. Question Two • Assume total public expenditure below 20% of GDP • Share of public health expenditure from 14.7% to 27.3 / total public expenditure • Government's commitment • 15% to 17% • The gap will be 10.3%

  13. Consequences on Public Finance • Rising tax bills • Increase in salary tax and/or profit tax • New tax, e.g. GST • Reduce funding for other public services • Education (23.8%) • Social welfare (17.6%) • Security (11.8%)

  14. Sustainable Development of Healthcare System

  15. Control healthcare expenditure • Reduce the need of healthcare services • Promote healthy life style • Own commitment • Enhance primary care • Enhance elderly healthcare services • Ensure efficient and cost-effective healthcare spending in both pubic and private sectors

  16. Promote sustainability of the healthcare system • Healthcare expenditure mainly funded by government • Promote public-private partnership in healthcare • More choice for the public • Develop sustainable financing options

  17. END

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