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The Growing Burden of Chronic Illness in Asia and the Pressure on Government Budgets: are New Health Insurance and Savings Schemes Inevitable in Hong Kong? by Professor Paul Gross
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Date: November 12, 2002 (Tuesday)
Time: 12:00 noon - 14:00 pm
Venue: Seminar Room 5, LG1, Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam

It is no longer a matter for conjecture that chronic illness will be a major problem in the financing of health care.

Numerous reports by the World Bank have provided useful insights on the global burden of disease, and detailed analyses in different nations have indicated some of the new drivers of national health expenditures. In many nations, the inevitability of Health/GDP ratios soaring above 10% is no longer shocking national treasuries, and there is even some acceptance that the drug share of total health expenditures will rise, and that this may be a valid use of scarce resources if modern drugs cause reductions in hospital use and improve productivity.

Based on the Institute of Health Economics and Technology Assessment's recent consultancies in China, Hong Kong and Singapore, Professor Gross will review one major issue, viz., the ability of Hong Kong to sustain the current patterns of use of public and private care with traditional sources of financing if the chronic illness burden increases with ageing and with functional disability.

The seminar

  • reviews the current methods of health care financing in Hong Kong;
  • assesses six major imbalances that retard efficiency gains and access to care outside the hospital walls;
  • dentifies reforms in other nations that have relevance to Hong Kong; and
  • dentifies four new options that policymakers seem likely to contemplate in the next few years.

Paul Gross is Director of Health Group Strategies Pty Ltd (Australia, France and China), of which the Institute of Health Economics and Technology Assessment is the research and education arm.

Health Group Strategies Pty Ltd is a consultancy concerned with strategic planning and development in health care organisations in Australia, USA, Asia and Europe. Recently, Professor Gross has completed assessments of new health insurance schemes in both China and Hong Kong, as well as the likely impact of ageing and chronic illness on the Singaporean health care financing strategy.

Professor Gross was a member of the National Health Advisory Committee of Australia's National Health & Medical Research Council up to 2000, and the NSW Health Council in its review of the NSW hospitals and health services in 1999/2000. In addition, he is a member of the Senate of Australian Catholic University and the editorial advisory board of the Journal of Clinical Outcomes Management. In an earlier career, he was Professor of administration at the University of Saskatchewan, Canada.

Press release - Chinese
Press release - English
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