{"id":4883,"date":"2017-03-06T00:00:00","date_gmt":"2017-03-05T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=f46f00ce0a26dd7e39d3b619e66e6586"},"modified":"2018-08-21T15:19:37","modified_gmt":"2018-08-21T07:19:37","slug":"%e5%85%92%e8%a8%80%e8%87%aa%e5%be%97%ef%bc%9a%e6%83%b3%e8%80%81%e4%ba%ba%e6%89%80%e6%83%b3","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%85%92%e8%a8%80%e8%87%aa%e5%be%97%ef%bc%9a%e6%83%b3%e8%80%81%e4%ba%ba%e6%89%80%e6%83%b3\/","title":{"rendered":"\u5152\u8a00\u81ea\u5f97\uff1a\u60f3\u8001\u4eba\u6240\u60f3"},"content":{"rendered":"

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\u6587\uff1a\u970d\u6cf0\u8f1d<\/p>\n

\uff08\u4e2d\u5927\u526f\u6821\u9577\u3001\u5152\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n

\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/7-1.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】今年春節假期和一班醫生朋友飯敘，觥籌交錯之間，話題不期然帶到將於明年落成的兒童醫院。老李是兒科醫生，多年來一直鼓吹香港應和中外大城市看齊，擁有至少一所兒童醫院；憧憬着明年理念成真，興奮地不斷自吹自擂說政府願意斥資建院，全仗他多年游說之功，還洋洋自得地說：「全科醫院都是以成人病人為中心，當權的都是內科外科大夫，兒科是少數民族，只有靠邊站。現在有了兒童醫院，兒科終於站起來了，可以為兒童多做點工作。」<\/p>\n

老人科、精神科被忽略<\/p>\n

老李這番話可惹惱了年輕時已是憤青，現在是憤怒中年的老張。老張是老人科大夫，一向不遺餘力抨擊政府的醫療政策，「香港的新生兒和嬰兒死亡率全世界最低，顯示香港的兒童保健和醫療都是世界頂尖，花百多億建兒童醫院只是錦上添花」。我身為兒科醫生，正想「撐」政府說醫療服務水平高處未算高，更上層樓有何不可，老張已憤憤不平繼續發炮：「可是你看看老人家，有病在急症室等上好半天還未見到醫生，見罷了醫生需要入院，病房卻騰不出病牀接收，可能要在急症室甚至走廊等一兩天。政府這樣分配資源，簡直是昏了頭腦。」我一時語塞，老李也不知如何反應，思索之間，本來一向寡言的精神科大夫老林忽然插嘴：「豈獨是老人科，精神科不也是備受忽略？說了這麼多年缺乏精神科醫生，政府也認同，可是做過什麼來？不單是醫生，臨牀心理學家都很不夠。總之老人和精神病患者都是弱勢社群，被遺忘也是活該。」說到最後，一向溫柔敦厚的老林已經語帶譏諷，憤世嫉俗之情溢於言表。<\/p>\n

說到照顧老人，香港和其他發達地區相比，真的應該汗顏。單是醫療一項，每年都有公院病房迫爆，病牀不敷應用的新聞。可是單是增加老人病房，讓多些年老病人住院，真的是老人最需要、最想要的服務嗎？我不是老人科大夫，可是和香港許多人一樣 ，曾經長時期照顧家裏的老人家。老人家最不想，也可能是最害怕的，就是要被迫離開熟悉的家，住進陌生的醫院。要是政府能夠提供多點老人家居照料服務，減少他們住院或到急症室的需要，可能是他們最渴望的德政。<\/p>\n

我認識一位患了腦退化行動不良的老人家，因為膀胱機能失調，長期要通過膀胱導尿管排尿。政府雖有提供外展護士服務，每星期兩次上門給他更換導尿管，有一次他的導尿管在晚上意外脫落到體外，求助無門，唯有到公院急症室求診。老人家有長期病患，又說不清自己的病情，急症室醫生不清楚他是否有其他問題，很自然地把他送了上病房。住院期間他得了交叉感染，病得死去活來，差不多一個月後才病癒出院。經此一役，他身體明顯弱了許多，腦退化的病情也愈見嚴重。我常想，要是他脫落導尿管當晚，有受過訓練的人員上門，花十分鐘時間為他重新放置導尿管，老人家可以避過一劫，醫院也可省回不少資源。<\/p>\n

人口急遽老化，照顧老人的政策是當務之急。制定政策和調配資源時，當局不但要急老人所急，還要想老人所想。<\/p>\n

文：霍泰輝<\/p>\n

（中大副校長、兒科專科醫生）<\/p>\n

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