【生死教育第三講】
講題 Title:預設醫療指示與預設照顧計劃 Advance Directive and Advance Care Planning
報名鏈接Registration Link: https://bit.ly/3tE9RgE
日期 Date:12/6/2021(Sat)
時間 Time:3:00-4:30pm
地點 Venue:沙田澤祥街12號香港中文大學鄭裕彤樓地下演講廳1A (LT1A)
Lecture Theatre 1A, Level 1, Cheng Yu Tung Building, The Chinese University of Hong Kong, 12 Chak Cheung Street, Shatin, N.T.
講者 Speaker:陳裕麗教授 Prof Helen Chan / 鍾一諾教授 Prof Roger Chung
主持 Moderator:伍桂麟先生 Mr Pasu Ng
講座內容 Synopsis:
現今醫療科技發達,很多疾病均可治癒或受控制。當疾病到了末期,醫療科技有時只能提供維持生命治療,但延長死亡過程對病人可能沒有意義,甚至增加痛楚。面對這情況,病人、家屬和醫護人員可以商討是否中止對生活質素沒有幫助的維持生命治療,讓病人安詳離世。香港中文大學醫學院那打素護理學院副教授陳裕麗博士和香港中文大學公共衛生及基層醫療學院助理教授鍾一諾博士會在由中大公共衞生及基層醫療學院主辦的公眾「生死教育」四講系列的第三講和大家分享『預設醫療指示』 (Advance Directive)和『預設照顧計劃』(Advance Care Planning)的概念與應用。這兩種健康護理選擇不但可以免卻家屬決定病者死時所受到的困難和壓力,減少作出決定後感到矛盾和內疚的機會,亦體現對病者生命和意願的尊重。
Thanks to the advancement of medical technology, most diseases can be cured or subsided. However, there are times that medical technology could only prolong one’s life but could not cure the terminal illness. Facing such situation, patients, family members, and medical staff can discuss whether to withhold or withdraw from life-sustaining treatments that may not help improve patients’ quality of life so that they can die peacefully. Professor Helen Chan, Associate Professor from The Nethersole School of Nursing and Professor Roger Chung, Assistant Professor of the School of Public Health and Primary Care of the Chinese University of Hong Kong, will share with us the concepts and values behind Advance Directive and Advance Care Planning in the third public seminar of the four-lecture series on life and death education organized by the School of Public Health and Primary Care, CUHK. These two health care options aim not only to reduce the pressure faced by patients’ family when making end-of-life healthcare decision, but also show respect to patients’ will.
講者介紹:
Professor Helen Chan’s research interests focus on end-of-life care, gerontology as well as care ethics. She has conducted a number of research projects on promoting palliative and end-of-life care, especially advance care planning, among older adults and people with advanced progressive diseases.
陳裕麗教授的主要研究範疇集中在臨終護理、老年病學和護理倫理學上。她的研究項目包括推廣有關老人和晚期疾病患者的紓緩照顧和臨終護理服務,尤其是預設照顧計劃。
Professor Roger Chung’s research aims to empirically inquire into the social determinants of health inequalities, as well as aging‐related issues on multimorbidity and long‐term/end‐of‐life care, and to utilize such evidence to inform health services and policy, domestically and beyond.
鍾一諾教授的主要研究範疇為健康不平等的社會決定因素,與老年有關的多重疾病,和晚期與臨終護理政策,並運用研究成果為本地及國際公共衛生服務和政策提供意見。
生死教育 X 伍桂麟
同時也有1部Youtube影片,追蹤數超過29萬的網紅jaysbabyfood,也在其Youtube影片中提到,#jaysbabyfood #storytime #lgbtinkorea ----------------------------------------- - References - - Ahn, P. (2009). Harisu: South Korean cosmetic media ...
「social determinants of health」的推薦目錄:
- 關於social determinants of health 在 Roger Chung 鍾一諾 Facebook 的最佳貼文
- 關於social determinants of health 在 Roger Chung 鍾一諾 Facebook 的最讚貼文
- 關於social determinants of health 在 民報 Facebook 的最佳貼文
- 關於social determinants of health 在 jaysbabyfood Youtube 的精選貼文
- 關於social determinants of health 在 Social Determinants of Health - an introduction - YouTube 的評價
social determinants of health 在 Roger Chung 鍾一諾 Facebook 的最讚貼文
今早為Asian Medical Students Association Hong Kong (AMSAHK)的新一屆執行委員會就職典禮作致詞分享嘉賓,題目為「疫情中的健康不公平」。
感謝他們的熱情款待以及為整段致詞拍了影片。以下我附上致詞的英文原稿:
It's been my honor to be invited to give the closing remarks for the Inauguration Ceremony for the incoming executive committee of the Asian Medical Students' Association Hong Kong (AMSAHK) this morning. A video has been taken for the remarks I made regarding health inequalities during the COVID-19 pandemic (big thanks to the student who withstood the soreness of her arm for holding the camera up for 15 minutes straight), and here's the transcript of the main body of the speech that goes with this video:
//The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, continues to be rampant around the world since early 2020, resulting in more than 55 million cases and 1.3 million deaths worldwide as of today. (So no! It’s not a hoax for those conspiracy theorists out there!) A higher rate of incidence and deaths, as well as worse health-related quality of life have been widely observed in the socially disadvantaged groups, including people of lower socioeconomic position, older persons, migrants, ethnic minority and communities of color, etc. While epidemiologists and scientists around the world are dedicated in gathering scientific evidence on the specific causes and determinants of the health inequalities observed in different countries and regions, we can apply the Social Determinants of Health Conceptual Framework developed by the World Health Organization team led by the eminent Prof Sir Michael Marmot, world’s leading social epidemiologist, to understand and delineate these social determinants of health inequalities related to the COVID-19 pandemic.
According to this framework, social determinants of health can be largely categorized into two types – 1) the lower stream, intermediary determinants, and 2) the upper stream, structural and macro-environmental determinants. For the COVID-19 pandemic, we realized that the lower stream factors may include material circumstances, such as people’s living and working conditions. For instance, the nature of the occupations of these people of lower socioeconomic position tends to require them to travel outside to work, i.e., they cannot work from home, which is a luxury for people who can afford to do it. This lack of choice in the location of occupation may expose them to greater risk of infection through more transportation and interactions with strangers. We have also seen infection clusters among crowded places like elderly homes, public housing estates, and boarding houses for foreign domestic helpers. Moreover, these socially disadvantaged people tend to have lower financial and social capital – it can be observed that they were more likely to be deprived of personal protective equipment like face masks and hand sanitizers, especially during the earlier days of the pandemic. On the other hand, the upper stream, structural determinants of health may include policies related to public health, education, macroeconomics, social protection and welfare, as well as our governance… and last, but not least, our culture and values. If the socioeconomic and political contexts are not favorable to the socially disadvantaged, their health and well-being will be disproportionately affected by the pandemic. Therefore, if we, as a society, espouse to address and reduce the problem of health inequalities, social determinants of health cannot be overlooked in devising and designing any public health-related strategies, measures and policies.
Although a higher rate of incidence and deaths have been widely observed in the socially disadvantaged groups, especially in countries with severe COVID-19 outbreaks, this phenomenon seems to be less discussed and less covered by media in Hong Kong, where the disease incidence is relatively low when compared with other countries around the world. Before the resurgence of local cases in early July, local spread of COVID-19 was sporadic and most cases were imported. In the earlier days of the pandemic, most cases were primarily imported by travelers and return-students studying overseas, leading to a minor surge between mid-March and mid-April of 874 new cases. Most of these cases during Spring were people who could afford to travel and study abroad, and thus tended to be more well-off. Therefore, some would say the expected social gradient in health impact did not seem to exist in Hong Kong, but may I remind you that, it is only the case when we focus on COVID-19-specific incidence and mortality alone. But can we really deduce from this that COVID-19-related health inequality does not exist in Hong Kong? According to the Social Determinants of Health Framework mentioned earlier, the obvious answer is “No, of course not.” And here’s why…
In addition to the direct disease burden, the COVID-19 outbreak and its associated containment measures (such as economic lockdown, mandatory social distancing, and change of work arrangements) could have unequal wider socioeconomic impacts on the general population, especially in regions with pervasive existing social inequalities. Given the limited resources and capacity of the socioeconomically disadvantaged to respond to emergency and adverse events, their general health and well-being are likely to be unduly and inordinately affected by the abrupt changes in their daily economic and social conditions, like job loss and insecurity, brought about by the COVID-19 outbreak and the corresponding containment and mitigation measures of which the main purpose was supposedly disease prevention and health protection at the first place. As such, focusing only on COVID-19 incidence or mortality as the outcomes of concern to address health inequalities may leave out important aspects of life that contributes significantly to people’s health. Recently, my research team and I collaborated with Sir Michael Marmot in a Hong Kong study, and found that the poor people in Hong Kong fared worse in every aspects of life than their richer counterparts in terms of economic activity, personal protective equipment, personal hygiene practice, as well as well-being and health after the COVID-19 outbreak. We also found that part of the observed health inequality can be attributed to the pandemic and its related containment measures via people’s concerns over their own and their families’ livelihood and economic activity. In other words, health inequalities were contributed by the pandemic even in a city where incidence is relatively low through other social determinants of health that directly concerned the livelihood and economic activity of the people. So in this study, we confirmed that focusing only on the incident and death cases as the outcomes of concern to address health inequalities is like a story half-told, and would severely truncate and distort the reality.
Truth be told, health inequality does not only appear after the pandemic outbreak of COVID-19, it is a pre-existing condition in countries and regions around the world, including Hong Kong. My research over the years have consistently shown that people in lower socioeconomic position tend to have worse physical and mental health status. Nevertheless, precisely because health inequality is nothing new, there are always voices in our society trying to dismiss the problem, arguing that it is only natural to have wealth inequality in any capitalistic society. However, in reckoning with health inequalities, we need to go beyond just figuring out the disparities or differences in health status between the poor and the rich, and we need to raise an ethically relevant question: are these inequalities, disparities and differences remediable? Can they be fixed? Can we do something about them? If they are remediable, and we can do something about them but we haven’t, then we’d say these inequalities are ultimately unjust and unfair. In other words, a society that prides itself in pursuing justice must, and I say must, strive to address and reduce these unfair health inequalities. Borrowing the words from famed sociologist Judith Butler, “the virus alone does not discriminate,” but “social and economic inequality will make sure that it does.” With COVID-19, we learn that it is not only the individuals who are sick, but our society. And it’s time we do something about it.
Thank you very much!//
Please join me in congratulating the incoming executive committee of AMSAHK and giving them the best wishes for their future endeavor!
Roger Chung, PhD
Assistant Professor, CUHK JC School of Public Health and Primary Care, @CUHK Medicine, The Chinese University of Hong Kong 香港中文大學 - CUHK
Associate Director, CUHK Institute of Health Equity
social determinants of health 在 民報 Facebook 的最佳貼文
【#鄭春鴻 短歌行】健康產業和國防一樣重要
美國電影裡,看起來大家都活得光鮮亮麗,但真實的美國卻那麼脆弱不堪。喬治·弗洛伊德(George Floyd)被謀殺及隨後的抗議再次表明的那樣,深刻的結構種族主義繼續其長期的破壞性工作。
大眾的健康往往取決於公共衛生條件的好壞。大多數醫院和醫師診間都只是「維修店」(repair shops),在這裡試圖糾正由「健康的社會決定因素」(social determinants of health)引起的損害,它們可歸納為6類:出生和幼兒狀況,教育,工作,老年人的社會狀況,社區適應力的要素(例如交通,住房,安全和社區自我效能感的集合),以及貫穿一切的他所謂的「公平」措施,這通常意味著財富和收入的充分再分配,以確保社會和經濟安全以及基本公平......
#公共衛生 #國家政策
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social determinants of health 在 jaysbabyfood Youtube 的精選貼文
#jaysbabyfood #storytime #lgbtinkorea
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- References -
- Ahn, P. (2009). Harisu: South Korean cosmetic media and the paradox of transgendered neoliberal embodiment. Discourse, 31(3), 248-272.
- Arora, S., Singhai, M., & Patel, R. (2011). Gender & Education determinants of individualism — Collectivism: A study of future managers. Indian Journal of Industrial Relations, 47(2), 321-328.
- Berry, C. (2001). Asian values, family values: Film video, and lesbian and gay identities. In Sullivan, G., & Jackson P. (Ed.), Gay and lesbian Asia: Culture, identity, community. (pp. 211-232). Binghamton, NY: Harrington Park Press.
- Bong, Y. D. (2008). The gay rights movement in democratizing Korea. Korean Studies, 32(1), 86-103.
- Cho, J. P. (2009). The wedding banquet revisited: "Contract marriages" between Korean gays and lesbians. Anthropological Quarterly, 82(2), 401-422.
- Choi, J. S. (2014). Korean culture orientation: Daily-life and religious culture volume. Sonamoo Publishing.
- Jang, H. S. (n.d.). Resource center of young women service review (늘푸른 사업 리뷰). Retrieved from http://www.seoul.go.kr/info/organ/center/1318_new/info/review/1253299_13874.html
- Kim, H. Y., & Cho, J. P. (2011). The Korean gay and lesbian movement 1993-2008: from "identity" and "community" to "human rights". South Korean Social Movements: From Democracy to Civil Society, 206-223.
- Kim, Y., & Hahn, S. (2006). Homosexuality in ancient and modern Korea. Culture, Health & Sexuality, 8(1), 59-65.
- Kwak. L. G. (2012, April 25). Who murdered a 19-year old LGBT teen (누가 열아홉살 동성애자를 죽였나). Oh My News. Retrieved from http://www.ohmynews.com/nws_web/view/at_pg.aspx? CNTN_CD=A0001724998
- Lee, J. E. (2006). Beyond pain and protection: Politics of identity and iban girls in Korea. In Khor, D., & Kamano, S. (Ed.), Lesbians in east Asia: Diversity, identities, and resistance. (pp. 49-67). Binghamton, NY: Harrington Park Press.
- Novak, K. (2015). The problem with being gay in South Korea. Retrieved from http://edition.cnn.com/2015/10/18/asia/south-korea-being-gay/
- Park, H., Blenkinsopp, J., Oktem, M., & Omurgonulsen, U. (2008). Cultural orientation and attitudes toward different forms of whistleblowing: A comparison of South Korea, Turkey, and the U.K. Journal of Business Ethics, 82(4), 929-939.
- Seo, D. J. (2001). Mapping the vicissitudes of homosexual identities in South Korea. Journal of Homosexuality, 40, 65-79.
- Song, J. (2014). Living on your own: Single women, rental housing, and post-revolutionary affect in contemporary South Korea. SUNY Press.
- Do Koreans Support LGBTQ+? (Ft. Seoul Queer Parade) | ASIAN BOSS https://youtu.be/p_vsIEs72p8
- Koreans React To K-pop Singer Coming Out As Bisexual [Street Interview] | ASIAN BOSS https://www.youtube.com/watch?v=BKL9VrqLJZE
- Is South Korea's LGBT+ community being scapegoated for COVID-19 spread? https://www.dw.com/en/is-south-koreas-lgbt-community-being-scapegoated-for-covid-19-spread/a-53423958
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social determinants of health 在 Social Determinants of Health - an introduction - YouTube 的推薦與評價
The Social Determinants of Health are the conditions in which people are born, grow, live and age. They have a large influence on our health ... ... <看更多>