HKU Family Medicine and Primary Care

29/09/2026

【與其下游救治，不如上游預防】

港大家庭醫學及基層醫療學系系主任黃志威教授談預防醫學

與其在疾病發生後於「下游」治療，不如在「上游」及早預防。港大醫學院家庭醫學及基層醫療學系系主任黃志威教授分享以預防為先的基層醫療理念，並提到一項模型估算：單靠改善生活習慣，理論上或可避免多達一半的過早死亡。

基層醫療提倡把握每次診症的機會，適時提供預防保健。黃教授分享七大日常健康防線：

💉 疫苗接種：直接而有效的防病工具
👨‍👩‍👧‍👦 家庭計劃
🦠 性健康：及早治療沒有明顯症狀的性傳播感染，有助保護生育能力
🧠 精神健康：當壓力影響日常生活，應尋求協助
🚭 戒煙戒酒：減少煙酒帶來的心臟病及癌症風險
🩺 合適的篩查：選擇有針對性、具成本效益的篩查，例如大腸癌篩查，同時避免過度篩查
🦷 口腔健康：有助吃得好、睡得好

守護健康，從日常預防開始。

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"Rather than treating disease downstream, why not prevent it upstream?"

Prof William Wong, Head of HKUMed's Department of Family Medicine & Primary Care, shares the case for prevention-first care — noting that, by one modelling estimate, improving lifestyle alone could in theory avert up to half of premature deaths.

His seven everyday lines of defence:

💉 Vaccination — the most direct, efficient tool
👨‍👩‍👧‍👦 Family planning
🦠 Sexual health — treating silent infections early to protect fertility
🧠 Mental wellbeing — seeking help when stress disrupts daily life
🚭 Quitting smoking & alcohol — major drivers of heart disease and cancer
🩺 Smart screening — targeted and cost-effective (e.g. colorectal cancer), mindful of over-screening
🦷 Dental health — the foundation of eating and sleeping well

Real health management starts with everyday prevention.

今集專誠邀請了香港大學家庭醫學及基層醫療系主任 - 黃志威教授為我地分享健康促進小知識。與其在疾病發生後的「下游」辛苦治療，不如在「上...

24/09/2026

Stand tall, protect your back! 🧍‍♂️🧍‍♀️ Learn the correct standing posture to reduce back pain and improve spinal health. Our medical students and doctors will demonstrate simple tips you can use every day. Watch the full video here:

17/09/2026

【感謝社區導師　傳承醫學教育】

香港大學家庭醫學及基層醫療學系於2026年9月12日舉辦年度「家庭醫學導師大會」，感謝社區導師悉心培育醫學生，並表揚多位長期服務的導師。

本系外部考試委員、英國諾丁漢大學醫學院院長兼執業全科醫生 Claire Stewart 教授，分享如何在不斷轉變的醫療環境中，公平評核醫學生的專業精神。

陳美珍醫生、謝翠怡醫生及王家祺醫生亦帶來多項分享，涵蓋醫學生在香港大學深圳醫院的學習經驗、地區康健中心在基層醫療教育中的角色，以及結合臨床服務與基層醫療研究、支援香港少數族裔社群的 EM-Power 計劃。

駱珊博士分享了其團隊於《JAMA Internal Medicine》發表的研究成果：透過比較同一母親所生的兄弟姊妹，未發現懷孕期間使用撲熱息痛與子女自閉症或專注力不足／過度活躍症（ADHD）的風險增加有關。
衷心感謝各位導師多年來的付出，亦感謝各位講者的寶貴分享！

#港大家庭醫學 #醫學教育

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【Celebrating Our Teaching Community, Sharing Knowledge】

On 12 September 2026, the HKU Department of Family Medicine and Primary Care held its Annual Family Medicine Teachers Meeting, thanking our community teachers for nurturing medical students and honouring our long-serving teachers.

Our external examiner Professor Claire Stewart, Dean and Head of the School of Medicine at the University of Nottingham and a practising GP, explored how to assess professionalism fairly in a changing world.

Dr Linda Chan, Dr Emily Tse and Dr David Wong shared updates on students’ learning experiences at HKU-Shenzhen Hospital, the role of District Health Centres in primary healthcare education, and EM-Power, which supports ethnic minority communities in Hong Kong through clinical care and primary care research.

Dr April Luo shared her team’s findings published in JAMA Internal Medicine: comparing siblings born to the same mother, the study found no association between paracetamol use during pregnancy and an increased risk of autism or ADHD in children.
Thank you to all our teachers for their continued dedication, and to our speakers for their valuable contributions!

#港大家庭醫學

08/09/2026

Dr Emily Tse attended the Opening Ceremony of the Central & Western District Health Centre on 31 Aug 2026.

中西區地區康健中心 C&W DHC

07/09/2026

很高興分享：由周建棟教授擔任首席研究員的「RAISE Liver Triage」計劃，獲香港研究資助局（RGC）傑出青年學者計劃（ECS）資助。

香港數據顯示，約73%的糖尿病患者有脂肪肝，18%有肝纖維化。早期肝病未必有明顯病徵，卻可能逐步發展至肝硬化或肝細胞癌。計劃會利用電子健康紀錄，在RAMP-DM、普通科門診及家庭醫學診所識別需要優先接受超聲波、FibroScan®或生物標記物檢查的患者。

研究亦會：
• 追蹤轉介、輪候及診斷延誤；
• 在伙伴醫院驗證風險工具；
• 檢視不同病人群組能否公平獲得評估。

項目期望提升檢查完成率、縮短診斷延誤，讓真正有需要的人，更快接受合適的肝臟檢查，並推動更精準和公平的基層醫療。合作查詢：周建棟教授，[email protected]。

#香港大學 #港大醫學院 #基層醫療 #糖尿病 #肝臟健康 #醫療人工智能 #健康公平

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We are pleased to share that RAISE Liver Triage, led by Prof. Jiandong Zhou, has received Hong Kong RGC Early Career Scheme funding.

Liver disease can remain silent in adults with diabetes. In Hong Kong, around 73% have fatty liver and 18% have liver fibrosis, yet timely assessment is often missed.

RAISE will use routine diabetes visits to bring liver-risk assessment closer to patients.

Using existing electronic health records, it will identify who should be prioritised for ultrasound, FibroScan® or biomarker testing, track delays and check whether access is fair.

Simply put: the right patient, the right liver check, at the right time.

We hope to support earlier detection, shorter delays and fairer primary care.

Collaboration enquiries: Professor Jiandong Zhou, [email protected].

25/08/2026

[分享] 運動 + 聯繫 = 每個年紀都更健康。
我們團隊為長者提供嘅八月建議：
• 趁天未熱前做晨早散步
• 坐椅運動或太極影片
• 每星期打電話或探訪朋友
體能同社交活動都能保護大腦同身體。你嘅家庭醫生可以幫你搵安全嘅方法保持活躍。


[Sharing] Movement + connection = better health at every age.
Ideas from our team for older adults this August:
• Morning walks before it gets hot
• Chair exercises or tai chi videos
• Calling or visiting a friend weekly
Physical and social activity both protect the brain and body. Your primary care provider can help you find safe ways to stay active.

11/08/2026

📱 【AI 入社區診所？港大團隊最新研究話你知】

🏥 香港大學李嘉誠醫學院家庭醫學系周建棟教授，聯同美國麻省總醫院和MIT，喺《通訊醫學》期刊發表咗一項研究，探討大型語言模型（例如 ChatGPT, Claude 呢類 AI）喺基層醫療嘅應用同安全問題。

🔍 而家做到啲乜？—— 最穩陣嘅用途係「幫手打雜」

✅ 幫醫生寫病人回覆、整理病歷摘要、改善醫患溝通
✅ 慳時間、醫生同病人都覺得體驗唔錯
✅ 但目前主要改善嘅係「流程效率」，仲未有明確證據顯示可以直接提升治療效果或診斷準確度

⚠️ 短板與風險 —— 唔好當佢係「全科神醫」

❌ 輔助診斷、治療決策、改善病人結局嘅證據仲好有限
❌ 多數研究仲喺實驗室階段，真係放落社區診所用，仲有好多不確定因素
❌ 人口健康、成本效益呢啲大命題，而家只係「構想階段」，等臨床試驗驗證

🔒 安全第一 —— 四道「保險掣」唔少得

🛡️ 私隱保護、數據安全、演算法透明、模型可靠
🛡️ 目前建議：先用喺「量大、風險低」嘅文書同溝通工作
🛡️ 最終決策權同核實責任必須由醫生承擔，AI 只係助手

💡 結論一句講晒

AI 喺基層醫療「有前景，但唔使急」—— 先用好佢做文書雜務，等治理同公平機制建立好，先再慢慢拓展。醫生把關，病人安心，先至係正路。

📌 研究由港大、麻省總院、MIT 合作完成，即将正式發表於《Communications Medicine》。

#人工智能 #基層醫療 #大型語言模型
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🤖 AI in Primary Care? HKU Team Breaks Down the Evidence

A new study led by Prof. Edmond Chow from HKU's Department of Family Medicine and Primary Care, in collaboration with Massachusetts General Hospital and MIT, was just published in Communications Medicine. It looks at how large language models (like ChatGPT, Claude) can be used safely in primary care settings.

🔍 What works right now? – Best use is "assisting with the paperwork"

✅ Drafting patient replies, summarising clinical notes, improving doctor-patient communication
✅ Saves time, both doctors and patients report good experiences
✅ But improvements are mainly in workflow efficiency – no solid evidence yet that they directly boost diagnostic accuracy or treatment outcomes

⚠️ Limitations & risks – Don't treat it as a "virtual GP" just yet

❌ Evidence for supporting diagnosis, treatment decisions, or patient outcomes is still very limited
❌ Most studies are still in simulated settings – real-world clinics bring many unknowns
❌ Population health and cost-effectiveness? Still at the "hypothesis" stage – waiting for prospective trials

🔒 Safety first – Four guardrails are essential

🛡️ Privacy, data security, algorithm transparency, and model reliability
🛡️ Current advice: start with high‑volume, low‑risk tasks like documentation and messaging
🛡️ Final decisions and accountability must stay with doctors – AI is only an assistant

💡 Bottom line

AI in primary care has promise, but no rush. Use it for administrative grunt work first, build solid governance and fairness mechanisms, then expand slowly. Doctor in charge, patient at ease – that's the right way forward.

📌 Study by HKU, MGH, and MIT, published in Communications Medicine.

#人工智能 #基層醫療 #大型語言模型

大型語言模型在基層醫療的應用與安全

06/08/2026

☀️🥵 天氣熱到焫著！衞生署呼籲大家，特別係各位家長同長者，一定要慎防中暑。唔好以為中暑只係頭暈咁簡單，隨時有生命危險㗎！每年都有超過200宗因中暑入院嘅個案，真係要小心。

保護屋企人，記住以下貼士：
💧 定時飲水，唔好等到口乾先飲（暫時戒吓咖啡同酒）
👕 著淺色、鬆身、透氣嘅衫
🚗 千祈唔好獨留小朋友或老人家喺熄咗匙嘅車廂入面
🏠 保持屋企通風，有需要就開風扇或冷氣

如果出現頭暈、頭痛、想作嘔或者神志不清，要即刻休息同求救。愛惜家人，一齊捱過呢個熱浪！❤️

#預防中暑 #家庭健康 #衞生署提提你 #補充水分 #香港熱浪

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☀️🥵 Hong Kong is baking under extreme heat! The Department of Health is urging everyone—especially parents and the elderly—to stay safe. Heat stroke isn't just about feeling dizzy; it can be life-threatening. With over 200 hospital cases a year, we need to take this seriously.

Keep your family safe:
💧 Drink water constantly (skip the coffee and alcohol for now!)
👕 Wear light, loose, and light-coloured clothes
🚗 NEVER leave kids or elders in a parked car
🏠 Keep indoor air flowing—use fans or AC

If you feel dizzy, nauseous, or confused, stop and get help immediately. Let’s protect the ones we love during this heatwave! ❤️

31/07/2026

【杏林在線｜體檢你要知一：全身體檢最安全？】
Now 財經新聞 · 2026-07-17

🩺 香港大學家庭醫學及基層醫療學系黃志威醫生帶你拆解：市面上的體檢套餐，真係有用？

很多人以為買咗一套完整體檢就萬事大吉，但黃醫生話每個人的情況唔同。

⚠️ 常見陷阱：套餐可能「漏咗正經要睇嘅」，反而驗一堆不必要嘅！

💡 黃醫生建議：選擇體檢前先諮詢家庭醫生，根據個人病史同風險因素定制檢查項目，唔好盲目跟套餐！

完整內容可於 Now 財經新聞 YouTube 頻道觀看： https://www.youtube.com/watch?v=9hBUbwb_CRA

#杏林在線 #健康檢查 #體檢須知 #基層醫療

29/07/2026

完成癌症治療，是一個重要的里程碑——但健康的旅程並未結束。復康的路，往往比治療更長。

治療後的健康，有五大範疇值得關注：

🛡️ 復發監察・提防新癌症
🌿 治療後的身體後遺症——疲倦、淋巴水腫、骨質疏鬆
❤️ 情緒與心理——復發恐懼並不罕見，值得被聆聽
📋 長期病與心血管健康——血壓、血糖、血脂
💉 預防——疫苗接種與用藥安全

腫瘤科看得深，家庭醫生看得闊。不是取代，而是合作——一個圍繞著你的照顧團隊，由家庭醫生協調各方。

癌症康復不止覆診。與家庭醫生同行，守護長遠健康。

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Finishing cancer treatment is a milestone — but the health journey continues, and the years after treatment are often longer than treatment itself.

Health after cancer spans five areas: watching for recurrence and new cancers · physical late effects · emotions and mind · chronic conditions and heart health · prevention through vaccines and medication safety.

Oncology looks deep; family medicine looks wide. Not one replacing the other — one care team around you, with your family doctor connecting the whole picture.

Cancer survivorship goes beyond follow-up. Walk on with your family doctor.

#癌症康復 #癌症復康 #家庭醫生 #家庭醫學 #基層醫療 #身心健康