HKU Family Medicine and Primary Care

📱 【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 | am730 大型語言模型在基層醫療的應用與安全

☀️🥵 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! ❤️

[分享] 歐盟委員會近日更新殘疾人策略，再次展現推動共融的決心。然而，《刺針—基層醫療》提出一個值得深思的問題：這些政策承諾，能否真正改善殘疾人士的健康？
研究顯示，殘疾人士接受癌症篩查的比率較其他人低約20%，醫療需要未獲滿足的機會更高達四倍。這些健康差距並非無可避免，而是反映現行醫療制度和服務設計仍未能充分照顧不同人士的需要。
基層醫療正正是推動改變的關鍵。透過社會處方、跨專業協作及持續照護，家庭醫生能夠連繫醫療與社區資源，為有需要人士提供更全面的支援。然而，若醫療系統資源不足、服務欠缺銜接，再好的理念亦難以落實。要真正建立共融的醫療服務，需要持續投放資源，包括加強醫護人員的殘疾照護培訓、發展無障礙數碼工具，以及改善醫療設施的無障礙環境。
從經濟及公共健康角度而言，推動共融醫療同樣具備充分理據。研究估計，投資於殘疾照護能力培訓，可節省約67億歐元，並有望避免約770萬宗死亡個案。建立更具包容性的基層醫療，不僅惠及殘疾人士，更能促進整個社會的健康公平。
您認為，我們可以如何攜手建立一個更共融、更公平的醫療制度？
#基層醫療 #健康公平 #傷健共融 #家庭醫學 #醫療領導力 #公共衛生

[Sharing] The European Commission’s updated disability strategy signals renewed commitment, but The Lancet Primary Care rightly asks: can this translate into meaningful health improvements?
People with disabilities have 20% lower participation in cancer screening and are four times more likely to have unmet healthcare needs. As family physicians and healthcare leaders, we must recognise that these inequities are not inevitable—they are produced by systems that were not designed inclusively.
Primary care is the critical nexus for change. It bridges healthcare and social needs through approaches such as social prescribing and coordinated care. However, under-resourced and fragmented systems fail those who need continuity of care the most. The solution requires more than policy commitments—it calls for sustained investment in clinician training, accessible digital tools, and inclusive healthcare infrastructure.
The economic case is equally compelling. Investing in disability competence training could save an estimated €6.7 billion and avoid 7.7 million deaths in Europe. Inclusive primary care benefits not only people with disabilities, but the entire community, and is fundamental to achieving health equity.
How can we work together to build a more inclusive healthcare system for everyone?

Send a message to learn more

🌞 夏日健康小改變

健康不一定要大改變，由一個小習慣開始就可以。
今個七月，不妨為自己訂立一個健康小目標：

💧 飲多啲水
🚶 每日多活動
😴 保持規律作息
🌿 留點時間放鬆身心
🩺 記得定期健康檢查
你今個星期會先開始邊一項？

#家庭醫生 #健康生活 #基層醫療

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🌞 Summer Reset

Small changes can make a big difference to your health.
This July, choose one healthy habit to start this week:
💧 Stay hydrated
🚶 Move a little every day
😴 Keep a regular sleep routine
🌿 Take time to recharge
🩺 Don't forget your routine health check
Which habit will you start with?

【深港基層醫療交流】

8位來自香港大學深圳醫院全科醫學培訓醫生於2026年6月23日到訪本學系，了解香港基層醫療服務的發展，以及家庭醫學在基層醫療體系中的角色。

是次交流活動由謝翠怡醫生及王家祺醫生接待。培訓醫生上午到訪油尖旺地區康健中心，了解香港以社區為本的基層醫療服務模式；下午則到訪鴨脷洲家庭醫學診所，認識家庭醫學專科培訓及基層醫療服務的實際運作。

我們期望透過兩地交流，促進對不同醫療體系及基層醫療模式的理解，共同推動以病人為本的基層醫療發展。

#香港基層醫療 #家庭醫學 #全科醫學 #地區康健中心 #醫療教育 #深港交流

【Cross-border Primary Care Exchange】

Eight GP trainees from HKU-Shenzhen Hospital visited our department on 23 June 2026 to learn about the development of Hong Kong's primary healthcare services and the role of family medicine within the healthcare system.

Hosted by Dr Emily Tse and Dr David Wong, the trainees visited the Yau Tsim Mong District Health Centre in the morning to learn about Hong Kong's community-based primary healthcare model, followed by a visit to the Ap Lei Chau Family Medicine Clinic in the afternoon to gain insights into family medicine training and service delivery.

We look forward to continuing cross-border exchanges that promote mutual learning and support the development of people-centred primary care.

真正的健康管理，不是等到病了才開始。✨

油尖旺地區康健中心正式開幕，香港的基層醫療共同治理網絡亦同步啟動。
為甚麼值得留意？ ✅ 及早了解「三高」風險

✅ 支援慢性疾病管理
✅ 在社區接受健康服務，問題未惡化前先處理
✅ 有護士、專職醫療人員、藥劑師和社工團隊支援

「慢病共治」參與人數已超過 20萬人，並將成為常規服務。
健康不只是「病了才看醫生」，而是更早認識自己的身體、建立好習慣，並在適當時候得到專業支援。

#三高管理 #慢病管理 #基層醫療 #油尖旺 #地區康健中心

Your health era starts before you feel sick. ✨

The new Yau Tsim Mong District Health Centre is officially open, and Hong Kong's Primary Healthcare Co-care Network has launched.
Why it matters: ✅ Check risks for the "3 highs"

✅ Get support for chronic disease management
✅ Use community-based services before problems become serious
✅ Connect with nurses, allied health professionals, pharmacists and social workers

Over 200,000 people have already joined the Chronic Disease Co-Care scheme — and it's now becoming a regular service.
Health is not just about going to the doctor when you are sick. It is about knowing your body early, building better habits, and getting the right support at the right time.

【喜訊】恭喜本系系主任黃志威教授獲委任為《The Lancet Primary Care》國際顧問委員會成員（任期至2027年12月）！此項任命肯定了黃教授在基層醫療研究的國際影響力，亦彰顯香港大學家庭醫學及基層醫療學系在推動全球基層醫療發展的角色。

🎉 Congratulations to Professor William CW Wong, Chairperson of our Department, on his appointment to the International Advisory Board of The Lancet Primary Care (term until December 2027). A wonderful recognition of his international standing in primary care research and of FMPC's role on the global stage.



🔗 https://www.thelancet.com/lanprc/international-advisory-board