【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8,320的網紅Campus TV, HKUSU 香港大學學生會校園電視,也在其Youtube影片中提到,Campus TV, HKUSU Facebook Page: https://www.facebook.com/hkucampustv 論壇主題:「一國兩制到盡頭 恣者旁大畏人修」 日期:二零一八年七月一日(星期日) 時間:晚上七時至九時 地點:香港大學黃麗松講堂 嘉賓:戴耀廷副教授 (...
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associate professor中文 在 Roger Chung 鍾一諾 Facebook 的精選貼文
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
associate professor中文 在 謝立聖插畫 Facebook 的最佳解答
怎麼想也沒想到,武漢肺炎會意外的讓台灣人有了共同的光榮感,如果台灣人可以因此更加團結的話,應該是這個疫情,幫台灣上的最珍貴的一課!
請大家先看一下這段英文:
「Taiwan, despite being just 100 miles from mainland China with regular flights to and from Wuhan, has successfully staved off the worst of the coronavirus pandemic. The country has so far seen five deaths and just under 350 confirmed cases, and most schools and businesses remain」
這段英文是說,「台灣距離中國只有100英里,也有往返武漢的定期航班,卻成功地避免了嚴重的冠狀病毒大流行。台灣這個國家,目前有將近350例確診病例,5例死亡,大部分的學校和企業都持續運作沒有關閉」。
相信大家會說,這就是對台灣社會現狀的表述,很持平啊!
為什麼要叫大家看這段英文?實在有點摸不著頭緒齁!
但是如果告訴你,這段話是芭芭拉・史翠珊(Barbra Joan Streisand)發的推特呢?
沒錯,就是那個集歌手、電影演員、導演、製片於一身的芭芭拉・史翠珊 ; 就是那個得了兩座奧斯卡金像獎、十座葛萊美獎、五座艾美獎、九座金球獎的芭芭拉・史翠珊。
芭芭拉・史翠珊是在台北時間4月5號中午12點37分發了這則推特,緊接著自己在這則推特下面,做了說明...
「open. How did Taiwan do it? “Aggressive action,” says Dr. Jason Wang, the former project manager for Taiwan’s National Health Insurance Reform Task-force. He is now the director of the Center for Policy, Outcomes and Prevention and associate professor of pediatrics and medicine」
中文的意思是「台灣是怎麼做到的?就是採取積極行動!」,而這個Jason Wang就是前陣子投書力讚台灣科技防疫的史丹佛大學副教授王智弘(他曾經在我們健康保險改革特別工作組工作過)。王智弘在投書裡說,台灣很早就建立健保資料庫,因此可以在短時間內有大數據連結使用。沒多久芭芭拉・史翠珊就又留言,附上王智弘接受美國媒體訪問的youtube連結。
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台灣棒棒!
不要讓防疫工作破功,大家多多配合中央的指揮。
associate professor中文 在 Campus TV, HKUSU 香港大學學生會校園電視 Youtube 的精選貼文
Campus TV, HKUSU Facebook Page: https://www.facebook.com/hkucampustv
論壇主題:「一國兩制到盡頭 恣者旁大畏人修」
日期:二零一八年七月一日(星期日)
時間:晚上七時至九時
地點:香港大學黃麗松講堂
嘉賓:戴耀廷副教授 (香港大學法律系)、吳靄儀博士 (執業大律師)、盧斯達先生 (作家)、梁頌恆先生 (青年新政召集人)、鄭立先生 (商人及專欄作家)
語言:廣東話(屆時將提供英語即時傳譯服務)
主辦單位:
香港城市大學學生會 、恒生管理學院學生會 、香港樹仁大學學生會臨時行政小組、香港理工大學學生會、香港大學學生會、香港中文大學學生會
協辦單位:
香港大學學生會法律學會
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Theme of the Forum: ‘One Country Two Systems: a Dead-End or a Way Out in Our Future’
Date: 1 July 2018 (Sunday)
Time:19:00 - 21:00
Venue: Rayson Huang Theatre, the University of Hong Kong
Guest: Mr. Benny Tai Yiu-ting, MH (Associate Professor of Law at the University of Hong Kong), Dr. Margaret Ng Ngoi-yee (Barrister), Mr. Lewis Loud (Writer), Mr. Leung Chung-hang (Convenor of Youngspiration), Mr. Cheng Lap (Merchant and Columnist)
Language: Cantonese (Simultaneous interpretation will be provided.)
Organisers:
City University of Hong Kong Students’ Union, Hang Seng Management College Students' Union, Interim Executive Committee of The Student Union of Hong Kong Shue Yan University, The Hong Kong Polytechnic University Students' Union, The Hong Kong University Students’ Union, The Student Union of The Chinese University of Hong Kong
Co-organiser:
Law Association, HKUSU
associate professor中文 在 香港大學中文學院- Tenure Track Associate Professor/Assistant... 的推薦與評價
Tenure Track Associate Professor/Assistant Professor in Modern Chinese Literature http://jobs.hku.hk/jd.php?id=201701737. ... <看更多>
associate professor中文 在 [問題] 指導教授的資格- 看板PhD - 批踢踢實業坊 的推薦與評價
大家好,最近在看各校的師資決定指導教授,發現問題:
到底哪些人有資格收博士生?
常見的 Faculty 多由以下組成:
1.Professor 教授,可以收學生。
2.Associate Professor 副教授,可以收學生。
3.Assistant Professor 助理教授,可以收學生。
4.Affiliated Professor 爬文說是外系來兼課的,那可否收學生?
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5.Visiting Professors 訪問教授,可以收學生?
6.Visiting Assistant Professors 訪問助理教授,可以收學生?
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7.Lecturer / Instructor 講師,如果有Phd的講師可以收學生嗎?
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8.Postdoctoral Associates 博士後,感覺還沒取得教職,應該不能收吧?
9.Postdoctoral Fellows
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10.Emeriti 退休教員,應該不能收吧?
拜託幫忙解惑,先謝過!
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※ 文章網址: https://www.ptt.cc/bbs/PhD/M.1430479073.A.4A2.html
... <看更多>