Abstract
Facing the problem of ageing population, the Department of Health of Hong Kong launched an Elderly Care Voucher Pilot Scheme in 2009 and it has become a regular programme called Elderly Health Care Voucher Scheme (EHCVS) since 2014. In 2019, vouchers that worth HK$2000 were given to elders aged 65 or above and the accumulation limit was $8000. It aims at easing the current heavy reliance on public healthcare services and encouraged elders to choose private healthcare services with the partial subsidy. However, despite the older adults have high awareness of the voucher scheme and vouchers utilisation rate has reached 90%, they still tend to spend vouchers on acute disease treatment. This shows that EHCVS is still ineffective in changing the behaviour of older adults in using vouchers for disease management and preventive care in the private sector. It may be due to inadequate knowledge of the use of vouchers among recipients and ineffective promotion of the aim of the scheme. This chapter reviews and analyses the factors affecting the use of elderly health care vouchers and suggests feasible recommendations to the government in order to sustain the effectiveness of the scheme.
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References
Census and Statistics Department. (2014). Persons with disabilities and chronic diseases (Special Topics Report No. 62). https://www.censtatd.gov.hk/hkstat/sub/sp380.jsp?productCode=FA100059
Chiu, P. (2019). Hong Kong’s health voucher scheme for the elderly has been running for a decade—So why are curbs on usage being imposed and what effect will they have?. https://www.scmp.com/news/hong-kong/health-environment/article/3001592/hong-kongs-health-voucher-scheme-elderly-has-been
Chui, E., Law, C. K., Bai, X., Dai, D., Lai, D., Ma, C., & Tsien T. (2016). Feasibility study on introducing a voucher scheme on residential care services for the elderly. https://www.elderlycommission.gov.hk/en/download/library/Report%20on%20RCS%20Vou cher_2016(ENG).pdf
Department of Health. (2019). Review on the elderly health care voucher scheme. https://www.legco.gov.hk/yr18-19/english/panels/hs/papers/hs20190318cb2-962-1-e.pdf
District Health Centres. (2019). Background. https://www.dhc.gov.hk/en/general_public.html
Food and Health Bureau. (2010). Our partner for better health. https://www.fhb.gov.hk/download/press_and_publications/otherinfo/101231_primary_care/e_strategy_doc.pdf
Food and Health Bureau. (2019). Report on the review of the elderly health care voucher scheme. https://www.hcv.gov.hk/files/pdf/Review_Report_English.pdf
Fung, V. L. H., Lai, A. H. Y., Yam, C. H. K., Wong, E. L. Y., Griffiths, S. M., & Yeoh, E. K. (2020). Healthcare vouchers for better elderly services? Input from private healthcare service providers in Hong Kong. Health & Social Care in the Community, 00, 1–13. https://doi.org/10.1111/hsc.13203
Health Care Voucher. (2019a). Background of elderly health care voucher scheme. https://www.hcv.gov.hk/en/hcvs/background.html
Health Care Voucher. (2019b). Healthcare service provider. https://www.hcv.gov.hk/en/hcvs/target_group.html
Lai, A. H. Y., Kuang, Z., Yam, C. H. K., Ayub, S., & Yeoh, E. K. (2017). Vouchers for primary healthcare services in an ageing world? The perspectives of elderly vouchers recipients in Hong Kong. Health and Social Care in the Community, 26(3), 374–382. https://doi.org/10.1111/hsc.12523
Legislative Council. (2019a). Review on the elderly health care voucher scheme. https://www.legco.gov.hk/yr18-19/english/panels/hs/papers/hs2019a0318cb2-962-1-e.pdf
Legislative Council. (2019b). Updated background brief prepared by the Legislative Council Secretariat for the meeting on 18 March 2019b. https://www.legco.gov.hk/yr18-19/english/panels/hs/papers/hs2019b0318cb2-964-5-e.pdf
Liu, S., Yam, C. H., Huang, O. H., & Griffiths, S. M. (2013). Willingness to pay for private primary care services in Hong Kong: Are elderly ready to move from the public sector? Health Policy and Planning, 28(7), 717–729. https://doi.org/10.1093/heapol/czs112
Mercer, S. W., Siu, J. Y., Hillier, S. M., Lam, C. L., Lo, Y. Y., Lam, T. P., & Griffiths, S. M. (2010). A qualitative study of the views of patients with long-term conditions on family doctors in Hong Kong. BMC Family Practice, 11(1), 46. https://doi.org/10.1186/1471-2296-11-46
Pun, J. W., & Elliott, L. (2020). A systematic review to assess the impact of the Elderly Health Care Voucher Scheme (EHCVS) and the feasibility to fully adopt in Hong Kong elder care services. Research Square. https://doi.org/10.21203/rs.3.rs-48276/v1
Research Office of Legislative Council Secretariat. (2018, February 27). Elderly health care voucher scheme. https://www.legco.gov.hk/research-publications/english/1718issh14-elderly-health-care-voucher-scheme-20180227-e.pdf
Salive, M. E. (2013). Multimorbidity in older adults. Epidemiologic Reviews, 35(1), 75–83. https://doi.org/10.1093/epirev/mxs009
The Government of the Hong Kong Special Administrative Region. (2020). LCQ18: Elderly health care voucher scheme. [Press release]. https://www.info.gov.hk/gia/general/202101/13/P2021011300557.htm?fontSize=1
Wong, E. L., Yeoh, E., Chau, P. Y., Yam, C. H., Cheung, A. W., & Fung, H. (2015). How shall we examine and learn about public-private partnerships (PPPs) in the health sector? Realist evaluation of PPPs in Hong Kong. Social Science & Medicine, 147, 261–269. https://doi.org/10.1016/j.socscimed.2015.11.012
Yam, C. H., Liu, S., Huang, O. H., Yeoh, E., & Griffiths, S. M. (2011). Can vouchers make a difference to the use of private primary care services by older people? Experience from the health care reform programme in Hong Kong. BMC Health Services Research, 11(1), 255. https://doi.org/10.1186/1472-6963-11-255
Zhang, R., Lu, Y., Shi, L., Zhang, S., & Chang, F. (2019). Prevalence and patterns of multimorbidity among the elderly in China: A cross-sectional study using national survey data. British Medical Journal Open, 9(8), e024268. https://doi.org/10.1136/bmjopen-2018-024268
Acknowledgements
The work described in this paper was partially supported by a grant from the Research Grants Council of the Hong Kong Special Administrative Region, China (Project Reference No.: UGC/IDS24/18).
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Yee, H.H.L., Law, V.T.S. (2022). Effectiveness of Elderly Health Care Voucher Scheme and Private Healthcare Providers in Hong Kong. In: Law, V.T.S., Fong, B.Y.F. (eds) Ageing with Dignity in Hong Kong and Asia. Quality of Life in Asia, vol 16. Springer, Singapore. https://doi.org/10.1007/978-981-19-3061-4_8
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