HKU Family Medicine and Primary Care

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

14/07/2026

[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

10/07/2026

🌞 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?

02/07/2026

【港大醫學院研究：控制家庭共同因素後，未發現產前服用撲熱息痛與自閉症或過度活躍症有關】

不少準父母擔心懷孕期間服用撲熱息痛（paracetamol）會增加孩子患自閉症或過度活躍症的風險。由港大醫學院家庭醫學及基層醫療學系助理教授（研究）駱珊領導的研究團隊，分析逾70萬對香港母嬰數據，追蹤長達23年，並採用嚴謹的「兄弟姊妹配對」研究設計，以控制家庭共同的遺傳及環境因素。

研究結果顯示：在控制家庭共同的遺傳及環境因素後，未發現產前服用撲熱息痛與自閉症或過度活躍症有關，而有關結果在不同用藥時間、劑量及使用模式下均保持一致。研究成果已於《JAMA Internal Medicine》發表。

Led by Dr Shan Luo, a new HKUMed study of 708,020 Hong Kong mother–child pairs found that, after accounting for shared familial genetic and environmental factors, prenatal paracetamol use was not associated with autism or ADHD. The findings were consistent across timing, dose, and patterns of use, and have been published in JAMA Internal Medicine.

💬 懷孕期間如需服用任何藥物，請先諮詢醫生。 Always talk to your doctor about any medication use during pregnancy.