Newsletter No. 396

8 No. 396, 19.4.2012 …… 如是说 Thus Spake… 日趋流行的家庭医学究竟是什么? 家庭医学属于医学专科中的其中一门,在世界多个地方包 括香港,都可以修读和执业。理念是病人为本,以期及早 诊断病患,并提供全面和延续的医疗护理。人生病了,第 一个要找的通常是家庭医生,医生与病人会保持长久的关 系,为病人的健康统筹各种所需要的服务。家庭医生不仅 治疗身体的毛病,还会为病人的饮食和心理健康提供辅导 建议,以收预防、检测和治理之效。 为何选择家庭医学? 我的兴趣一向很广泛,不想太专注于哪门医学专科。家庭 医学令我有机会接触各色病人,认识林林总总的疾患、症 状和病案。医治过程中要兼顾病人的精神或心理是否安 康,这方面能够满足我对人的兴趣和好奇心。 赛马会公共卫生及基层医疗学院成立家庭医学及基 层医疗学部,目的是什么? 在家庭医学领域提供卓越的教学、研究和服务,着重对个 别病人的护理,而非全民医护。我们的最新动向是开展一 个获香港赛马会资助的项目,从生理、心理和社会三方面 入手,为弱势社群病人提供跨学科的全人健康服务。一些 常见疾患若由跨学科的基层医疗团队处理,会控制得比较 好。除医生外,护士、物理治疗师和社工都会参与。 你怎样看身与心的关系? 身体的生理变化会影响心理和精神,反过来说,情绪的波 动也会影响身体机能。我感兴趣的研究是禅修或静观对健 康的影响,已知道它对癌症或抑郁症病人有正面疗效,我 想更深入知道它对纾缓痛症、焦虑和长期紧张的功效,以 及对肥胖症和失眠等热门公共卫生课题的作用。 香港正在和将会面对什么公共卫生课题? 香港人口日趋老化,老年医疗无可避免是大问题—应该 提供哪种可以永续的老年医疗服务?本地空气质素也每 下愈况,贻害不浅。老年医疗和空气污染乃当务之急。但 我相信,如能实事求是,定会找到解决办法。我们需要更 多能够通盘考虑,并具备生物社会学识见的医务人员和决 策者。 你从小就立志行医? 我一向对文理科都有兴趣,尤其是生物学。在加拿大念大 学时,修读人类生物学和心理学,毕业后想找一门结合个 人兴趣和所受训练的学科,发现医学正好合适。如果我不 读医科,可能会当实验心理学家,因为我有一年暑假时在 心理学系系主任张妙清教授 Prof. Cheung Mui-ching Fanny, chairperson, Department of Psychology 下期预告 Coming 黄仰山教授 Prof. Samuel Y.S. Wong 加拿大一所心理学实验室当实习生,那是难忘的经验,它 也是研究人的精神和行为。 你爱看哪种书籍? 心理学,乃至与宗教或灵性有关的。大学时代读社会心理 学,我眼界大开,它把我从书本读到的科学知识与所接 触的社会现实接通了。最近,健康或正向心理学的书令我 兴致盎然,因为与公共卫生很有关系。它不把疾病孤立看 待,而是从全人健康角度衡量有哪些方面可以增进安康。 目前,医学仍然是以个别疾病为主导的学科,我们要摒弃 固有思维,才可以为现代人的奇难杂症找出睿智的解答。 除了教学及研究,你还担任什么公职? 我参加动物权益组织的活动。我养了许多宠物,有三只 猫、两只狗和八只鹦鹉,我必须为它们发声。我也是香港 家庭医学学院会董,积极参加学院的研究计划,且是《香 港家庭医学学院季刊》总编辑。 这么年轻便当教授,对教学生或医治病人有影响吗? 也许我对学生的了解会多一点,因为我明白他们的用语, 熟悉他们社交和表达看法的方式。但归根结柢,这关乎你 是否用心去了解和跟学生沟通,视他们为有血有肉的人。 跟病人相处也一样。 Family medicine has been very much in vogue. Can you explain what it is? Family medicine is a medical specialty that can be studied and practised in many parts of the world, including Hong Kong. It is patient-centred and provides patients with early, comprehensive and continuous medical care. A family doctor is usually the first medical professional that a patient sees. He/she often maintains a long-term relationship with the patient and coordinates various services for the patient’s health. He/she does not only fix the biological disorders but also advises on prevention, early detection and management of illness by means of dietary and psychological counselling. What made you want to study family medicine? I had a wide spectrum of interests and I did not want to become too specialized in just one aspect of medicine. Family medicine would enable me to come into contact with a wide spectrum of patients and understand a greater range of diseases, symptoms and cases. In the course of rendering health services to these patients I would have to look at their mental or psychological well- being as well. This satisfies my interest in and curiosity about human beings. What does the Division of Family Medicine and Primary Health Care at the Jockey Club School of Public Health and Primary Care at CUHK set out to achieve? This division aims to achieve excellence in teaching, research and service in family medicine. Our emphasis is on personal patient care rather than population health care issues. Our new initiatives include a programme funded by the Hong Kong Jockey Club to take a multidisciplinary and biopsychosocial approach to rendering holistic health care to disadvantaged patients. Some common forms of illness can be more effectively managed with the involvement of a multidisciplinary primary care team. As a result, not only doctors but nurses, physiotherapists and social workers are also involved. How do you see the relationship between body and mind? What happens physically in the body may affect the psychology, the mind; and one’s emotions may in turn affect bodily functions. My research interests include the effect of meditation or mindfulness on health. Positive results have been found in patients suffering from cancer or depression, and I am interested to know more about the effects of mindfulness on reducing pain, anxiety and chronic stress, and in addressing present-day public health issues such as obesity and insomnia. What public health issue(s) is(are) Hong Kong facing or will be facing? An aging population like that in Hong Kong will inevitably face heath care issues for the elderly, such as how we should provide for the elderly in terms of medical services and whether it is sustainable. The quality of air seems to be on constant decline too, which would have serious implications on our health. I see care for the elderly and air pollution as the over-arching problems. But I also believe that by approaching these problems in a realistic and pragmatic manner we can arrive at solutions. We need more medical professionals and policy-makers with a holistic and bio-social orientation. Did you know that you’d become a medical doctor when you were little? I always had great interest in various subjects in the arts and sciences, in particular biology. When I was in university in Canada, I studied human biology and psychology. After my undergraduate studies, I looked for a discipline that would integrate my various interests and training, and the medical profession appeared to suit my appetite. If I had not gone into medicine, I might have become an experimental psychologist, as I quite relished my experience as an intern in a psychological laboratory one summer in Canada. Again, it’s not far from the study of the mind and the behaviour of human beings. What kind of books do you read? I like reading books on psychology, and religion or spiritual matters. Social psychology was an eye-opener to me as a university student. It closed the gap between the scientific knowledge I gleaned from books and the social reality that stared me in the face. Recently, I’ve been fascinated by health or positive psychology as it is related closely to public health. It does not look at disease in isolation but at the whole concept of wellness and how well-being can be improved. Medicine is still very much a disease-focused discipline. We need to think out of the box to truly derive intelligent answers to the health issues around us. What do you do besides teaching and research? I have participated in activities of animal rights groups. I love pets and I have three cats, two dogs and eight parrots. I must therefore speak for them. I am a council member of the Hong Kong College of Family Physicians and take an active part in its research activities. I am also the chief editor of the College’s official journal, The Hong Kong Practitioner . You are young for a professor. What effect does that have on your teaching of medical students or treating of patients? I might know the students a little better because I understand the language they speak and the media they use to socialize and express their views. But it really comes down to whether you make an effort to understand and communicate with them and relate to them as real persons. It’s the same with patients.

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