1. General Information
What is District Health Centre (DHC)?
The DHC is a primary healthcare initiative of the Government. Through public-private partnership, medical-social collaboration, it provides district-based primary healthcare services aiming to:
(a) enhance public awareness of disease prevention and their capability in self-management of health;
(b) drive healthy lifestyle for prevention of chronic disease;
(c) support the chronically ill to prevent deterioration;
(d) enhance client access to primary healthcare service.
How many centres are there for each DHC?
Each DHC consists of a core centre and a few satellite centres, being the healthcare service and resource hubs of the district.
What are the functions of the core and satellite centres?
The core centre will offer primary healthcare services through individual service sessions and group intervention. It will provide primary, secondary and tertiary prevention programmes. The satellite centres will offer primary prevention programmes and other group activities.
When and where will the DHC Scheme be implemented?
The first DHC will be launched in Kwai Tsing District and it will start operation in September 2019. The DHC scheme will be rolled out to other districts subsequently.
Who will operate the DHC?
The government will identify a DHC Operator through open tendering. The tenderer is a non-government organization.
Which healthcare professionals will provide service in the core and satellite centres?
The core team of DHC consists of nurses, a physiotherapist, an occupational therapist, a dietitian, a pharmacist and 3 social workers.
Are DHC services available in the core and satellite centres only?
Apart from the services provided within the core and satellite centres, the DHC Operator has to purchase private healthcare services from the district and this forms the DHC network. The network services include medical consultation, Chinese medicine consultation, physiotherapy, occupational therapy, dietetics, optometry, podiatry and speech therapy.
Who are the target clients of the Scheme?
Residents in the district of the corresponding DHC.
Who is eligible to receive DHC service?
An individual who
- is a holder of the Hong Kong Identity Card issued under the Registration of Persons Ordinance (Cap. 177, the Laws of Hong Kong), except those who obtained their Hong Kong Identity Cards by virtue of a previous permission to land or remain in Hong Kong granted to him and such permission has expired or ceased to be valid; or a child who is a Hong Kong resident and under 11 years of age; and
- agrees to enrol in the electronic Health Record Sharing System (eHRSS); and
- is a resident in the district of the corresponding DHC.
What documents shall a person present when he registers in the DHC Scheme?
He should present the identity document and residential address proof.
3. Service Package and Fee
Is there any registration or membership fee for DHC?
Registration and membership fees are free. The membership is lifelong.
What services are included in the DHC Scheme?
The Scheme includes primary, secondary and tertiary prevention programmes. Primary prevention programme consists of health promotion and disease prevention activities. Secondary prevention includes screening for diabetes mellitus and hypertension in targeted group of clients. Tertiary prevention programmes cover chronic disease management and community rehabilitation.
Who will be referred to the DHC network doctors?
Client who has risk factors identified through the screening for diabetes mellitus or hypertension under the DHC scheme will be referred to the DHC network doctors.
Does the client have to pay for DHC services?
All of the group activities are free, as well as the individual healthcare services provided by nurse, pharmacist and social worker. Individual healthcare services including medical consultation, physiotherapy, occupational therapy, dietetics, optometry, speech therapy, podiatry, Chinese medicine service and medical laboratory services require co-payment by the DHC client.
Is civil servant or Hospital Authority staff exempted from co-payment of DHC service?
Civil servant and Hospital Authority staff have to make the co-payment for DHC service.
Is there any limit on the number of subsidised healthcare service sessions?
Yes, healthcare service sessions are referred based on clinical needs, and the maximum number of sessions for different DHC programmes are set.
If all the subsidised sessions are consumed and extra service sessions are needed, will I get any subsidy for the subsequent sessions?
Beyond the maximum subsidised sessions, the client has to pay for the fees charged by the Network Service Provider.
Does the client need to pay extra fee if he / she visits his / her Network Service Provider for service not covered in the DHC scheme?
Under the Scheme, the DHC client can receive subsidised healthcare professional service for the targeted diseases / scope. Individual client may receive additional service(s) or treatments at their own expenses.
Is there any subsidy for medications for chronic disease management under the Scheme?
Government subsidy for chronic disease management programme includes medical consultation, medical laboratory services, Chinese medicine and individual allied health service sessions, but not medication.
Where can the DHC client receive medical laboratory services under the Scheme?
Upon referral by the network doctors, the client can receive medical laboratory services under the arrangement by the DHC Operator.
What is the Service charge of the Scheme?
For the medical consultation fee, $250 will be subsidised by the government and the balance will be paid by the client. For other individual healthcare service sessions including physiotherapy, occupational therapy, dietetics, optometry, speech therapy, podiatry, medical laboratory services, the co-payment by the client is capped at $150. The co-payment by client referred by the Hospital Authority for community rehabilitation programme is capped at $100. The co-payment for Chinese medicine service is capped at $150.
Can elders who have participated in the Elderly Health Care Voucher Scheme use electronic vouchers for the DHC Scheme?
Client who has participated in the Elderly Health Care Voucher Scheme can pay for Scheme services from their Health Care Voucher accounts.
Is referral required for DHC services?
Individual allied health services require medical referral from the DHC network doctor. Self-referral will be accepted for Chinese medicine service.
Can I withdraw from the DHC scheme?
Registration with DHC Scheme is entirely voluntary. Client who wishes to withdraw from the scheme can inform the DHC operator.
Can I register as DHC member again after I have withdrawn from the DHC Scheme?
Yes. Eligible clients are welcomed to register as DHC member at any time.
4. Sharing of Information through eHRSS
Can the Network Service Providers access a DHC client’s medical record in the eHRSS?
To facilitate continuity of care, all DHC clients and Network Service Providers are required to enrol in the eHRSS. With prior consent from the client, clinical information will be shared with the service providers through eHRSS, on a need-to-know basis.
If a DHC client terminates participation in the eHRSS, is he still eligible to join the DHC Scheme?
All DHC members must enrol in eHRSS. The DHC will be difficult to provide a coordinated service to the client who withdraws from eHRSS. Therefore, the client will have to terminate the membership of the DHC Scheme.