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28.12.2018.

embrace in-office amusement trend

Multinationals change from Central Hong Kong to bring in talent, and embrace in-office amusement trend
Multinationals running in Hong Kong are going into flexible industrial spaces in its outer suburbs, adapting towards the global trend of delivering considerably less official workplaces in towns,

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particularly in these types of metropolitan areas with tightening provide and rising expenses.

Worldwide, corporations are significantly providing in-house leisure to appeal to and retain staff, and they are transferring to greater premises to perform so.

In Hong Kong, the xafs is looking at some important worldwide corporations equally relocating from Central’s soaring rental selling prices, and choosing areas with much less desks and a lot more creative

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regions to satisfy workers’ wants and needs.

A good illustration of this increasing trend is GoDaddy, the world’s greatest homepage administrator, for illustration, operates globally outside of a 150,000 sq. foot world technological know-how centre in

Tempe, an inner suburb during the south-western US condition of Arizona of close to one hundred sixty,000 people today situated amongst the considerably larger phoenix as well as relaxation of your state’s

East Valley.

Costing US$27 million, the website opened in 2014 and presents employees peddle go-karts, bicycles, outdoor sports activities courts and on-site cooks. The goal was to entice top rated expertise and provides

it a competitive gain, the organization explained at the time.

Hong Kong employers are likewise shifting to your suburbs to keep to entice expertise - but there is a great deal significantly less space accessible than to firms overseas like GoDaddy, and firms are

needing to be highly resourceful on how they use the things they do have.
Central, dwelling to gleaming skyscrapers, was world’s most costly business tackle with the 3rd consecutive 12 months while in the initial quarter of 2018, according to a report by world-wide industrial

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authentic estate firm CBRE.

The standard yearly hire was stated as US$307 for every sq. foot, 30 for each cent far more in comparison to the US$235 for every square foot in London’s West Conclusion, in second position.
Over the previous two yrs a rising quantity of huge corporations have relocated to outer areas including japanese Quarry Bay and Kowloon Bay, and throughout Victoria Harbour, exactly where hire could be

virtually 50 percent the price, based on Calvin Chin, main executive officer, Hong Kong, with the Denmark-based ISS Amenities Expert services Restricted, one of the world’s leading facility providers

providers which offers products and services like cleaning to safety and catering.

Another study revealed that senior patients who received Elderly Care Services at home tended to visit their physicians less often as compared to those who recover in a hospice or nursing home.

“The development is for bigger consumers to consolidate right into a single area to save expenditures,” mentioned Chin. “Those are actually generally out of Central.”

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13.12.2018.

醫療質量指標來做假?


人們去就醫時是否沒有參考信息、醫療質量指標來做假?
在過去的12年裏,健康保險部每年增加兩到三項醫療數據,到目前為止總共增加了258項。然而,這些數據並不能真正反映醫院醫療的有效性,公眾也無法找到合適的醫院進行醫療。
“急性心肌梗死患者因同一主要診斷或相關情況出院後3天內的急診轉診比”每處方藥量大於10項“血液透析尿素氮透析效率(URR)”檢查率的病例比例。這些話都列在了國家健康保險醫療質量信息開放網站的網站上。我想知道你是否能理解他們。你明白它的意思嗎?在你去看醫生之前,你會用它們作為參考嗎?
為了符合第二代衛生保健信息公開和透明的精神,健康保險部參考了美國和經濟合作與發展組織(經合組織)等其他國家的做法。經過與專科醫學會、台灣醫院協會、全國醫師協會聯合會等多次協商,從2005年11月起,醫院提供了醫療保險申報資料。經過計算,這些信息被公布在網站上。
過去12年,?生署每年增加兩至三項指標,包括門診、急症、醫院、出院等,具體包括8種疾病,例如洗腎、糖尿病、鼻竇炎、人工膝關節手術等。迄今為止,共有258項指標。今年還將增加有關乳腺癌、肺癌和大腸癌等高成本疾病的醫療信息。
想支持助視會一起為白內障患者出一分力?歡迎參與義工服務,協助助視會處理文書工作,亦協助我們各項的恆常地區推廣。透過不同的義工服務,希望令更多參加者了解到助視會的使命並加以廣傳,努力推動全球防盲復明運動及手術培訓項目。 根據健康保險部門的調查和統計,該網站的訪問者累計達到777萬人,平均每天約有3000次查詢,用戶滿意度為85%。
醫學術語很難用作治療參考。
不過,這些數據能否真正反映醫院的醫療成效呢?市民能否找到合適的醫院治療呢?我們能檢查一下其他病人的經驗嗎?
答案顯然不是那麼積極和積極。陳美霞是成都公威學院的特聘教授,他認為現有的指標強調醫學技術術語,公眾很難理解。市民不但看不出病人對治療結果是否滿意,更不明白醫生是否解釋病人的病情和治療方法。“指標應該考慮到公眾的意見,”她建議。
台灣大學健康政策與管理研究所助理教授「郭年真」亦表示,病人對健康保險署的網站上強調醫師是否遵循標准操作程序的指標沒有強烈的感覺。
而冬季流感潮即將完結,惟6個月至12歲或以下群組,四價流感疫苗的接種率僅約2成多。邁克爾·麥考密克,哈佛大學教授,主修國際醫學。波特(Michaelporter)在2013年10月的“哈佛商業評論全球繁體中文”(HarvardBusinessReview)上寫道,醫療機構在衡量醫療質量時,傾向於關注它們直接控制或易於實施的臨床指標。結果並不是根據治療的結果來衡量的,而只是根據治療過程是否符合醫療標准來衡量。這實際上是錯誤的。
例如,在前列腺癌的治療中,雖然5年生存率至少為90%,但患者更關心的是他們未來的尿失禁嗎?性功能正常嗎?而每家醫院在這方面的治療效果都有很大的不同,需要制定質量指標。
他還以糖尿病為例。醫院經常使用低密度膽固醇、糖化血紅蛋白或雙腳和眼睛檢查作為指標,但病人關心的是他們是否會失明?你會心髒病發作或中風嗎?還是截肢?
與健康保險部門為糖尿病設計的指標相比,波特說,這些指標是糖化血紅蛋白、空腹血脂、眼底攝影等的比率。不僅是糖尿病,而且是消化性潰瘍病、哮喘、鼻竇炎、腎髒洗滌等疾病的指標。它還著重於計算醫生與檢查的比率。
事實上,外國政府也設計了醫療質量指標。以心髒病為例。外國指標似乎比台灣國家健康保險機構的指標更加多樣化。
“出院後三天內,因同一主要診斷或有關情況而急診就診的比率”,在出院後十四天內,“因同一初級診斷或相關情況而無計劃重新入院的比率”,是台灣國家健康保險署治療急性心肌梗死(AMI)結果的一個指標。
除了計劃外的重新接納率外,美國聯邦醫療保險和醫療補助中心的心髒病指標還包括與治療結果有關的項目,如突發心髒病死亡率、心力衰竭死亡率。等待心電圖檢查,等待平均轉院時間等。

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