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Jockey Club Age Friendly City: Health@Community


Jockey Club Age Friendly City: Health@Community

Summary

Responding to the domain of “Community support and health services” rated lowest in the Baseline Report (2016), Hong Kong Christian Service launched Health@Community in April to December 2018 to promote inter-sector, inter-disciplinary primary healthcare in the community, which aims to:
1.promote self-management of chronic disease through community education and technology;
2.provide neighborhood support through ambassador programme. Ambassadors and nursing students co-designed achievable, assessable and affordable recipes and exercises to the seniors;
3.identify the risk by setting up community clinic. Seniors with chronic diseases were referred for professional interventions such as health consultation and case management. Owing to geographical factors in Kwun Tong, seniors with disability were difficult to attend medical follow-ups. Thus, telemedicine was adopted so that seniors could receive medical consultations with pharmacists via SNS.
Benefits were evident in following aspects:
1.increasing knowledge in chronic disease management and prevention;
2.establishment of community based primary healthcare system by progressive and client orientated intervention;
3.introduction of telemedicine for seniors to sustain their healthy lifestyles;
4.promotion of bottom-up participation and intergeneration solidarity. Ambassadors and students with medical training backgrounds tailor-made exercise routines and diet recipes for seniors as daily health management practices;
5.enhancement of self-efficacy and empowerment for volunteers.

The program shows enhancing “Individual Self-management of Health”, “Strengthen Neighborhood Support” and “Promoting Medical-Social Collaboration” are key factors to develop primary healthcare in the community and sustain age-friendly community.

Website: https://www.jcafc.hk/tc/Events/Health-At-Community.html

Key facts

Main target group: Older people in general

Other target group(s): Residents of Kwun Tong district

Sector(s): Information and communication

Other sector(s): Community support and health services, communication and information, respect and social inclusion

Desired outcome for older people:
Meet their basic needs

Other issues the Age-friendly practice aims to address:
  • Ageism
  • Healthy behaviours (e.g. physical activity)
  • Intergenerational activities
  • Inclusion
  • Participation
  • Other

Other Issues: Self-empowerment and growth of elderly

Contact details

Name: Owen Chow

Email address: ktdc_secretariat_gr@had.gov.hk


Age-friendly practice in detail (click to expand):

Engaging the wider community

Project lead: Social or health care provider

Others involved in the project:
  • Research institution

How collaboration worked: 1. The Hong Kong Jockey Club Charities Trust funded the program 2. The Hong Kong Polytechnic University conducted Age Friendly domains baseline assessment and supported the program design, implementation and evaluation. 3. The students of the Nursing programs of the Hong Kong Polytechnic University volunteered to design exercise routine and receipt with elderly

Older people’s involvement: Older people were involved in the age-friendly practice at multiple or all stages

Details on older people’s involvement: Some older people helped to implement the age-friendly practice as ambassadors, while others were beneficiaries

Moving forward

Has the impact of this age-friendly practice been analysed: Yes

Was the impact positive or negative:
Positive

Please share with us what you found in detail:
For elderly service recipients: – Greater sense of health literacy as various activities introduced greater understanding of available communal services, more knowledgeable and motivated to manage health; professional health services were provided; stronger sense of community belongingness and closer relationship with community members; greater appreciation to the younger generation; willingness of majority to participate in age-friendly activities in the future For Age-Friendly ambassadors (mostly aged 50 and above) – Higher sense of self-efficacy and life satisfaction due to discovery of one’s potential and ability to contribute to their community; greater sense of health literacy in terms of better understanding of communal services available, more knowledgeable and motivated to manage their health; greater appreciation to the younger generation For student volunteers – Realization of their capability to contribute to own community; positive change in a sense of greater understanding and appreciation to elderly; to certain extent biases towards the elderly were reduced

Looking back

Challenges:
Challenges: 1. Limited program session time for elderly to absorb the information, especially the medical jargons introduced to them 2. Difficult for elderly with hearing difficulty or deteriorating memory to practice skills and health exercise on their own Resolutions: 1. Colourful booklets were delivered to the elderly or their family members to facilitate understanding and application of the knowledge. 2. Volunteer carers were recruited to help the elderly with hearing difficulty to practice the health exercise at he service centre.