Authors (including presenting author) :
Fung HT(1), Tse SU(1), Poon TY(1), Chan WY(1), Lai KPL (1), Chan PF(1), Fung NS(2)
Affiliation :
(1)Department of Family Medicine and Primary Health Care, Kowloon East Cluster (KEC) (2)Department of Pathology, United Christian Hospital
Keyword 2: :
screening and care services
Introduction :
Preventive care is a crucial component of primary healthcare. The Government's Primary Healthcare Blueprint emphasizes initiatives to enhance prevention-oriented services, including screenings for “three highs” (high blood pressure, high blood sugar, and high cholesterol) along with women’s health services. To meet the needs of underprivileged groups, nurse-led Preventive Screening and Care Services (PSCS) were being piloted in selected Family Medicine Clinics (FMCs) including two FMCs in KEC in 2025. This initiative aimed to promote early detection and intervention while encouraging self-management among participants.
Objectives :
1. To provide three highs screening for underprivileged clients aged 45 or above. 2. To provide risk-based breast cancer and cervical cancer screening for underprivileged female clients aged 64 or below. 3. To provide health education and formulate follow-up management plans according to the screening results.
Methodology :
Cluster-based workflows and clinical guidelines were prepared. Testing for human papillomavirus (HPV) was provided as an additional test in collaboration with Pathology Department. Besides referrals by FMC doctors and District Health Centres, active recruitment of clients by nurses was conducted in KEC FMCs. Nurses would implement healthcare interventions, develop nursing care plans, evaluate patients’ responses to the interventions and refer to FMC doctor for review if conditions requiring further medical attention. Subsequent screening would be arranged accordingly. Service statistics were reviewed from 1st April 2025 to 31st October, 2025.
Result & Outcome :
A total of 942 clients were recruited with age ranging from 17 to 98 years. Among these patients, 340 clients were screened for the “three highs”, with 59% being female and 41% male. The results revealed that 2.6% (9), 7% (24) and 8.8% (31) of clients were confirmed to have diabetes mellitus, hypertension and prediabetes respectively. For hyperlipidemia, 2% (68) of clients were identified as having high cardiovascular risk requiring FMC referral, while 30.1% (103) were categorized as medium risk. 361 of female clients received Pap smear screening and 7% of them was found to have abnormal results necessitating referrals to the Obstetrics and Gynecology Specialist Out-patient Clinic for further management. Among the Pap smear abnormalities, 1.1% (4) were diagnosed with pre-malignant conditions (CIN II to III). Additionally, 8.3% of clients were referred for mammography, and none required referral to secondary care. Conclusion: PSCS was successfully implemented in KEC to provide new preventive care services to underprivileged groups and achieved the goal of early prevention, early identification and early intervention in FMCs.
