The Jockey Club School of Public Health and Primary Care (JCSPHPC) is pleased to host the CUHK Primary Care Research Symposium, with the support of The Hong Kong College of Family Physicians (HKCFP). The symposium will serve as a valuable platform for the exchange of ideas and networking opportunities among students, academia and healthcare professionals, in addressing present and future health challenges.
Keynote Speech: “Taking Clinical Trials to the People Who Matter” by Professor Chris Butler
The World Health Assembly Resolution 75.8 on strengthening clinical trials notes “that clinical trials on new health interventions are likely to produce the clearest result when carried out in diverse settings, including all major population groups the intervention is intended to benefit, with a particular focus on under-represented populations,” and calls upon the WHO Director General to encourage member states to increase the capability for trials.
Communities that bear the greatest burden from infectious diseases and thus stand to benefit most from research findings are typically the most socio-economically deprived, the least opportunities to participate in trials. During pandemics and epidemics, timely evidence about the effectiveness of early, community treatments will have considerable reach and impact. Rapidly identifying treatments that reduce illness burden and limit deterioration helps reduce suffering and supports sustainability of health services and society. Finding out what does not work reduces unnecessary exposure to adverse events, reduces waste and exposure to adverse effects, and may enhance antimicrobial stewardship. Findings from efficacy clinical trials and regulatory studies with highly selected participants, and hospital-based investigations among the most severely ill, may not always apply to the early treatment for diverse patients cared for in primary care.
This talk will cover the background, design, implementation, findings, facilitators, and ongoing challenges of conducting large-scale pragmatic platform trials in primary care that may address many of these concerns, and uses the EU Funded ALIC4E, and the UK urgent, national priority PRINCIPLE and PANORAMIC trials as examples. This perspective is rooted in the discipline of primary medical care and draws on experiences of clinical care and conducting trials in both epidemic and pandemic conditions. The innovations described in trial design and implementation are some of the ways in which primary care can rise to the challenges in the World Health Assembly Resolution on strengthening clinical trials.
CUHK Primary Care Research Symposium Programme
Date: | 2 March 2024 (Saturday) |
Time: | 14:00 – 17:00 (HKT) |
Venue: | Kai Chong Tong, G/F School of Public Health Building, Prince of Wales Hospital |
CME: | Approved for CME Accreditation (The Hong Kong College of Family Physicians) |
Time | Programme |
14:00 – 14:10 | Opening Remarks Prof. Samuel WONG Director, The JC School of Public Health and Primary Care, The Chinese University of Hong Kong |
14:10 – 14:45 | Keynote Speech: "Taking Clinical Trials to the People Who Matter” Prof. Chris BUTLER Professor of Primary Care, Nuffield Department of Primary Care Health Science, University of Oxford |
14:45 – 15:10 | “Effectiveness of post-COVID-19 primary care attendance in improving survival in very old patients with multimorbidity: a territory-wide target trial emulation” Dr. Francisco LAI Assistant Professor, Department of Family Medicine & Primary Care, The University of Hong Kong |
15:10 – 15:35 | “Best Trainee Research 2022: Factors affecting prescription of sodium-glucose co-transporter 2 inhibitors in patients with type 2 diabetes mellitus with established cardiovascular disease/chronic kidney disease in Hong Kong: a qualitative study” Dr. Ngai Mui NG Department of Family Medicine and Primary Care, New Territories West Cluster, Hospital Authority |
15:35 – 15:55 | Break |
15:55 – 16:20 | “Evolution of diabetes mellitus care in Hong Kong public primary care setting: changes after 10-year implementation of risk assessment and management program in diabetes mellitus (RAMP-DM)” Dr. Fang Fang JIAO Department of Family Medicine and Primary Care, Kowloon Central Cluster, Hospital Authority |
16:20 – 16:45 | “Home blood pressure during night-time sleep as a better treatment target for patients with hypertension: a proof-of-concept randomized controlled trial” Dr. Eric LEE Associate Professor (Clinical), The JC School of Public Health and Primary Care, The Chinese University of Hong Kong |
16:45 – 17:00 | Closing Remarks |
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