CityU 1001-PPR20051
Assessment of Suitability of Existing Air
Quality Objectives (AQO) and Air Pollution
Index (API) used in Hong Kong
PI: Dr LU, Jane Weizhen
Urban air quality has significant impact
on residents and city image, especially
to metropolitan city like Hong Kong, which
is characterized of the highest population
density and shortage of land resource. The
appropriate air pollution indexes (APIs)
and air quality objective (AQOs) guideline
can provide useful information for various
parties for further prevention and action.
The study on the rationale of existing APIs
and AQOs can establish solid base and provide
reliable suggestions to the operation and
control of these criterions. The study can
also help policy maker to justify and revise
relevant regulations in due.
CUHK 4004-PPR20051
Cost-Effectiveness Analysis of an Acute Pain Service
PI: Prof Anna Lee
Acute pain after surgery is common and
unpleasant despite improvements in the treatment
of postoperative pain. Pain after surgery
can impede recovery and interfere with the
patient's quality of life, leading to loss
productivity and income. Acute Pain Services
have received widespread acceptance and
formal support from health professionals
because it provides specialized and effective
pain management techniques. However, little
is known about the economic and clinical
benefits associated with Acute Pain Service.
We conducted a randomized controlled trial
of 422 patients to compare the costs and
effects of Acute Pain Service versus the
conventional pain management on the ward.
Despite lower pain scores at rest, less
interference with daily activities due to
pain and better effective pain treatment
in the Acute Pain Service group, the quality
of recovery was similar between the two
groups. The Acute Pain Service was more
expensive (HK$354 per patient) than the
usual treatment on the ward; this was mainly
due to staff costs. Of the 60% of patients
who were willing to pay for Acute Pain Service
care, the average amount was HK$100. We
conclude that the Acute Pain Service was
marginally cost-effective.
CUHK 4008-PPR20051
Siting Locally Unwanted Land Uses: In your
Backyard or in mine?
PI: Prof. Lam, Kin Che
This is the first systematic attempt to understand why LULU conflicts arise in Hong Kong and how they can possibly be managed. Our four social surveys and several focus group discussions have shown that there is considerable frustration among those who plan/site LULU facilities and a lot of resentment in host communities. The current rational and scientific approach to search for "optimal" sites does not address the concern of the local people who view LULUs as social and equity issues. The public have very low level of trust towards the government, the legislature and local council who either make decisions or who are consulted on the matter. Yet the government has relied heavily on planning/environmental consultants to make recommendations and one the planning and EIA processes to legitimize their decisions. To minimize conflicts, it is imperative to shift from the technocratic emphasis to one which is people-centered, participatory and benefit-sharing oriented. The survey findings do not indicate compensation as a preferred option and we have outlined a number of recommendations including incorporation of a "strategic" dimension in LULU planning, adoption of an integrative package in promoting LULU projects, the re-building of trust, and the offer of incentives or community betterment as the last resort.
CUHK 4014-PPR20051
Impacts of the Community Work Experience
and Training Programme on Welfare Recipients
PI: Prof. Tang, Kwong-leung
The research project addresses uncertainty
about the relative effectiveness of the
Enhanced Community Work Program (ECW), conventional
Community Work Program (CW), and Intensive
Employment Assistance Project (IEAP) for
facilitating welfare recipients' transition
from welfare to work. Such effectiveness
concerns the contributions of participation
in the program on work commitment, economic
self-reliance, desire to leave welfare,
job seeking, getting a job, earning and
saving money form the jobs, and desire to
stay in employment. The project thereby
collected 1,827 cases from a pair of baseline
and one-year follow-up surveys involving
participants in the programs. Results show
that participation in the ECW generated
an advantage in the increase in work commitment
over participation in the CW. However, the
ECW manifested disadvantages in facilitating
employment and its benefits, compared with
the IEAP. These advantage and disadvantages
did not appear to be attributable to training
and job attachment arranged by the program,
as training and job attachment did not contribute
to transition form welfare to work. Besides,
the ECW was more effective for welfare recipients
who had had shorter duration in welfare
reception and employment and longer duration
in unemployment. Nevertheless, training
and job attachment in the ECW were less
effective than those in the IEAP.
CUHK 4016-PPR20051
Who gets Ahead (or Stays Behind): Life Chances and Social Mobility in Hong Kong
PI: Prof Tai-lok Lui
Contrary to the popular depiction of the
arrival of a 'downwardly mobile society'
or an 'M-form society', the findings of
this research suggest that Hong Kong is
still a rather open society with plenty
of opportunities for those coming from humble
origins to climb up the social ladder. The
suggestions of a significant reduction in
mobility opportunity and the disappearance
of the middle class are not supported by
the findings of this research. Equally important
is that education continues to play a critical
role in determining one's success in social
mobility. In this regard, Hong Kong is still
a meritocratic society, allowing talents
of different family backgrounds to attain
their personal success by achievement in
the education system. However, that said,
it is observed that recent changes in Hong
Kong's economy, particularly its integration
with Mainland China, have created divisions
within the social structure. Survey findings
suggest that those who work in the public
or non-profit sector do not believe economic
integration will offer them significant
benefits. Hong Kong people's subjective
perceptions of social, economic and political
changes since 1997 are shaped by their positions
in the social structure.
HKUST 6003-PPR20051
Social Inequality and Mobility in Hong Kong,
A Benchmark Study
PI: Associate Prof. Wu, Xiaogang
The project has collected large-scale,
citywide representative probability survey
data to study social stratification and
mobility in Hong Kong (N=4013). Questions
are grouped into five modules: a) personal
information; b) job and career; c) family
and life condition; d) socioeconomic status
and perception; e) social identity and political
participation. The PI and his team member
have used the data to empirically and analyze
the social process on how inequalities are
generated and maintained across generations,
focusing on the roles of family background
and education. Several papers have been
accepted for publication and a few others
are ongoing. The data are to available for
use by other scholars and policy researchers
and more questions can be addressed with
the rich information in the data set.
HKUST 6004-PPR20051
Hybrid vehicles and hydrogen economy as the interim and long-term solutions to Hong Kong's energy usage
PI: Prof Ming Fang
The PI departed the University and Hong Kong in July 2006 and the project was terminated.
HKU 7004-PPR20051
Integration of new immigrants in Hong Kong: a longitudinal investigation
PI: Dr Kee Lee Chou
As a result of the low fertility rate, new immigrants, especially those coming from the Mainland, will continue to be the single most important source for population growth in Hong Kong. However, there is considerable doubt about how these new immigrants are integrated into the Hong Kong's society as the latter is turning into a knowledge-based economy, with an employment structure emphasizing education and skills. Our findings indicate that education and working experiences strongly affect how new arrivals integrated the job market in Hong Kong and the Government must provide employment-related supportive services to them so that they could economically integrate in a faster pace. Our results also show that the first six months in Hong Kong, it is the mist difficult period for psychological well-being of new arrivals and one quarter of them are clinically depressed. However, we have found that better preparation for immigration and social support they received in Hong Kong could help them overcome this difficult period of time. Therefore, we urge the Government to provide formal services to the new arrivals during their visits in Hong Kong before they officially migrate to Hong Kong so that they could have a better preparation for their immigration.
HKU 7006-PPR20051
Cost and clinical effectiveness of the Hong
Kong scoliosis screening programme
PI: Dr Fong, DYT
For the first time, this research project assessed the cost and clinical effectiveness of the Hong Kong scoliosis screening programme since its establishment in 1995. Moreover, the epidemiology of patients suffering from idiopathic scoliosis was also examined.
Based on a group of students, the largest worldwide, who participated in the Hong Kong scoliosis screening programme, we concluded the programme is cost and clinically effective, Specifically, it outperforms protocols established in other countries and identified at least 80% of patients who required clinical follow-up or treatment. Indeed, this is currently the first study that supports school scoliosis screening with good evidence. Moreover, the screening protocol in Hong Kong may become a model for other countries, especially for the Chinese population. Besides, how the progression of patients suffering from adolescent idiopathic scoliosis is associated with age, gender, and growth rate were examined. These findings add important information to the literature, international organizations with special interest in adolescent idiopathic scoliosis, and health authorities.
This project has also successfully built
up a multi-disciplinary team, including
orthopaedists, policy makers and statisticians,
for future research in this field. A feasibility
study for an innovative research project
on bracing for patients with spinal deformity
has been granted.
HKU 7011-PPR20051
Horizontal equity in health care utilization
in Hong Kong
PI: Prof. Gabriel M. Leung
We also examined the distributional characteristics
of Hong Kong's mixed public-private health
system to identify the net redistribution
achieved through public spending on health
care, compared the income-related inequality
and inequity of public and private care,
and measured horizontal inequity in health
care delivery overall. Payments for public
care are highly concentrated on the better-off
while benefits are pro-poor. As a consequence,
public health care effects significant net
redistribution from the rich to the poor.
Public care is skewed towards the poor in
part because of allocation according to
need but also because the rich opt out of
the public sector and consume most of the
private care. Overall, there is horizontal
inequity favouring the rich in general outpatient
care and (very marginally) inpatient care.
Pro-rich bias in the distribution of private
care outweighs the pro-poor bias of public
care. A lesser role for private finance
may improve horizontal equity of utilization
but would also reduce the degree of net
redistribution through the public sector.
HKU 7012-PPR20051
Innovative planning tools for urban renewal
in Hong Kong
PI: Associate Prof. Li Ling Hin
In this Public Policy Research project, we set out to examine two new concepts (at least in the context of Hong Kong) of urban land redevelopment. Transfer of Development Rights initiated from America with an objective of conserving farming while demands for development are directed to designated locations. The mechanism has over the years been developed into conservation of historic buildings as well as in the urban cities. The concept is not completely new in Hong Kong but implementation requires a new management model of bureaucratic structure which we have outlined above. In Hong Kong, we expect the model to be more useful in the conversation of historic buildings, which is now a popular trend in urban politics, than in directing development.
On the other hand, Land Readjustment is not a new concept as partnership is always an objective in out urban renewal strategy. However, partnership in the whole redevelopment process brings out new thoughts that may sound appealing to local residents who can expect to share the overall result of urban renewal at a cost of temporary rehousing. To the developer, the benefits come from minimal site assembly problem while delivering their corporate responsibility to the society. It seems to be a win-win solution to most of our urban renewal problems.
Nevertheless, we need to emphasize here
that the two alternatives provide positive
outputs only when certain conditions are
met. These two concepts are never meant
to be antidote for ALL urban land use problems
we all face. Implementation of these models
needs substantial government effort in educating
the public and to a certain extent making
political compromises. We see potential
benefits to a certain extent making political
compromises. We see potential benefits to
the society as a whole in seriously considering
incorporating these models into out land
use systems in Hong Kong and if realized,
these new concepts may act as catalysts
to further refine and revolutionise our
current land use mechanism
HKU 7023-PPR20051
Forfeiture of crime tainted property in
Hong Kong
PI: Associate Prof. Simon NM Young
Corruption, fraud and other profit-motivated crimes remain a problem in Hong Kong. The policy of pursuing the profits of crime can be highly effective in deterring and disrupting criminal enterprises. The Hong Kong government can and should do much more to prevent criminal property (i.e. property obtained by crime or used to commit crimes) from being used to commit further crimes. Hong Kong has fallen below international standards in this policy area. The laws for confiscating criminal property that were enacted in 1989 and 1994 are complex, riddled with anomalies, and have inherent limitations that prevent law enforcement from fulfilling the aim of total confiscation.
Both legal and institutional reforms are
needed. The existing laws should be unified
to remove anomalies, fill gaps and strengthen
measures. A system of non-conviction based
civil forfeiture should be introduced as
a parallel measure. Cooperation arrangements
with our neighbours within China should
be formalized. There needs to be a special
fund made up of confiscated assets. Better
training and more resources for enforcement
are essential. More co-ordination between
agencies including the establishment of
a specialized asset recovery unit is an
international best practice that should
be adopted in Hong Kong.