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钟一诺教授

Prof. Roger Yat-nork CHUNG

BA (Johns Hopkins), MHS (Johns Hopkins), PhD (HKU)

助理教授

电邮: rychung@cuhk.edu.hk

 

ORCID: 0000-0003-4407-8208

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学术委任

  • 香港中文大学大健康公平研究所副主任

  • 香港中文大学老年学研究中心助理教授(礼聘)

  • 美国国家医学科学院(NAM)国际卫生政策研究员

个人简介

钟教授于2011年加入香港中文大学公共卫生及基层医疗学院, 他利用生物医学伦理和公平的视角进行研究，专注于对健康不平等的社会决定因素(包括贫困和健康、移民的健康、罕见病患者的健康)以及与老龄化有关的多病症和长期/临终关怀问题进行实证调查，并利用这些证据为国内外的卫生服务和政策提供证据和信息。

 

钟教授是香港中文大学健康公平研究所的创办副主任，该研究所于2020年1月成立，由Michael Marmot教授、杨永强教授和胡令芳教授共同担任主管。同时，他也是卫生系统和政策研究中心及移民和流动研究中心的创始成员、卫生系统和政策研究中心及生活质量中心的执行委员以及老年学研究中心的助理教授（礼聘）。

 

在国际上，钟教授是世界大学网络(WUN)公共卫生全球挑战指导小组副主席，为全球23所国际研究型大学在公共卫生方面的研究和合作指引方向。2018年9月，钟博士被美国著名的美国国家医学院(NAM)选为其国际卫生政策研究员，在影响健康长寿的社会决定因素这方面进行研究。此外，他还曾在香港政府多个官方咨询委员会任职，涉及食物及卫生局的香港医疗卫生总开支账目和主题性住户统计调查。他亦参与了两个政府委托的，分别是关于老年人/临终关怀和医疗资源分配工作的项目。另外，他还是一项医院管理局医疗援助计划的顾问研究的首席研究员，同时也是香港罕有疾病的委任研究员。钟教授的研究还曾被中大通讯（11月第507期）用作封面故事。钟教授亦曾发表多篇文章，其中包括70多篇高影响力期刊的学术文章、书籍章节及顾问报告

 

此外，钟教授还积极参与大学、学院、系所、校级服务以及具有相当影响力的对外社会服务--他是香港生死学协会的副主席，该协会是一家整合了众多年轻专业人员的专业知识及理念，致力于创新香港的生命及死亡教育、预先护理规划、长期护理和善后安排的社会企业；他亦还是香港唯一的"生命及死亡教育 "电台节目的联合主持人。在学术领域外，他还是一位屡获殊荣的著名录音师/制作人。

 

钟教授于2005年取得美国约翰霍普金斯大学公共卫生学士学位及约翰霍普金斯彭博公共卫生学院卫生科学硕士学位，并于2011年取得香港大学公共卫生学院哲学博士学位，其博士研究课题为社会经济发展对人口健康的影响，此研究还获得了香港社区医学学院颁发的Presidential Award for Best Oral Presentation。

研究方向

  • 健康公平和社会流行病学：

    • 健康的社会决定因素

    • 社会排斥和弱势群体(贫穷和贫困、社会经济差距和健康梯度、移民/少数民族、性别、严重疾病和慢性疾病患者----罕见病患者、绝症患者)

    • 公共卫生的伦理和公平

  • 与老龄化有关的研究：

    • 临终和长期护理

    • 多病症

近期获资助研究项目

  • Research Grants Council (RGC) General Research Fund (GRF):

    • Individual-level Income Poverty and Deprivation as Predictors of Health. A Longitudinal Cohort Study in Hong Kong, $1,156,984

    • Employment Conditions and Health among Female Foreign Domestic Workers in Hong Kong. A Cross-sectional Quantitative Survey, $889,984

  • Social Innovation and Entrepreneurship Development (SIE) Fund Task Force and CUHK Committee on Knowledge Transfer (KTC):

    • ​​A Concept Musical Drama on End-of-Life Care and Death Attitudes in Hong Kong, $400,000

  • Other grants:

    • The Institute of Health Equity (IHE) at CUHK in Collaboration with University College London Institute of Health Equity, 01/01/2020-31/12/2024, $29,968

    • Health Needs, Treatment Access and Quality of Life among Rare Disease Patients and Their Caregivers, $360,000

    • Provision of Consultancy Service on Means Test of Samaritan Fund and Community Care Fund Medical Assistance Programmes, $1,480,000

部份学术文章

(* = corresponding author)​

 

Poverty, deprivation and socioeconomic disparity

  1. Chung RY*, Chung GK, Gordon D, Mak JK, Zhang LF, Chan D, Lai FTT, Wong H, Wong SY. Housingaffordability effects on physical and mental health: household survey in a population with the world's greatest housing affordability stress. J Epidemiol Community Health. 2019 Nov 5.

  2. Chung GK, Lai FT, Yeoh EK, Chung RY*. Educational inequality in physician‐diagnosed hypertension widened and persisted among women from 1999 to 2014 in Hong Kong. Scientific reports. 2019 Oct 7;9(1):1‐7

  3. Chung RY*, Chan DCC, Chau NN, Huang S, Wong H, Wong SY. Poverty affects access to regular source of primary care among the general population in Hong Kong. Social Policy and Administration. 2019; 1– 18 (2018 JCR Social Science Edition: IF = 1.269; Ranking = 26/42 in Social Issues)

  4. Wong SY, Chung RY, Chan D, Chung GK, Li J, Mak D, Lau M, Tang V, Gordon D, Wong H. What are the financial barriers to medical care among the poor, the sick and the disabled in the Special Administrative Region of China? PLoS One. 2018 Nov 14;13(11):e0205794.

  5. Chung GK, Chung RY*, Chan DC, Lai FT, Wong H, Lau MK, Wong SY, Yeoh EK. The independent role of deprivation in abdominal obesity beyond income poverty. A population‐based household survey in Chinese adults. J Public Health (Oxf). 2018 Sep 12.

  6. Chung RY*, Lai FTT, Chung GKK, Yip BHK, Wong SYS, Yeoh EK. Socioeconomic disparity in mortality risks widened across generations during rapid economic development in Hong Kong: an ageperiod‐ cohort analysis from 1976 to 2010. Ann Epidemiol. 2018 Jun 13 (published online).

  7. Chung RY*, Gordon D, Wong SYS, Chan D, Chung KK, Lau M, Tang V, Wong H. Deprivation is associated with Worse Physical and Mental Health beyond Income Poverty. A Population‐based Household Survey among Chinese Adults. Qual Life Res. 2018 May 14.

  8. Wu HF, Tam T, Jin L, Lao XQ, Chung RY, Su XF, Zee B. Age, gender, and socioeconomic gradients in metabolic syndrome: biomarker evidence from a large sample in Taiwan, 2005‐2013. Ann Epidemiol. 2017 May;27(5):315‐322.e2.

  9. Lao XQ, Ma W, Chung RY, Zhang Y, Xu Y, Xu X, Nie S, Cai Q, Xia L, Su X, Jin L, Tam T, Zee BC. The diminishing socioeconomic disparity in obesity in a Chinese population with rapid economic development: analysis of serial cross‐sectional health survey data 2002‐2010. BMC Public Health. 2015 Dec 23;15(1):1282.

  10. Chung RY*, Wong SYS. Health inequality in Hong Kong. China Review‐An Interdisciplinary Journal
    on Greater China     2015;15(2):91‐118.

  11. Chung RY, Mercer S, Lai FT, Yip BH, Wong MC, Wong SY. Socioeconomic Determinants of Multimorbidity: A Population‐Based Household Survey of Hong Kong Chinese. PLoS One. 2015 Oct 9;10(10):e0140040.

  12. Li H, Wei X, Ma A, Chung RY*. Inequalities in Health Status among Rural Residents: EQ‐5D Findings from Household Survey China. International Journal for Equity in Health. 2014;13:41

  13. Wong CM, Ou CQ, Chan KP, Chau YK, Thach TQ, Yang L, Chung RY, Thomas GN, Peiris JSM, Wong TW, Hedley AJ, Lam TH. The effects of air pollution on mortality in socially deprived urban areas in Hong Kong, China. Environ Health Persp. 2008;116(9):1189‐1194.

  14. Ou CQ, Hedley AJ, Chung RY, Thach TQ, Chau YK, Chan KP, Yang L, Ho SY, Wong CM, Lam TH. Socioeconomic disparities in air pollution‐associated mortality. Environ Res. 2008;107(2):237‐244.

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​Migrants’ health

  1. Griffiths SM, Dong D, Chung RY. Forgotten needs of children left behind by migration. Lancet. 2018 Dec 15;392(10164):2518‐2519.

  2. Cheung JTK, Tsoi VWY, Wong KHK, Chung RY. Abuse and depression among Filipino foreign domestic helpers. A cross‐sectional survey in Hong Kong. Public Health. 2018 Nov 23;166:121‐127.

  3. Chung RY, Griffiths SM. Migration and health in the world: a global public health perspective. Public Health. 2018 May;158:64‐65.

  4. Diaz E, Ortiz‐Barreda G, Ben‐Shlomo Y, Holdsworth M, Salami B, Rammohan A, Chung RY, Padmadas SS, Krafft T. Interventions to improve immigrant health. A scoping review. Eur J Public Health. 2017 Jun 1;27(3):433‐439.

  5. Li H, Chung RY*, Wei X, Mou J, Wong SY, Wong MC, Zhang D, Zhang Y, Griffiths S. Comparison of perceived quality amongst migrant and local patients using primary health care delivered by community health centres in Shenzhen, China. BMC Fam Pract. 2014 Apr 29;15(1):76.

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​Aging and people with serious and chronic illness

  1. Lai FTT, Guthrie B, Wong SYS, Yip BHK, Chung GKK, Yeoh, EK, Chung RY*. Sex‐specific intergenerational trends in morbidity burden and multimorbidity status in Hong Kong community: an age‐period‐cohort analysis of repeated population surveys. BMJ Open. 2019 Jan 25;9.​

  2. Lai FTT, Wong SYS, Yip BHK, Guthrie B, Mercer SW, Chung RY, Chung GKK, Chau PYK, Wong ELY, Woo J, Yeoh EK. Multimorbidity in middle age predicts more subsequent hospital admissions than in older age: A nine‐year retrospective cohort study of 121,188 discharged in‐patients. Eur J Intern Med. 2018 Dec 20.

  3. Yeoh EK, Wong MCS, Wong ELY, Yam C, Poon CM, Chung RY, Chong M, Fang Y, Wang HHX, Liang M, Cheung WWL, Chan CH, Zee B, Coats AJS. Benefits and limitations of implementing Chronic Care Model (CCM) in primary care programs: A systematic review. Int J Cardiol. 2018 May 1;258:279‐288.

  4. Lau JY, Wong EL, Chung RY, Law SCK, Threapleton D, Kiang N, Chau P, Wong SYS, Woo J, Yeoh EK. Collaborate across silos: Perceived barriers to integration of care for the elderly from the perspectives of service providers. Int J Health Plann Manage. 2018 Apr 27.

  5. Threapleton DE, Chung RY, Wong SYS, Wong ELY, Kiang N, Chau PYK, Woo J, Chung VCH, Yeoh EK. Care Toward the End of Life in Older Populations and Its Implementation Facilitators and Barriers: A Scoping Review. J Am Med Dir Assoc. 2017 Dec 1;18(12):1000‐1009.e4.

  6. Wong SY, Zou D, Chung RY, Sit RW, Zhang D, Chan D, Yeoh EK, Woo JW. Regular Source of Care for the Elderly: A Cross‐National Comparative Study of Hong Kong With 11 Developed Countries. J Am Med Dir Assoc. 2017 Sep 1;18(9):807.e1‐807.e8.

  7. Threapleton DE, Chung RY, Wong SYS, Wong E, Chau P, Woo J, Chung VCH, Yeoh EK. Integrated care for older populations and its implementation facilitators and barriers: A rapid scoping review. Int J Qual Health Care. 2017 Jun 1;29(3):327‐334.

  8. Chung RY*, Wong EL, Kiang N, Chau PY, Lau JYC, Wong SY, Yeoh EK, Woo JW. Knowledge, Attitudes, and Preferences of Advance Decisions, End‐of‐Life Care, and Place of Care and Death in Hong Kong. A Population‐Based Telephone Survey of 1067 Adults. J Am Med Dir Assoc. 2017 Apr 1;18(4):367.e19‐367.e27.

  9. Chung RY, Mercer SW, Yip BHK, Chan SWC, Lai FTT, Wang HHX, Wong MCS, Wong CKM, Sit RWS, Yeoh EK, Wong SYS. The association between types of regular primary care and hospitalization among people with and without multimorbidity. A household survey on 25,780 Chinese. Scientific Reports. 2016 Jul 20;6:29758.

  10. Woo J, Chan YLH, Chong AMl, Zou M, Chung RY, Kwok CYT. Medical Ethical Principles May Drive Improvement of Quality of Dying in Hong Kong. Journal of Palliative Care & Medicine 2015;5(5):227‐232.

  11. Wong MC, Liu J, Zhou S, Li S, Su X, Wang HH, Chung RY, Yip BH, Wong SY, Lau JT. The association between multimorbidity and poor adherence to cardiovascular medications. Int J Cardiol. 2014 Dec 15;177(2):477‐82.

  12. Chung RY, Tin KYK, Cowling BJ, Chan KP, Chan WM, Lo SV, Leung GM. Long‐term care cost drivers and expenditure projection to 2036 in Hong Kong. BMC Health Serv Res. 2009 Sep 24;9:172.

 

​Miscellaneous – Social and lifecourse epidemiology

  1. Chung RY*, Tsoi KKF, Kyaw MH, Lui AR, Lai FTT, Sung JJ. A population‐based age‐period‐cohort study of colorectal cancer incidence comparing Asia against the West. Cancer Epidemiology. 2019 Jan 16;59:29‐36.

  2. Chung RY, Yip BH, Chan SS, Wong SY. Cohort effects of suicide mortality are sex specific in the rapidly developed Hong Kong Chinese population, 1976‐2010. Depress Anxiety. 2015 Sep 28.

  3. Chung RY, Chan D, Woo J, Kwok T, Leung JC, Lai FT, Wong SY. Erectile Dysfunction is Associated with Subsequent Cardiovascular and Respiratory Mortality in Cohort of 1,436 Chinese Elderly Men. J Sex Med. 2015 Jul;12(7):1568‐76.

  4. Chung RY, Leung JCS, Chan DCC, Woo J, Wong CKM, Wong SYS. Lower Urinary Tract Symptoms (LUTS) as a Risk Factor for Depressive Symptoms in Elderly Men: Results from a Large Prospective Study in Southern Chinese Men. PLoS One. 2013 Sep 30.

  5. Chung RY, Leung GM, Cowling BJ, Schooling CM. Patterns of and hypotheses for infection‐related cancers in a Chinese population with rapid economic development. Epidemiol Infect. 2012 Oct;140(10):1904‐19.

  6. Chung RY, Schooling CM, Cowling BJ, Leung GM. How does socioeconomic development affect risk of mortality? An age‐period‐cohort analysis from a recently transitioned population in China. Am J Epidemiol. 2010 Feb 1;171(3):345‐56.

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Book Chapters

  1. Chung RY, Yeoh EK. “Chapter 3 – Policy Directions for End‐of‐Life Care in Hong Kong.” Innovation Impact. The Foundation of Community‐Based End‐of‐life Care in Hong Kong ed. by Chan IKN, Fong CHC, Wong EY, Lou VWQ and Chan CLW. JCECC; 2019.

  2. Chung RY. “Silent Teachers – The Life and Death Education Behind Body Donation” [無言老師‐‐遺體捐贈背後的生死教育課] (eds. Chan SO, Ng P) Ming Pao Press [明報出版社] July 2018.

  3. Chung RY, Wong SYS. "Health Inequality in Hong Kong". Poverty in a Rich Society ed. by Maggie KW Lau, David Gordon. Hong Kong: CUHK Press, 2017.

  4. Chung RY and Kim JH. "Epidemiology: from Observation to Public Health Action". Routledge Handbook of Global Public Health in Asia ed. by Griffiths SM, Tang JL and Yeoh EK. pp.118–132. Routledge, London and New York; 2014.

Last Updated: 22 July 2020