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Increasing budget constraints, the introduction of new clinical protocols and technologies, and changing community needs and expectations are changing Hong Kong’s health care system. These unprecedented changes are creating powerful and urgent needs for many of Hong Kong’s hospitals to explore alternative approaches to designing and managing their hospital environments. The paper starts by reviewing these changing conditions and then suggests that hospital facilities management professionals must think and act anew. The paper concludes that hospital administrators at the Pamela Youde Nethersole Eastern Hospital in Hong Kong are responding to these corporate challenges by developing a facilities management support response.

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