Health and Health-care Systems in Southeast Asia: Diversity and Transitions

Chongsuvivatwong, Virasakdi, Hong Phua, Kai, Yap, Mui Teng, Pocock, Nicola S., Hashim, Jamal H., Chhem, Rethy, Wilopo, Siswanto A. and Lopez, Alan D., (2011). Health and Health-care Systems in Southeast Asia: Diversity and Transitions. Public Health, 377(9763), 429-437

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  • Sub-type Journal article
    Author Chongsuvivatwong, Virasakdi
    Hong Phua, Kai
    Yap, Mui Teng
    Pocock, Nicola S.
    Hashim, Jamal H.
    Chhem, Rethy
    Wilopo, Siswanto A.
    Lopez, Alan D.
    Title Health and Health-care Systems in Southeast Asia: Diversity and Transitions
    Appearing in Public Health
    Volume 377
    Issue No. 9763
    Publication Date 2011-01-25
    Place of Publication n/a
    Publisher Elsevier
    Start page 429
    End page 437
    Language English
    Abstract Southeast Asia is a region of enormous social, economic, and political diversity, both across and within countries, shaped by its history, geography, and position as a major crossroad of trade and the movement of goods and services. These factors have not only contributed to the disparate health status of the region's diverse populations, but also to the diverse nature of its health systems, which are at varying stages of evolution. Rapid but inequitable socioeconomic development, coupled with differing rates of demographic and epidemiological transitions, have accentuated health disparities and posed great public health challenges for national health systems, particularly the control of emerging infectious diseases and the rise of non-communicable diseases within ageing populations. While novel forms of health care are evolving in the region, such as corporatised public health-care systems (government owned, but operating according to corporate principles and with private-sector participation) and financing mechanisms to achieve universal coverage, there are key lessons for health reforms and decentralisation. New challenges have emerged with rising trade in health services, migration of the health workforce, and medical tourism. Juxtaposed between the emerging giant economies of China and India, countries of the region are attempting to forge a common regional identity, despite their diversity, to seek mutually acceptable and effective solutions to key regional health challenges. In this first paper in the Lancet Series on health in southeast Asia, we present an overview of key demographic and epidemiological changes in the region, explore challenges facing health systems, and draw attention to the potential for regional collaboration in health.
    Copyright Holder Elsevier
    Copyright Year 2011
    Copyright type All rights reserved
    DOI 10.1016/S0140-6736(10)61507-3
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    Created: Wed, 11 Jun 2014, 16:20:06 JST