Health and health-care systems in Southeast Asia: diversity and transitions

Chongsuvivatwong, Virasakdi, Phua, Kong Hai, Yap, Mui Teng, Pocock, Nicola S., Hashim, Jamal H., Chhem, Rethy, Wilopo, Siswanto Agus and Lopez, Alan D. (2011) Health and health-care systems in Southeast Asia: diversity and transitions. Lancet, 377 9763: 429-437. doi:10.1016/S0140-6736(10)61507-3

Author Chongsuvivatwong, Virasakdi
Phua, Kong Hai
Yap, Mui Teng
Pocock, Nicola S.
Hashim, Jamal H.
Chhem, Rethy
Wilopo, Siswanto Agus
Lopez, Alan D.
Title Health and health-care systems in Southeast Asia: diversity and transitions
Journal name Lancet   Check publisher's open access policy
ISSN 0140-6736
Publication date 2011-01
Year available 2011
Sub-type Article (original research)
DOI 10.1016/S0140-6736(10)61507-3
Volume 377
Issue 9763
Start page 429
End page 437
Total pages 9
Place of publication London, United Kingdom
Publisher The Lancet Publishing Group
Collection year 2012
Language eng
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 diff ering 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 fi nancing echanisms 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 eff ective solutions to key regional health challenges. In this fi rst 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.
Keyword Economic-crisis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 25 January 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
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Created: Sun, 27 Feb 2011, 00:05:10 EST