Health and health-care systems in southeast Asia: Diversity and transitions

Virasakdi Chongsuvivatwong, Kai Hong Phua, Mui Teng Yap, Nicola S. Pocock, Jamal H. Hashim, Rethy Chhem, Siswanto Agus Wilopo, Alan D. Lopez

    Research output: Contribution to journalArticle

    88 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)429-437
    Number of pages9
    JournalThe Lancet
    Volume377
    Issue number9763
    DOIs
    Publication statusPublished - 29 Jan 2011

    Fingerprint

    Southeastern Asia
    Delivery of Health Care
    Health
    Medical Tourism
    Public Health
    Universal Coverage
    Emerging Communicable Diseases
    Health Manpower
    Geography
    Private Sector
    Population Dynamics
    Politics
    Population
    Health Status
    Health Services
    India
    China
    History
    Economics
    Demography

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Chongsuvivatwong, V., Phua, K. H., Yap, M. T., Pocock, N. S., Hashim, J. H., Chhem, R., ... Lopez, A. D. (2011). Health and health-care systems in southeast Asia: Diversity and transitions. The Lancet, 377(9763), 429-437. https://doi.org/10.1016/S0140-6736(10)61507-3

    Health and health-care systems in southeast Asia : Diversity and transitions. / Chongsuvivatwong, Virasakdi; Phua, Kai Hong; Yap, Mui Teng; Pocock, Nicola S.; Hashim, Jamal H.; Chhem, Rethy; Wilopo, Siswanto Agus; Lopez, Alan D.

    In: The Lancet, Vol. 377, No. 9763, 29.01.2011, p. 429-437.

    Research output: Contribution to journalArticle

    Chongsuvivatwong, V, Phua, KH, Yap, MT, Pocock, NS, Hashim, JH, Chhem, R, Wilopo, SA & Lopez, AD 2011, 'Health and health-care systems in southeast Asia: Diversity and transitions', The Lancet, vol. 377, no. 9763, pp. 429-437. https://doi.org/10.1016/S0140-6736(10)61507-3
    Chongsuvivatwong V, Phua KH, Yap MT, Pocock NS, Hashim JH, Chhem R et al. Health and health-care systems in southeast Asia: Diversity and transitions. The Lancet. 2011 Jan 29;377(9763):429-437. https://doi.org/10.1016/S0140-6736(10)61507-3
    Chongsuvivatwong, Virasakdi ; Phua, Kai Hong ; Yap, Mui Teng ; Pocock, Nicola S. ; Hashim, Jamal H. ; Chhem, Rethy ; Wilopo, Siswanto Agus ; Lopez, Alan D. / Health and health-care systems in southeast Asia : Diversity and transitions. In: The Lancet. 2011 ; Vol. 377, No. 9763. pp. 429-437.
    @article{8dd771d5f82d4042bb4ba0bdb393dea0,
    title = "Health and health-care systems in southeast Asia: Diversity and transitions",
    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.",
    author = "Virasakdi Chongsuvivatwong and Phua, {Kai Hong} and Yap, {Mui Teng} and Pocock, {Nicola S.} and Hashim, {Jamal H.} and Rethy Chhem and Wilopo, {Siswanto Agus} and Lopez, {Alan D.}",
    year = "2011",
    month = "1",
    day = "29",
    doi = "10.1016/S0140-6736(10)61507-3",
    language = "English",
    volume = "377",
    pages = "429--437",
    journal = "The Lancet",
    issn = "0140-6736",
    publisher = "Elsevier Limited",
    number = "9763",

    }

    TY - JOUR

    T1 - Health and health-care systems in southeast Asia

    T2 - Diversity and transitions

    AU - Chongsuvivatwong, Virasakdi

    AU - Phua, Kai Hong

    AU - Yap, Mui Teng

    AU - Pocock, Nicola S.

    AU - Hashim, Jamal H.

    AU - Chhem, Rethy

    AU - Wilopo, Siswanto Agus

    AU - Lopez, Alan D.

    PY - 2011/1/29

    Y1 - 2011/1/29

    N2 - 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.

    AB - 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.

    UR - http://www.scopus.com/inward/record.url?scp=79251619229&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=79251619229&partnerID=8YFLogxK

    U2 - 10.1016/S0140-6736(10)61507-3

    DO - 10.1016/S0140-6736(10)61507-3

    M3 - Article

    C2 - 21269685

    AN - SCOPUS:79251619229

    VL - 377

    SP - 429

    EP - 437

    JO - The Lancet

    JF - The Lancet

    SN - 0140-6736

    IS - 9763

    ER -