2018
DOI: 10.2147/cia.s185048
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Integrated health care systems in Asia: an urgent necessity

Abstract: A rapidly aging population along with the increasing burden of patients with chronic conditions in Asia requires efficient health systems with integrated care. Although some efforts to integrate primary care and hospital care in Asia are underway, overall care delivery remains fragmented and diverse, eg, in terms of medical electronic record sharing and availability, patient registries, and empowerment of primary health care providers to handle chronic illnesses. The primary care sector requires more robust an… Show more

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Cited by 46 publications
(45 citation statements)
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“…38 As most Asian countries, Indonesia has to deal with health problems of a very large and diverse population with different races, culture, ethnicities, religions, social strata, education and with relatively few resources for integrated community care system. 39 Understanding what is needed for effective implement CBIPE in an Asian context could therefore have potential to improve future health practice. Moreover, healthcare setting in Asian is unique as it is influenced by strong culture of social hierarchy in the community.…”
Section: Introductionmentioning
confidence: 99%
“…38 As most Asian countries, Indonesia has to deal with health problems of a very large and diverse population with different races, culture, ethnicities, religions, social strata, education and with relatively few resources for integrated community care system. 39 Understanding what is needed for effective implement CBIPE in an Asian context could therefore have potential to improve future health practice. Moreover, healthcare setting in Asian is unique as it is influenced by strong culture of social hierarchy in the community.…”
Section: Introductionmentioning
confidence: 99%
“…Despite significant computerisation in practice, there were numerous gaps and challenges in the data life cycle: collection, documentation, storage, management, sharing and use [12,17]. The health information ecosystem is highly fragmented in Australia [18], Asia [19], Canada [20], and USA [21] with poorly defined protocols for information sharing among providers, settings, and jurisdictions. Many data repositories did not meet the basic legal, technical, and organisational principles for sharing data across settings.…”
Section: Resultsmentioning
confidence: 99%
“…This is further complicated by existing models of health systems in LMICs designed for acute health conditions, which are economically unsustainable for the management of chronic diseases. 28,29 Many of the LMICs are not providing basic NCD interventions in primary caredriving patients to private healthcare with heavy out-of-pocket expenses and worsening of poverty. 30 Also, the political, social, environmental, and economic frameworks are generally not structured for health-promoting behaviors in LMICs.…”
Section: Low Prioritization Of Healthcarementioning
confidence: 99%
“…At the UN High-Level Meeting in 2019, 28 NCDs were acknowledged as significant and complex issues that cannot be properly addressed by governments alone. 29 The meeting called for civil societies to play a key role in highlighting NCDs, and voiced the need for public-and private-sector partnerships. 55 Gaps exist when translating scientific knowledge into effective policies with the scientific community and policymakers tending to exist in silos.…”
Section: Need For Intersectoral Partnershipsmentioning
confidence: 99%