About: Progress toward universal health coverage in ASEAN

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Progress toward universal health coverage in ASEAN
Creator	Chaiyakunapruk, Nathorn Chhorvann, Chhea Hanvoravongchai, Piya Lim, Jeremy Ng, Nawi Phaholyothin, Natalie Phonvisay, Alay Sychareun, Vanphanom Duc, Ha Iii, Kyaw, Min Lucero-Prisno, Eliseo Pocock, Nicola Soe, Van, Hoang
Source	Medline; PMC
abstract	BACKGROUND: The Association of Southeast Asian Nations (ASEAN) is characterized by much diversity in terms of geography, society, economic development, and health outcomes. The health systems as well as healthcare structure and provisions vary considerably. Consequently, the progress toward Universal Health Coverage (UHC) in these countries also varies. This paper aims to describe the progress toward UHC in the ASEAN countries and discuss how regional integration could influence UHC. DESIGN: Data reported in this paper were obtained from published literature, reports, and gray literature available in the ASEAN countries. We used both online and manual search methods to gather the information and ‘snowball’ further data. RESULTS: We found that, in general, ASEAN countries have made good progress toward UHC, partly due to relatively sustained political commitments to endorse UHC in these countries. However, all the countries in ASEAN are facing several common barriers to achieving UHC, namely 1) financial constraints, including low levels of overall and government spending on health; 2) supply side constraints, including inadequate numbers and densities of health workers; and 3) the ongoing epidemiological transition at different stages characterized by increasing burdens of non-communicable diseases, persisting infectious diseases, and reemergence of potentially pandemic infectious diseases. The ASEAN Economic Community's (AEC) goal of regional economic integration and a single market by 2015 presents both opportunities and challenges for UHC. Healthcare services have become more available but health and healthcare inequities will likely worsen as better-off citizens of member states might receive more benefits from the liberalization of trade policy in health, either via regional outmigration of health workers or intra-country health worker movement toward private hospitals, which tend to be located in urban areas. For ASEAN countries, UHC should be explicitly considered to mitigate deleterious effects of economic integration. Political commitments to safeguard health budgets and increase health spending will be necessary given liberalization's risks to health equity as well as migration and population aging which will increase demand on health systems. There is potential to organize select health services regionally to improve further efficiency. CONCLUSIONS: We believe that ASEAN has significant potential to become a force for better health in the region. We hope that all ASEAN citizens can enjoy higher health and safety standards, comprehensive social protection, and improved health status. We believe economic and other integration efforts can further these aspirations.
has issue date	2014-12-03(xsd:dateTime)
bibo:doi	10.3402/gha.v7.25856
bibo:pmid	25476931
has license	cc-by
sha1sum (hex)	88f1de42ca135e68ca9aa6a10081091fc4443028
schema:url	https://doi.org/10.3402/gha.v7.25856
resource representing a document's title	Progress toward universal health coverage in ASEAN
has PubMed Central identifier	PMC4256544
has PubMed identifier	25476931
schema:publication	Glob Health Action
resource representing a document's body	covid:88f1de42ca135e68ca9aa6a10081091fc4443028#body_text
is schema:about of	named entity 'liberalization' named entity 'higher' named entity 'health' named entity 'influence' named entity 'levels' named entity 'infectious diseases' named entity 'efficiency' named entity 'mitigate' named entity 'services' named entity 'universal health coverage' named entity 'REPORTS' named entity 'SELECT' named entity 'FINANCIAL' named entity 'HEALTH SYSTEMS' named entity 'INCREASING' named entity 'OBTAINED' named entity 'GRAY LITERATURE' named entity 'UNIVERSAL' named entity 'COVERAGE' named entity 'UNIVERSAL' named entity 'TEND' named entity 'MANUAL' named entity 'EFFICIENCY' named entity 'RECEIVE' named entity 'BETTER' named entity 'HEALTH' named entity 'PROGRESS' named entity 'HEALTH' named entity 'MUCH' named entity 'TO DESCRIBE' named entity 'INFECTIOUS DISEASES' named entity 'COUNTRY' named entity 'PRIVATE HOSPITALS' named entity 'AVAILABLE' named entity 'GOOD' named entity 'RESULTS' named entity 'GIVEN' named entity 'STAGES' named entity 'TRANSITION' named entity 'GOAL' named entity 'EITHER' named entity 'THESE' named entity 'HEALTHCARE' named entity '2015' named entity 'GENERAL' named entity 'ASPIRATIONS' named entity 'REGIONAL' named entity 'COMMUNITY' named entity 'INFORMATION' named entity 'BELIEVE' named entity 'CHALLENGES' named entity 'CONSIDERED' named entity 'ONGOING' named entity 'HAVE' named entity 'CONCLUSIONS' named entity 'AIMS' named entity 'GOVERNMENT SPENDING' named entity 'MEMBER' named entity 'HEALTHCARE SERVICES' named entity 'SINGLE' named entity 'SUSTAINED' named entity 'INTRA' named entity 'COVERAGE' named entity 'HEALTH AND SAFETY' named entity 'POTENTIAL' named entity 'SUPPLY' named entity 'IMPROVED'

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