Clinical Affairs Department, Frontier Healthcare Group, Singapore.
Department of Pharmacy, National University of Singapore, Singapore.
Clin Interv Aging. 2018 Dec 14;13:2527-2538. doi: 10.2147/CIA.S185048. eCollection 2018.
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 and effective initiatives targeted at specific diseases, particularly chronic conditions such as diabetes, hypertension, depression, and dementia. This can be achieved through integrated care - a health care model of collaborative care provision. For successful implementation of integrated care policy, key stakeholders need a thorough understanding of the high-risk patient population and relevant resources to tackle the imminent population demographic shift due to the extremely rapid rate of increase in the aging population in Asia.
人口快速老龄化以及亚洲慢性病患者负担不断增加，这要求亚洲建立高效的卫生系统，并提供整合型医疗服务。尽管亚洲已经在努力整合基层医疗和医院护理，但整体医疗服务仍然较为分散，例如在医疗电子病历的共享和可用性、患者登记和授权基层医疗服务提供者来处理慢性病等方面。基层医疗部门需要采取更有力、更有效的措施针对特定疾病，特别是慢性病，如糖尿病、高血压、抑郁症和痴呆症。这可以通过整合医疗服务来实现，这是一种协作提供医疗服务的医疗模式。为了成功实施整合医疗服务政策，利益相关者需要深入了解高危患者人群和相关资源，以应对亚洲人口老龄化速度极快所带来的人口结构变化。
