Yiengprugsawan Vasoontara, Healy Judith, Kendig Hal, Neelamegam Malinee, Karunapema Palitha, Kasemsup Vijj
a Centre for Research on Ageing , Health and Wellbeing, Research School of Population Health, The Australian National University , Canberra , Australia.
b Australian Research Council Centre of Excellence in Population Ageing Research (CEPAR) , Canberra , Australia.
Health Syst Reform. 2017 Jul 3;3(3):171-181. doi: 10.1080/23288604.2017.1356428.
This paper explores whether middle-income Asian countries are reorienting their health services in response to non-communicable diseases (NCDs). Malaysia, Sri Lanka, and Thailand were selected as case studies of Asian societies experiencing rapid increases both in NCDs and an aging population. While NCD programs, especially those related to diabetes and stroke, are well-established in Thailand, health services struggle to respond to increasing numbers of people with chronic health problems. Health services at all levels must plan ahead for more patients with chronic and often multiple conditions who require better integrated health care.
本文探讨了亚洲中等收入国家是否正在重新调整其卫生服务方向，以应对非传染性疾病（NCDs）。马来西亚、斯里兰卡和泰国被选为案例研究对象，这些亚洲社会的非传染性疾病和老龄化人口都在迅速增加。虽然泰国已经建立了完善的非传染性疾病防治项目，尤其是与糖尿病和中风相关的项目，但卫生服务部门仍难以应对日益增多的慢性健康问题患者。各级卫生服务机构必须提前为更多患有慢性疾病且往往病情复杂的患者做好规划，这些患者需要更好的综合医疗服务。
