Moving Towards Optimized Noncommunicable Disease Management in the ASEAN Region: Recommendations from a Review and Multidisciplinary Expert Panel
| Autor: | Anurita Majumdar, Hazli Zakaria, Yook Chin Chia, Mathew Thomas, Grace E. Brizuela, Chee H. Ng, Priyan Ratnasingham, Yolanda R. Robles, Helen S. Sigua, Eka Viora, Apichard Sukonthasarn, Dung Do Van, Roger Tan, Nina T. Castillo-Carandang, Cheng Lee, Anwar Santoso, Ngoc Long Duong, Robert D. Buenaventura |
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| Rok vydání: | 2020 |
| Předmět: |
Economic growth
medicine.medical_specialty business.industry 030503 health policy & services Health Policy Public health prevention strategies public health Public Health Environmental and Occupational Health Psychological intervention Collaborative Care Review Southeast asian Mental health 03 medical and health sciences 0302 clinical medicine cardiovascular disease Action plan Health care medicine Holistic management 030212 general & internal medicine 0305 other medical science business mental health |
| Zdroj: | Risk Management and Healthcare Policy |
| ISSN: | 1179-1594 |
| Popis: | Introduction Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality in the Association of Southeast Asian Nations (ASEAN) member states. Progress has been slow despite the World Health Organization action plan for the prevention and control of NCDs in the region. This paper presents recommendations focused on practical strategies for optimizing NCD management in the ASEAN region. Methods A multidisciplinary group of experts from six ASEAN member states convened for two face-to-face meetings to discuss barriers and possible recommendations for optimizing NCD management, focused on cardiovascular diseases and mental disorders, in the region. Multiple approaches, ie, analysis of insights from the meetings and a review of existing literature on NCD programs in the ASEAN region were followed. The proposed recommendations were also based on selected successful interventions in ASEAN member states, thus providing actionable strategies. Results The gaps identified in NCD management for cardiovascular diseases and mental disorders in the ASEAN region were classified into gaps relating to policies and to clinical and public health practice. The proposed solutions addressing policy gaps include fostering multisectoral public-private partnerships, employing "whole-of-government" and "whole-of-society" approaches and promoting "health-in-all policies approach" to manage issues with financing, accessibility, efficiency and quality of health services. Whereas proposed solutions to bridge clinical and public health practice gaps entail strengthening primary care services, building the capacity of trained healthcare workers and employing collaborative care for holistic management of patients. Conclusion The scale of premature and preventable deaths from NCDs in the ASEAN region remains a serious public health concern and requires a "whole-of-system approach". The interventions proposed in this paper build on regional collaborations and knowledge sharing to help develop a concerted and targeted response to NCDs. |
| Databáze: | OpenAIRE |
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