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Integration of health services for the elderly in Asia: A scoping review of Hong Kong, Singapore, Malaysia, Indonesia

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  • He, Alex Jingwei
  • Tang, Vivien F.Y.

Abstract

Against the backdrop of rapid ageing populations, there is an increasing recognition of the need to integrate various health services for the elderly, not only to provide more coordinated care, but also to contain the rapid cost inflation driven primarily by the curative sector. Funded by the Asia-Pacific Observatory on Health Systems and Policies, this scoping review seeks to synthesize the received knowledge on care integration for the elderly in four Asian societies representing varying socioeconomic and health-system characteristics: Singapore, Hong Kong, Malaysia, and Indonesia. The search for English-language literature published between 2009 and 2019 yielded 67 publications in the final sample. The review finds that both research and practice regarding health service integration are at a preliminary stage of development. It notes a marked trend in seeking to integrate long-term elderly care with curative and preventive care, especially in community settings. Many distinctive models proliferated. Integration is demonstrated not only horizontally but also vertically, transcending public-private boundaries. The central role of primary care is highly prominent in almost all the integration models. However, these models are associated with a variety of drawbacks in relation to capacity, perception, and operation that necessitate further scholarly and policy scrutiny, indicating the robustness and persistence of siloed healthcare practices.

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  • He, Alex Jingwei & Tang, Vivien F.Y., 2021. "Integration of health services for the elderly in Asia: A scoping review of Hong Kong, Singapore, Malaysia, Indonesia," Health Policy, Elsevier, vol. 125(3), pages 351-362.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:3:p:351-362
    DOI: 10.1016/j.healthpol.2020.12.020
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    1. Yam, Ho-Kwan & Mercer, Stewart W. & Wong, Lai-Yi & Chan, Wan-Kin & Yeoh, Eng-Kiong, 2009. "Public and private healthcare services utilization by non-institutional elderly in Hong Kong: Is the inverse care law operating?," Health Policy, Elsevier, vol. 91(3), pages 229-238, August.
    2. Yi Feng Lai & Andrew Yew Wai Lum & Emily Tse Lin Ho & Yee Wei Lim, 2017. "Patient-provider disconnect: A qualitative exploration of understanding and perceptions to care integration," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-16, October.
    3. Glendinning, Caroline, 2003. "Breaking down barriers: integrating health and care services for older people in England," Health Policy, Elsevier, vol. 65(2), pages 139-151, August.
    4. Nakul Saxena & Alex Xiaobin You & Zhecheng Zhu & Yan Sun & Pradeep Paul George & Kiok Liang Teow & Phui-Nah Chong & Joe Sim & John Eu Li Wong & Benjamin Ong & Hee Jug Foo & Eugene Fidelis Soh & Linus , 2017. "Singapore's regional health systems—a data-driven perspective on frequent admitters and cross utilization of healthcare services in three systems," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 36-49, January.
    5. Nolte, Ellen & Knai, Cécile & Hofmarcher, Maria & Conklin, Annalijn & Erler, Antje & Elissen, Arianne & Flamm, Maria & Fullerton, Brigit & Sönnichsen, Andreas & Vrijhoef, Hubertus J. M., 2012. "Overcoming fragmentation in health care: chronic care in Austria, Germany and the Netherlands," Health Economics, Policy and Law, Cambridge University Press, vol. 7(1), pages 125-146, January.
    6. Wong, Eliza L.Y. & Yam, Carrie H.K. & Chan, Frank W.K. & Cheung, Annie W.L. & Wong, Fiona Y.Y. & Griffiths, S. & Yeoh, E.K., 2011. "Perspective from health professionals on delivery of sub-acute care in Hong Kong: A qualitative study in a health system," Health Policy, Elsevier, vol. 100(2), pages 211-218.
    7. Chung, Vincent C.H. & Hillier, Sheila & Lau, Chun Hong & Wong, Samuel Y.S. & Yeoh, Eng Kiong & Griffiths, Sian M., 2011. "Referral to and attitude towards traditional Chinese medicine amongst western medical doctors in postcolonial Hong Kong," Social Science & Medicine, Elsevier, vol. 72(2), pages 247-255, January.
    8. Yin, Jason Dean-Chen & He, Alex Jingwei, 2018. "Health insurance reforms in Singapore and Hong Kong: How the two ageing asian tigers respond to health financing challenges?," Health Policy, Elsevier, vol. 122(7), pages 693-697.
    9. Wong, Eliza L.Y. & Yam, Carrie H.K. & Chan, Frank W.K. & Cheung, Annie W.L. & Wong, Fiona Y.Y. & Griffiths, S. & Yeoh, E.K., 2011. "Perspective from health professionals on delivery of sub-acute care in Hong Kong: A qualitative study in a health system," Health Policy, Elsevier, vol. 100(2-3), pages 211-218, May.
    10. Trisya Rakmawati & Reece Hinchcliff & Jerico Franciscus Pardosi, 2019. "District‐level impacts of health system decentralization in Indonesia: A systematic review," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 1026-1053, April.
    11. Janice Ying‐Chui Lau & Eliza Lai‐Yi Wong & Roger Y. Chung & Stephen C.K. Law & Diane Threapleton & Nicole Kiang & Patsy Chau & Samuel Y.S. Wong & Jean Woo & Eng‐Kiong Yeoh, 2018. "Collaborate across silos: Perceived barriers to integration of care for the elderly from the perspectives of service providers," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(3), pages 768-780, July.
    12. Wong, Eliza L.Y. & Yeoh, Eng-kiong & Chau, Patsy Y.K. & Yam, Carrie H.K. & Cheung, Annie W.L. & Fung, Hong, 2015. "How shall we examine and learn about public-private partnerships (PPPs) in the health sector? Realist evaluation of PPPs in Hong Kong," Social Science & Medicine, Elsevier, vol. 147(C), pages 261-269.
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