Effective health services with integrated treatment is required for an increasingly aging population and the growing burden of chronic patients in Asia. One consequence of the rapidly aging population in Asia is that the increasing trend of non-communicable diseases (NCDs). Mortality thanks to NCDs are increasing, accounting for .70% of deaths across Asia since 2014. This increasing trend for death from NCDs is reflected by the highest five diseases in terms of mortality burden across Asian countries. Within the region, disorder and cancer are consistently among the highest five causes of death altogether in Asian countries. Chronic respiratory diseases and diabetes also are within the top five diseases in terms of mortality burden within the majority of Asian countries. Other leading causes of mortality, like communicable diseases, injuries, cerebrovascular diseases, and Alzheimer’s disease, vary from country to country. In developed regions, like China, Singapore, South Korea, Japan, and Hong Kong, major concerns relate to the aging population, falling birth rates, rising costs, and rising rates of NCDs. In less developed regions, like India, Indonesia, Philippines, Thailand, and Vietnam, poverty, and inequality are still significant issues. The key concerns are the triple disease burden, namely existing communicable diseases, emerging and re-emerging communicable diseases, and therefore the increasing prevalence of non-communicable, lifestyle-related diseases. Other major health care system constraints in these countries relate to poor accessibility, availability, and affordability of health care, characterized by the non-availability of medicine, lack of advanced laboratory facilities and equipment, a severely constrained health workforce, poorly funded public health systems, unequal distribution of health care resources resulting in overburdened public institutions, and poor health healthcare delivery mechanisms.
Integrated care is required when patient needs can't be met by one health care professional or medical provider, but instead requires coordinated support from different providers, including both professional and informal care. This may involve renegotiation and transformation of current organization and policies, which has major implications for current legislation and funding, professional qualifications, and both management and governance. `This is often an enormous challenge to beat. Thus, it's more practical to first address the difficulty on a smaller scale: the patients, the health care providers, and therefore the community. A step-wise solution is required to facilitate the sensible implementation of integrated care. The assistance is often provided to empower health care providers and patients while providing a supportive physical, mental, and social patient-centric environment. To align with this, patients should be the most focused, with care built on a multidisciplinary foundation. this will include a good sort of health care practitioners and individuals, including nurse counselors, care coordinators, patients, and patient family counselors. As long as patient counseling is an integral part of medical care (to promote prevention, awareness, and adherence), nursing and allied health care professionals should be trained to supply this service, thus reducing the burden on doctors. Greater involvement of non-physician health care professionals will facilitate a better understanding of the patient’s perception of disease and allows patients to be more involved in their treatment plan. The patient’s family also plays a crucial role when it involves individualized care, and family intervention and family counseling shouldn't be overlooked. Other resources are often utilized if available; eg, a caseworker might be assigned to see patient progress, and to figure with families to make sure better patient outcomes. It’s also important that the patient’s perspective is taken into consideration. Measures to facilitate more patient involvement can include the provision of health cards or a monitoring booklet, or enrollment during a patient registry (if acceptable to the patient and if technology permits). Patients should have individualized records to stay an in-depth record of their medical conditions, laboratory test results, and treatments; this may help to actively engage them as participants within the management of their health, and facilitate discussions with doctors across different specialties. Additionally to education materials, patients should have access to a web, commercial-free, balanced, health information platform that's relevant to local health priorities and ideally might be promoted by doctors. A reliable health care information platform is additionally an honest tool to permit patients and their families to proactively seek information to raise understanding of their disease and its management. This is often especially important within the Asian region, where most patients have difficulty accessing reliable sources of data about their health care issues and coverings. Therefore, a regional, independent, online platform should be established to supply patients and physicians with unbiased and balanced information. Within the absence of online access, simplified patient education materials are required. Content across all platforms are often independently developed by specialists, validated by professional bodies or societies before publication, and promoted by physicians who have a task to direct patients to appropriate medical websites for further information.
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