Evidence map›Paper›PMID 21269685›Full record

ArticleLancet (London, England)2011

Health and health-care systems in southeast Asia: diversity and transitions.

Virasakdi Chongsuvivatwong, Kai Hong Phua, Mui Teng Yap, Nicola S Pocock, Jamal H Hashim, Rethy Chhem, Siswanto Agus Wilopo, Alan D Lopez

Abstract read
In one paragraph

Article in Lancet (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 13 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 13 syntheses or guidelines pooled it.

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  8. The Global Molecular Prevalence ofTransboundary and emerging diseases · 2023
    Pooled it
  9. Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  14. Article
  15. Article
  16. When evidence meets artificial intelligence.Lancet regional health. Americas · 2026
    Review
  17. Article
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  19. Review
  20. A repository of Singapore validated PROMS: a scoping review.Journal of patient-reported outcomes · 2026
    Article

81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Virasakdi ChongsuvivatwongPrince of Songkla University, Hat Yai, Thailand.
Kai Hong Phua
Mui Teng Yap
Nicola S Pocock
Jamal H Hashim
Rethy Chhem
Siswanto Agus Wilopo
Alan D Lopez

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Southeast Asia is a region of enormous social, economic, and political diversity, both across and within countries, shaped by its history, geography, and position as a major crossroad of trade and the movement of goods and services. These factors have not only contributed to the disparate health status of the region's diverse populations, but also to the diverse nature of its health systems, which are at varying stages of evolution. Rapid but inequitable socioeconomic development, coupled with differing rates of demographic and epidemiological transitions, have accentuated health disparities and posed great public health challenges for national health systems, particularly the control of emerging infectious diseases and the rise of non-communicable diseases within ageing populations. While novel forms of health care are evolving in the region, such as corporatised public health-care systems (government owned, but operating according to corporate principles and with private-sector participation) and financing mechanisms to achieve universal coverage, there are key lessons for health reforms and decentralisation. New challenges have emerged with rising trade in health services, migration of the health workforce, and medical tourism. Juxtaposed between the emerging giant economies of China and India, countries of the region are attempting to forge a common regional identity, despite their diversity, to seek mutually acceptable and effective solutions to key regional health challenges. In this first paper in the Lancet Series on health in southeast Asia, we present an overview of key demographic and epidemiological changes in the region, explore challenges facing health systems, and draw attention to the potential for regional collaboration in health.

Indexed as

Delivery of Health CareDeveloping CountriesAdolescentAdultAsia, SoutheasternDisastersFemaleHumansMaleMiddle AgedMorbidityPopulation DynamicsSocioeconomic FactorsUrban PopulationVital StatisticsYoung Adult

Identifiers

PMID21269685
PMCPMC7159068

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.