Evidence map›Paper›PMID 33867896›Full record

ArticleInternational journal of integrated care2021

Service Delivery Reforms for Asian Ageing Societies: A Cross-Country Study Between Japan, South Korea, China, Thailand, Indonesia, and the Philippines.

Shinichiro Noda, Paul Michael R Hernandez, Kyoko Sudo, Kenzo Takahashi, Nam Eun Woo, He Chen, Kimiko Inaoka, Emiko Tateishi, Wahyu Sulistya Affarah, Hamsu Kadriyan and 1 more

Abstract read
In one paragraph

Article in International journal of integrated care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
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  4. [Current Status and Effect Pathways of Knowledge, Attitude, and Practice of Medical Care and Prevention Integration Among Medical Professionals].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
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  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shinichiro NodaBureau of International Health Cooperation, National Center for Global Health and Medicine, Japan, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, JP.ORCID https://orcid.org/0000-0001-9476-0569
Paul Michael R HernandezDepartment of Environmental and Occupational Health, College of Public Health, University of the Philippines Manila, 625 Pedro Gil Street, Ermita, Manila, PH.ORCID https://orcid.org/0000-0003-0528-9766
Kyoko SudoNational College of Nursing, National Center for Global Health and Medicine, Japan, 1-2-1 Umezono, Kiyose-shi, Tokyo 204-8575, JP.ORCID https://orcid.org/0000-0003-4810-5840
Kenzo TakahashiGraduate School of Public Health, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, JP.ORCID https://orcid.org/0000-0001-5672-3273
Nam Eun WooYonsei Global Health Center, Yonsei University, Unit 415, Chang-Jo Gwan, Wonju-city, Gangwondo, 220-710, KR.ORCID https://orcid.org/0000-0002-3517-6247
He ChenSchool of Public Administration and Policy, Renmin University of China, No. 59, Zhongguancun Street, Haidian District, Beijing, CN.ORCID https://orcid.org/0000-0001-7137-5596
Kimiko InaokaGraduate School of Nursing Science, International University of Health and Welfare, 4-3 Kozunomori, Narita-shi, Chiba-ken 286-8686, JP.
Emiko TateishiDivision of Planning, Coordination and Information, Okayama Bizen Public Health Center, 1-1-17 Furugyocho, Naka-ku, Okayama-shi, Okayama 703 -8258, JP.
Wahyu Sulistya AffarahFaculty of Medicine, Mataram University, Jl. Majapahit No. 62, Gomong, Selaparang, Kota Mataram, Nusa Tenggara Barat. 83115, ID.ORCID https://orcid.org/0000-0002-4760-8537
Hamsu KadriyanFaculty of Medicine, Mataram University, Jl. Majapahit No. 62, Gomong, Selaparang, Kota Mataram, Nusa Tenggara Barat. 83115, ID.ORCID https://orcid.org/0000-0002-2574-9785
Jun KobayashiDepartment of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa 903-0213, JP.ORCID https://orcid.org/0000-0003-3807-0963

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionJapan's health policies to address the most advanced-aged society have been the target of focus in Asia, but no studies have investigated this issue using tools for cross-country comparisons. THEORY AND

methodsA cross-country study design was used to compare healthcare reform policies with a framework in Japan, Korea, Thailand, China, Indonesia, and the Philippines. Data were collected via document reviews and key informant interviews.

resultsThree distinctions were identified. First, all countries except for the Philippines have policy decisions regarding reforms for the existing service delivery systems for healthcare, long-term care and welfare. Second, the most extensive service delivery reform is currently being implemented in Japan, whose system is shifting to primary health care. Third, the direction of the transformation of service delivery system is different between Thailand and China despite a similar level of ageing society. China has made progress on facility-based care integration between health and social care, whereas Thailand is focusing on home-based care. CONCLUSIONS AND DISCUSSION: Doctor and hospital-based healthcare delivery system requires more drastic reform for an aged society. This fact implies that strengthening primary health care is not only useful for current health issues but also an investment for the aged society near future in low- and middle-income countries.

Indexed as

ageing societieshealthcare service deliveryintegrated careservice delivery reforms

Identifiers

PMID33867896
PMCPMC8034408

What OpenQuestion holds

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LicenceCC BY
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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.