STRATEGIES FOR HEALTH CARE COST CONTAINMENT IN SOUTH-EAST ASIA COUNTRIES
Background: South-east Asia consists of eleven countries - Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Timor-Leste and Vietnam, they are collectively known as the Association of Southeast Asian Nations (ASEAN). To sustain universal health coverage, and with the factors contributing to healthcare cost escalation, countries have to implement cost containment strategies to overcome these issues. The aim of this article is to do a descriptive analysis of the cost containment strategies implemented in each of South-east Asia country.
Materials and Methods: A general review was done searching the articles related to cost containment strategies implemented in the South-east Asia countries. All eleven of South-east Asia countries are included. The search was conduct by using Public domain and journal search engines including PubMed, ScienceDirect, Google Scholar. Phrases used were “healthcare system”, “health financing”, “cost containment strategies”, and the countries names. Publication of journals, articles, reports and book for the previous 15 years, those with full articles and assessable were included. Among the articles found, both primary screening and secondary screening were done.
Result: From the analysed articles, several cost containment strategies has been implemented in South East Asia countries and they can be classified as 1) Shifting the cost from the public sector to private sector, 2) To mobilize the health resources in the community, 3) Mobilizing health resources within the health system, and 4) Mobilizing external resources. The strategies will be described with examples in this article.
Conclusion: The most commonly used strategy was mobilizing resources from within the healthcare system, followed by mobilizing external resources, shifting the cost from public sector to private sector and mobilizing resources in the community.Keywords: Health Care, Health Care Financing, Cost Containment Strategies, South-east Asia Countries