The Implementation Of Referral System Of Papua Health Card (Kartu Papua Sehat- Kps) Patients At Jayapura Regional General Hospital (original) (raw)
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Jurnal Ekonomi & Studi Pembangunan
Underutilization of health care for the poor is one critical problem in Indonesia. Out of pocket share is dominant on overall health financing. Therefore, it is plausible that low demand of modern healthcare services mainly relates to financial aspect. In 2008, the government of Indonesia has introduced health insurance schemes for the poor to help them overcome the problem of medical costs barrier called Jamkesmas (Social Health Insurance). This paper examines the impact evaluation of Jamkesmas to health care utilization in Eastern Indonesia. Data are drawn from Indonesia Family Life Survey East (IFLS-East) that held in 2012. This data only covers the eastern regions of Indonesia that widely known has relatively lower performance in development and infrastructure. Moreover, this study employs Propensity Score Matching (PSM) approach to analyse the data. The results show that average treatment effect for treated group are positive for outpatient utilization. In addition, availability of the healthcare facility variables, travelling time and distance to district capital are factors that determine Jamkemas coverage in Eastern Indonesia.
The Republic of Indonesia Health System Review 2017
Indonesia is in the midst of a series of transitions, ranging from demographic and epidemiological, to social, economic and political. After decades of authoritarian and centralized government, Indonesia introduced reforms in 1998 to establish stable democratic government, with significant devolution of authority to provincial and district levels of government. Strong economic growth is leading the country towards middle-income status. However, government investment in the health system has been limited, leading to insufficient facilities and workforce needed for public services, and encouraging the growth of private health facilities. Problems of maternal and child health, nutrition and communicable diseases persist, while noncommunicable and chronic diseases are emerging as new priorities. There are significant regional disparities in terms of health status and in the quality, availability and capacity of health services. Decentralization has affected the capacity of the central Ministry of Health to maintain integration and alignment across the different levels of the health system. Government investment in health has increased since the economic downturn in 1997 with the increasing priority to create ‘social safety nets’ in the form of social health insurance programmes for the poor, culminating in the establishment of a universal social health insurance scheme (Jaminan Kesehatan Nasional or JKN) in 2014. The challenge for the government is to expand this scheme to achieve universal health coverage by 2019, while addressing regional disparities in service quality and accessibility, managing resources effectively, containing costs and minimizing fraud, engaging the private sector, and maintaining investment in health promotion and prevention programmes.
A study on the implementation of Jampersal policy in Indonesia
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This series is produced by the Health, Nutrition, and Population (HNP) Global Practice of the World Bank Group. The papers in this series aim to provide a vehicle for publishing preliminary results on HNP topics to encourage discussion and debate. The findings, interpretations, and conclusions expressed in this paper are entirely those of the author(s) and should not be attributed in any manner to the World Bank Group, to its affiliated organizations, or to members of its Board of Executive Directors or the countries they represent. Citation and the use of material presented in this series should take into account this provisional character.
Political Economy: Government Expenditures & Related Policies eJournal, 2017
JKN program is a guarantee in the form of health protection for participants to obtain health care benefits and protection to meet basic health needs are given to every person who has paid dues or dues paid by the government. Pontap PHC is one of the health centers to implement the National Health Insurance program (JKN) it is based on data that contained a population of 23 134 inhabitants, and of these there were 5713 inhabitants budget PBI participants, 5,120 participants PBI mental state budget, and 662 souls NON PBI participants, the number of the overall population who participated in the National Health Insurance as many as 11 495 inhabitants and if We make it in percent, it will be as much as 50% of the total population in the district of East Wara get National Health Insurance (JKN). This study aimed to obtain information on the implementation of the National Health Insurance program (JKN) in PHC Pontap district. East Wara Palopo year 2015. This study is a empirical juridici...
National Health Insurance Effects on Inpatient Utilization in Indonesia
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.4\_April2017/IJHSR\_Abstract.016.html, 2017
Introduction: Disparities in geographic access, health facilities, human resources, health, and economic status of the community resulted in disparities in the utilization of inpatient health care. It is a challenge in achieving Universal Health Coverage (UHC) in Indonesia. The National Health Insurance Program (JKN) was an attempt by the Indonesian government to achieve UHC. Since it was first implemented in 2014, the membership of JKN includes 155.4 million people in 2015, rising to 171 million by 2016 from the total target of 254 million people in Indonesia to be achieved by 2019. Aims & Objectives: This study aimed to analyze the effect of JKN on the utilization of inpatient care in government hospitals and private hospitals of the year before (2013) and one year after (2015) the National Health Insurance program (JKN) implemented. Materials & Methods: This study uses a quantitative approach. Quantitative methods implemented through literature and statistical data analysis of Susenas (National Social Economic Survey) in 2013 and 2015. Results: The study found that the program JKN increase the utilization of hospitalization both in the government and private hospitals. Number of percentages, delta values, and odds ratios illustrate that JKN program open wider access to the nationwide inpatient utilization. The increase in inpatient utilization can be influenced by several factors such as the increase in the number of health facilities collaborate with National Health Insurance Agency (BPJS), and the increasing number of JKN participants that got tuition assistance from the government for the poor and underprivileged citizens/Recipient Contribution (PBI). Although all the provinces in Indonesia increased in utilization, there are 17 provinces that are below the national average because of disparities in the availability of facilities and infrastructure, health human resources, and equity in participation of JKN. Conclusion: JKN Program increases the utilization of inpatient care in government and private hospitals despite various disparities between provinces and regions of the major islands in Indonesia are still found.
Community Experience on the Issue of BPJS (The Indonesian National Health Insurance System
Indian Journal of Public Health Research and Development, 2020
Background: BPJS (The Indonesian National Health Insurance System) is Public Legal Entity that is directly responsible to the President and has the duty to organize National Health insurance for all Indonesian people. BPJS. Today the BPJS has experienced a 100% increase. BPJS tariff increase of 100% has an impact on community participation and BPJS services to the community.
Health financing system assessment : Papua New Guinea
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The health sector of Papua New Guinea (PNG) has seen significant positive developments in recent years. Key indicators of health access and quality have, however, barely improved or have even declined (for example, maternal and child health) from 2006 to 2015. In 2016, PNG entered the accelerated transition phase from the vaccine alliance (Gavi) support. During this time, the government will be expected to increase its share of co-financing for vaccines, while Gavi gradually decreases their contribution. The government is simultaneously moving towards universal health coverage (UHC), along with many other developing countries, and has recently established fee free primary health care and subsidized secondary care. Given this backdrop, the health financing system assessment (HFSA), which evaluates the financing system and institutional sustainability, comes at an opportune time. The report begins by providing a comprehensive background, including an overview of PNG’s economic situati...