Meutya Zahra Eriansyah
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Peran Strategis Pemerintah Dalam Regulasi dan Pengawasan Asuransi Kesehatan: Pembelajaran Dari Negara Thailand Meutya Zahra Eriansyah; Raisha Syahida; Riswandy Wasir
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.3837

Abstract

Although routine health facility accreditation has been implemented in Indonesia, achieving Universal Health Coverage (UHC) remains a significant challenge. In contrast, Thailand stands out as one of the ASEAN countries that has successfully implemented an effective UHC system, despite facing several obstacles. This study aims to explore the strategic role of the Thai government in developing a national health insurance system that may serve as a valuable reference for Indonesia. This research adopts a qualitative approach using literature review and secondary data analysis, with data collected from eight selected journal articles. The findings reveal that the Thai government has effectively strengthened the synergy between participatory and responsive governance in regulating and overseeing health insurance. Public engagement is conducted through annual public consultations and the inclusion of legislators in key bodies such as the Security Council, the Standards and Quality Control Council, and the Social Security Committee. Oversight mechanisms are implemented through regular quality control, public disclosure of reports, periodic financial audits, and by ensuring that the public has easy access to report problems or complaints. Based on these findings, it can be concluded that the strategic role of the Thai government in involving the public in health insurance regulation has not been fully realized in Indonesia. Oversight mechanisms such as financial audit transparency and public access to information on the performance of insurance fund management, as practiced in Thailand, are still lacking in Indonesia. Lessons from Thailand’s approach may provide valuable insights for strengthening oversight and enhancing public involvement in Indonesia's pursuit of UHC.
Inovasi Pendanaan Kesehatan untuk Mewujudkan UHC di Indonesia : Literature Review Raisha Syahidah; Meutya Zahra Eriansyah; Riswandy Wasir
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.3914

Abstract

Indonesia continues its efforts to achieve Universal Health Coverage (UHC) through the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program, which faces funding challenges such as financial deficits and reliance on participant contributions. This literature review aims to identify health financing innovations that can support UHC in Indonesia. The study adopts a literature review method, utilizing data sources from Google Scholar covering the period 2016–2025, focusing on relevant studies concerning financing innovations and UHC in Indonesia. The findings indicate that financing innovations, such as increasing excise taxes on unhealthy products and utilizing Corporate Social Responsibility (CSR) funds, hold significant potential. Cross-sector collaboration is essential to expand funding sources and ensure equitable health service delivery. Partnerships between the government, private sector, and communities are crucial for the sustainability of JKN and the achievement of UHC in Indonesia. Further research is recommended to explore the role of non-government sectors in greater depth.