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All Journal Journal of Economic, Bussines and Accounting (COSTING) JKM (Jurnal Kebidanan Malahayati) International Journal of Marketing and Human Resource Research Journal Of Business, Finance, and Economics (JBFE) Jurnal Sosial dan Abdimas Research of Service Administration Health and Sains Healthys International Journal Administration, Business & Organization Journal of Economics and Social Sciences
Lestari, Yuniati
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Agriculture, Biological Sciences & Forestry Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Public Health Social Sciences

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Journal : International Journal Administration, Business

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Strategic Management of Health Budget Efficiency in Indonesia's National Health System Lestari, Yuniati
International Journal Administration, Business & Organization Vol 6 No 2 (2025): IJABO
Publisher : Asosiasi Ahli Administrasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61242/ijabo.25.571

Abstract

The National Health System (SKN) is a key pillar in achieving equitable public health, but its implementation still faces obstacles in the form of unequal access to services, uneven distribution of health workers, and inefficient financing. This study aims to examine the main challenges in implementing the NHC in Indonesia, formulate relevant strategies to overcome them, and analyze the effectiveness and efficiency of the national health budget within a performance-based policy framework. The study uses a descriptive qualitative approach through a literature review with data sources including government regulations, official reports, and international publications. The results show that SKN is still limited by fragmented governance, low allocation for promotive-preventive efforts, and the dominance of curative spending. However, opportunities for strengthening exist through six pillars of health transformation, including strengthening primary services, improving referral services, system resilience, financing reform, human resource development, and health digitization. The discussion emphasizes the importance of reorienting budget priorities, improving performance accountability, and diversifying funding sources to support the achievement of Universal Health Coverage (UHC) and Sustainable Development Goals (SDGs). This study shows that performance-based budget optimization, governance strengthening, and equitable distribution of resources are key to building a more resilient, inclusive, and sustainable national health system.
Co-Authors A. Rohendi, A. A. Rohendi, A. Rohendi Anggraeni, Ni Wayan Siska Anissa, Regina Nurfitriyani Arlette, Arlette Bayu Wahyudi Chairil M Noor, Chairil M Dasrun Hidayat Erliany Syaodih Fanny Fardiyani, Fanny Hendrawan, Tommy Lee, Yoseph Mahardika, Yudia Purwadhi Purwadhi Rian Andriani, Rian Ristanto, Joan Febrian Saraswati, Nadya Ayu Sari, Alisza Novrita Vaiga, Rifqah Willma Fauzzia