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All Journal Journal of Public Health Research and Community Health Development (JPH RECODE) Jejaring Administrasi Publik (JAP)
Pribadi, Frita Ayu
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Public Health Social Sciences

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ANALYSIS OF HEALTH FINANCING PRINCIPLES IN SUPPORTING UNIVERSAL HEALTH COVERAGE IN INDONESIA: LITERATURE REVIEW Pribadi, Frita Ayu
Journal of Public Health Research and Community Health Development Vol. 8 No. 1 (2024): October
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v8i1.41664

Abstract

Background: Health financing is one of the focuses in the National Health System Reform major project in the 2022 Government Work Plan. However, obstacles have been found in health financing in Indonesia, including a lack of promote and preventive financing; less non-governmental involvement; and weak development of national health insurance (JKN) services. Purpose: To understand the principles of health financing for the realization of universal health coverage. This principle uses the concept of Kutzin et al (2017) and Atim et al (2021), namely revenue raising; pooling revenues; purchasing services; benefit design and rationing mechanism; and governance and institutional arrangements, including decentralization. Method: Focuses on the principles of health financing by utilizing secondary data sources through qualitative methods. The data sources were obtained from scientific journals, official government reports, related web pages, and others. Results: The effectiveness of increasing income for health financing cannot yet be measured. Revenue collection was found to overlap with health financing sources. There was a deficit for the JKN budget, and the community was not disciplined in paying contributions in purchasing services and distribution mechanisms. For the principle of decentralization, regional governments still depend on the central government in planning and budgeting health financing. Conclusion: The principles of health financing in Indonesia are not yet optimal in practice. This article contributes to looking at the gaps in information regarding the government's commitment to universal health coverage.
Analisis Prinsip Pembiayaan Kesehatan dalam Mendukung Cakupan Kesehatan Semesta di Indonesia Pribadi, Frita Ayu; Setijaningrum, Erna
Jejaring Administrasi Publik Vol. 15 No. 2 (2023): Jejaring Administrasi Publik
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jap.v15i2.49582

Abstract

Health financing is an essential component of the health system, particularly in the pursuit of universal health care. The primary role of universal health care is financial risk protection, which includes the availability of national health insurance as well as access to safe and inexpensive essential health services. The goal of this study is to learn about the concepts of health financing in order to attain universal health care. This article employs a qualitative approach, drawing on secondary data sources such as books, scientific journals, linked internet websites, official government papers, and others. According to the findings, the effectiveness of raising income for health care finance cannot be quantified. In terms of income collection, there is still some overlap in health financing sources, particularly in the national health insurance programme (JKN). Aside from that, the JKN program's procurement of services and distribution methods are encountering difficulties due to a shortfall in the JKN budget, as well as the community's lack of discipline in making JKN contributions. Furthermore, despite the notion of decentralisation, local governments continue to rely on the central government for health financial planning and budgeting. Keywords: health systems, health financing, universal health coverage
Co-Authors Setijaningrum, Erna