Pradhikna Yunik Nurhayati
Faculty Of Social And Political Sciences, Universitas Gadjah Mada

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The Role of Commissioners in Health Service Provision: Lessons Learned from Primary Care Trusts (PCTs) England Pradhikna Yunik Nurhayati; Barbara Allen
Jurnal Ilmu Sosial dan Ilmu Politik Vol 22, No 1 (2018): July
Publisher : Faculty of Social and Political Sciences, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.711 KB) | DOI: 10.22146/jsp.32353

Abstract

It is the government’s responsibility to reach policy outcomes. Since the needs of citizen vary, the government needs to improve the way it delivers public services. Monopolistic provision of public service by government becomes inadequate to fulfill the needs of the community. One of the ways pursued by the government is working with the third sector, through procurement and commissioning. National Health Services (NHS) in the UK is one of the examples of commissioning in the healthcare service. The role of commissioning has been done by Primary Care Trusts (PCTs) from 2002 until 2014. Since commissioning became the center of public health provision, the role of commissioners has become pivotal. Using systematic review, this study aims to examine the role of commissioners in health service provision in England. It can be concluded that commissioners (PCT) play an essential role in identifying the needs of the community. This early stage of planning relied on the knowledge, skills, and capacity of commissioners. Unfortunately, not every commissioner has the capability to perform the commissioning process. Therefore, a partnership with other stakeholders is critical to overcoming the limitations of resources, including the capacity, time, and funding. The other findings suggest that national policy by the central government has contributed to the success of commissioning. Results revealed that national targets often prevented commissioners from reaching the local targets, especially when resources were insufficient.
Institutional Arrangement on Welfare Regime in Indonesia: How Does Indonesia Maintain Its Health Care Policy Pradhikna Yunik Nurhayati
Jurnal Empirika Vol 5, No 2 (2020)
Publisher : Master Program in Sociology, Faculty of Social and Political Science, Universitas Sriwijay

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.169 KB) | DOI: 10.47753/je.v5i2.107

Abstract

In the last decade, Indonesia has successfully reduced the poverty rate from 11.96% in 2012 to 9.22% at the end of 2020. However, the rate of inequality in Indonesia is considered the highest within the region. Therefore, it is pivotal for Indonesia to strengthen and expand its welfare system in order to overcome the inequality. This paper aims to examine the institutional arrangement of welfare regime in Indonesia especially the health care policy. This paper implement qualitative method by examine secondary resource such as journals, articles and government report to gain understanding about institutional arrangement on welfare system in Indonesia. Result shows that population coverage of health care is shifting gradually from partial group of population to all of the citizens especially by the existence of national health insurance. The source of funding is risk-pooling rather than self-help. It indicates that government of Indonesia embrace inclusive productivist welfare as its institutional arrangement.