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The Status and Challenges of Indonesian Health Delivery System Centered on NCD

  • Journal of Regional Studies and Development
  • Abbr : JRSD
  • 2019, 28(2), pp.63-92
  • DOI : 10.22739/ipaid.2019.28.2.63
  • Publisher : Institute for Poverty Alleviation and International Development: IPAID
  • Research Area : Social Science > Area Studies > Regional Studies in general > Comparative / Statistical Regional Studies
  • Received : March 13, 2019
  • Accepted : August 26, 2019
  • Published : August 30, 2019

Kim Yang Hee 1

1건강보험정책연구원

Accredited

ABSTRACT

The Indonesian government integrated multi-payers into one single insurer as BPJS Kesehatan in 2014 for achieving universal health coverage. The government is pushing ahead with active enrollment policies to achieve UHC by 2019, and it will be achieved smoothly by then. After that, the government soon will be faced how it will be provided quality of care to over 260 million population. Focusing on these, the study researched the status and challenges of current Indonesian health delivery system and tried to provide resolutions. The challenges of Indonesian healthcare system are mainly lack of quantities and quality of healthcare, and mal-distribution of healthcare by the regions and so on. In remote areas, unnecessary referrals are happened due to lack of healthcare professionals’ capacity, lack of medication, lack of re-investment to the test devices and equipments. Referrals and back-referrals are recurred due to lack of medication and dis-satisfaction from patients. It is needed to transform current fragmented health management projects by MOH and BPJS-K into the integrated NCD management projects.

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