TANTANGAN PENGINTEGRASIAN JAMINAN KESEHATAN DAERAH KE DALAM JAMINAN KESEHATAN NASIONAL UNTUK MEWUJUDKAN CAKUPAN PELAYANAN KESEHATAN UNIVERSAL

Authors

  • nFN Sriyani Pusdiklat Keuangan Umum

DOI:

https://doi.org/10.31092/jia.v3i0.40

Keywords:

Jamkesda, JKN, JKS

Abstract

This study is to review the facts in the health care field, where WHO has agreed to achieve Universal Health Coverage (UHC) in 2014. UHC is a health system that ensures every citizen in the population has fair access to a qualified promotive, preventive, curative, and rehabilitative health care at reasonable costs. Universal coverage contains two core elements namely equitable access to qualified health services for every citizen, and the protection of financial risks when people use health services. Indonesia is currently in transition towards UHC. Law No. 40 Year 2004 about National Social Security System (UU SJSN)' has answered the basic principles of UHC by requiring every citizen to have access to comprehensive health services that are needed through pre-effort system. Then, the author will formulate solutions to these problems which can be seen as a recommendation for the implementation of health care development. Problem solving methods used in formulating solutions to problems are policy analysis using William Dunn and Abidin's theory, and the Fishbone Diagram.

Based on the analysis, the author advises the need to arrange a formulation that meets the demands of integration of Jamkesda into JKN. Formulation of policies which have been directed towards the centralization of health financing through JKN program must be balanced by providing a flexible space for local governments to participate in decision making processes dynamically. This formulation is called Centralized Dynamic Integration policy formulation. 

References

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Published

2017-05-23

Issue

Vol. 3 (2016): Edisi Maret

Section

Articles

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