EQUITY PEMBIAYAAN DAN UTILISASI PELAYANAN KESEHATAN OLEH PESERTA PROGRAM JAMKESMAS DI INDONESIA

• Main Authors: , achmad noor cholid, , Dr. drg. Julita Hendrartini, M.kes.
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2013
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/124126/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=64245
• Institution: Universitas Gadjah Mada

Background: The Jamkesmas program is a health insurance for the poor and near poor that have been held since 2008. Comprehensive benefits provided to Jamkesmas participants accordance with medical needs. The target group for Jamkesmas in 2011 approximately 76,4 million. Jamkesmas program is not yet able to encourage participants to optimally utilize the health care. At the national level, Jamkesmas utilization for antenatal and neonatal care in 2010 are still low. Data from BPS and SDKI shows the disparity in infant mortality among provinces. Inequality of the health workers dan health facilities distribution will make an impact for the equity of healh care dan national health insurance efectiveness. Objective: To describe the equity of financing dan health care utilization by the Jamkesmas participants in Indonesia. Method: This research is descriptive, using the secondary data by cross-sectional study. Unit analysis by the provinces and using the first quarter of national social economy survey (Susenas) 2011 from the Board of Statistics Center (BPS) and data Jamkesmas program 2011 from the Center of Financing and Health Insurance (P2JK) Ministry of Health. This research use STATA and ADePT software to process the data. Conclusion: Inequity happens in health care utilization and the distribution of Jamkesmas funds. Poorer individuals using more the outpatient care in public health centers and the richer individuals using more the inpatient care in hospitals. The distribution of Jamkesmas funds greatly favor to the poor in public health centers and favor to the rich in hospitals. The amount of the hospitals has increased, linear with the ratio of health care utilization by the Jamkesmas participants. The government should make a quick respond by updating the participants database to prevent the bigger inequity.