Achieving Universal Coverage; Lessons from the Experience of Other Countries for National Health Insurance Implementation in Indonesia

Misnaniarti, Misnaniarti and Ayuningtyas, Dumilah (2015): Achieving Universal Coverage; Lessons from the Experience of Other Countries for National Health Insurance Implementation in Indonesia. Published in: International Journal of Advanced Multidisciplinary Research and Review , Vol. 3, No. 5 (July 2015): pp. 40-52.

Abstract

Indonesia is not the only country that will lead to universal coverage. Several countries took an initiative to develop social security, through Universal Health Coverage (UHC) to achieve health insurance and welfare for all residents. Even, some countries have already reached universal health coverage since a few years ago. The purpose of this paper is to assess the achievement of universal coverage of the health insurance implementation in several countries. In general, some countries require considerable time to achieve universal coverage. Mechanisms and stages that need attention is on the univeral registration aspects that cover the entire population, progressive and continuous funding sources, comprehensive benefits package, the expansion of gradual coverage for diseases that can cause catastrophic expenditure, increasing capacity and mobilizing supporting resource. National Health Insurance policy in some countries can improve access to care, utilization and quality of quality health services to all citizens. Indonesia is expected to learn from the experience of other countries to achieve UHC, so that the projection of the entire population of Indonesia to have health insurance in 2019 will be reached soon.

• Item Type: MPRA Paper
• Language: English
• Keywords: Social Health Insurance, Health Policy, Universal Coverage
• Subjects: H - Public Economics > H3 - Fiscal Policies and Behavior of Economic Agents > H30 - General

References

Kemenkes-RI, Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional (JKN) dan Sistem Jaminan Sosial Nasional. 2013, Jakarta: Kementerian Kesehatan RI.

Thabrany, H., Jaminan Kesehatan Nasional. 2014, Jakarta: PT RajaGrafindo Persada.

Mukti, A.G., Rencana Kebijakan Implementasi Sistem Jaminan Sosial Nasional., in Forum Nasional Ke-3 Jaringan Kebijakan Kesehatan Indonesia. 2012: Surabaya. .

WHO, World Health Statistic 2013. 2013, WHO Library Cataloguing in Publication Data.

DJSN, Peta Jalan Menuju Jaminan Kesehatan Nasional 2012-2019. 2012, Jakarta: Dewan Jaminan Sosial Nasional, Kemenko Kesra, Kemenkes, Bappenas, Kemenkeu, Kementerian BUMN, dll.

Wisnu, D., Politik Sistem Jaminan Sosial, Menciptakan Rasa Aman dalam Ekonomi Pasar. 2012, Jakarta: PT Gramedia Pustaka Utama

Sulastomo, Manajemen Kesehatan. 2007, Jakarta: PT Gramedia Pustaka Utama.

Thabrany, H., Pendanaan Kesehatan dan Alternatif Mobilisasi Dana Kesehatan di Indonesia. 2005, Jakarta: PT Raja Grafindo Persada.

Mundiharno, Peta Jalan Menuju Universal Coverage Jaminan Kesehatan. Jurnal Legislasi Indonesia, 2012. Volume 9, No.2 Juli 2012: p. 207-222.

WHO, Sustainable Health Financing, Universal Coverage and Social Health Insurance. 2005, World Health Assembly: Genewa.

WHO, Executive Summary The World Health Report 2010; Health Systems Financing The Path to Universal Coverage. 2010, World Health Organization: Genewa.

Busse, R., J. Schreyögg, and C. Gericke, Analyzing changes in health financing arrangements in high-income countries: a comprehensive framework approach. 2007.

Sachs, J.D., Achieving universal health coverage in low-income settings. The Lancet, 2012. 380(9845): p. 944-947.

Knaul, F.M., et al., The quest for universal health coverage: achieving social protection for all in Mexico. The Lancet, 2012. 380(9849): p. 1259-1279.

Savedoff, W.D., et al., Political and economic aspects of the transition to universal health coverage. The Lancet, 2012. 380(9845): p. 924-932.

Frenk, J., Gomez-Dantes, O., Knaul, F.M., The democratization of health in Mexico: financial innovations for universal coverage. Bull World Health Organ, 2009. 87 (7): p. 542-548.

Farmer, P., et al., Expansion of cancer care and control in countries of low and middle income: a call to action. The Lancet, 2010. 376(9747): p. 1186-1193.

Williams, I., Health Care in Taiwan; Why can’t The United States Learn Some Lesson. , in Dissent. 2008, University of Pennsylvania Press: Philadelphia. p. 13-17.

Evans, T.G., Chowdhury, A.M.R., Evans, D.B., Fidler, A.H., Lindelow, M., Mills, A., Scheil-Adlung., Thailand’s Universal Coverage Scheme: Achievements and Challenges. An Independent Assessment of The First 10 Years (2001-2010). 2012, Health Insurance System Research Office: Nonthaburi, Thailand.

Limwattananon, S., Vongmongkol, V., Prakongsai, P., Patcharanarumol, W., Hanson, K., Tangcharoensathien, V., Mills, A., The equity impact of Universal Coverage: health care finance, catastrophic health expenditure, utilization and government subsidies in Thailand. 2011, Consortium for Research on Equitable Health Systems (CREHS): London UK.

Tantivess, S., et al., Universal coverage of renal dialysis in Thailand: promise, progress, and prospects. BMJ, 2013. 346: f462.

Ghislandi, S., Manachotphong, W., Perego, V.M.E, The impact of Universal Health Coverage on Healthcare Consumption and Risky Behaviours: Evidence from Thailand. 2013, the Health Management Group at Imperial College Business School: London UK.

Tangcharoensathien, V., et al., Promoting universal financial protection: how the Thai universal coverage scheme was designed to ensure equity. Health Research Policy and Systems, 2013. 11(1): p. 25.

Makaka, A., S. Breen, and A. Binagwaho, Universal health coverage in Rwanda: a report of innovations to increase enrolment in community-based health insurance. The Lancet, 2012. 380: p. S7.