eBook

Health financing in Indonesia : a reform road map

Harimurti, Pandu, Rokx, Claudia, Tandon, Ajay, Schieber, George, Somanathan, Aparnaa

2009

Overview

In 2004 the Indonesian government made a commitment to provide its entire population with health insurance coverage through a mandatory public health insurance scheme. It has moved boldly already provides coverage to an estimated 76.4 million poor and near poor, funded through the public budget. Nevertheless, over half the population still lacks health insurance coverage, and the full fiscal impacts of the government's program for the poor have not been fully assessed or felt. In addition, significant deficiencies in the efficiency and equity of the current health system, unless addressed will exacerbate cost pressures and could preclude the effective implementation of universal coverage (UC) and the desired result of improvements in population health outcomes and financial protection. For Indonesia to achieve UC, systems' performance must be improved and key policy choices with respect to the configuration of the health financing system must be made. Indonesia's health system performs well with respect to some health outcomes and financial protection, but there is potential for significant improvement. High-level political decisions are necessary on key elements of the health financing reform package. The key transitional questions to get there include: • the benefits that can be afforded and their impacts on health outcomes and financial protection; • how the more than 50 percent of those currently without coverage will be insured; • how to pay medical care providers to assure access, efficiency, and quality; • developing a streamlined and efficient administrative structure; • how to address the current supply constraints to assure availability of promised services; • how to raise revenues to finance the system, including the program for the poor as well as currently uninsured groups that may require government subsidization such as the more than 60 million informal sector workers, the 85 percent of workers in firms of less than five employees, and the 70 percent of the population living in rural areas.

• Publisher: World Bank,World Bank Publications
• Subject: ABILITY TO PAY / ACCESS TO HEALTH SERVICES / ACCESS TO SERVICES / ADMINISTRATIVE COSTS / AGING / AMBULANCE / BASIC HEALTH SERVICES / BIRTH RATE / BLOCK GRANT / BLOCK GRANTS / BUDGET ALLOCATION / CAPITAL COSTS / CAPITATION / CAPITATION PAYMENTS / CARDIOVASCULAR DISEASES / CATASTROPHIC HEALTH SPENDING / CHOICE OF PROVIDER / CITIES / CLEAN WATER / CLINICS / COMMUNICABLE DISEASES / COMMUNITY DEVELOPMENT / COMMUNITY HEALTH / COST ANALYSIS / COST CONTROL / COST SHARING / COST-EFFECTIVENESS / DEATH RATE / DEATHS / DECISION MAKING / DELIVERY OF HEALTH CARE / DELIVERY SYSTEM / DEMOGRAPHIC CHANGES / DEVELOPMENT PLANNING / DISEASE CONTROL / DISSEMINATION / DOCTORS / DRUG USERS / ECONOMIC GROWTH / EPIDEMIOLOGICAL CHANGES / EPIDEMIOLOGICAL TRANSITION / EXPENDITURES / FAMILIES / FAMILY PLANNING / FEES FOR SERVICE / FEMALE LITERACY / FINANCIAL PROTECTION / FINANCIAL SECTOR / FINANCING OF HEALTH CARE / Financing, Government -- Indonesia / Gesundheitsfinanzierung / Gesundheitsversorgung / Gesundheitswesen / GLOBAL HEALTH / HEALTH CARE / HEALTH CARE EXPENDITURES / HEALTH CARE QUALITY / HEALTH CARE REFORM / Health Care Reform -- economics -- Indonesia / Health care reform -- Indonesia / HEALTH CENTERS / HEALTH EXPENDITURE / HEALTH EXPENDITURE PER CAPITA / HEALTH FACILITIES / HEALTH FINANCING / HEALTH FINANCING REFORM / HEALTH FINANCING SYSTEM / HEALTH INDICATORS / HEALTH INFORMATION / HEALTH INFORMATION SYSTEM / HEALTH INFORMATION SYSTEMS / HEALTH INSURANCE PROGRAM / HEALTH INSURANCE SCHEME / HEALTH INSURANCE SCHEMES / HEALTH INSURANCE SYSTEM / HEALTH INTERVENTIONS / HEALTH MAINTENANCE / HEALTH MAINTENANCE ORGANIZATION / HEALTH ORGANIZATION / HEALTH OUTCOMES / HEALTH POLICY / HEALTH PROFESSIONALS / HEALTH PROGRAMS / HEALTH PROVIDERS / HEALTH RESULTS / HEALTH SECTOR / HEALTH SECTOR REFORM / HEALTH SERVICE / HEALTH SERVICE DELIVERY / HEALTH SERVICE UTILIZATION / HEALTH SERVICES / HEALTH SPECIALIST / HEALTH SPENDING INCREASES / HEALTH SYSTEM / HEALTH SYSTEM EFFICIENCY / HEALTH SYSTEM GOALS / HEALTH SYSTEM STRENGTHENING / HEALTH SYSTEMS / HEALTH WORKERS / HEALTH WORKFORCE / HIV/AIDS / HMO / HMOS / HOSPITAL BEDS / HOSPITAL MANAGEMENT / HOSPITALS / HUMAN DEVELOPMENT / HUMAN RESOURCES / ILLNESS / IMMUNIZATION / IMMUNODEFICIENCY / INCIDENCE ANALYSIS / INCOME / INCOME COUNTRIES / INDEXES / Indonesia / Indonesien / INFANT / INFANT MORTALITY / INFANT MORTALITY RATE / INFANT MORTALITY RATES / INFLUENZA / INFORMAL SECTOR / INFORMAL SECTOR WORKERS / INJURIES / INSURANCE SYSTEMS / Insurance, Health -- economics -- Indonesia / INSURERS / INTEGRATION / INTERNATIONAL COMPARISONS / LABOR MARKET / LEGAL STATUS / LIFE EXPECTANCY / LIFE EXPECTANCY AT BIRTH / LIVING STANDARDS / MANAGED HEALTH CARE / MATERNAL MORTALITY / MEDICAL / MEDICAL CARE / MEDICAL DOCTORS / MEDICAL ECONOMICS / Medical economics -- Indonesia / MEDICAL EQUIPMENT / MEDICAL RECORDS / MEDICAL SPECIALISTS / MEDICINES / MIDWIFE / MIDWIVES / MINISTRY OF HEALTH / MORAL HAZARD / MORTALITY / NATIONAL DEVELOPMENT / NATIONAL HEALTH / NATIONAL HEALTH INSURANCE / National health insurance -- Indonesia / NATIONAL HEALTH POLICY / National Health Programs -- economics -- Indonesia / NATIONAL HEALTH SERVICE / NATIONAL HEALTH SERVICES / NEEDS ASSESSMENT / NURSES / NUTRITION / OCCUPATIONAL HEALTH / PATIENTS / PAYMENTS FOR HEALTH CARE / PHARMACEUTICAL SECTOR / PHARMACIES / POLICY RESEARCH / POPULATION DYNAMICS / Population Dynamics -- Indonesia / POPULATION TREND / PRIMARY CARE / PRIMARY HEALTH CARE / PRIVATE CLINICS / PRIVATE HEALTH SERVICES / PRIVATE HOSPITALS / PRIVATE INSURANCE / PRIVATE SECTOR / PRIVATE SERVICES / PRIVATE SPENDING / PROVIDER PAYMENT / PUBLIC EXPENDITURE / PUBLIC EXPENDITURE ON HEALTH / PUBLIC HEALTH / PUBLIC HEALTH EXPENDITURES / PUBLIC HEALTH INSURANCE / PUBLIC HEALTH INSURANCE SCHEME / PUBLIC HEALTH INTERVENTIONS / PUBLIC HEALTH SERVICES / PUBLIC HEALTH SPENDING / PUBLIC HEALTH SYSTEM / PUBLIC HOSPITAL / PUBLIC HOSPITALS / PUBLIC INSURANCE / PUBLIC INSURANCE SYSTEM / PUBLIC PROVIDERS / PUBLIC PROVISION / PUBLIC SECTOR / PUBLIC SPENDING / QUALITY OF CARE / QUALITY OF HEALTH / REFORM EFFORT / RISK FACTORS / SEX WORKERS / SHARE OF HEALTH SPENDING / SKILLED BIRTH ATTENDANCE / SOCIAL HEALTH INSURANCE / SOCIAL INSURANCE / SOCIAL SECURITY / SOCIAL SERVICES / SOCIOECONOMIC FACTORS / SURGERY / TEACHING HOSPITALS / TUBERCULOSIS / UNEMPLOYMENT / UNIVERSAL HEALTH INSURANCE COVERAGE / VENTILATION / WORKERS
• ISBN: 9780821380062, 0821380060, 9780821380079, 0821380079