THE RELATIONSHIP BETWEEN HEALTH FINANCING MECHANISM AND MORTALITY RATE IN SANTA MARIA PEKANBARU HOSPITAL

Authors

  • Arifin Arifin Hospital Administration Department, Faculty of Public Health, University of Indonesia
  • Amal Chalik Sjaaf Hospital Administration Department, Faculty of Public Health, University of Indonesia

Keywords:

GDR, health financing mechanism, NDR, out of pocket

Abstract

Background: The main challenge of the health financing mechanism in Indonesia is the allocation of health spending which is still dominated by the private sector, whereas the largest proportion comes from out of pocket payments. The system are a significant barrier in accessing health services. Many individuals with chronis diseases postpone the search for medical services because of high health care cost. The consequences of the delay is the loss of opportunities to overcome chronic illness. This research was aimed to analyze the relationship between health financing mechanism and mortality rate (GDR and NDR) in Santa Maria Pekanbaru Hospital. 

Methods: This cross-sectional study involves GDR and NDR of patients using out of pocket payment and those using health insurance in the year between 2014 - 2017. Data analysis was performed by independent samples t-Test (significance level p < 0,05).

Result:The result of independent samples t-test analysis indicated that there was a significant difference between GDR and NDR of patients using out of pocket payment and health insurance patients (p < 0,05). GDR score of patients using out of pocket payment was 9.58 times higher than health insurance patients. The NDR score of patients with out of pocket payment 6.79 times higher than health insurance patients.

Conclusion: The health service outcome in patients with out of pocket payment is lower than health insurance patients. The out of pocket payment financing mechanism is one of the major problems in the transition to Universal Health Covered. It is recommended that our government must increase the health budget which is at least in accordance with the rule of law and improve the allocation of public sector health funds at least 2/3 of the total health budget to reduce the proportion of out of pocket to total health expenditure. Health care providers should do efficiency in all areas to reduce the cost of health services. Patient who do not have health insurance will have to rearrenge the allocation of their household expense to pay premium insurance and implement the healthy life habits.

 

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References

WHO. Health systems : Health systems financing. World Health Organization. 2018.

Cali J, Makinen M, Derriennic Y. Emerging Lessons from the Development of National Health Financing Strategies in Eight

Developing Countries. Health Systems & Reform, 4(2):136–145.2018.

Nadjib M. Materi Kuliah Ekonomi Kesehatan Bab Pembiayaan Kesehatan. 2018.

Ataguba JE, Asante AD, Limwattananon S, Wiseman V. How to do (or not to do)... a Health Financing Incidence Analysis. Health

Policy and Planning. 2018.

Wei Fu, colleagues. Research in health policy making in China: out-of-pocket payments in Healthy China 2030. Medical Research

in china. 2018.

Ahangar A, Ahmadi AM, Mozayani AH, Dizaji SF. The Role of Risk-sharing Mechanisms in Finance Health Care and Towards

Universal Health Coverage in Low-and Middle-income Countries of World Health Organization Regions. JPMPH. 2018.

Sekretaris Jenderal Kementerian Kesehatan RI. Upaya Bersama Untuk Meningkatkan Kualitas Pembangunan Bidang Kesehatan

Dalam Rangka Meningkatkan Standar Kesehatan Masyarakat. Seminar Kajian Bidang Kesehatan. 2017.

Mahendradhata Y., et al. The Republic of Indonesia Health System Review. Asia Pacific Observatory on Health Systems and

Policies Vol.7. 2017.

Fauxon M. Out of pocket costs: a critical health issue to watch in 2018 – but first, some history. 2018.

Kujawska J. Impact Of The Financing Structure On Efficiency Of Healthcare Systems In The Former Eastern Bloc Countries.

Quantitative Methods In Economics Volume XVIII , No. 1, 2017, pp. 78 – 87. 2017.

Dangi S, Garimella. Financial Burden an Unintended Outcome of Cancer Care. AJMC. 2018.

Smith KT., et al.. Access Is Necessary but Not Sufficient: Factors Influencing Delay and Avoidance of Health Care Services . MDM

Policy & Practice. 2018.

Heath S. 64% of Patients Avoid Care Due to High Patient Healthcare Costs. Patient Responsibility News. 2018.

Noel JK. Public health care funding modifies the effect of out-of-pocket spending on maternal, infant, and child mortality. Journal

Health Care for Women International Volume 38, 2017 - Issue 3. 2016.

Warkawania FM, MsenY, Rantetampang AL. Performance of Jayapura General Hospital used Balanced Score Card on Year 2015

and 2016. International Journal of Sciences: Basic and Applied Research (IJSBAR) ISSN 2307-4531.2017.

WHO. World Health Day 2018: Key messages. World Health Organization. 2018.

Rumah Sakit Santa Maria Pekanbaru. Profil Rumah Sakit Santa Maria Pekanbaru 2017. 2018

Heath Sara. How out of pocket cost affect patient healthcare access. Patient Engagement HIT. 2017.

Woolhandler S, Himmelstein DUA. The Relationship of Health Insurance and Mortality : Is Lack of Insurance Deadly?. Ann Intern

Med. 2017.

Published

2018-08-02

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How to Cite

THE RELATIONSHIP BETWEEN HEALTH FINANCING MECHANISM AND MORTALITY RATE IN SANTA MARIA PEKANBARU HOSPITAL. (2018). Proceedings of the International Conference on Applied Science and Health, 3, 68-72. https://www.inschool.id/publications/index.php/icash/article/view/756

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