Format:
1 online resource (189 pages)
ISBN:
9780821380079
Series Statement:
Directions in Development
Content:
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
Content:
Cover -- Half Title Page -- Title Page -- Copyright -- Contents -- Foreword -- Acknowledgments -- Abbreviations and Acronyms -- Overview -- Chapter 1 Introduction -- Rationale for a Health Financing Study -- Objectives -- Methodology and Scope -- Structure and Outline of the Review -- Chapter 2 Socioeconomic and Health Systems Context -- Population Dynamics and Demographic Changes -- Epidemiological Changes -- Labor Market Situation -- Indonesia's Health System -- Notes -- Chapter 3 Indonesia's Health Financing System -- Health Financing Functions -- Indonesia's Health Financing Programs -- Indonesia's Health Insurance Providers -- Indonesia's Health Spending Trends -- Notes -- Chapter 4 Assessment of Health Financing Performance -- Health Outcomes -- Health Spending -- Efficiency -- Financial Protection and Equity in Financing and Delivery of Health Care -- Quality of Health Services -- The Current Health Policy Reform Baseline: Strengths and Weaknesses -- Notes -- Chapter 5 Key Policy Issues, Options, and Costs -- Mandatory Health Insurance (MHI) Goals -- The Global Evidence Base on Good Practices in Major MHI Reforms -- Socioeconomic and Institutional Realities Affecting the Design of Policy Options -- Key Policy Questions for Major MHI Expansion -- An Operational Analytical Framework for Addressing Issues -- Design and Costing of MHI in Indonesia -- Notes -- Chapter 6 Policy Options: Finding Resources for Health -- Favorable Macroeconomic Conditions -- Reprioritizing the Health Budget -- Health-Specific Resources -- Efficiencies in Health Spending -- Notes -- Chapter 7 Conclusions and Next Steps -- Wisdom from Global Health Financing Reform Efforts -- The Way Forward -- Conclusion -- Note -- Appendix 1 Probit Analysis of Demand Inducement from Insurance Coverage and Socioeconomic Changes -- Bibliography -- Index -- Back Cover.
Note:
Description based on publisher supplied metadata and other sources
Additional Edition:
ISBN 9780821380062
Additional Edition:
Erscheint auch als Druck-Ausgabe ISBN 9780821380062
Language:
English
