Saturday, April 12, 2014

Evaluation of the National Health Insurance 100 Days

After 100 days of running the National Health Insurance system , the quality of service in the spotlight of various parties . Full perceived service quality must be improved so that people receive excellent service .

It was mentioned by a number of parties in the dialogue " Working on Fundamental Problems in the Era of Health Care Facilities of the National Health Insurance " organized by the Indonesian Hospital and Clinic Watch ( INHOTCH ) in Jakarta , Friday ( 11/4 ) .

Present in the dialogue Services Director Social Security Agency ( BPJS ) Fadjriadinur Health , National Social Security Board Chairman Ghazali Situmorang , Deputy Secretary General of the Indonesian Doctors Association III Widhi Prasetyo , as well as Head of Finance and the Ministry of Health Health Insurance Ronald Pardede .

Fadjriadinur delivered , distribution of participants enrolled at primary health care facilities are not evenly distributed . There is no health center or clinic that many participants , while power is only one doctor . There is also very little health clinic with participants . This will greatly affect the quality of services received by participants .

"Not to be opened as wide as possible access , but the quality of service decreases , " said Fadjriadinur .

Ideally , in a primary health care doctor serves 5,000 participants . However , for many reasons , there are doctors who serve more than 5,000 people .

The solution , says Fadjriadinur , the number of physicians in a location that participants are added or increase hours of service . It is strongly associated with the equalization of health personnel .

Prasad added that the National Health Insurance ( JKN ) , primary health care facilities receive capitation participants listed above . However , the money goes to the area because health centers are owned by local governments .

" It is unclear when the funds are returned to the health center and how to divide it , " said Prasad .


Likewise, general hospitals are government owned and not public service entity ( BLU ) . In the secondary health care facilities , according to Prasad , Indonesian fare Case - Based Groups ( CBG INA ) was also considered too low and there is a disparity in rates between hospitals . In fact , for certain treatment , such as endoscopic measures , ways , and means the same as that used in hospitals of different types .

Based on the record BPJS Health , by March 28, 2014 , the total number of participants BPJS Health 119.2 million from 121.6 million people targeted by 2014.
( see also: obat burung biar gacor )

The number of workers do not receive wages register as a participant BPJS Health has also increased from 80,000 a day for late January 2014 to around 150,000 people per day in the last four weeks .


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