UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Administrasi Kesehatan Indonesia

ISSN 23033592

Vol. 1 / No. 1 / Published : 2013-01

Order : 1, and page :1 - 8

Related with : Scholar   Yahoo!   Bing

Original Article :

Health financing impact on ability to pay and catastrophic payment

Author :

  1. Rien Gloria Sihombing*1
  2. Thinni Nurul R.*2
  1. Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya
  2. Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya

Abstract :

Out of pocket health payments are a type of health financing that is still used in Indonesia. The purpose of the study is to measure the ability to pay for health care and to estimate how the impact of health cares financing. This was a cross sectional study using descriptive quantitative approach. Interviews were conducted to 72 respondents with cash payment in the cardia and internist clinic of dr. M. Soewandhie General Hospital in May to June 2012. Subjects were drawn by stratified random sampling. The results of this study showed that 68,1% of patients had been experienced with catastrophic payments. Most of them were family with jobless householder, family with medium level of income, and patients with chronic diseases. There were 59,2% catastrophic payment patients had low ability to pay (only IDR 55,000 to IDR 141,667). The highest medical expenditure was for drugs and laboratory tests. This research pointed that out of pocket payments can bring negative effect to the economy of community. Government needs to improve the health promotive and preventive to prevent illness, especially for chronic diseases prevention. Health insurance system need to be regulated in order to prevent households become poverty because of illness. //

Keyword :

Ability to Pay, , Catastrophic Payments, Medical Expenditure,


References :

Bustan, M.,(2007) Epidemiologi Penyakit Tidak Menular Jakarta : PT. Rineka Cipta

Kemenkes,(2001) Pedoman Penatapan dan Koleksi Premi JPKM. Jakarta : Kemenkes

Lumbangaol, L.,(2011) Analisis Luas Lahan Minimum untuk Peningkatan Kesejahteraan Petani pada Sawah Medan : Universitas Sumatera Utara

Muntamah,(2010) Laporan Praktikum Mata Kuliah Ekonomi Kesehatan Pengukuran Ability to Pay (ATP) dan Willingness to Pay (WTP) pada Pedagang Keliling untuk Penetapan Tarif Pelayanan Puskesmas Jawa Tengah : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Soedirman

Pradhan, M. & Prescott, N.,(2002) Social Risk Management Options for Medical Care in Indonesia vol.11.pp. 31-46 : Health Economics





Archive Article

Cover Media Content

Volume : 1 / No. : 1 / Pub. : 2013-01
  1. Championship Program Evaluation As Continous Quality Improvement (cqi)
  2. Health Financing Impact On Ability To Pay And Catastrophic Payment
  3. Quality Analysis Based On Perception And Expectation Of Patients In Medokan Ayu Community Health Center Surabaya
  4. Equity In Healthcare Delivery
  5. Consumer Behavior Analysis In Inpatient Obstetrics Gynecology Surabaya Islamic Hospital
  6. Utilization Improvement Of Antenatal Care Based On Voice Of The Customer
  7. Performance Improvement Of Hospital Through Cross Functional Teamworks Practices Optimalization
  8. Vertical Equity Analysis On Healthcare Utilization
  9. Switching Barriers Strategy In Improving Patients Loyalty Of Inpatient Muhammadiyah Surabaya Hospital
  10. Drugs Stockout And Stagnant Determinants And Loss In Logistic Unit Of Haji General Hospital Surabaya

Information JAKI