迈向评估可持续全民健康覆盖财政政策:印度尼西亚和泰国的比较研究

D. Mutiarin, Amporn Tamronglak, S. Suranto, Awang Darumurti, Sakir Sakir
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引用次数: 1

摘要

本研究旨在了解印尼和泰国对可持续全民健康覆盖财政政策的评价研究。结果表明,印尼和泰国的公共财政都存在过度负担的趋势。泰国和印度尼西亚在实施全民健康覆盖政策时都经历了财政负担。问题更多的是,从年度预算中支付全民健康覆盖的大部分资金被计入年度国民生产总值(DGP),成为每年分配的国家预算的负担。第二,印度尼西亚的服务质量仍然很差,政府卫生设施分布不均,特别是在泰国的初级卫生保健方面。第三,全民健康覆盖转诊服务的程序仍然复杂,患者无法获得提前保健。本研究的分析方法来源于定性研究方法。在本研究中,定性模型将使用访谈指南和焦点讨论小组来挖掘信息。FGD是在印度尼西亚和泰国与特定的答复者和关键的线人进行的。最后,本研究还对研究者之间的均值收敛进行了三角剖分。研究表明,全民健康覆盖政策是东盟国家的一项重要卫生政策问题。印尼和泰国需要在财政模式上寻求可持续的全民健康覆盖政策模式,提高服务质量,简化转诊服务的现状。关键词:政策评估-政策模型-全民健康覆盖
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MOVING TOWARDS EVALUATION SUSTAINABLE UNIVERSAL HEALTH COVERAGE FINANCE POLICY: A COMPARISON STUDY BETWEEN INDONESIA AND THAILAND
This research is aimed to understand the evaluation study on Sustainable Universal Health Coverage Finance Policy both in Indonesia and Thailand. The results shows that there is tendency of overburden of public finance for both Indonesia and Thailand. Both of Thailand and Indonesia experienced the financial burden in implementing UHC Policy. The problem is more on the bulk amount of fund to cover the UHC from the annual budget which is accounted of the Annual National Gross Domestic Products (DGP), and become the burden for the National Budget allocated each year. Second, the quality of service is still in poor quality for Indonesian case and there is unequal distribution of government health facilities particularly in primary health care in Thailand. Third, the procedures of UHC for referral services is still complicated for the patients to get advance health care. The analytical approach of this study is derived from a qualitative research methods. In this research, the qualitative model will use the interview guide and focus discussion group to explore the information. FGD is conducted both in Indonesia and Thailand with the certain respondents and and key informan. Finally, this research also performing the procedures of triangulation to mean convergence among researchers. The research shows that Universal Health Coverage (UHC) Policy is an important health policy issue among ASEAN Countries. Indonesia and Thailand, needs to seek a sustainable policy model of UHC in financial model, improvement quality service and simplify referral service of current situation. Keywords: Policy Evaluation- Policy Model – Universal Health Coverage
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