Home 2015 - Volume 15 (3) THE INTRODUCTION OF SUBSIDISED HEALTH INSURANCE FOR THE POOR IN THE CITY OF PADANG, INDONESIA: DOES THE GAP ON HEALTH PAYMENT AND HEALTH SERVICE UTILISATION STILL EXIST?
THE INTRODUCTION OF SUBSIDISED HEALTH INSURANCE FOR THE POOR IN THE CITY OF PADANG, INDONESIA: DOES THE GAP ON HEALTH PAYMENT AND HEALTH SERVICE UTILISATION STILL EXIST? PDF Print E-mail
Saturday, 05 September 2015 14:10

Ade Suzana Eka Putri1,2,3, Syed Mohamed Aljunid1, Amrizal Muhammad Nur1

1International Centre for Casemix and Clinical Coding, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

2United Nations University, International Institute for Global Health, Kuala Lumpur, Malaysia

3Faculty of Public Health, Andalas University, Padang, Indonesia

ABSTRACT

Indonesian government secures the access of the poor towards health services through subsidised schemes. This study is aimed to describe the pattern of health expenditure by households and to describe the pattern of health service utilisation across household’s socioeconomic level in the city of Padang after seven years of the introduction of subsidised schemes. A household survey was conducted involving 918 households, with multistage random sampling method. The proportion of out-of-pocket (OOP) health spending as a share of household’s capacity to pay was regressive across consumption quintiles. The proportion of households with catastrophic health expenditure was 1.6% while 1.1% faced impoverished health expenses. Among those who need health care, the utilisation among the rich was higher than the poor. Health insurance schemes in Padang provides financial protection, however with regards to household’s capacity to pay, the poor has the higher burden of health payment. The gap on health service utilisation between the poor and the better-offs was still apparent for outpatient services and it has been narrowed for inpatient care. This study suggests that the subsidised schemes for the poor are highly needed and the possibility of the leakage of subsidies to the rich should be considered by the government.

Keywords: health expenditure, outpatient visit, inpatient service utilisation, jaminan kesehatan nasional, Indonesia.

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Last Updated on Saturday, 05 September 2015 22:51
 

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ISSN No : 1675-0306
e-ISSN No : 2590-3829

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