Adaptasi Sistem Asuransi Kesehatan Terhadap Perubahan Pola Penyakit

Indonesia

Authors

  • Anis Lusiana Anggreini Anis Lusiana Anggreini Universitas Pembagunan Nasional "Veteran" Jakarta
  • Diva Latifah Rochmah Diva Latifah Rochmah Universitas Pembangunan Nasional "Veteran" Jakarta
  • Riswandy Wasir Universitas Pembangunan Nasional "Veteran" Jakarta

DOI:

https://doi.org/10.59841/an-najat.v2i2.1295

Keywords:

Changing Disease Patterns, Health Insurance Systems, Healthcare Cost Impact, Adaptation Strategies, Healthcare Access

Abstract

The changing pattern of diseases poses a significant challenge to health insurance systems in Indonesia and other countries. Chronic and degenerative diseases are on the rise, placing a dual burden on healthcare systems. This study employs a literature review approach to analyze the impact of changing disease patterns on health insurance systems and adaptation strategies. Through literature method analysis, this research evaluates relevant studies pertaining to this topic. The analysis findings indicate that changing disease patterns increase healthcare service costs, influence resource allocation, and demand responsive policies. Some studies highlight the importance of enhancing affordable and effective healthcare access for chronic disease patients. From the evaluated research findings, it is concluded that recommended adaptation strategies include enhancing disease screening, collaboration between healthcare institutions and insurers, and promoting prevention programs. Best practices from advanced countries such as Singapore and Thailand underscore the importance of equity in healthcare financing and enhancing primary care services. In conclusion, changing disease patterns require swift and targeted responses from health insurance systems, focusing on prevention, accessibility, and equity in financing. 

References

Anutrakulchai, S., Mairiang, P., Pongskul, C., Thepsuthammarat, K., & Chan-on, C. (2016). Mortality and treatment costs of hospitalized chronic kidney disease patients between the three major health insurance schemes in Thailand. BMC Health Services Research, 1–11. https://doi.org/10.1186/s12913-016-1792-9

Arredondo, A., & Aviles, R. (2016). Costs and Epidemiological Changes of Chronic Diseases : Implications and Challenges for Health Systems. 1–12. https://doi.org/10.1371/journal.pone.0118611

Damayanti, Y., & Soewondo, P. (2022). Keterkaitan Besaran Premi Terhadap Biaya Klaim Rawat Inap Penyakit Berbiaya Tinggi (Penyakit Jantung, Kanker, dan Stroke) Program Takaful Keluarga 2018 – 2020. 5(8), 976–983.

Direktorat JENDERAL PENCEGAHAN DAN PENGENDALIAN PENYAKIT. (2023). LAPORAN KINERJA SEMESTER I TAHUN 2023.

Doroshow, J. H., Croyle, R. T., & Niederhuber, J. E. (2009). Five Strategies for Accelerating the War on Cancer in an Era of Budget Deficits. 110–116. https://doi.org/10.1634/theoncologist.2008-0270

Foo, C. De, Surendran, S., Tam, C. H., Ho, E., Matchar, D. B., Car, J., Choon, G., Koh, H., & Ch, T. (2021). Perceived facilitators and barriers to chronic disease management in primary care networks of Singapore : a qualitative study. https://doi.org/10.1136/bmjopen-2020-046010

Graham WCK, Bilger M. (2017). Financing Long-Term Services and Supports: Ideas From Singapore. Milbank Q. Jun;95(2):358-407. doi: 10.1111/1468-0009.12264. Erratum in: Milbank Q. 2017 Sep;95(3):682. PMID: 28589606; PMCID: PMC5461396.

Huguet, N., Hodes, T., Liu, S., & Marino, M. (2023). Impact of Health Insurance Patterns on Chronic Health Conditions Among Older Patients. 36(5), 839–850. https://doi.org/10.3122/jabfm.2023.230106R1.Impact

Ito T, Kounnavong S, Miyoshi C. (2022). Financial burden and health-seeking behaviors related to chronic diseases under the National Health Insurance Scheme in Bolikhamxay Province, Lao PDR: a cross-sectional study. Int J Equity Health. Dec 16;21(1):180. doi: 10.1186/s12939-022-01788-0. Erratum in: Int J Equity Health. 2023 Feb 23;22(1):35. PMID: 36527068; PMCID: PMC9758772.

Khoo, H.S., Lim, Y.W. & Vrijhoef, H.J. (2014). Primary healthcare system and practice characteristics in Singapore. Asia Pac Fam Med 13, 8. https://doi.org/10.1186/s12930-014-0008-x

McKeown RE. (2009). The Epidemiologic Transition: Changing Patterns of Mortality and Population Dynamics. Am J Lifestyle Med. Jul 1;3(1 Suppl):19S-26S. doi: 10.1177/1559827609335350. PMID: 20161566; PMCID: PMC2805833.

Peng, Z., & Zhu, L. (2021). The impacts of health insurance on financial strain for people with chronic diseases. 1–10.

Setyawan, F. E. B. (2010). Sistem pembiayaan kesehatan.

Sumriddetchkajorn, K., Shimazaki, K., Ono, T., Kusaba, T., Sato, K., & Kobayashi, N. (2019). Universal health coverage and primary care, Thailand. Bulletin of the World Health Organization, 97(6), 415–422. https://doi.org/10.2471/BLT.18.223693

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Published

2024-05-28

How to Cite

Anis Lusiana Anggreini, A. L. A., Diva Latifah Rochmah, D. L. R., & Riswandy Wasir. (2024). Adaptasi Sistem Asuransi Kesehatan Terhadap Perubahan Pola Penyakit: Indonesia. An-Najat, 2(2), 199–213. https://doi.org/10.59841/an-najat.v2i2.1295

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