DAMPAK PEMBIAYAAN KESEHATAN TERHADAP ABILITY TO PAY DAN CATASTROPHIC PAYMENT
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.
Penulis: Rien Gloria
Sihombing, Thinni Nurul R.
Kode Jurnal: jpkedokterandd130155
