Health Financing Impact on Ability to Pay and Catastrophic Payment

Thinni Nurul Rochmah • Rien Gloria Sihombing
Journal article Jurnal Administrasi Kesehatan Indonesia • 2013 Indonesia

Unduh teks lengkap
(Bahasa Indonesia, 8 pages)


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.Keywords: Ability to Pay, Catastrophic Payments, Medical Expenditure


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Jurnal Administrasi Kesehatan Indonesia

Journal Administrasi Kesehatan Indonesia diterbitkan oleh Departemen Administrasi dan Kebijakan K... tampilkan semua