Telaah Artikel: Implementasi Sistem Pembayaran Kapitasi pada Jaminan Kesehatan Nasional sebagai Strategi dalam Mengatasi Kesenjangan Pelayanan Kesehatan
(Review Article: The Implementation of Capitation System in National Health Insurance as The Strategy to Overcome the Inequalitiesin Health Services)
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Alia Istiqomah, Irene Putri Jayanti, Ratih Wijayanti, Fahmi Hidayatullah
Program Studi Profesi Dokter Gigi, Fakultas Kedokteran, Universitas Jenderal Soedirman, Indonesia
Fitri Diah Oktadewi
Bagian Ilmu Kedokteran Gigi Masyarakat dan Pencegahan Jurusan Kedokteran Gigi, Fakultas Kedokteran, Universitas Jenderal Soedirman, Indonesia
DOI: https://doi.org/10.19184/stoma.v20i1.38596
ABSTRACT
National Health Insurance program changed the pattern of health financing in Indonesia from fee to service system to capitation system. The capitation system is expected to reduce the risk of the community's own health costs and overcome inequalities of health services. The purpose of this literature review is to analyze the implementation of capitation payment system in overcoming health services problems. Although the implementation of NHI in Indonesia helps to equalize health services, there are quite number of problems in implementing NHI with the capitation system, among others, not all of the population is covered as participants, inequality of health facilities, varied quality of health services, health human resources, and management of capitation funds, monitoring, non-optimal referral systems, and varied geographic conditions had potential for widening health inequalities between community groups. Public health services should not only focus on treating individuals who are sick, but can do more important things such as making efforts to prevent and improve health. The capitation payment system is the most effective system for solving health services problems even though its implementation still not optimal and there are several shortcomings that can be fixed.
Published
30-03-2023
Issue
Vol. 20 No. 1 2023: Jurnal Stomatognatic
Pages
24-31
License
Copyright (c) 2023 Jurnal Stomatognatic
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