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Komparasi Implementasi Program Jamkesmas dan Jamkesda di Tiga Kab/Kota di Jawa Timur (The Comparison of Jamkesmas and Jamkesda Programme Implementation in Three Districts/Municipalities in East Java)

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The Government of East Java Province and District/City has signed collaboration in providing health insurance for the poor through the cost sharing of Jamkesda funding with 50:50 ratio. This study aims to compare the implementation of Jamkesmas and Jamkesda programme, especially in aspects of membership, financing and health service.

This study was conducted in three regencies/cities in East Java, such as Malang city, Jember and Sampang district, were selected each regency/city two health centers (inpatient and outpatient health center) and one district hospital. Data were collected by interviewing patients of Jamkesmas and Jamkesda participants in health centers and hospitals, as well as the health workers. The number of samples 180 patients and 53 health workers, and be descriptive analysis.

The findings showed that the regulatory support at national, provincial and district/city and East Java Governor Regulation and Bupati/Walikota is adequate. The number of Jamkesmas participants was larger than Jamkesda. In East Java the participants of Jamkesmas were 28.58% from the population and 3.35% for Jamkesda. The number of Jamkesmas participants toward the poor in 3 districts/cities reached 95.91% and 2.46% for Jamkesda. Based on health
personnel opinion, the actual number of poor participants involved as some became no longer poor. The budget allocation for Jamkesmas was unequal as Jamkesmas budget for hospitals larger than that of basic health services and delivery health insurance. Jamkesmas fi nancing was more adequate than Jamkesda in both were public health budgets and operations.

Based on patients experience, most were Jamkesmas and Jamkesda patients treated in health center usually outpatient and few of them are inpatient. The number of Jamkesmas participants treated at hospital and outpatients was smaller than Jamkesda, mean the number while inpatients in a hospital was small. Both Jamkesmas and Jamkesda services had no different, eventhough in some aspects Jamkesmas was better than Jamkesda. There was no difference between quality and accuracy services because the health care system in district/municipallity always referred to national system.

There should be a straight confirmation on Jamkesmas/Jamkesda position wheter a social insurance or social assistance. Furthermore, Jamkesda should be sustainable to support BPJS implementation in 2014.

Key words: Comparison; Jamkesmas (National Healthcare Insurance), Jamkesda (District Healthcare Insurance)

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Detail Information

Series Title

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Call Number

Buletin Penelitian Sistem Kesehatan, 16 (2) : 194-

Publisher

Surabaya : Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat., 2013

Collation

9p

Language

ISBN/ISSN

1410-2935

Classification

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Content Type

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Media Type

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Carrier Type

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Edition

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Subject(s)

insurance, health

Specific Detail Info

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