scholarly journals Masyarakat Miskin dan Pelayanan Kesehatan di Kabupaten Bolaang Mongondow

Populasi ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. 19-37
Author(s):  
Ferdinandus Kainakaimu
Keyword(s):  
Community Health Center ◽  
Health Condition ◽  
Access To Healthcare ◽  
Poor People ◽  
Internal Factors ◽  
Private Hospitals ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Poor Families ◽  
Rich People

Health condition in Bolaang Mongondow District specialy is categorized low compared to other more advanced regions. By using qualitative methods, this article clarifies poor families’ access to healthcare in Bolaang Mongondow and identifying internal and external difficulties in accessing one. The informants are categorizedas providers and clients of healthcare, specially poor families holding Askeskin (health insurance program for poor people) card that have experience in accessing healthcare in puskesmas (community health center). The result indicates that 1)poor family’s access to healthcare in Bolaang Mongondow is not yet optimum. When they were ill, the Askeskin holders should decide either to take care of themselves or seek for medical treatment from private hospitals. Ironically, some rich people get the Askeskin card also. The poor families sometimes were charged additional fees to cover such healthcare as childbearing and maternal and infant healthcare; 2) internal factors in accessing the healthcare (from Askeskin card holders themselves) and external factors that came from the providers of healthcare in giving services to poor families.Kondisi kesehatan di Kabupaten Bolaang Mongondow tergolong rendah dibandingkan dengan daerah lainnya. Dengan menggunakan metode kualitatif, artikel ini menjelaskan akses keluarga miskin terhadap layanan kesehatan di Kabupaten Bolaang Mongondow dan mengidentifikasi kesulitan internal dan eksternal ketika mengaksesnya. Informan adalah penyedia layanan dan kliennya, khususnya keluarga miskin pemegang Askeskin (program asuransi kesehatan untuk orang miskin). Hasil penelitian menunjukkan bahwa 1) akses keluarga miskin terhadap kesehatan di Bolaang Mongondow belum optimal. Ketika mereka sakit, pemegang Askeskin harus memutuskan apakah mengobati sendiri atau berobat rumah sakit swasta. Ironisnya, beberapa orang kaya mendapatkan kartu Askeskin juga. Keluarga miskin kadang-kadang dibebani biaya tambahan untuk menutup kesehatan, seperti kesehatan melahirkan anak dan ibu dan bayi. 2) Faktor internal dalam mengakses pelayanan kesehatan (dari pemegang kartu Askeskin) dan faktor eksternal yang berasal dari penyedia layanan kesehatan dalam memberikan pelayanan kepada masyarakat miskin keluarga

scholarly journals How Did SCHIP Affect the Insurance Coverage of Immigrant Children?

2008 ◽  
Vol 8 (2) ◽  
Author(s):  
Thomas C Buchmueller ◽  
Anthony T Lo Sasso ◽  
Kathleen N Wong
Keyword(s):  
Insurance Coverage ◽  
Children Of Immigrants ◽  
Foreign Born ◽  
Public Insurance ◽  
Important Group ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Poor Families ◽  
Uninsured Children ◽  
Medicaid Expansions

Abstract The State Children's Health Insurance Program (SCHIP) significantly expanded public insurance eligibility and coverage for children in ``working poor" families. Despite this success, it is estimated that over 6 million children who are eligible for public insurance remain uninsured. An important first step for designing strategies to increase enrollment of eligible but uninsured children is to determine how the take-up of public coverage varies within the population. Because of their low rates of insurance coverage and unique enrollment barriers, children of immigrants are an especially important group to consider. We compare the effect of SCHIP eligibility on the insurance coverage of children of foreign-born and native-born parents. In contrast to research on the earlier Medicaid expansions, we find similar take-up rates for the two groups. This suggests that state outreach strategies were not only effective at increasing take-up overall, but were successful in reducing disparities in access to coverage.

scholarly journals Critical evaluation of two approaches to achieve universal health coverage in India

2018 ◽  
Vol 5 (8) ◽  
pp. 3159 ◽  
Author(s):  
Shyamkumar Sriram
Keyword(s):  
Health Insurance ◽  
Universal Health Coverage ◽  
Critical Evaluation ◽  
Well Being ◽  
Poor People ◽  
Health Coverage ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Wide Range ◽  
Universal Health

The WHO report on the path to Universal Health Coverage (UHC) emphasizes that every person should receive the necessary healthcare without enduring financial hardship at the time of getting care. United Nations’ Sustainable Development agenda incorporates one goal (Goal 3) that is related to health and well-being of the population and one of the specific targets of the goal is to improve financial risk protection through the achievement of universal health coverage. More than 100 countries in the world have either started their reforms towards UHC or have already achieved it and India is one of the countries trying to achieve UHC. Out of the 1.324 billion people in India, only 11% of the population has any form of health insurance coverage. Around, 42% of India’s population is Below Poverty Line (BPL). Rashtriya Swasthya Bima Yojana is a health insurance program started in 2007 that provides a wide range of healthcare services for BPL families. Rajiv Aarogyasri Community Health Insurance is a state health insurance program started in Andhra Pradesh as one of the first programs in India to provide health insurance to poor people. In India, 39 million people are being impoverished due to OOP health expenditures each year, and a quarter of these expenditures are contributed by hospitalization Out-of-pocket expenditures even after the financial protection provided by a number of health insurance programs. This review will critically evaluate the two health insurance approaches which aim to achieve UHC in India by providing health protection to the indigent.

scholarly journals IMPLEMENTASI KEBIJAKAN TATAKELOLA PESERTA PROGRAM JAMINAN KESEHATAN NASIONAL DI JATIM

2016 ◽  
Vol 2 (01) ◽  
Author(s):  
M. Ali Imron Rosyadi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Poor People ◽  
Care Seeking ◽  
Health Insurance System ◽  
Insurance System ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Government

Health insurance system is one of the important components in ensuring theneeds of basic human rights, namely health. Government as theimplementing regulations in the fulfillment of basic rights such as healthhave been doing the development, guidance, and acceleration in organizinghealth care. So that the government is very strategic role in theimplementation of the National Health Insurance program (JKN). But thereis one problem JKN program implementation, namely the weakmanagement of the participants. It affects both services and financing JKNprogram. There have been several studies that analyze these problems,among others, the study of health care seeking behavior of participants ofpublic health insurance, the readiness of stakeholders in the implementationof JKN, and the program participant data JKN invalid and not targeted. Sothat in this research conducted a study which aims to analyze themanagement of participants through the method of interpretation, describe,analyze, and the build a model of the implementation of managementpolicies of insured people, and the synchronization of the health insuranceprogram regional level into the health insurance system nationwidemanaged by BPJS Health in the Province of East Java. The results showedthat participants in the program management JKN is not optimal, andcurrently poor people who can not be accommodated in the management ofContribution Recipient (PBI) has been well managed by the regionalgovernment, through the Regional Health Insurance program. Further theparticipant management implementation model is not effective as a modelof policy implementation of Van Metter and Van Horn due to weakoversight of the bureaucratic system and the human resources involved inthe implementation of the management of the participants. Keywords : Implementation of policy, National Health Insurance (JKN), management of participants.

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