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Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?

Purpose: In 2010, the World Health Organization (WHO) released its report about health system financing and identified universal coverage as the best way to attain the right of every human being to enjoy “the highest attainable standard of health”. Over the past decade, Thailand has successfully imp...

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Autores principales: Erlangga, Darius, Shi, Lizheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia Data Analytics, LLC 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471396/
https://www.ncbi.nlm.nih.gov/pubmed/37662878
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author Erlangga, Darius
Shi, Lizheng
author_facet Erlangga, Darius
Shi, Lizheng
author_sort Erlangga, Darius
collection PubMed
description Purpose: In 2010, the World Health Organization (WHO) released its report about health system financing and identified universal coverage as the best way to attain the right of every human being to enjoy “the highest attainable standard of health”. Over the past decade, Thailand has successfully implemented a universal health coverage scheme for its population, while its neighbor country, Indonesia, is still struggling to achieve the same goal. The purpose of this paper is to compare the health financing systems between Thailand and Indonesia. Both countries almost have similar socioeconomic conditions and suffered from severe financial crisis during the late 1990s. The objective of this study is to examine health systems in each country and to determine lessons on how health care financing can affect the health status of a population. Methods: The study is based on statistical data from various publicly available resources. For analysis, the authors followed The Health Systems Assessment Approach: A How-To Manual Version 1.0 issued by Health Systems 20/20 supported by United States Agency for International Development (USAID). The countries were compared using three groups of indicators in health systems performance and functioning: 1. Health Insurance System, 2. Amount and Sources of Financial Resources, and 3. Health Outcomes and Health Workforce Density. Results: In comparing the health financing of the two countries, we found that Thailand initiated much earlier health systems reforms in order to achieve universal health coverage. Indonesia, while on the right track, has moved at a slower pace than Thailand. Thailand and Indonesia have shown improving trends over time in all indicators, but Thailand outperformed Indonesia, especially in the groups of indicators regarding the amount and sources of financial resources. Conclusions: One important lesson identified in this study is that health care reform is unlikely to succeed without strong political support and constant pressure from the nation as a whole, which can be represented by local organizations or professional associations. However, the mere increase of available resources devoted to the health sector does not guarantee significant improvements of health outcomes of a population.
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spelling pubmed-104713962023-09-01 Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned? Erlangga, Darius Shi, Lizheng J Health Econ Outcomes Res Methodology and Healthcare Policy Purpose: In 2010, the World Health Organization (WHO) released its report about health system financing and identified universal coverage as the best way to attain the right of every human being to enjoy “the highest attainable standard of health”. Over the past decade, Thailand has successfully implemented a universal health coverage scheme for its population, while its neighbor country, Indonesia, is still struggling to achieve the same goal. The purpose of this paper is to compare the health financing systems between Thailand and Indonesia. Both countries almost have similar socioeconomic conditions and suffered from severe financial crisis during the late 1990s. The objective of this study is to examine health systems in each country and to determine lessons on how health care financing can affect the health status of a population. Methods: The study is based on statistical data from various publicly available resources. For analysis, the authors followed The Health Systems Assessment Approach: A How-To Manual Version 1.0 issued by Health Systems 20/20 supported by United States Agency for International Development (USAID). The countries were compared using three groups of indicators in health systems performance and functioning: 1. Health Insurance System, 2. Amount and Sources of Financial Resources, and 3. Health Outcomes and Health Workforce Density. Results: In comparing the health financing of the two countries, we found that Thailand initiated much earlier health systems reforms in order to achieve universal health coverage. Indonesia, while on the right track, has moved at a slower pace than Thailand. Thailand and Indonesia have shown improving trends over time in all indicators, but Thailand outperformed Indonesia, especially in the groups of indicators regarding the amount and sources of financial resources. Conclusions: One important lesson identified in this study is that health care reform is unlikely to succeed without strong political support and constant pressure from the nation as a whole, which can be represented by local organizations or professional associations. However, the mere increase of available resources devoted to the health sector does not guarantee significant improvements of health outcomes of a population. Columbia Data Analytics, LLC 2013-12-18 /pmc/articles/PMC10471396/ /pubmed/37662878 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Methodology and Healthcare Policy
Erlangga, Darius
Shi, Lizheng
Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?
title Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?
title_full Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?
title_fullStr Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?
title_full_unstemmed Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?
title_short Comparing Health Care Financing in Indonesia and Thailand from 1995-2010: What Lessons Could Be Learned?
title_sort comparing health care financing in indonesia and thailand from 1995-2010: what lessons could be learned?
topic Methodology and Healthcare Policy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471396/
https://www.ncbi.nlm.nih.gov/pubmed/37662878
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