Pembicara Dr Andre Peran Alumni Perguruan Tinggi dalam Pencapaian UHC 2019

Peran Alumni Perguruan
Tinggi dalam Pencapaian
UHC 2019
Andreasta Meliala
andremeliala@ugm.ac.id

Quality Membership and The
Implementation of SHI
 In the shadow of supplyside issue, the Jaminan
Kesehatan Nasional
(JKN) has been
implemented in 2014
 The principle of quality
membership is rarely
discussed

Membership Quality (1)
• Intention to drop out and further enrolment
• Collection of premium

Membership Quality (2): UHC di

mata Tenaga Kesehatan
• Persepsi tenaga kesehatan terhadap penerapan UHC:
• Terjadi peningkatan beban kerja (27%)
• Kualitas pelayanan menurun dan tidak memadai untuk semua kasus (karena
kurangnya budget)

• Pasien menjadi tidak rajin merawat kesehatan
• Pasien menjadi “manja” dan meminta
pelayanan berlebihan
• Terjadi ketegangan dalam system rujukan (tarik-ulur)
• Terjadi kecemburuan regional dan inter-sector (public & private)

Thoresen, S.H., Fielding, A. 2011. Universal health care in Thailand: Concerns among
the health care workforce. Health Policy 99 (2011) 17–22

Cycle of Payment System & Health Status
Health
Financing

Health

status

Access &
Utilization

Hospital
readiness

Trend-Watching: Cut the Circulus Vitiosus

Health
Financing

Health
Financing

Health
status

Access &

Utilization

Healthcare
readiness

Health
status

Access &
Utilization

Healthcare
Readiness

The Role of Alumnae

System
thinking

Ethics &

professionalism

Political
leadership

Health
Financing
Emotional
intelligence
Health
status

Public
Health
Leadership
Competency

Organizational
Learning &
development

Access &
Utilization

Interprofessional
Collaboration

Change
management
Healthcare
Readiness

Communication

Conclusion
• Membership quality is a rarely discussed prominent
issue.
• Main issue on membership quality is not only
knowledge but also the awareness of healthy life style
• It can be introduced & be enhanced by a competent

public health expert

Terima Kasih