General Practitioners’ Autonomy in the Management of Non-Communicable Diseases (NCDs) in the JKN Era: Is It Feasible?

https://doi.org/10.22146/rpcpe.49971

Nur Afrainin Syah(1*)

(1) Department of Medical Education; Faculty of Medicine; Universitas Andalas; Indonesia
(*) Corresponding Author

Abstract


Demographic, epidemiological, and nutritional transitions increase life expectancy, changes in lifestyles and behaviors of Indonesian people. These changes are resulting in a growing contribution of non-communicable diseases (NCDs) to morbidity and mortality, especially metabolic disorders, such as type 2 diabetes mellitus (DM), hypertension, and dyslipidemia. Approximately 10.9% of the Indonesian population above 15 years old suffers from type 2 DM (21.2 million) and 34.1% have hypertension (66.3 million) in 2018. These figures increase significantly from 2013 figure; 6.9% and 25.8% respectively1. The metabolic disorders, which in turn, are responsible for vascular problems such as renal failure, stroke, and heart attack. Not surprisingly, then, 60% of Indonesian national health insurance (JKN) funds are spent on the NCDs. This condition causes a deficit and threatens the sustainability of the JKN program.

Full Text:

PDF


References

1.Health Research and Development Agency. Basic health research 2018. Jakarta: Ministry of Health Republic of Indonesia. 2018. Available from: http://www.depkes.go.id/resources/download/info- terkini/materi_rakorpop_2018/Hasil%20Riskesdas%202018.pdf

2.World Health Organization. Primary health care systems (PRIMASYS): A comprehensive case study from Indonesia. Geneva: World Health Organization. 2017. License: CC BY-NC-SA 3.0 IGO. Available from: http://origin.who.int/alliance-hpsr/projects/AHPSR- PRIMASYS-Indonesia-comprehensive.pdf

3.Syah NA, Roberts C, Jones A, Trevena L, Kumar K. Perceptions of Indonesian general practitioners in maintaining standards of medical practice at a time of health reform. Family Practice. 2015 Jul 9;32(5):584-90.

4.Kravitz RL, Linn LS, Shapiro MF. Physician satisfaction under the Ontario health insurance plan. Medical Care. 1990 Jun 1:502-12.

5. Williams TV, Zaslavsky AM, Cleary PD. Physician experiences with, and ratings of, managed care organizations in Massachusetts. Medical Care. 1999 Jun 1:589-600.



DOI: https://doi.org/10.22146/rpcpe.49971

Article Metrics

Abstract views : 2207 | views : 1759

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Nur Afrainin Syah

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


View My Stats