Abstract
The Health funding is a key element in the health system in various countries. This study aims to determine the cost of household expenditure on health in Indonesia. As well as to determine the effect of geografis location, economic status and ownership of insurance against household expenditure for health care costs in Indonesia. This research is analytic study with cross-sectional design that will explain the relationship of household expenditures for health care costs. The unit of analysis of this research is the data susenas in 2011. This study shows that the economic status, geographical location and insurance status affects the amount of health care costs households a month in Indonesia. In terms of the economic status of poor households that spending on health is considerably lower than richer households.There are significant differences between Java and outside Java, this is more evident on the rich. In terms of insurance status, type of insurance affect the amount of costs incurred, households with a health card insurance pay far less than households that have other types of insurance. This study found that household spending on health care costs in Java is higher than outside Java, and the persistence of household spending on health care costs in the poorest group in which the government has done with the guarantee program jamkesmas, Jamkesda and Jampersal.References
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Roy K, Howard DH. Equity in out-of-pocket payments for hospital care: evidence from India. Health policy (Amsterdam, Netherlands) [Internet]. 2007 Feb [cited 2012 Nov 12];80(2):297–307. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16678296
Fan V, Karan A, Mahal A. State Health Insurance and Out- of-Pocket Health Expenditures in Andhra Pradesh, India. 2012.
Erliyana E. Expanding health insurance to increase utilization does distance still mature. 2008;(December).
BPS. Pertumbuhan dan persebaran penduduk Indonesia, Hasil sensus penduduk tahun 2010 [Internet]. 2011. Available from: http://sp2010.bps.go.id/files/ebook/pertumbuhan dan persebaran penduduk indonesia/index.html
Kemenkes RI. Riset Kesehatan Dasar ÂÂÂÂ( RISKESDAS ). 2010.
Lorenz C. Health Expenditures in Pakistan : Cross-Checking Household Expenditure Data on Health for NHA and Adjustment with National Accounts Asia Health Policy Program working paper # 14. 2010;(650).
Nur Sulku DMB. Financial Burden of Health Care Expenditures : Turkey. 2012;41(3):48–64.
Hendrartini Y. Model Kinerja Dokter deÂngan Pembayaran Kapitasi dalam Program Asuransi Kesehatan. Yokyakarta: Program Doktor Ilmu Kedokteran dan Kesehatan Fakultas Kedokteran Universitas Gadjah Mada; 2010.
Onwujekwe O, Onoka C, Uzochukwu B, Hanson K. Constraints to universal coverage : inequities in health service use and expenditures for different health conditions and providers. International Journal for Equity in Health [Internet]. BioMed Central Ltd; 2011;10(1):50. Available from: http://www.equityhealthj.com/content/10/1/50
Sparrow R. Social Health Insurance for the Poor : Targeting and Impact of Indonesia ’ s Askeskin Program Social Health Insurance for the Poor : Targeting and Impact of Indonesia ’ s Askeskin Program. 2010.
Parker SW, Wong R. Household income and health care expenditures in Mexico. 1997;40:237–55.
BPS. STATISTIK INDONESIA 2012 [Internet]. Sub Direktorat Indikator Statistik, editor. BPS; 2012. Available from: http://www.bps.go.id/hasil_publikasi/si_2012/index3.php?pub=Statistik Indonesia 2012
Xu K, Evans DB, Carrin G, Aguilar-Rivera AM, Musgrove P, Evans T. Protecting Households From Catastrophic Health Spending. Health affairs (Project Hope) [Internet]. 2007 [cited 2012 Jul 14];26(4):972–83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17630440
Merlis M. Family OOP spending for health servis : a Continuing source of Financial insecurity. 2002;(509).
BPPN. Background study RPJMN 2010-2014 Kementerian Negara Perencanaan Pembangunan Nasional /. 2009;
Minh H Van, Thi N, Phuong K, Saksena P, James CD, Xu K. Social Science & Medicine Financial burden of household out-of pocket health expenditure in Viet Nam : Findings from the National Living Standard Survey 2002e2010. 2012;2009:6–11
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