Four years since the enactment of National Health Insurance (JKN) that is operated by BPJS, health funding protection has been acknowledged for each citizen. But some health observers see that improvement of health services and human resource has not come into effect. Data integration and guarantee funding synchronisation have not been open and transparent. Observers highlight the cause for the budget deficit as well as TB patient health service.
This emerged in the discussion on health services system done at Faculty of Medicine UGM on Thursday (28/12). Speakers were representatives from WHO Southeast Asia region, Prof. Tjandra Yoga Aditama, and Head of Health Services Management from the Faculty, Prof. Adi Utarini.
Laksono said there had been fragmentation of health system between BPJS and existing health services. For TB services, he saw there was no coordination between the operators of such services at regency, hospitals, and BPJS. “Data of TB expenses are difficult to calculate in terms of hospital claims, while no transparency in why a deficit happened within BPJS,” said Laksono.
He highlighted the difficulty to get data on TB programme since the JKN was in place while the data of the BPJS were managed centrally.
Prof. Adi Utarini said TB data ought to be done comprehensively because TB patients were treated at government hospitals. “TB data should be more easily accessible and compatible because the majority of patients have themselves treated at government hospitals,” she said.
Adi Utarini added that it was still difficult to know the referrals for TB from public health centres to hospitals. She viewed that data on referrals of TB in-patients and treatment were very important to know how effective the success of TB handling was.
Prof. Tjandra Yoga Aditama viewed that BPJS and hospitals were more open in reporting TB patients that do treatment to know the success of healing. “As such, we get data on how many percentage of patients are healed or not,” he said.