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Hospital Reform in Indonesia

Hospital Reform in Indonesia. Shita Dewi. Context Background. Globalization . Health system development Hospital management. The international market of health care industry. Missionary. The Players. Private Hospital. Public hospital. Corporation Hospital Mainly for profit

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Hospital Reform in Indonesia

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  1. Hospital Reform in Indonesia ShitaDewi

  2. Context Background Globalization Health system development Hospital management The international market of health care industry Missionary

  3. The Players Private Hospital Public hospital • Corporation Hospital • Mainly for profit • Foundation Hospital • Faith-based & Non faith based • Not-for-profit • Association hospital • NGO’s • Not for profit • National hospital • Teaching state-owned hospital • Province hospital • District hospital

  4. The Number of Hospitals (1998-2008)

  5. HEALTH CARE SYSTEM MINISTRY OF HOME AFFAIRS MINISTRY OF HEALTH CENTRAL NAT. HOSPT GOVERNOR PROVINCE PROVINCE HEALTH OFFICE PROV. HOSP MAYOR/BUPATI DIST RICT DISCTRICT HEALTH OFFICE DIST. HOSP HEALTH CENTERS SUB-DISTRICT CAMAT VILLAGE MIDWIVES SUB HEALTH CENTERS VILL AGE INTEGRATED POST

  6. Hospital Reform • Bureaucratic • Corporation Not for profit Non-privatization

  7. Reform Modalities and The Environment B A C P Budgetary Unit Autonomized Unit Corporatized Unit Privatized Unit Harding-Prekker, 2000

  8. The Reform Modalities and Dimension(Harding-Prekker, 2000)

  9. Conditions for BLU

  10. Features

  11. Features (continued)

  12. Reform (needs) within the Organization Environment Supervision Empowerment Enforcement Procurement Partnership Costing Payment mechanism Quality improvement Patient Safety Pricing

  13. Key Messages • Reform is also a political issue: pay attention to political-economy context • Clarify (and agreed on) the meaning and concept of what is the reform about and what it is not • Manage the “human” side of reform because reform is painful • The importance of timing and enabling environment: hospital doesn’t exist in vacuum • Pay attention to different interests of at different level of government (Central and Local)

  14. Thank You

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