Situasi Pembiayaan Kesehatan Untuk Manajemen Penyakit Tidak Menular Di Pelayanan Primer Berbagai Negara Selama Pandemi Covid-19

Lukman Handoyo(1),


(1) Program Studi Magister Ilmu Keperawatan, Fakultas Ilmu Keperawatan, Universitas Indonesia
Corresponding Author

Abstract


Di era pandemi COVID-19, klien dengan Penyakit Tidak Menular (PTM) di tatanan komunitas memiliki kendala dalam melakukan perawatan yang membutuhkan konsultasi tenaga kesehatan (perawat/dokter). Sebab, pelayanan primer cukup membatasi kegiatan yang bersifat public program. Guna tetap memberikan perawatan yang optimal, beberapa pelayanan primer di berbagai negara membuat inovasi untuk tetap memberikan perawatan secara virtual. Namun, hal tersebut ternyata juga memiliki hambatan, terutama berkaitan dengan pembiayaan kesehatan. Tujuan dari studi ini adalah untuk menyajikan gambaran dasar tentang dinamika yang terjadi terkait dengan pembiayaan kesehatan untuk perawatan PTM di pelayanan primer berbagai negara selama pandemi COVID-19. Studi ini merupakan studi literatur yang menggunakan tiga online database sebagai media pencarian artikel ilmiah yang dikehendaki, yaitu PubMed, Scopus, dan Google Scholar. Hasil penelusuran ditemukan 7 artikel yang sesuai dengan kriteria. Pembiayaan kesehatan untuk perawatan klien dengan PTM di pelayanan primer berbagai negara mempunyai dinamika yang berbeda. Namun, dapat disimpulkan bahwa pelayanan primer masih cenderung tertinggal dibanding pelayanan sekunder, apalagi dari segi pembiayaan. Perlu ditekankan kembali, bahwa PTM sangat berkontribusi tinggi pada kejadian morbiditas dan mortalitas masyarakat. Tetapi, itu semua mampu dicegah ketika pembiayaan di pelayanan primer untuk pelaksanaan program promotif dan preventif cukup adekuat.


Keywords


COVID-19, Pelayanan Primer, Pembiayaan Kesehatan, PTM

References


Anindya, K., Lee, J. T., McPake, B., Wilopo, S. A., Millett, C., & Carvalho, N. (2020). Impact of Indonesia’s national health insurance scheme on inequality in access to maternal health services: A propensity score matched analysis. Journal of Global Health, 10(1). https://doi.org/https://doi.org/10.7189/jogh.10.010429.

Barroy, H., Wang, D., Pescetto, C., & Kutzin, J. (2020). How to budget for COVID-19 response?A rapid scan of budgetary mechanisms in highly affected countries. https://www.who.int/publications/m/item/how-to-budget-for-covid-19-response.

Chang, A. Y., Cullen, M. R., Harrington, R. A., & Barry, M. (2021). The impact of novel coronavirus COVID-19 on noncommunicable disease patients and health systems: a review. Journal of Internal Medicine, 289. https://doi.org/https://doi.org/10.1111/joim.13184.

Coe, G., & Beyer, J. de. (2014). The imperative for health promotion in universal health coverage. Global Health: Science and Practice, 2(1), 10–22. https://doi.org/https://doi.org/10.9745/GHSP-D-13-00164

Collins, S. R., Gunja, M. Z., & Aboulafia, G. N. (2020). U.S. Health Insurance Coverage in 2020: A Looming Crisis in Affordability. The Commonwealth Fund. https://www.commonwealthfund.org/publications/issue-briefs/2020/aug/looming-crisis-health-coverage-2020-biennial

Cutler, D. (2020). How Will COVID-19 Affect the Health Care Economy? JAMA Health Forum. https://doi.org/https://doi.org/10.1001/jamahealthforum.2020.0419

Domingues, L. W., & Willis, J. S. (2020). COVID-19 and the Case for Medical Management and Primary Care. Journal of Primary Care & Community Health, 11. https://doi.org/https://doi.org/10.1177/2150132720965080

Erlangga, D., Suhrcke, M., Ali, S., & Bloor, K. (2019). The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review. PLoS ONE, 14(8). https://doi.org/https://doi.org/10.1371/journal.pone.0219731

Febriana, E., Anwar, N. M., & Indriyani, T. (2020). Factors that hinder preventive and promotive service at public health center. Research Gate. https://www.researchgate.net/publication/348049043

Friedlich, D., Newman, T., & Bricker, S. (2021). Impact of the COVID-19 Pandemic on Stroke Epidemiology and Clinical Stroke Practice in the US. Journal of Stroke and Cerebrovascular Diseases, 30(4). https://doi.org/https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105639

GBD 2019 Diseases and Injuries Collaborators. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Global Health Metrics, 396(10258), p1204-1222. https://doi.org/https://doi.org/10.1016/S0140-6736(20)30925-9

Halcomb, E., Halcomb, E., Ashley, C., & McInnes, S. (2020). The support needs of Australian primary health care nurses during the COVID-19 pandemic. Journal of Nursing Management, 28(7). https://doi.org/https://doi.org/10.1111/jonm.13108

Hartmann-Boyce, J., Morris, E., Goyder, C., Kinton, J., Perring, J., Nunan, D., & Mahtani, K. (2020). Diabetes and COVID-19: Risks, Management, and Learnings from Other National Disasters. Diabetes Care, 43. https://doi.org/https://doi.org/10.2337/dc20-1192

Hussain, R., & Arif, S. (2021). Universal health coverage and COVID‑19: recent developments and implications. Journal of Pharmaceutical Policy and Practice, 14(23). https://doi.org/https://doi.org/10.1186/s40545-021-00306-x

Jolly, W. (2018). Australian Health Insurance Statistics. Canstar. https://www.canstar.com.au/health-insurance/who-has-health-insurance/

Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P., & Prawira, J. (2017). The Republic Indonesia Health System Review (Vol. 7 No.). WHO.

Modesti, P. A., Wang, J., Damasceno, A., Agyemang, C., & Bortel, L. Van. (2020). Indirect implications of COVID-19prevention strategies on non-communicable diseases: An Opinion Paper of the European Society of Hypertension Working Group on Hypertension and Cardiovascular Risk Assessment in Subjects Living in or Emigrating from Low Res. BMC Medicine, 18(256). https://doi.org/https://doi.org/10.1186/s12916-020-01723-6

Nurmansyah, M. I., & Kilic, B. (2017). Impact of National Health Insurance Policy towards theImplementation of Health Promotion Program at PublicHealth Centers in Indonesia. Kesmas: National Public Health Journal, 11(3), 103–110. https://doi.org/https://doi.org/10.21109/kesmas.v11i3.1262

Ohannessian, R., Duong, T. A., & Odone, A. (2020). Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action. JMIR Public Health and Surveillance, 6(2). https://doi.org/https://doi.org/10.2196/18810

Pardo, C., & Schott, W. (2012). Public versus Private: Evidence on Health Insurance Selection. Int. J Health Care Finance Econ, 12(1). https://doi.org/https://doi.org/10.1007/s10754-012-9105-2

Rhatomy, S., & Prasetyo, T. E. (2020). Impact of COVID-19 on primary care visits: Lesson learnt from the early pandemic period. Journal of Community Empowerment for Health, 3(2). https://doi.org/https://doi.org/10.22146/jcoemph.57918

Widjaja, F. F. (2014). Universal health coverage in Indonesia – the forgotten prevention. Medical Journal of Indonesia, 23(3).

Wiseman, V., Thabrany, H., Asante, A., Haemmerli, M., Kosen, S., Gilson, L., Mills, A., Hayen, A., Tangcharoensathien, V., & Patcharanarumol, W. (2018). An evaluation of health systems equity in Indonesia: study protocol. International Journal for Equity in Health, 17(138). https://doi.org/https://doi.org/10.1186/s12939-018-0822-0


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