S. Subandi
S. Subandi, PhD, Universitas Gadjah Mada
Title: HEALTH INSURANCE FOR MENTALLY ILL PATIENTS: A CASE STUDY IN PRIMARY HEALTH CENTRES AND MENTAL HOSPITAL IN YOGYAKARTA, INDONESIA
Biography
Biography: S. Subandi
Abstract
Statement of the Problem: In 2014 Indonesia launched a national health insurance scheme called Jaminan Kesehatan Nasional (National Health Protection/ Insurance). All Indonesians can expect to receive a range of medical treatment coverages under this scheme. A dramatic increase in the number of patients visiting health facilities was evident shortly after the introduction of the scheme, however mentally ill patients show a different case. This research aims to explore Indonesia’s national health protection schemes’ implementation for mentally ill patients in mental hospitals and primary health centers within the special province of Yogyakarta, Indonesia
Methodology & Theoretical Orientation: This study used a qualitative case study approach. We collected the necessary data through surveys, interviews, and group discussions. The sample for the survey include 237 mentally ill patients and their family members. Public health promotion theory was utilized to increase better service for mentally ill patients. Findings: Psychiatric diagnosis that the Indonesian national health protection covers to include somatoform, dementia, insomnia, anxiety, depression and psychotic disorder. The data indicated that the visit of mentally ill patients to primary health centers only slightly increase after the scheme was introduced. Several problems have been identifies on the implementation of the scheme. Conclusions: The Indonesian National and Local Health Protection scheme is beneficial for mentally ill patients, despite a number of problems facing the implementation. An improvement of the system should be done to create a better service that could support the recovery process of mentally ill patients