Oral Presentation Australasian Association of Bioethics and Health Law Conference

Indonesia’s National Health Insurance Scheme (JKN)’s revised emergency regulation: balancing triage efficiency and healthcare equity (1916)

Rachmadini Nastiti 1
  1. University of Sydney, Sydney, New South Wales, Australia

Abstract:

This year, Indonesia’s National Health Insurance Scheme (Jaminan Kesehatan Nasional – JKN) implemented significant regulatory changes. These changes are implemented to ensure hospital emergency departments (IGD) are used solely for their intended emergency function, rather than as an alternative of non-referral access.  However, these implementations have been perceived as discriminatory as they block health care access to financially constrained people who are majority of member of the scheme. When those vulnerable individuals are denied access to emergency departments, financial constraint prevents them to access alternative healthcare outside the scope of JKN.  

This paper examines the legal authority of the treating physician (DPJP) to determine the emergency status of a patient to prevent tragic dilemmas in which patients die not long after being deemed non-emergency cases. The author also considers the condition of healthcare infrastructure in Indonesia and the socio-economic realities of the Indonesian population, both of which may significantly affect the implementation of the regulation in practice.

Disclosure of Interest Statement

There is no conflict of interest.

Acknowledgment:

-