Bacaan Baru

Minggu ini kami pilihkan beberapa artikel ilmiah dari jurnal-jurnal yang Open Access yang berfokus pada:

     open-access-book Interrogating Knowledgeable antenatal care as a pathway to skilled delivery: modelling the interactions between use of services and knowledge in Zambia

Ensor, T., Quigley, P., Green, C., Razak Badru, A., Kaluba, D., Siziya, S.

open-access-book Integrating family planning services into HIV care and treatment clinics in Tanzania: evaluation of a facilitated referral model

Baumgartner, J. N., Green, M., Weaver, M. A., Mpangile, G., Kohi, T. W., Mujaya, S. N., Lasway, C.

open-access-book Capacity of middle management in health-care organizations for working with people—the case of Slovenian hospitals

Brigita Skela Savič, Andrej Robida Human Resources for Health 2013, 11:18 (10 May 2013)

open-access-book Longitudinal study of rural health workforce in five counties in China: research design and baseline description

Huiwen Xu, Weijun Zhang, Xiulan Zhang, Zhiyong Qu, Xiaohua Wang, Zhihong Sa, Yafang Li, Shuliang
Zhao, Xuan Qi, Donghua Tian Human Resources for Health 2013, 11:17 (4 May 2013)

Private Sector in Health Symposium di Sydney

It's hard to believe, but it's been nearly one month since we held the Private Sector in Health Symposium in Sydney. As such, we wanted to take the opportunity to share resources with you from the day.

Spurred on by the keynote presentations, a key question to emerge from the day is 'what exactly do we mean by the private sector'? People often limit the definition to 'for-profit organisations', but from the day we saw a large number of non-state actors operating in health systems around the world. There were also questions of separating out private provision of services from private financing for health services. These are some of the questions we hope to take to the next Symposium.

On that note, David Bishai and Gerry Bloom, the co-organisers of this year's Symposium are pleased to announce that they will be passing the torch to Freddie Ssengooba and Kara Hanson. They'll be working with the Scientific Committee to determine the most appropriate shape, format and location for that -- so watch this space.

In the meanwhile, we'll continue to keep you updated on our processes of institutionalising the Private Sector in Health group.

We're sorry that you couldn't join us in Sydney, but do take a moment to find out what you've missed.

Overview of the day

The day started off with a thoughtful welcome to the country by Millie Ingram, followed by a keynote from Bruce Bonyhady on the recent introduction of the National Disability Insurance Scheme in Australia. In his inspiring keynote, Bruce noted the strong role that the private sector had in reframing the debate around disability in Australia. Instead of focusing on disability solely as a rights issue, he worked with others to reframe it as an economic -- one focused on insurance and risk. He said it sprang from a recognition that: "there are only two types of people in this world, those with a disability, and those who have yet to get a disability". He also noted the reality of changing demographics: disabled children often rely heavily on their parents for care, but are starting to outlive their own parents. From an economic standpoint, he noted that a 1% decrease in informal care from friends and relatives led to a 4% increase in seeking formal care supported by the government, which he argued as unsustainable in the longterm. And so, after being reframed as an economic issue, it quickly became a political one. The government introduced the scheme at the beginning of July, and it is funded by a mill levy on health services that is likely one of the most popular tax rises in Australian history, with over 80% supporting the move. The keynote was a good reminder to us that the role of the private sector in health can be diverse -- it's not always about service provision or financing, but can also be about shifting the discourse and reframing policy debates.

Following the opening keynote, the participants broke out into three rounds of parallel sessions covering a diverse range of issues, such as regulation, influencing quality of care, health financing and a focus on equity. These presentations are available for download on the right side of this email.

In the afternoon, a closing plenary session was delivered by Mushtaque Chowdhury from BRAC, an NGO from Bangladesh that has quickly become one of the world's largest. Mushtaque attempted to explain the Bangladesh health 'miracle' -- that the country has strong health indicators despite limited investment in health from the government. He noted that Bangladesh has the highest life expectancy in the region, as the lowest infant and maternal mortality, but it also spends the least per capita on health. He attributed this 'miracle' to the strong innovation in the non-state sector in Bangladesh. He also focused on the role of entities like BRAC, which view poverty as a complex issue that must be tackled through a number of different initiatives. For example, BRAC runs micro-credit schemes, education programmes, health promotion schemes, and agricultural extension work. His presentation challenged those present at the symposium to rethink the nature of the private sector. BRAC is nearly impossible to categorise -- is it an NGO, a social enterprise, a business, a bank? -- and yet we understand that it has a critical role to play in the Bangladesh health market system and it's not the public sector.

Following Mushtaque's presentation, participants had a constructive discussion to share their reflections from the day as well as chart a way forward. Many were struck by the diversity of the participants, but noted that there were not many representatives of the for-profit private sector at the meeting, and they felt that their contribution would have added significantly to the day. There were also calls to have a clearer definition of what is understood by the term 'the private sector', and to focus on a few core themes in future research. In particular, there was a feeling that not enough was being done on assuring quality of private sector providers and on regulating health markets. There was also a call to separate out two distinct potential roles for the private sector: health service delivery and health financing.

The event concluded with a drinks reception sponsored by HANSHEP and CHMI, who will soon be re-launching its website cataloguing health market innovations -- a valuable resource for all those working on the private sector in health in low- and middle-income countries. 



View the social story -- Tweets, pictures and videos -- of the Symposium.





Commentary and reactions

  1. Reflections on the iHEA Private Sector in Health Symposium 2013 (HANSHEP)
  2. SHOPS Participates in Private Sector Pre-Day to iHEA World Congress (SHOPS Project)
  3. Innovating to improve the health of women and children (Next Billion)
  4. Private Sector In Health Symposium Review (Future Health Systems)
  5. The Private Sector in Health Symposium (Australia Today)



View Bruce Bonyhady's keynote address on the establishment of the Australian National Health Disability Insurance Scheme



Download presentations from the day




JKKI Juni 2013: Sistem Pembiayaan dan Kebijakan Pengendalian Biaya

Kali ini, Jurnal Kebijakan Kesehatan Indonesia (JKKI) telah masuk nomor penerbitan Vol. 2/ No. 2/ Juni/2013 (Anda dapat mengikuti edisi selanjutnya dari jurnal ini melalui pendaftaran Alert System di sisi kanan atas website ini). Edisi jurnal KKI Juni terkait penelitian kebijakan berobat gratis dan implikasinya. Telah disebutkan bahwa dampak positifnya berupa peningkatan utilisasi pelayanan, namun diperkirakan menimbulkan moral hazard dan penurunan motivasi di sisi para penyedia layanan. Masalah utama yang ditemui yaitu keberlanjutan dari sistem berobat gratis karena kebutuhan anggaran dan lemahnya mekanisme pengendalian biaya. Apakah berobat gratis hanya kebijakan politis saja? Jika seperti itu adanya, maka sistem ini hanya bersifat politis sebagai janji pemilu dan merugikan sistem kesehatan. Ataukah sistem berobat ini kebijakan yang aplikatif ? Simak lebih lanjut melalui link berikut 

Kemudian, artikel lain yang dapat Anda simak diantaranya:

Pelaksanaan Kebijakan Obat Generik di Apotek Kabupaten Pelalawan Provinsi Riau

Evaluasi Implementasi Kebijakan Persalinan Bagi Masyarakat Miskin Oleh Bidan Praktek Swasta di Kota Tanjungpinang

Evaluasi Kebijakan Berobat Gratis di Kabupaten Tanjung Jabung Timur Propinsi Jambi

Analisis untuk Penerapan Kebijakan: Analisis Stakeholder dalam Kebijakan Program Kesehatan Ibu dan Anak di Kabupaten Kepahiang

Evaluasi Kebijakan Pembangunan Puskesmas Pembantu di Propinsi Kalimantan Tengah

Dampak Kebijakan Pelayanan Kesehatan Gratis terhadap Kepuasan Pasien dalam Menerima Pelayanan Kesehatan Puskesmas di Kota Ambon

The Global Issue of Kidney Disease

image: kidney Di Lancet edisi ini banyak artikel terkait dengan penyakit ginjal dan sistem kesehatan yang mengelolanya. Salah satunya, Lancet melihat adanya perkembangan perspektif global pada penyakit ginjal. Kai-uwe Eckardt dan kolega, dalam laporannya menyatakan penyakit ginjal kronis menjangkiti 10 persen dari populasi dunia, seperti halnya diabetes. Secara jelas, Norman Lameire dan kolega memberikan poin bukti dan prevalensi ginjal kronis secara global, yang sampai saat ini belum diketahui, ia menggunakan definisi yang berbeda.

Silahkan simak paper ini lebih lanjut melalui link berikut 

Dibawah ini adalah Paper lain yang terkait :

  Doctors and pharma in China

  Equity and economics of kidney disease in sub-Saharan Africa

  Pre-eclampsia and the risk of kidney disease


Merayakan Ekonomi Kesehatan (Celebrating Health Economics)

Judul diatas tentunya menjadi pertanyaan. Apa yang dirayakan? Dalam hal ini Asosiasi Ekonomi Kesehatan Dunia merayakan sebuah paper fenomenal yang ditulis oleh Kenneth J Arrow pada tahun 1963. Paper ini member inspirasi pada pengembangan ilmu ekonomi kesehatan yang menjadi cabang dari ilmu ekonomi dengan aplikasi di sector kesehatan. Lima puluh tahun setelah publikasi paper tersebut, Ekonomi Kesehatan telah berkembang menjadi sebuah disiplin baru yang Kongres dunianya dihadiri ribuan peserta.

Ekonomi Kesehatan dipraktekkan di berbagai negara, walaupun masih belum maksimal penggunaannya di negara-negara sedang berkembang. Saat ini Board of Directors IHEA dipimpin oleh Anne Millis dari London School of Hygiene and Tropical Medicine. International Health Economics Association (iHEA) juga berkembang pesat dan webnya dapat dilihat di 

Struktur Kongres Dunia di Sydney terdiri atas Pre Congress, Congress, dan Post Congress. Kegiatan-kegiatan tersebut diselenggarakan di Sydney Convention Center pada tanggal 7 - 10 Juli 2013 di daerah Darling Harbour yang sangat indah. 

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