LESSON LEARNED FROM THE UNITES STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE

The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, —the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia

Description and pilot results from a novel method for evaluating return of incidental findings from next-generation sequencing technologies

To develop, operationalize, and pilot test a transparent, reproducible, and evidence informed method to qualify when to report incidental findings from next generation sequencing technologies

Decentralization of health services in Western Highlands Province, Papua New Guinea: An attempt to administer health service at the subdistrict level

In 1990, Western Highlands Province in Papua New Guinea, decentralized the administration of health services from the province (population 264,000) to 14 districts (equivalent to subdistricts elsewhere). Two years later interviews were conducted with health workers and district and provincial heads. Productivity data were obtained from the provincial health information system and financial data from the provincial and national budgetary report. Health workers had a predominately negative opinion of the results of the decentralization. The most common complaints listed were lack of qualifications of District Assistant Secretaries, a diversion of funds to other programs, unavailability of transportation, a lack of equity in personnel between districts and a lack of adequate professional supervision. The problems which developed in this attempt at further decentralization related to a lack of professional support and oversight of health professionals, a lack of role definition for provincial and district administrators, lack of management training for district officials, inadequate oversight by local elected officials and inadequate budgets.decentralization health services administration