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Distribution trends of Indonesia's health care resources in the decentralization era

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  • Sekar Ayu Paramita
  • Chiho Yamazaki
  • Elsa Pudji Setiawati
  • Hiroshi Koyama

Abstract

Indonesia has been decentralized since 2001, and we evaluated the distribution trends of physicians, puskesmas (community health centers), hospitals, and hospital beds in 34 provinces in Indonesia for 2000 to 2014. Inequality index of Gini showed improvement of the distribution of physicians and decreased from 0.38 to 0.29. The indices in distributions of hospitals and hospital beds also decreased from 0.26 to 0.17 and from 0.25 to 0.18, respectively. However, the index in the distribution of puskesmas increased from 0.19 to 0.28. We also investigated the legislative transitions of the laws concerning health resources and found the strong affects of compulsory work laws for physicians and the increment of health budget. In the decentralization era, the local governments have some political autonomy for the development of health resources; however, the national government should monitor the nationwide distribution of health resources and advice necessary recommendations to the local governments.

Suggested Citation

  • Sekar Ayu Paramita & Chiho Yamazaki & Elsa Pudji Setiawati & Hiroshi Koyama, 2018. "Distribution trends of Indonesia's health care resources in the decentralization era," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(2), pages 586-596, April.
    • Handle: RePEc:bla:ijhplm:v:33:y:2018:i:2:p:e586-e596
    DOI: 10.1002/hpm.2506
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    Cited by:

    1. Justyna Rój, 2020. "Inequality in the Distribution of Healthcare Human Resources in Poland," Sustainability, MDPI, vol. 12(5), pages 1-27, March.
    2. Sidra Naeem & Rana Ejaz Ali Khan, 2021. "Fiscal Decentralization and Gender Equality in Developing Economies: Dynamics of Income Groups in Economies and Corruption," Asian Economic and Financial Review, Asian Economic and Social Society, vol. 11(9), pages 745-761, September.
    3. Justyna Rój, 2022. "Inequity in the Access to eHealth and Its Decomposition Case of Poland," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    4. Li Ding & Ning Zhang & Ying Mao, 2021. "Addressing the maldistribution of health resources in Sichuan Province, China: A county-level analysis," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-17, April.
    5. Si Ying Tan & Jiwei Qian, 2019. "An unintended consequence of provider payment reform: The case of capitation grants in the National Health Insurance reform of Indonesia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1688-1710, October.

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