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Solving Deficit Funding Issues in Indonesian Health Insurance Systems

机译：解决印度尼西亚健康保险体系中的赤字资金问题

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摘要

Indonesian National Health Insurance System (INHIS) is a government program that aims to provide health insurance to citizens by guaranteeing their health services. However, INHIS finances continued to experience a deficit since 2014. The purpose of this study was to find a solution so that the stock of funds remained stable. This is done by changing the patient's referral mechanism in INHIS. This is one solution so that the total health care costs do not increase. In this case the dynamic system simulation model is needed to find the relationship pattern between variables so that it can estimate the condition of INHIS funds. The decision variables in this study are the total health care costs and the stock of funds. From the simulation process, the results show that the proposed model can reduce the total health care costs by 44% and be able to maintain a stable supply of funds up to 40% of the sudden increase.
机译：印度尼西亚国家健康保险系统（INHIS）是一项政府计划，旨在通过保障公民的健康服务为公民提供健康保险。但是，自2014年以来，INHIS财务继续出现赤字。本研究的目的是找到一种解决方案，以使资金存量保持稳定。这是通过在INHIS中更改患者的转诊机制来完成的。这是一种解决方案，因此总的医疗保健费用不会增加。在这种情况下，需要动态系统仿真模型来找到变量之间的关系模式，以便可以估计INHIS资金的状况。这项研究中的决策变量是总医疗保健成本和资金存量。从仿真过程中，结果表明，所提出的模型可以将总医疗费用降低44％，并且能够维持高达突然增加的40％的稳定资金供应。

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