What Kind of Medical Specialist Can Support Primary Health Transformation in Indonesia?

Dhanasari Vidiawati

doi:10.22146/rpcpe.84266

What Kind of Medical Specialist Can Support Primary Health Transformation in Indonesia?

https://doi.org/10.22146/rpcpe.84266

Dhanasari Vidiawati^(1*)

(1) Department of Community Medicine, Faculty of Medicine, Universitas Indonesia
(*) Corresponding Author

Abstract

The transformation of basic health services that was proclaimed as part of the transformation of health services by the Minister of Health of the Republic of Indonesia in 2022 is a dream come true for me. Even though the World Health Organization (WHO) has been advocating for it since 2008 in its report Primary Care Now More Than Ever, Indonesia finally made it happen when the Ministry of Health was not led by a doctor. The emphasis on 'not working as a doctor' as the leader of the Ministry of Health seems to be 'beneficial' for primary health services in Indonesia, which so far has been under the shadow of the 'non-specialist and specialist' bureaucratic level of management which is equated with 'primary services and non-primary services'. So far, the terms and understanding of the government, BPJS, and doctors regarding medical specialist are essentially referral services, not primary services. It is as if a doctor working in primary care is considered not an expert. But if they become an expert, then they should be transferred to another place of work.

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References

Minister of Health. Guidelines for the Deconcentration Fund of the Ministry of Health for the Fiscal Year 2022. Number 15. 2022.
WHO. The World Health Report 2008: Primary Health Care Now More Than Ever. World Health Organization: Geneva. 2008.
Health Social Security Organizing Agency. Technical Instructions for Guaranteeing Health Services with Additional Health Insurance in the Health Insurance Program. Number 4. 2020.
Indonesian Health Council. Indonesian Primary Service Family Medicine Specialist Professional Education Standards. Number 65. 2019.
Mulyaningsih T, Mohanty I, Widyaningsih V, Gebremedhin TA, Miranti R, Wiyono VH. Beyond personal factors: Multilevel determinants of childhood stunting in Indonesia. PLoS One. 2021 Nov 19;16(11):e0260265.
Vilcins D, Sly PD, Jagals P. Environmental risk factors associated with child stunting: a systematic review of the literature. Annals of global health. 2018;84(4):551.
Sari K, Sartika RA. The effect of the physical factors of parents and children on stunting at birth among newborns in Indonesia. Journal of Preventive Medicine and Public Health. 2021 Sep;54(5):309.
Campos AP, Vilar-Compte M, Hawkins SS. Association between breastfeeding and child stunting in Mexico. Annals of global health. 2020;86(1).
Beheshti L, Kalankesh LR, Doshmangir L, Farahbakhsh M. Telehealth in primary health care: a scoping review of the literature. Perspectives in Health Information Management. 2022;19(1).