کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
952342 1476086 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations
ترجمه فارسی عنوان
توجه به توزیع جغرافیایی نابرابر پزشکان متخصص در اندونزی: نقش بخش خصوصی و اثربخشی مقررات فعلی
کلمات کلیدی
توزیع نیروی کار بهداشتی؛ پزشکان متخصص؛ اندونزی؛ بخش خصوصی؛ مقررات
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

As in many countries, the geographic distribution of the health workforce in Indonesia is unequal, with a concentration in urban and more developed areas, and a scarcity in rural and remote areas. There is less information on the distribution of specialist doctors, yet inequalities in their distribution could compromise efforts to achieve universal coverage by 2014. This paper uses data from 2007 and 2008 to describe the geographic distribution of specialist doctors in Indonesia, and to examine two key factors that influence the distribution and are targets of current policies: sources of income for specialist doctors, and specialist doctor engagement in private practice. The data demonstrates large differences in the ratio of specialist doctors to population among the provinces of Indonesia, with higher ratios on the provinces of the islands of Java, and much lower ratios on the more remote provinces in eastern Indonesia. Between 65% and 80% of specialist doctors' income derives from private practice in non-state hospitals or private clinics. Despite regulations limiting practice locations to three, most specialists studied in a provincial capital city were working in more than three locations, with some working in up to 7 locations, and spending only a few hours per week in their government hospital practice. Our study demonstrates that the current regulatory policies and financial incentives have not been effective in addressing the maldistribution of specialist doctors in a context of a growing private sector and predominance of doctors' income from private sources. A broader and more integrated policy approach, including more innovative service delivery strategies for rural and remote areas, is recommended.


► Private practice is the major source of income for specialist doctors in Indonesia.
► Opportunities for private practice are key factors in the concentration of specialist doctors in wealthy cities of Java–Bali.
► Government regulations to limit private practice are ineffective, and incentives to work in rural/remote areas inadequate.
► A broader and more integrated policy approach is needed, with innovative service delivery strategies for rural/remote areas.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 82, April 2013, Pages 30–34
نویسندگان
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