Explaining Indonesian Patients’ Experiences About Changes in the Hemodialysis Cost System
Resumo
Objective: Since its implementation in 2014, the Universal Health Coverage (UHC) policy in Indonesia has significantly influenced hemodialysis services in hospitals, impacting patient experiences. This study aims to explore the experience of patients with hemodialysis over a decade amid changes in the hospital hemodialysis cost system.
Method: This is a qualitative study. This research involved twenty-two hemodialysis patients selected through snowball sampling from the Indonesian Dialysis Patients Community (Komunitas Pasien Cuci Darah Indonesia). The data were collected through semi-structured, in-depth, face-to-face interviews, transcribed and analyzed using the thematic method.
Results: The study identified three main themes (Health coverage system, hemodialysis services, hemodialysis facilities) and ten subthemes (complex monthly payment situation for assistance beneficiaries, unexpected deactivation of payment status, outdated requirements of the referral system). , complications in the system of payment of assistance to beneficiaries, penalties for late payments, disparities in services between hospitals, insufficient coverage for certain services, accessibility problems with distant hemodialysis units, variations in the types of hemodialysis equipment and inadequate comfort in the room family waiting list).
Conclusions: The results highlight the needs for improvement in the health insurance system to improve access, fairness, accessibility, efficiency, consistency and quality of hemodialysis services in Indonesian hospitals. Collaborative efforts involving government, health institutions and related parties are imperative to meet these challenges.
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Referências
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