印度尼西亚卫生系统面临的主要卫生经济问题及改革取向

摘要

在分析了印度尼西亚医疗卫生服务提供系统和卫生系统绩效基础上，展示了印度尼西亚卫生系统面临的主要问题和挑战。其中，包括慢性病疾病负担沉重、医疗服务和资源分配不均、农村卫生服务可及性较差以及政府卫生筹资比例较低等。目前印度尼西亚卫生系统的改革取向是实现公平和自治目标，通过社区和私立部门以及公民的参与，实现公平的卫生服务和卫生资源的可得性，增强卫生服务体系，改善公民健康。%Based on the health service delivery system and its performance, it shows the major issues faced by Indonesian health system, including heavy disease burden of NCD, imbalance allocation of medical care and resources, poor access to health service in rural area, low level of government health budget and so on. Presently, the reform in Indonesian health system is in the direction of equity and self-government, via participation of community, private sector or civil society, availability of comprehensive, equitable health care and health resource, to enhance health system and improve population health.