People’s Health Service Preference at the State Borders [A Policy Analysis]

摘要

Background: Indonesian has 497 District consisting of 399 districts and 98 cities, some districts are adjacent to other countries with relatively short travel time and easily, so presumably there are 12.000 Indonesian citizens who went to Malaysia each year and the data of National Health Care Group international Business Development -Singapore claimed 50 percent of international patients seeking treatment in Singapore is a citizen of Indonesia. This study aims to describe of the state border regions, in particular aspects of health regulations. Methods:Operational research with cross sectional design, in which data are collected in the same time (the same fiscal year). The research was conducted in 2012 in Sanggau and Batam District. The unit of analysis is the health workers and communities in the border region. Results: People in the border region who have the financial capability prefer to have treatment in the neighboring countries because of the resources (personnel, health equipment) in the border areas health facilities are still inadequate and the referral access to the capital city could not be reached by the people compared to neighboring countries’ hospitals. Recommendations: The government and local governments improve preventive programs and health promotion, improve the health facilities so that there will be no lost of foreign exchange from the health sector towards the neighboring countries.