Pembiayaan Jaminan Kesehatan Nasional untuk Layanan Telemedicine di Indonesia, Taiwan, dan Korea Selatan

Abstract

The development of telemedicine technology in Indonesia is growing rapidly, especially during the Coronavirus Disease 2019 (COVID-19) pandemic. It can be the alternative solution to improve the quality of health services in the pandemic era without the patient and the health professional meet through offline. Several challenges arise in the application of telemedicine, one of them related to health financing. This study aims to identify potency of implementing national health insurance financing for telemedicine services in Indonesia. The research method was tradtional literature review with data obtained from journal articles indexed in the Google Scholar, Research Gate, PubMed, and Scopus databases that was done between January to February 2022. The keywords used in the article search were “Telemedicine”, “Universal Health Coverage”, “Telemedicine”, “Implementation" dan “Challenge”. Data were analyzed  by narrative review approach.  The results show that in Indonesia not all telemedicine services was supported by National Health Insurance financing. A comparative study conducted in South Korea and Taiwan shows that the National Health Insurance (NHI) financing scheme for telemedicine services is able to cover most of the service costs received by participants by paying attention to equitable access to telemedicine services to ensure Universal Health Coverage. However, in the development of national health insurance financing policies related to telemedicine in Indonesia, specific regulations related to the implementation of telemedicine in health care facilities and appropriate financing models for the implementation of telemedicine are needed.