Wonca Asia PacicRegional Conference

Family Medicine: New Horizons and Challenges

Abstract Book

March 4-8, 2015Taipei International Convention CenterTaipei, Taiwan

Free Paper351 No.282 Factors Associated with Fatigue in Korean Gastric Cancer Survivors

352 No.284 The Impact of Hospice Care on the High Cost of Elderly Patients with Liver Cancer

353 No.285 Factors Associated with the Preferred Place of Death among Community Residents in Shizuoka, Japan: A Cross-Sectional Study

354 No.286 The Short-form 36 (SF-36) as a Predictor of Mortality: A 14-Year Prospective Follow-up Study of a Taiwanese General Population

355 No.287 Adjunctive Traditional Chinese Medicine Therapy Improves Survival in Patients with Liver Cancer

356 No.288 We Should Ask for the Health of Family Members during Preventive Visits! Findings from a Randomized Controlled Trial

357 No.289 Adjunctive Traditional Chinese Medicine Therapy Improves Survival in Patients with Lung Cancer

358 No.290 The Effect of Electric Mat Mosquito Repellant Exposure on Malondialdehid Serum Level: An Experimental Study

359 No.291 Time trend Analysis of Traditional Chinese Medicine Use Among Prevalent and Incident Children with Diagnosed Asthma in Taiwan from 2002 to 2008: A Population-based Study

360 No.292 Time Trend Analysis of Traditional Chinese Medicine Use among Prevalent and Incident Adults with Diagnosed Asthma in Taiwan from 2000 to 2011: A Population-based Study

361 No.293 Long-term Quality-of-care Summary Score Predicts the Occurrence of Chronic Kidney Disease in Type 2 Diabetic Patients

362 No.294 Effect of Pay-for-performance Program on Care Quality in Patients with Type 2 Diabetes in Taiwan

363 No.295 Providing Seamless Care through Intermediate Care Model in Taiwan: Protocol for a Mixed Methods Study of Care by Design

364 No.296 Risk of Dementia Associated with Visit-to-visit Variation in Glycosylated Hemoglobin A1C and Fasting Plasma Glucose in Patients with Type 2 Diabetes: A National Cohort of Taiwan Diabetes Study

365 No.297 The Effect of Depression on Family Function and Communication as Perceived by the Depressed Patients Spouse in Family Practice

366 No.298 Assessing Self-evaluation Community Medicine Learning Outcome among Residents of the Course Post-Graduate Year One (PGY-I) General Medicine"

367 No.299 Determinants of Intermediate Care Need in Discharged Patients with Potential Function Recovery

368 No.300 A Preliminary Study of an Assessment of Implementation of Universal Health Coverage Program and the Challenges for Primary Care Service in Indonesia

369 No.301 A Consensus on Men's Health Status and Policy in Asia - A Delphi Survey

370 No.302 Highly-Motivated Medical Students Support Local Emergency Medicine

371 No.303 Relationship between Cancer Pattern, Country Income and Geographical Region in Asia.

372 No.304 How to Make It Easier for Older People to Use a Health Website? Findings from a Usability Study in Malaysia

373 No.305 What is the Status of Family Medicine Training in the Asia Pacific Region? A Pilot Online Survey

374 No.306 Effect of Sleep Quality on the Development of Type 2 Diabetes in Primary Care Patients

375 No.307 Drug Cost by a Multidisciplinary Approach to Potentially Inappropriate Medications for Older Pa-tients in Home Care Settings: Cross-Sectional Study and Propensity Score Analysis

376 No.308 Short Sleep Duration Associated with an Increased Risk of Impaired Fasting Glucose in a Young Adult Population

377 No.309 Pharmacists' Perceptions and Obstacles of Interprofessional Collaboration Delivering Quality Patient Care in a Rural Area of Japan

378 No.311 Predictive Factors of Medication Adherence among the Elderly in Taiwan

Wonca Asia Pacic Regional Conference

Free Paper

Keynote Plenary SY: Symposium WS: Workshop OP: Oral presentation

368

No. 00300 C-3 National health insurance in primary care sector Poster/Oral

A Preliminary Study of an Assessment of Implementation of Universal Health Coverage Program and the Challenges for Primary Care Service

in Indonesia

Hardisman DASMAN1*, Rima SEMIARTY1 1Department of Public Health and Community Medicine, Faculty of Medicine of Andalas University, Padang, Indonesia

Background/Purpose: Universal health coverage has been newly implemented in Indonesia since January 2014. Membership is compulsory for all citizens whether through employee or personal application, and the government covers membership of poor family for free. The program aims to improve integrated health care system and equity access to health care. The objective of the study is to explore how the program being implemented and what are the challenges in the implementation in primary care setting. Methods: A qualitative study is conducted through document analysis on governmental documents, news media and existing literature. Deductive approach is used to find major themes in the documents and to draw the conclusion. Results: Indonesian universal health coverage is implemented in the principles of managed care, partnership, non-profit oriented, transparency and efficiency in health care service. In the system, primary care has significant role as gate keeper and care coordinator as the first level of medical service. However, the system is not understood well by the public that lead to conflict between them and health professionals. Primary care services also face challenges to handle various medical cases in their level due to lack of facility. There are also significant challenges in the implementation of universal health coverage in the transition period from previous subsidized health insurance (Jamkesmas, Jampersal, dan Jamkesda), such as membership problem and medical coverage issues. Conclusion: Universal health coverage strengthens primary care service, which will be benefit for long term goal. However, there are few problems that need to be tackled such as adequate information both for public and health professionals and improvement of facilities in primary care setting.