Public Service Quality and Building Coordinated Policy: An Analytical Study of Jamkesmas And Jamkesda Implementation

• Main Author: HEVI HARDINI
• Format: Article
• Language: English
• Published: Universitas Muhammadiyah Yogyakarta 2015-04-01
• Series: Jurnal Studi Pemerintahan
• Online Access: https://journal.umy.ac.id/index.php/jsp/article/view/68
• ISSN: 1907-8374; 2337-8220

<p>This study will examine the implementation of Jamkesmas (Jaminan Kesehatan Masyarakat-Health Insurance Scheme<br />for People) and Jamkedsa (Jaminan Kesehatan Masyarakat Daerah-Health Insurance Scheme for Local People). Both are<br />inno-vative policies in term of health financing, since they reflect more the spirit of insurance compared to the previous<br />policies which were merely about financial aid. However, these policies do not reflect the ideals of policy coordination.<br />Several theoretical reviews about social health insurance are applied to figure out the spirit of Indonesian health insurance<br />socio-logically and culturally. The Colebatch’s framework of vertical and horizontal dimensions of policy is used as the<br />main tool of analysis for measuring whether both Jamkesmas and Jamkesda are categorized as coordinated policies or not.<br />Qualitative research approach is used as the method in order to gain in-depth information about the current polemic of<br />Jamkesmas and Jamkesda implementations. Qualitative analysis method is applied during the process of analysis. The<br />secondary data will be collected, sorted, coded and analyzed. Those several steps aim to cross check the validity of each data<br />for answering the research questions. The result of this study shows that Jamkesmas and Jamkedsa lack of coordination<br />during the process of policy making which has led to complicated problems at the implementation stage namely: the<br />lawsuit/multiple interpretations of the law, unstructured policy stages at the vertical level, complicated problems at<br />horizontal stages and conflict among institutional governments. Moreover, the nature of policy coordination<br />in Indonesia is still reactive. This fact causes policy inconsistency which has the effect of law uncertainty and poor<br />quality of public services.</p>