Joint Efforts to Build a Healthy Indonesia 5.0

Primary prevention, namely education and health promotion, is the first priority in developing Healthy Indonesia 5.0.

SUPRIYANTO

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The Healthy Indonesia 5.0 development program focuses on three main things, namely the use of technology and innovation for disease prevention, building national resilience and independence, as well as the development of modern health service management.

Primary prevention -- including education and health promotion -- is the first priority in the development of Indonesia Sehat 5.0. Disease prevention should be prioritized considering that Indonesia faces a huge burden in healthcare financing.

About 70 percent of National Health Insurance spending is spent on catastrophic diseases (illnesses that threaten life and require large medical costs), such as heart disease, kidney disease and stroke. To reduce the number of morbidity rates, Indonesia needs to implement primary prevention and early detection programs.

In addition, a family planning program accompanied by comprehensive reproductive health education can be a key milestone in preparing healthy and high-quality human resources in Indonesia.

Also read: Building Public Health Synergy

The second program focuses on building Indonesia's health resilience and self-sufficiency, in accordance with the philosophy of "healthy people-strong nation". The government needs to ensure access to and quality of healthcare services throughout the archipelago. In addition, we need to use domestic products in healthcare services.

The issue of resilience and independence is also closely related to medical tourism - the phenomenon of patients going abroad to seek medical treatment, especially among Indonesian people who live close to neighboring countries, such as Malaysia and Singapore.

We need to strengthen regional referral hospitals by placing appropriate and sufficient expert doctors so that everyone in Indonesia can access quality health services. The use of domestic medical equipment and drugs also becomes a crucial point in ensuring Indonesia's health resilience and independence.

Strong management

Strong health service management is the third program that will undoubtedly improve the quality and competitive index of all health service facilities in Indonesia. The grouping or holding system in the management of health service facilities will make government health service facilities equal and equal to private health service facilities.

The concepts of lean and sense and respond which are interpreted as the ability to detect and respond to conditions/changes in a system will make health service management more modern by prioritizing efficiency and effectiveness. It is time for the government to implement a holding system for the management of public service bodies, hospitals and health centers in Indonesia.

Early detection of degenerative diseases (diseases related to the process of organ and tissue damage, such as osteoporosis and Alzheimer's) and infectious diseases have become the target of technology and innovation programs for disease prevention.

It is time for the government to implement a holding system for the management of public service bodies, hospitals and health centers in Indonesia.

With Indonesia's large population, the potential for genetic variation and types of disease, both infectious and non-infectious, is very diverse. The wealth of clinical and genetic big data must be utilized and processed into algorithm models that can detect disease early for the entire Indonesian population.

Technologies such as artificial intelligence (AI) and internet of things (IoT) combined with bioinformatics will help people understand and detect degenerative and infectious diseases early. In addition, the government needs to strictly regulate early detection programs for every newborn, pregnant mother and teenager against the possibility of suffering from non-infectious diseases in the future.

Armed with early detection results, we can have a picture of the environment as well as a suitable lifestyle for the community to prevent degenerative diseases from occurring.

Using telemedicine technology, a family doctor service that allows us to consult a doctor online, can help increase access and efficiency in obtaining health services from the National Health Insurance program.

The existence of the National Research and Innovation Agency (BRIN) in line with the development of Indonesia's Academic Health System (an integrated health system with educational institutions) can accelerate the development of innovations in healthcare services.

The integration and continuity of education, research, and services will accelerate the implementation of domestic medical devices or drugs in government-owned healthcare facilities. Research and innovation efforts are believed to be able to improve access, quality, and efficiency of the National Health Insurance program, including premium and cost contributions.

Also read: Digitalization of Health System Transformation

On the other hand, thebig dataNational Health Insurance program can be utilized in a promotive and preventive system while strengthening national research and innovation in the field of drug and medical device production.

Improving the quality, competitive index, and independence of health service facilities are the main targets for establishing management holdings for public service bodies for hospitals and community health centers in Indonesia. With a holding system, efficiency in all lines of logistics, human resources, operations and finance can be achieved.

Holding management will also enrich Indonesia's health big data - so that it will become an industry that supports Indonesia's health resilience and independence. The competition created between health service facility management groups will encourage improvements in the quality of health services in Indonesia.

Not only hospitals, public health centers and laboratories owned by the government will also be the power of the health blockchain in supporting the financing system and National Health Insurance for all Indonesian people.

Budi Wiweko, Chairman of the Academic Senate of the University of Indonesia; Elected Chairman of the Indonesian Obstetrics and Gynecology Association; Member of the Indonesian Academy of Sciences

Instagram: bwiweko

KOMPAS/MELATI MEWANGI

Budi Wiweko