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Single inpatient class raises concerns of reduced hospital beds
The government acknowledges that the new single-class inpatient system for the National Health Insurance (JKN) program may reduce the number of the country's hospital beds by more than 23,000, but gave an assurance that it will not disrupt treatment or hospital admission for patients.
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Food poisoning patients undergo treatment at Sekarwangi Regonal General Hospital in Sukabumi regency, West Java on June 5, 2024. (Antara/Henry Purba)
I
ndonesia may lose thousands of hospital beds once standardized inpatient care for National Health Insurance (JKN) policyholders goes into full effect starting next year, raising concerns over longer hospital admission waiting times for millions of patients.
President Joko “Jokowi” Widodo issued a decree last month mandating all hospitals affiliated with the state insurance to provide standardized wards for all policyholders by June 30 of next year.
JKN policyholders are currently entitled to three different classes of inpatient care based on their monthly premium. But under the new system, called Standard Inpatient Class (KRIS), there will only be a single inpatient class, which can house up to four patients and be supported with a certain set of facilities.
The decree, aimed at ensuring equitable and high-quality medical services for JKN policyholders, requires all government-affiliated hospitals to implement the single-class ward in at least 60 percent of their total rooms. Meanwhile, private hospitals will only be obliged to ensure 40 percent of their rooms meet the standards.
But the new system may reduce the number of hospital beds by 23,227 as healthcare facilities are required to scale down their inpatient wards from the capacity of up to eight to four, said Deputy Health Minister Dante Saksono.
This figure accounts for roughly 9 percent of the current total hospital beds under the JKN system of around 253,100 beds.
[President signs order on equitable healthcare services::/indonesia/2024/05/13/president-signs-order-on-equitable-healthcare-services.html]
