Professional Documents
Culture Documents
12 Sep Rumah Sakit Khusus
12 Sep Rumah Sakit Khusus
12 Sep Rumah Sakit Khusus
DAN
PERSIAPAN MENGHADAPI PASAR
BEBAS ASEAN 2015
Agung P. Sutiyoso
TIM BIDANG JASA DAN PRODUK KESEHATAN
KEMKES
Sub Kelompok Kerja Dokter Dan Dokter Gigi
ACHIEVEMENT OF THE AFAS 2015 TARGETS
9th Package 10th Package
Completion Target AEM 2013 AEM 2015
Number of Subsectors 104 128
Mode 1 All 104: None All 128: None
Mode 2 All 104: None All 128: None
29 PIS: 70% 29 PIS: 70%
Mode 3MA FE 9 LOG: 70% 9 LOG: 70%
66 OTHER: 51% 90 OTHER: 70%
29 PIS: No limitation 29 PIS: No limitation
9 LOG: No limitation 9 LOG: No limitation
Mode 3 MA Limitations
26 OTHER: max 2 lim
90 OTHER: No limitation
26 OTHER: max 1 lim
Max 3 lim /subsector (including Max 1 lim /subsector
Mode 3 NT
horizontal) (including horizontal)
Mode 4 To be agreed To be agreed
15%*(104*3)= 47 modes 15%*(128*3)= 58 modes
Flexibility Allowed
across modes 1-2-3 across modes 1-2-3
Max flexibility
55%*47= 26 modes 50%*58= 29 modes
in one mode of supply
WTO ( GATT GATS - TRIPS ) PURPOSE
GLOBALISATION
Openness
Rules &
Institutions
Cross-border
flows
Regulations Inputs/costs
Organisation
financing
Clinical Services
delivery
Health
Health service
Health
service service
QUALITY
Access Price
SAFETY
Agung 06-11
Specific Commitments
Sector - Subsector
Business
Telecommunication
Construction
Distribution
Environment
Finance
Education
Health & Social services
Culture & sport
Tourism/Courier
Cross-industrial commitment
Market access
Transportation
Others
1
2
National treatment
3
4
1
2
3
4
4:
3:
2:
1:
GATS /AFAS - Scope of analysis -
CP
CB
CA
Agung 06-11
1-4 modes
MNP
INDIA REQUEST
I. BUSINESS SERVICE
A. Professional Services
Modes of supply
(1) Cross - border supply (2) Consumption Abroad (3) Commercial Presence (4) Presence of Natural Persons
(8.) Health Related Social Services ( other than those listed under 1.A.h-j)
A. Hospital Services (CPC 9311)
B. Other human health services(CPC 9319 excluding 93191)
CPC 93192 : Ambulance Services
CPC 93193 : Residential health facilities services other than
hospital Services
C. Social Services :
CPC 93311 : Welfare services for elderly and handicapped
CPC 93319 : Other social services with accomodation
CPC 93321 : Child day-careservices
Etc
Agung 06-11
Market-Orientated Health Care
In market-orientated medical care, the patient is the
customer and the medical care and service rendered by the
doctor and hospital is the commodity and service traded in a
demand and supply chain
As a user and client, the patients main desire is
to secure the best doctor,
the best medicine,
the best hospital facilities and
the best attended and related personal care services.
( Quality - Safety)
And the patient hopes to purchase all these at the lowest possible
medical cost.
3 Players: 3 Markets:
the Patient/Citizen, the Service,
the Health Care Provider, and the Expert, and
the Health Care Purchaser. the Purchaser Markets.
Agung 06-11
Hospital Values Chain .
M Poter
Clinical services
Pelayanan
Aktifitas
didapat
Asumsi Bersama, Nilai-nilai bersama
pasien
Struktur Organisasi
Fungsi, Divisi, Matriks
Sumber Daya Strategis
Keuangan, SDM, Informasi, Teknologi
Organized Medical Staff Section Governing Council presents
"Gosfield's Quality and Clinical Culture provides a direct, clear and detailed linkage between the highly
valued, scientifically grounded caring physicians' role and the emerging accountable organizations that
are changing health care in this country. Her grasp of the core elements of the physician's clinical culture
goes beyond idealism and nostalgia to real understanding. Gosfield's command of the new demands of
accountable healthcare, its organizations, and its existence in the marketplace provide the grounding for
a new synthesis that recognizes the uniquely personal character of the clinical culture."
------John M. Ludden, MD, Senior Vice President for Medical Affairs, Harvard Pilgrim Health Care
AFAS MRA ON MEDICAL PRACTITIONER
ARTICLE III
RECOGNITION, QUALIFICATIONS AND ELIGIBILITY
OF FOREIGN MEDICAL PRACTITIONERS
3.1.3 minimum practical experience of five (5) continuous years preceding the application
since after registration for General Medical Practitioners and/or minimum period of five (5)
continuous years after completion of specialist training and registered as a specialist
in the Country of Origin;
3.1.5 certification from the PMRA in the Country of Origin of no record of having violated any
professional or ethical standards, local and international, for the practice of
medicine~.
Agung 06-11
Health worker density Global Discrepancy / Inequity
Current Situation of Distribution
of Health Work Force (HWF)
1. Free Trade ASEAN 2015 is trade with limited Market Access and no
National Treatment
2. Patient is the customer and medical service rendered by the doctor and
hospital is the commodity and service traded in :
a demand supply - price chain
3. Patients main desire as customer :
- Quality and Safety :
to secure the best doctor,
the best medicine and equipment,
the best accredited hospital and
the best attended and related personal care services.
- Cost patient hopes to purchase all these at the lowest
possible medical cost.
4. Preparation to cope with 2015 Asean Free Trade (AEC) is :
The ability for Special hospital to fulfill patients desire in global
competitiveness on services qualities, safety , access and cost