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Training Course on Health Financing for Central Units and Provincial Health Planner, Indonesia 2007 Research Center for International Health Development, Tokai University Graduate School of Medicine, Kanagawa, Japan What is Health Financing? Health manager’s worry is same as budget is not enough always than our needs, in every organization. And, managers are so busy and then they cannot look after accounting, for efficient and effective utilization. But, managers should have skills for optimum resource allocation to balance needs and service, and for maximum utilization of existing resources. Health financing is not only monetary issue. It is a combination of intellectual knowledge and application to activate your organization and maximize services for people’s happiness. What is Value Learning in Japan? It is well known that Japan has succeeded on recovery from damages after World War II, achieved very long life expectancy (Male: 79.0, Female: 85.8 in 2006) ahead of other nations in the world. One of the reasons of living long is universal coverage by health insurance, whereby covering all Japanese by health insurance. Besides it, Japanese health insurance assures “Free Access” which means everyone can access any kind of health facilities freely. It was a remarkable improvement on health financing, because people can access health care in low payment and health facilities are assured certain income related to provided services. But, through such achievement, several problems have emerged. One such is behavior change of people. After they get health insurance card, people want to visit health facility even for any minor illness, because visiting health facility became their right. Especially old people have enough time to access health facilities, thus health care dependency people increased by time. High ageing society (19.8% of age over 65 population in 2005) and low TFR (only 1.26 in 2005) force decrease of young population pose decline health insurance premium and increase of health expenditure. In such situation, Japanese government forced health reforms for health containment, and latest reform has started in 2007. You can learn much from Japan’s achievements, problems and new approaches. What is our Goal? Each country or province or district has different and unique history, background, custom and behavior. Applying one’s experiences and plans to yours will not be realistic and can only succeed to fail. But, learning such issues are quite useful to review your own situation and plan. Our objective is to clarify current situation and differences from others, thus induce knowledge and skills to solving problems and planning in optimum way under your situation. Our goal is to strengthen your skill and your - i -

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Page 1: Training Course on Health Financing for Central Units and Provincial Health Planner, Indonesia 2007 Research Center for International Health Development,

Training Course on Health Financingfor Central Units and Provincial Health Planner, Indonesia

2007

Research Center for International Health Development, Tokai University Graduate School of Medicine, Kanagawa, Japan

What is Health Financing?Health manager’s worry is same as budget is not enough always than our needs, in every organization. And, managers are so busy and then they cannot look after accounting, for efficient and effective utilization. But, managers should have skills for optimum resource allocation to balanceneeds and service, and for maximum utilization of existing resources. Health financing is not only monetary issue. It is a combination of intellectual knowledge and application to activate your organization andmaximize services for people’s happiness.

What is Value Learning in Japan?It is well known that Japan has succeeded on recovery from damages after World War II, achieved very long life expectancy (Male: 79.0, Female: 85.8 in 2006) ahead of other nations in the world. One of the reasons of living long is universal coverage by health insurance, whereby covering all Japanese by health insurance. Besides it, Japanese health insurance assures “Free Access” which means everyone can access any kind of health facilities freely. It was a remarkable improvement on health financing, because people can access health care in low payment andhealth facilities are assured certain income related to provided services. But, through such achievement, several problems have emerged. One such is behavior change of people. After they get health insurance card, people want to visit health facility even for any minor illness, because visiting health facility became their right. Especially old people have enough time to access health facilities, thus health care dependency people increased by time. High ageing society (19.8% of age over 65 population in 2005) and low TFR (only 1.26 in 2005) force decrease of young population pose decline health insurance premium and increase of health expenditure. In such situation, Japanese government forced health reforms for healthcontainment, and latest reform has started in 2007. You can learn much from Japan’s achievements, problems and newapproaches.

What is our Goal?Each country or province or district has different and unique history, background, custom and behavior. Applying one’s experiences and plans to yours will not be realistic and can only succeed to fail. But, learning such issues are quite useful to review your own situation and plan. Our objective is to clarify current situation and differences from others, thus induce knowledge and skills to solving problems and planning in optimum way under your situation. Our goal is to strengthen your skill and yourconfidence in management in terms of health financing.

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Page 2: Training Course on Health Financing for Central Units and Provincial Health Planner, Indonesia 2007 Research Center for International Health Development,

Training Course on Health Financingfor Central Units and Provincial Health Planner, Indonesia

2007

Research Center for International Health Development, Tokai University Graduate School of Medicine, Kanagawa, Japan

Target ParticipantsMiddle and high level personnel in the areas related to health management will benefit from this course

Training MethodologyLecture in Class, Group Practice and Group Discussion, Field Visit

Period and Time1st Batch: October 22 (Mon.)-26 (Fri.), 20072nd Batch: November 12 (Mon.)-16 (Fri.), 2007Time: 09:00 -17:00

PlaceIsehara Campus, Tokai University Graduate School of Medicine, Isehara city, Kanagawa Prefecture, JapanHealth Department, Kanagawa Prefecture Government (Planned)Health & Welfare Department and National Health Insurance Department, Yamakita Town Municipal Government, Kanagawa (Planned)

Health Planners, Directors, ManagersHealth Planners, Directors, Managers

TQC /TQM methodsTQC /TQM methods

Health FinancingHealth Financing

Health EconomicsHealth Economics

Health ForecastingHealth Forecasting

Health BudgetingHealth Budgeting

Problem IdentificationProblem Identification

Solution DevelopmentSolution Development

Policy PrioritizationPolicy Prioritization

Team BuildingTeam Building

Communication SkillCommunication Skill

Health Leaders with Health Futuristic way of Thinking

Health Leaders with Health Futuristic way of Thinking

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Page 3: Training Course on Health Financing for Central Units and Provincial Health Planner, Indonesia 2007 Research Center for International Health Development,

Training Course on Health Financing for Central Units and Provincial Health Planner, Indonesia 2007

Schedule

Day Time Program Method HotelDay 0

Oct. 21Nov. 11

(Sun)

Arrival at Narita /Move to Isehara, Kanagawa PrefectureIsehara Dai-Ichi Hotel, Isehara

Day 1 Oct. 22Nov. 12(Mon)

9:00-10:00

Opening Remarks Program OrientationIce Breaking Session

Discussion

Isehara Dai-Ichi Hotel, Isehara

10:15-12:00

Problem Identification and Solution Development -Brain Storming, KJ Method -Priority Setting

Lecture

13:00-17:00

Problem Identification and Solution Development -Brain Storming, KJ Method, Presentation Practice

Welcome Reception (Dinner at Historical Japanese Restaurant of 400 years old)

Day 2Oct. 23Nov. 13

(Tue)

9:00-10:15

Japan's Health System -Characteristics of Japan's Health Insurance -Health Planning in Japan

Lecture

Isehara Dai-Ichi Hotel, Isehara

10:30-12:00 Basics of Health Financing Lecture

13:00-14:45 Health Budgeting and National Health Account Lecture

15:00-17:00 Analysis Methods of Health Financing Lecture

Day 3Oct. 24Nov. 14(Wed)

9:00-10:15 Leadership Development and Team Building Lecture

/Practice

Isehara Dai-Ichi Hotel, Isehara

10:30-12:00 Preparation on Field Study at Local Government Lecture

/Practice

13:00-17:00

Field Study at Local Government Team 1: Kanagawa Prefecture Government Team 2: Municipal Government (Yamakita Town, K

anagawa Pref)

Interview

Day 4Oct. 25Nov. 15(Thu)

9:00-12:00

Discussion on Results from Field Study at Local Government Discussion

Shiba Park Hotel, Tokyo

13:00-14:45 Health Budgeting in Local Government (Case Study) Lecture /

Discussion15:00-17:00

Additional Lecture based on Field StudySummary Session & Closing

Lecture / Discussion

Move to Central Tokyo

Day 5Oct. 26Nov. 16

(Fri)

8:00-13:00

Bus Tour (Meiji Shinto Shrine, Imperial Palace, Asakusa Kannon Temple, Nakamise Shopping Arcade, etc.) Shiba Park Hot

el, Tokyo13:00- Free (Shopping at Ginza, Akihabara etc.)

Day 6Oct. 27Nov. 17

(Sat)

Move to Narita Airport /Leave Japan

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