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The ageing of the global population is associated with a rising prevalence of chronic disease and preventable illness, generating escalating demands for health care and creating pressures on the sustainability of health systems. Health expenditures are projected to grow at rates that outpace government revenue growths, raising concerns on the long-term financial sustainability. To address this issue and encourage countries to build resilient health systems, The United Nations identified Universal Health Coverage as one of its Sustainable Development Goals. Reform in health systems is comprehensive, focusing on health financing, procurement and provision of services. Financing of different types and levels of healthcare for integrated delivery is critical to meet the complex needs of people with chronic disease and for efficiency and equitable healthcare.

Di kawasan Asia Pasifik, fragmentasi pemberian layanan perawatan kesehatan terlihat jelas. Koordinasi layanan dalam perawatan primer, antara perawatan komunitas primer dan perawatan rumah sakit spesialis terbatas dan bermasalah. Sistem perawatan kesehatan publik dan swasta secara efektif beroperasi dalam sistem paralel yang tersegmentasi yang mengorbankan efektivitas dan efisiensi sistem kesehatan. Negara-negara telah menerapkan kebijakan seperti perluasan skema asuransi kesehatan swasta untuk melibatkan sektor kesehatan swasta yang mengubah sistem yang dipimpin perawatan primer. Namun, tantangan signifikan telah menghambat kemajuan, termasuk biaya perawatan kesehatan yang meningkat pesat, ketidaksesuaian antara manfaat asuransi dan kebutuhan masyarakat, serta ketidakpedulian politik dan legislatif.

Kursus ini akan memberikan gambaran umum tentang keterlibatan sektor swasta dari perspektif pemangku kepentingan termasuk pembuat kebijakan, regulator, ekonom, dan perusahaan asuransi. Keterlibatan pelaku di sektor swasta yang terlibat dalam pengadaan, penyediaan, dan penilaian layanan akan dieksplorasi di mana pengalaman pasien dalam mengakses perawatan dan perlindungan finansial di sektor swasta akan dibahas. Salah satu aktor yang memungkinkan akses ke perawatan di sektor swasta adalah Asuransi Kesehatan Swasta (PHI), yang dibeli oleh individu untuk melengkapi, melengkapi, atau mengganti metode pembiayaan kesehatan publik. PHI memainkan peran penting dalam melindungi individu dari risiko finansial, khususnya terhadap biaya medis yang sangat besar. Lingkungan bisnis dan regulasi juga akan dieksplorasi untuk memahami kebutuhan operator komersial dan regulator sehingga pelaku swasta dapat secara efektif berkontribusi pada pembiayaan kesehatan secara keseluruhan sambil mempertahankan profitabilitas dalam kegiatan bisnis inti mereka. Studi kasus tentang pengalaman negara dalam keterlibatan sektor swasta berdasarkan berbagai desain sistem kesehatan akan disajikan untuk pembelajaran.

Tujuan

Kursus ini akan memberikan peserta:

1. Analisis kebutuhan dan tantangan sistem kesehatan dari berbagai perspektif pemangku kepentingan, termasuk pembuat kebijakan, regulator, ekonom, dan perusahaan asuransi.
2. Analysis of the engagement of players in the private sector, praktik industri yang mendorong pembelian dan pengadaan layanan, serta dampak terkait pada desain produk asuransi yang ditawarkan di pasar.
3. Informasi untuk pengambilan keputusan dalam pemilihan produk pembiayaan komersial seperti Asuransi Kesehatan Swasta (PHI) dalam mendanai penyediaan layanan kesehatan di sektor swasta.
4. Pemahaman pengalaman pasien di sektor swasta, dalam hal akses perawatan, kualitas perawatan dan perlindungan finansial.

Target Peserta:

Target peserta utama untuk kursus ini adalah: Pembuat kebijakan senior dan menengah di tingkat nasional dan sub-nasional Pelaksana kebijakan kesehatan Manajer sektor kesehatan dan praktisi yang bekerja dengan sektor swasta dan regulator Kepala/direktur organisasi/asosiasi layanan kesehatan swasta Akademisi dan peneliti di bidang layanan kesehatan, sistem dan kebijakan Perwakilan organisasi global dan internasional/mitra pembangunan

Pembicara yang Diundang:

Kursus Kebijakan ini menghadirkan kelompok pembicara terkemuka dari berbagai wilayah Asia Pasifik untuk berbagi keahlian dan wawasan mereka.

Sesi Pembukaan:

• Profesor Laksono TRISNANTORO (Profesor, Universitas Gadjah Mada, Indonesia)
• Profesor E.K. YEOH (Direktur, Pusat Penelitian Sistem dan Kebijakan Kesehatan, Universitas Cina Hong Kong, Hong Kong)

Faculty Members:

• Dr. Eduardo P. BANZON (Director, Health Sector Group, Asian Development Bank, Philippines)
• Professor Ying-Yao CHEN (Professor, Fudan University, China)
  Dr. Yat CHOW (Executive Medical Director, Bupa Hong Kong, Hong Kong SAR, China)
• Shita DEWI (Divisi Kebijakan Kesehatan dan Kesehatan Masyarakat, CHPM, Universitas Gadjah Mada, Indonesia)
• Professor Chantal HERBERHOLZ (Professor, Chulalongkorn University, Thailand)
• Professor Soonman KWON (Professor, Seoul National University, South Korea)
• Profesor Siripen SUPAKANKUNTI (Profesor, Universitas Chulalongkorn, Thailand)
• Professor Sharifa Ezat WAN PUTEH (Professor, Universiti Kebangsaan Malaysia, Malaysia)

Silakan merujuk pada rundown program untuk konten kursus yang lebih detail. 

Lokasi:

• Hari 1: KCTCRC, 1/F Gedung School of Public Health, Rumah Sakit Prince of Wales, Shatin, Hong Kong 
• Hari 2: Alva Hotel by Royal, 1 Yuen Hong Street, Shatin, Hong Kong 
• Hari 3: CUHK Medical Centre, 9 Chak Cheung Street, Shatin, Hong Kong 

Silakan merujuk pada rundown program untuk jadwal detail.

Biaya Pendaftaran:

Biaya standar untuk kursus (6-8 Mei 2025) adalah USD 200. Biaya ini mencakup:

• Pengajaran
• Materi kursus
• Satu kali kunjungan lapangan
• Coffee break
• Makan siang selama hari pelatihan

Peserta (atau lembaga pendana peserta) bertanggung jawab untuk menanggung biaya: Perjalanan, asuransi kesehatan dan kecelakaan, akomodasi, dan pengeluaran lain selama di Hong Kong. 

An early bird fee of USD 150 per person will apply for participants whose payments are received before 7 April 2025. [Extended to 14 April 2025]

Registration Link

Please fill the registration link below:
https://cuhk.qualtrics.com/jfe/form/SV_bpW0lqkwuwfp2bs

Payment details:

Once registered, we will provide an invoice number to you by email.

For local/ overseas participants: For bank direct transfer/deposit, please quote the invoice number and make payment to the following bank account:

For local participants ONLY: For cheque payment, please make cheque payable to  Asia Pacific Network For Health Systems Strengthening Limited and mark the invoice number on the back of the cheque and send the cheque to Room 201, 2/F, School of Public Health, Prince of Wales Hospital, Shatin, Hong Kong.

Informasi Hotel: 

Silakan merujuk ke https://hspr.cuhk.edu.hk/hotel-accommodations untuk informasi hotel di sekitar lokasi kursus.

Tanggal: 6 Mei 2025

Lokasi: KCTCRC, 1/F School of Public Health Building, Prince of Wales Hospital, Shatin, Hong Kong

AGENDA

8:45 AM – 9:00 AM | Registration
Welcome Remarks:
Laksono TRISNANTORO, Professor of Health Policy and Management, Department of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (Indonesia)

Structure of Course:
Professor Eng-Kiong YEOH, Director, Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong (HKSAR, China)

9:15 AM – 10:45 AM | Teaching Presentation 1

Topic: The Role of the Private Sector in Health Financing
Speaker: Professor Siripen SUPAKANKUNTI, Professor, Chulalongkorn University  (Thailand)
Abstract:
The session investigates explicitly the expanding role of private health insurance and the persistence of out-of-pocket payments as critical yet complex sources of healthcare funding. It analyzes how these private financing avenues reshape healthcare landscapes by influencing consumer choices, driving the growth of private hospitals and clinics, and impacting the pharmaceutical and medical device industries.
While acknowledging the private sector’s contributions to expanding healthcare access and fostering innovation, the session underscores the critical need for effective governance and targeted policy interventions. Addressing challenges related to equitable access, cost containment, quality assurance, and seamless coordination between public and private healthcare providers is essential to ensure a sustainable and inclusive healthcare system that benefits all members of society. The session highlights the vital role of strategic public-private partnerships, a renewed focus on primary care and prevention, and data-driven policymaking in shaping a more equitable and efficient health financing future for the region.

10:45 AM – 11:15 AM | Tea & Refreshments

11:15 AM – 12:45 PM | Teaching Presentation 2

Topic: Integration of Financing and Provision of Primary Healthcare in the Private Sector

Speaker: Dr. Yat CHOW, Executive Medical Director, Bupa Insurance & Quality Healthcare Medical Services (HKSAR, China)

Abstract:
The provision of healthcare services in the private sector is a critical component of modern health systems, particularly in the context of integrated care between health insurers and health service providers. This presentation explores the dynamics of such integration, focusing on outpatient services within the private health sector. The primary care model serves as the foundation for this integration, emphasizing the importance of coordinated and continuous care for patients.
Integration is achieved through various mechanisms, including shared information systems, collaborative care planning, and financial incentives aligned with quality outcomes. Health insurers and providers work together to streamline processes, reduce redundancies, and enhance patient experiences. Participation in public-private partnership (PPP) programs further strengthens this integration by leveraging the strengths of both sectors to improve service delivery and accessibility.
This integrated approach contributes significantly to the overall healthcare system by improving efficiency, reducing costs, and enhancing the quality of care. It fosters a more patient-centered approach, ensuring that individuals receive timely and appropriate care. Additionally, it supports the sustainability of the healthcare system by optimizing resource utilization and promoting preventive care.
However, several barriers to effective integration exist, including regulatory challenges, differences in organizational cultures, and resistance to change among stakeholders. Overcoming these barriers requires robust policy frameworks, continuous stakeholder engagement, and the adoption of best practices from successful integration models. The presentation will delve into case studies and real- world examples to illustrate how these challenges have been addressed in various contexts.
In conclusion, the integration of healthcare services in the private sector, facilitated by collaboration between health insurers and providers, plays a pivotal role in enhancing the overall healthcare system. By examining the mechanisms of integration, participation in PPP programs, and the impact on primary care, this presentation provides a comprehensive understanding of the benefits and challenges associated with this approach.

12:45 PM – 2:30 PM    Lunch break

2:30 PM – 3:30 PM | Teaching Presentation 3 (Part 1)

Topic: Private Health Sector Assessment
Speaker: Shita DEWI, Health Policy and Public Health Division, CHPM, Universitas Gadjah Mada (Indonesia) 

Abstract:
Private Health Sector Assessment (PHSA) is the first step in engaging the private sector. PHSA is an assessment aiming at the private health sector to get some basic information needed in order to select appropriate strategies to engage private providers more strategically/effectively. Ultimately, PHSA should help develop policy recommendations for enhancing the private sector’s contribution to alleviating identified problems, enhance health policy decision-making, promote public – private dialogue and create forward momentum. The objective of this session is to provide insight into how to conduct a private health sector assessment (PHSA) tailored to participant’s country. The session will highlight the importance of PHSA in engaging private sector, tools for conducting PHSA and how to link the PHSA result to the PSE strategy options.
A private health sector assessment is an important first step towards more strategic engagement of private sector actors in order to achieve sector goals. PHSAs are tools to inform policy and stakeholder dialogue. Research reports are not the primary objective of a PHSA. And it is crucial to understand that dialogue, policy prioritization, and forward momentum are the objectives of a PHSA, not a report.

QUESTIONS TO DISCUSS AND THINK ABOUT 

• • How will you use your PHSA to develop a strategy that suits the context of your county?
  • How will you engage your stakeholder to develop this strategy?

RECOMMENDED READING

Chakraborty, S. & Harding, A., 2003. Conducting a Private Health Sector Assessment. In: A. S. Preker & Harding, eds. Private Participation in Health Services. Washington: World Bank, pp. 75-156.

Private Health Policy Toolkit. Tools for Engaging the Private Health Sector. Washington: World Bank, 2013.

3:30 PM – 4:00 PM | Tea & Refreshments

4:00 PM – 5:30 PM | Teaching Presentation 3 (Part 2)

Topik: Penilaian Sektor Kesehatan Swasta
Pembicara: Shita DEWI, Divisi Kebijakan Kesehatan dan Kesehatan Masyarakat, PKMK, Universitas Gadjah Mada (Indonesia)

Regional Knowledge Event: The Strategic Role of Private Health Insurance (PHI) for Health System Goals and to Advance Universal Health Coverage

Date: May 7, 2025

Lokasi: Alva Hotel by Royal, 1 Yuen Hong Street, Shatin, Hong Kong

AGENDA: Please refer to Knowledge Event programme rundown for detailed schedule.

Tanggal: 8 Mei 2025

Lokasi: CUHK Medical Centre, 9 Chak Cheung Street, Shatin, Hong Kong

8:45 AM – 9:00 AM | Registration

9:00 AM – 9:45 AM | Teaching Presentation 1

Topic: The Private Hospital and Specialist Sector in Hong Kong

Speaker: Professor Hong FUNG, Executive Director and CEO of CUHK Medical Centre; Professor of Practice of JC School of Public Health and Primary Care (HKSAR, China)

Abstract:
Private hospital and specialist care in Hong Kong used to play a supplementary role to the public hospital system under the Hospital Authority. The private sector offers choice of doctors, faster access with short waiting time, and better accommodation and hospitality services. There is, however, an imbalance between public and private healthcare with 90% of the secondary and tertiary care services being taken up by the public hospitals while nearly half of the specialist doctors work in the private sector. The imbalance has grown since the Covid-19 pandemic with worsening waiting time in the public sector for elective services and cost escalation in the private sector. The latter is mainly reflected in the worsening loss ratios among the private health insurers, leading to major increases in premiums and driving more patients to the public sector.

The government of the Hong Kong Special Administrative Region has been introducing reform measures to the private sector. These measures include the introduction of the Voluntary Health Insurance Scheme (VHIS), which provides a regulatory framework for the health insurance products, regulation of private healthcare facilities as well as requiring private hospitals to publish their historical charges for 30 common surgical procedures. A key theme under VHIS and the requirement of publication of historical charges is to promote price transparency. But according to a report published by the Hong Kong Consumer Council in March 2025, price transparency remains a major issue in private healthcare.

This lecture will examine the respective roles of the payers, the hospitals, and the medical specialists in private healthcare and in contributing towards Universal Health Coverage. It proposes package pricing as the foundation for promoting price transparency and affordability of private healthcare. Setting the foundation would enable the building of different financial pillars to make private healthcare more affordability and accessible. The lecture will be followed by a hospital visit to study the use of technology in the development of a smart hospital and supporting the Triple Aim in healthcare delivery.

9:45 AM – 10:15 AM | Certificate Presentation Ceremony

10:15 AM – 10:30 AM | Tea Break

10:30 AM – 11:30 AM | Tour of CUHK Medical Centre