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Table 4 Rationing strategies by healthcare providers in four public and four private hospitals in a province in Indonesia using Maybin and Klein’s six categories

From: Rationing for medicines by health care providers in Indonesia National Health Insurance System at hospital setting: a qualitative study

Rationing strategy   GH1 GH2 GH3 GH4 PH1 PH2 PH3 PH4
Not giving medicines (denial) D
P
  N
Select patients who will receive medicines (selection) D
P
N
Encourage patients to purchase uncovered medicines (deterrence) D
P
N
Refer patients to other health care facilities (deflection) D
P
N
Replace with other medicines which less effective or less safe/reduce the amount of medicines (dilution) D
P
N
Applied waiting list to obtain medicines (delay) D
P
N
  1. D Doctor/Physician, P Pharmacist, N Nurse, GH Government Hospital PH: Private Hospital
  2. √: rationing was practiced; ─: rationing was nor practiced