scholarly journals IMPLEMENTASI JAMINAN KESEHATAN DAERAH: STUDI KASUS DI KABUPATEN SLEMAN

NATAPRAJA ◽  
2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Sukarno Sukarno ◽  
Ani Nurhayati
Keyword(s):  
Health Insurance ◽  
Resource Constraints ◽  
Field Research ◽  
Health Financing ◽  
Regional Health ◽  
Care Services ◽  
Insurance Program ◽  
The Right ◽  
To Receive ◽  
Slum Community

The purpose of this article was to know the implementation of regional health insurance. This research is empirical juridical research. This research was conducted with field research aimed at the implementation of regional health insurance after the enactment of Sleman Regent Regulation No. 60 of 2012. The results of this research indicated that the implementation of regional health insurance after the enactment of Sleman Regent Regulation No. 60 of 2012 follow: Regional Health Insurance Program in Sleman District has a goal to provide quality and affordable services to the community, maximizing health financing for the Sleman Slum community. Each JAMKESDA participant had the right to receive basic health services including outpatient and inpatient services, as well as Advanced Advanced Outpatient Health Care (RJTL), Advanced Inpatient (RITL), delivery and emergency care services. Constraints faced include limited local budgets for regional financing and inadequate health facilities and resources. In addition, other obstacles related to procedural administrative, constraints derived from data collection, constraints that are socio cultural and human resource constraints (HR). Keywords: Implementation, Health Insurance, Regional.

scholarly journals PENERAPAN METODE K-MEANS UNTUK PEMETAAN CALON PENERIMA JAMKESDA

2018 ◽  
Vol 5 (2) ◽  
pp. 190
Author(s):  
M. Nanda Variestha Waworuntu ◽  
Muhammad Faisal Amin
Keyword(s):  
Data Mining ◽  
Health Insurance ◽  
Social Welfare ◽  
Community Service ◽  
Regional Health ◽  
The Social ◽  
Value Determination ◽  
The Right ◽  
To Receive

<p><em>Kelurahan Kemuning, one of the Social Welfare Section, there is poor community service to receive Regional Health Insurance. During this section of Social Welfare Section in Kelurahan Kemuning, there is no method that can classify the level of poverty so that the beneficiaries on target, so the Kelurahan can't prevent the inaccuracies. Therefore, poverty grouping can assist Kelurahan in making the right decision to prevent the inaccuracies of recipients of Regional Health Insurance. In this research, the application of the k-means method is implemented in an application made with 2 clusters. This study uses as many as 440 data samples. From result of calculation of Davies Bouldin Index obtained value determination of cluster amount with value 2 cluster (0,243), 3 cluster (0,256), 4 cluster (0,275). The value used is 2 clusters because the value is close to 0</em><strong><em>.</em></strong></p><p><em><strong>Keywords</strong></em><em>: </em>:<em> data mining, k-means, poverty, davies bouldin index</em> </p><p><em>Pada Kelurahan Kemuning salah satunya Seksi Kesejahteraan Sosial (KESSOS) terdapat pelayanan masyarakat miskin untuk menerima bantuan Jaminan Kesehatan Daerah (JAMKESDA). Selama ini bagian Seksi KESSOS pada Kelurahan Kemuning belum ada metode yang dapat mengelompokkan tingkat kemiskinan agar penerima bantuan tepat sasaran, sehingga pihak Kelurahan tidak dapat mencegah ketidaktepatsasaran tersebut. Oleh sebab itu, pengelompokan kemisikinan dapat membantu pihak Kelurahan dalam mengambil keputusan yang tepat untuk mencegah ketidaktepatsasaran penerima JAMKESDA. Pada penelitian ini, penerapan metode K-Means diimplementasikan pada aplikasi yang dibuat dengan 2 klaster. Penelitian ini menggunakan sebanyak 440 sampel data. Dari hasil perhitungan Davies Bouldin Index diperoleh nilai penentuan jumlah cluster dengan nilai 2 klaster (0.243), 3 klaster (0.256), 4 klaster (0.275). Nilai yang digunakan adalah 2 klaster karena nilai tersebut mendekati 0.</em></p><em><strong>Kata kunci</strong></em><em>: </em><em>data mining, k-means, kemiskinan, davies bouldin index</em>

scholarly journals Penganggaran dan Penerimaan Dana Kapitasi Program JKN di Daerah Terpencil Kabupaten Kepulauan Mentawai

2018 ◽  
pp. 92-101
Author(s):  
Desi Fitria Neti ◽  
Lukman Waris ◽  
Anni Yulianti
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
National Health Insurance ◽  
National Health ◽  
Rural Areas ◽  
Health Workers ◽  
National Health Insurance Program ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Right

Abstrak Program Jaminan Kesehatan Nasional (JKN) dilaksanakan atas hak setiap warga negara memperoleh layanan kesehatan, baik yang bertempat tinggal di perkotaan maupun di perdesaan termasuk di daerah terpencil perbatasan kepulauan. Pelaksana program JKN dilaksanakan oleh unit pelayanan kesehatan mulai dari pelayanan kesehatan di puskesmas sampai dengan pelayanan kesehatan rujukan di rumah sakit dengan pembayaran yang dilakukan oleh Badan Pelaksana Jaminan Sosial Kesehatan (BPJS) kepada unit pelaksana pelayanan kesehatan dengan mekanisme transfer berdasarkan sistem dana kapitasi. Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis pelaksanaan penganggaran dan penerimaan dana kapitasi tenaga kesehatan program jaminan kesehatan nasional di daerah terpencil Puskesmas Mapaddegat Kabupaten Kepulauan Mentawai dengan mengunakan metode kualitatif. Pengumpulan informasi melalui observasi wawancara mendalam terhadap informan dan informan kunci dan Dokumentasi. Penelitian dilaksanakan bulan januari s/d juni 2017. Hasil penelitian menggambarkan bahwa pelaksanaan penganggaran dan penerima dana kapitasi tenaga kesehatan pada tahun 2014-2015 belum berjalan sesuai ketentuan pembayaran, tahun 2016 masih ditemukan permasalahan pembayaran norma kapitasi oleh BPJS Kesehatan sudah normatif namun belum sesuai dengan jumlah peserta yang terdaftar. Tahun 2017 penerimaan dana kapitasi sudah berjalan lebih baik dibuktikan dengan telah teradministrasi dan terdokumentasi semua bentuk pemanfaatan dan realisasi belanja pencairan dana kapitasi untuk seluruh petugas di puskesmas dan jaringannya. Kata kunci: Tenaga kesehatan, penganggaran, penerimaan dana kapitasi dan program JKN. Abstract The National Health Insurance Program (JKN) is implemented on the right of every citizen to receive health services in both urban and rural areas, including in remote border areas of the island. Implementing the JKN program is implemented by health care unit starting from health service at puskesmas to referral health service in hospital with payment made by BPJS to health service implementation unit with transfer mechanism based on capitation fund system. This study aims to describe and analyze the implementation of budgeting and receiving capitation funds health workers national health insurance program in remote areas Mapaddegat Puskesmas Mentawai Islands by using qualitative methods. Information gathering through in-depth interview observation of key informants and informants and Documentation. The study was conducted from January to June 2017. The results of this study illustrate that the implementation of budgeting and recipients of capitation funds of health personnel in 2014-2015 has not run according to payment terms, in 2016 still found the problem of payment of capitation norms by BPJS Health has been normative but not in accordance with number of registered participants according to the provisions. In 2017, the capitation of the capitation funds has been better implemented as proven by the administration and documentation of all forms of utilization and realization of capitation fund disbursement expenditure for all officers at the puskesmas and its network. Keywords: Health Manpower, policy, budgeting, admission of capitation funds and Health Insurance Program.

scholarly journals RESPONSIBILITY OF PUBLIC HEALTH SERVICE BASED ON THE CONSTITUTION OF INDONESIA

2020 ◽  
Vol 5 (1) ◽  
pp. 51-66
Author(s):  
Ardiansah Ardiansah
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Health Services ◽  
House Of Representatives ◽  
The State ◽  
Public Health Services ◽  
The People ◽  
The Government ◽  
The Right ◽  
To Receive

The Indonesian Constitution has mandated health services for its people. Everyone has the right to receive health services, while the state is obliged to provide health services. The implementation of public health services faces problems concerning the president regulations about the increase of health insurance fee. The House of Representatives does not agree with the increase in health insurance fee, because the government should be responsible for the realization of public health services. This research uses normative legal research methods. The results showed that the government's policy of raising fees was considered unfair and burdensome to the people of Indonesia.Health services for the people of Indonesia has been mandated by The Indonesian Constitution. The denial of health services is a violation to the Indonesian constitution. The people have the right to get health services, whereas the state is responsible for providing health services. Therefore, even though the government raises fees, people expect the government to cancel the increase of the fee. Due to the fact that the Indonesian constitution has made it clear that the state is responsible for providing health services to its people.

scholarly journals PROFIL PASIEN JAMKESMAS YANG MENJALANI OPERASI DI SMF BEDAH BLU RSU PROF.R.D KANDOU PERIODE AGUSTUS 2012 SAMPAI OKTOBER 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Eldy Wuwung
Keyword(s):  
Health Insurance ◽  
Total Sample ◽  
Household Surveys ◽  
North Sulawesi ◽  
The Poor ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Government ◽  
Minimum Criteria ◽  
To Receive

Abstract: Poverty is still a major problem for Indonesia. The increase in poverty has impact on health services. As per the declaration of Human Rights by the United Nations (1984) and the Indonesian Constitution (UUD 1945) Article 28, that health is a fundamental right of all individuals and all citizens are entitled to health care, including the poor. Based on that , Ministry of Health, since 2005, been implementing programs Health Insurance for the Poor (JPKMM) or AKESKIN (2005-2007) and turned into a Public Health Insurance program (JAMKESMAS) since 2008 until now. Constraints on JAMKESMAS implementation including: the number of new births, deaths, moving, changes in socio-economic level, and target users JAMKESMAS improper. This was a descriptive retrospective study through household surveys Jamkesmas card users who underwent surgery at the Surgical SMF period August to October 2012, using the criteria JAMKESMAS acceptors. Samples were 25 respondents, based on criteria established by the government through the Central Bureau of Statistics, the criteria Jamkesmas recipients must meet all the minimum criteria specified. The results showed that overall 25 samples (100%) did not meet the criteria for receiving medical treatment. Of the total sample, none are eligible to receive JAMKESMAS, so it can be concluded that the use of Jamkesmas in North Sulawesi many are not on target, with the number of citizens who are not eligible to use Jamkesmas for treatment.Keywords: the poor, Jamkesmas, criteria of the poor.Abstrak. Kemiskinan masih merupakan masalah utama bagi bangsa Indonesia. Peningkatan penduduk miskin berdampak pada pelayanan kesehatan yang harus dipenuhi. Sesuai deklarasi Hak Asasi Manusia oleh PBB (1984) dan UUD 45 pasal 28, bahwa kesehatan adalah hak dasar setiap individu dan semua warga negara berhak mendapat pelayanan kesehatan termasuk masyarakat miskin. Berdasarkan hal tersebut Kementerian Kesehatan sejak 2005 telah melaksanakan program Jaminan Pemeliharaan Kesehatan Bagi Masyarakat Miskin (JPKMM) atau AKESKIN (2005-2007) dan berubah menjadi program Jaminan Kesehatatan Masyarakat (JAMKESMAS) sejak tahun 2008 sampai sekarang. Kendala penyelenggaraan JAMKESMAS diantaranya: banyaknya kelahiran baru, kematian, pindah tempat tinggal, perubahan tingkat sosial ekonomi, dan sasaran pengguna JAMKESMAS yang tidak tepat. Penelitian bersifat Deskriptif retrospektif, melalui survey rumah tangga pengguna kartu Jamkesmas, yang menjalani operasi di SMF Bedah periode Agustus-Oktober 2012, menggunakan kriteria penerima JAMKESMAS. Penelitian melibatkan 25 responden sampel, berdasarkan kriteria yang ditetapkan oleh pemerintah melalui data Badan Pusat Statistik, kriteria penerima Jamkesmas harus memenuhi minimal semua kriteria ditentukan, dan hasil yang diperoleh: Keseluruhan 25 sample (100 %) tidak memenuhi kriteria penerima Jamkesmas. Dari keseluruhan sampel, tidak satupun yang memenuhi syarat menerima JAMKESMAS, sehingga dapat disimpulkan bahwa penggunaan Jamkesmas di Sulawesi Utara banyak yang tidak tepat sasaran, dengan banyaknya penduduk yang tidak berhak menggunakan Jamkesmas untuk berobat.Kata kunci : Masyarakat Miskin, Jamkesmas, kriteria masyarakat miskin.

scholarly journals Resource Constraints and the Right of the Mental Disorders to Receive Appropriate Treatment

2000 ◽  
Vol 31 (3) ◽  
pp. 525
Author(s):  
Sacha Wallach
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Resource Constraints ◽  
Community Treatment ◽  
Mentally Disordered ◽  
Appropriate Treatment ◽  
Assessment And Treatment ◽  
The Right ◽  
To Receive ◽  
Detrimental Impact

This article explores the right of mentally disordered patients to appropriate treatment after the Mental Health (Compulsory Assessment and Treatment) Act 1992. It then examines the detrimental impact of resource constraints on this right, especially the undermining of the presumption in favour of community treatment. It concludes that resource constraints are not an appropriate justification for denial of the right to appropriate treatment.

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