scholarly journals Dispute Analysis of Claims for Covid-19 Patients at Hospitals of Indonesia University

Author(s):  
Rakhmad Hidayat ◽  
◽  
Budi Hidayat ◽  

ABSTRACT Background: Indonesia is one of the countries affected by COVID-19 pandemic. In overcoming this pandemic, the government waives the service fees for COVID-19 patients. It provides an opportunity for hospitals serving COVID-19 patients to submit claims for treatment financing to the Ministry of Health. There are technical guidelines for payment; there are still frequent problems, leading to a dispute. This is also experienced by the University of Indonesia Hospital (RSUI) as one of the COVID-19 referral hospitals. This study aimed to provide an overview of the claim problem encountered and their solution. Subjects and Method: This was a descriptive study conducted at University of Indonesia Hospital from July, 2020. The theme of this study was problem in claiming payments for COVID-19 patients. Several informants were selected for this study included: hospital claim officers, medical record units, inpatient units and registration units. The data were collected by observation, in-depth interview, disputed claim data. Results: The results of the investigation found that the problem of dispute claims for COVID-19 in RSUI was dominated by the incompleteness of filling in administrative files as evidence of service practice for patients in the field, such as incomplete ventilator usage curves (7.8%), swab results (3.9%), and rapid test (6.8%) which was not listed. Conclusion: Discipline needs to be applied in the completeness of documents, and a clear flow of patient care is required to avoid incomplete records. Keywords: dispute, claim, COVID-19, hospital, health insurance Correspondence: Rakhmad Hidayat. Pascasarjana Kajian Administrasi, Fakultas Kesehatan Masyarakat Universitas Indonesia, Pondok Cina, Kecamatan Beji, Kota Depok, Jawa Barat 12345. Email: [email protected]. Mobile: (021) 7864975 DOI: https://doi.org/10.26911/the7thicph.04.17

2018 ◽  
Vol 3 (1) ◽  
pp. 23
Author(s):  
Nurlie Azwar ◽  
Prastuti Soewondo

On January 1, 2014, the government began to implement the National Health Insurance (NHI) program to realize social welfare for the whole community. Midwifery and neonatal care in the NHI program involves Puskesmas/family doctors and Private Practice Midwife (PPM) as its network. PPM participation in the NHI program in Bungo District was still lacking, only 12 (54.5%) PPM have cooperated with family doctors from 22 existing PPM. This study aimed to get an overview of PPM participation in the NHI program in Bungo District, Jambi Province. The study used qualitative research approach with Rapid Assessment Prosedur design, purposive sampling, and conducted in-depth interview to 10 PPM, Head of Health Office, MPKP BPJS Health Manager, and Chairman of Bungo Regency Section of Indonesian Midwife Organization (IMO). The study was conducted from January to July 2017. The study found that the knowledge, perceptions and attitude towards NHI program were good, but the perceived toward the claim and predetermined tariff procedures were not so good. PPM motivated to join the NHI program as many patients had become NHI participants. Support from the Government, NHI, and IMO were low, either in the form of socialization, or policies. Therefore, the study suggest an improvement in claims procedures, tariffs, and an increase of socialization from government, NHI and IMO on NHI program related to obstetric and neonatal care.


2017 ◽  
Vol 11 (1) ◽  
pp. 39
Author(s):  
Galih Prima Arumsari ◽  
Tri Krianto ◽  
Bambang Wispriyono

Formalin has been used widely in tofu and wet noodle as a preservative in Indonesia even it has been classified as a confirmed carcinogenic agent. The aim of this study is to analyze the behavior of traders and producers of tofu and wet noodle in the use of formalin in its products in DKI Jakarta. This study was conducted in March-June 2015 by using a qualitative method, descriptive study design, through literature study, interview and observation. The informants are producers and traders of wet noodles and tofu. Formalin was examined by Rapid Test Kit analysis. The results showed that knowledge, attitudes, perceptions of formalin; facilities and infrastructure, production and preservative; punishments, counseling, social support, income, and communication strategy played important roles in behavior of using of formalin. Communication and supervisory for public, traders, manufacturers are still limited. The distribution of formalin which is conducted by the government has not run optimally yet. Counseling and development to the community, traders and manufacturers are limited. Supervision of distribution of formalin has not worked optimally yet. As the recommendation to the number of parties to do research on safe preservatives, intensification of coaching traders and manufacturers as well as consumer empowerment should be done.


2020 ◽  
Vol 12 (1si) ◽  
pp. 121
Author(s):  
Haeril Amir ◽  
Sudarman Sudarman ◽  
Akbar Asfar ◽  
Andi Surahman Batara

Introduction: 2019-nCoV as the term for the new coronavirus that causes outbreaks of pneumonia in Wuhan City, central China by the World Health Organization (WHO), on June 28, 2020, to confirm as many as 9,843,073 cases globally, Therefore, efforts to be made to prevent the spread of this virus must be done immediately and very urgently. The purpose of literature is to discuss the global response to Covid19 and find prevention strategies in the form of non-pharmaceutical interventions (NPIs) or non-pharmaceutical interventions. Discussion: This literature review using PICO and PRISMA techniques in extracting the research data based on inclusion and exclusion criteria of several articles on the Database PubMed, Science Direct, and Wiley Online. The readiness of the Government, both in conducting initial screening (Rapid test), readiness of referral hospitals, limiting areas and activities as well as awareness of citizens in implementing new habit adaptations, namely wearing masks, maintaining distance and washing hands regularly are the keys to preventing the spread of the Covid19 virus. Conclusion: articles search from multiple databases, with filtering 2015-2020 study, found as many as 7 Full-text research articles, in the face of a pandemic, we need the readiness of the government, health and infrastructure support as well as coordination and cooperation among all parties.


2017 ◽  
Vol 20 (1) ◽  
pp. 43-64 ◽  
Author(s):  
RICARDO ALMEIDA ◽  
LÚCIA MARINA SCATENA ◽  
MÁRIO SÉRGIO DA LUZ

Abstract The present article presents the outcomes of an environmental perception survey conducted in a Brazilian Federal University, as well as addresses the relation between the culture identified in the studied community and the public policies developed to encourage sustainability. It is a descriptive study based on a quantitative approach wherein a structured instrument was applied to assess the daily habits of 387 individuals from the institution's internal community. The outcomes have shown that this community tends to have a positive environmental perception, although it does not pay much attention to the environmental impacts resulting from its own habits. Based on this construct, the discussion about the government expectations intrinsic to the implemented public policies was addressed, as well as the degree of environmental awareness in the studied group. It was concluded that the socio-environmental scenario in the university is featured by the theory/practice dichotomy, which is a barrier to the local sustainability culture development dynamics and also a challenge to the articulation of legal dictate purposes and the potential arrangements identified in this internal community.


2021 ◽  
Vol 1 (1) ◽  
pp. 1-19
Author(s):  
Ahmad Royani

Abstract: Pesantren is an ideal partner for the government to jointly improve the quality of education as a basis for implementing social transformation. It provides qualified human resources with good morals emphasizing moderate religious values that reflect within the Islamic value of rahmatan lilalamin. This paper wants to see pesantren-based universities in giving birth to moderate religious academics. By taking the object of study Nurul Jadid university, which is a high miscarriage based pesantren. This research applied a descriptive study by using a qualitative approach. The research participants were Islamic scholars (kyai), lecturers, and students at the University of Nurul Jadid. Data were collected through interviews, observation, and documentation. This study showed that establishing the Islamic boarding school culture produced moderate religious academics at Nurul Jadid University. It was by implementing the supremacy of kyai’s preaching and teaching (dawuh kyai). It was constructed through artifacts, values, and assumptions emphasizing moderate religious aspects. Abstrak: Pesantren menjadi partner yang ideal bagi pemerintah untuk bersama-sama meningkatkan mutu pendidikan sebagai basis bagi pelaksanaan transformasi sosial melalui penyediaan sumber daya manusia yang mumpuni dan berakhlakul karimah yang menekankan nilai-nilai religius moderat yang mencerminkan nilai Islam rahmatan lilalamin. Tulisan ini ingin melihat perguruan tinggi berbasis pesantren dalam melahirkan akademisi religius moderat. Dengan mengambil objek kajian Universitas Nurul Jadid yang merupakan perguran tinggi berbasis pesantren. Penelitian ini menggunakan pendekatan kualitatif dengan rancangan studi kasus. Teknik pengumpulan data menggunakan wawancara mendalam,observasi partisipatif dan studi dokumen. Data-data yang yang terkumpul kemudian dianalisis secara simultan, dengan teknik: pengumpulan data, kondensasi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian ini menemukan konstruksi budaya pesantren dalam melahirkan akademisi religius moderat di Univesitas Nurul Jadid dilakukan dengan kekuatan dawuh kyai yang di konstruksi melalui artifak, nilai, dan asumsi yang mengedepankan aspek religius moderat


2000 ◽  
pp. 20-25
Author(s):  
O. O. Romanovsky

In the second half of the nineteenth century, the nature of the national policy of Russia is significantly changing. After the events of 1863 in Poland (the Second Polish uprising), the government of Alexander II gradually abandoned the dominant idea of ​​anathematizing, whose essence is expressed in the domination of the principle of serving the state, the greatness of the empire. The tsar-reformer deliberately changes the policy of etatamism into the policy of state ethnocentrism. The manifestation of such a change is a ban on teaching in Polish (1869) and the temporary closure of the University of Warsaw. At the end of the 60s, the state's policy towards a five million Russian Jewry was radically revised. The process of abolition of restrictions on travel, education, place of residence initiated by Nicholas I, was provided reverse.


2020 ◽  
Vol 23 (2) ◽  
pp. 71-74
Author(s):  
Md Faizus Sazzad ◽  
Mohammed Moniruzzaman ◽  
Dewan Iftakher Raza Choudhury ◽  
Arif Ahmed Mohiuddin ◽  
Raafi Rahman ◽  
...  

Background: The number of postgraduate students in Cardiac surgical discipline is increasing day by day with incremental proportion are measurably suffering from the unnecessary lingering of the present course curriculum. The primary objective of this study was to find out the last 5 years’ of results of Masters in Surgery course under the University of Dhaka from a student room survey. A secondary objective was to find out positive changes that could show us the way of a step toward up-gradation. Methods: It is a retrospective analysis of all examination results of Cardio-vascular & Thoracic Surgery published since January 2008 to January 2013 from the University of Dhaka with in depth interview of 11 participants. Results: 85.24% students failed to pass part-I of Masters in Surgery for Cardio-vascular & Thoracic Surgery course while, 82.18% in part-II and 71.28% failed to pass the final part. Average 2.51 attempts needed to complete each part of the designed course resulted into lingering of course duration for 42.18 months/student. In the thoracic surgery discipline the number of students alarmingly reduced up to 0% in the recent academic sessions. Conclusions: Masters in Surgery is resulting in unnecessary prolongation of the course. We should step forward to meet the next generation challenge. Journal of Surgical Sciences (2019) Vol. 23(2): 71-74


2016 ◽  
Vol 13 (3) ◽  
Author(s):  
Julisah Izar ◽  
Siti Aisah Ginting

This study dealt with the attitudes of university students of Batubara towards Batubara Malay language. The data were collected from 20 university students of Batubara in Medan. The instruments used for collecting the data were observation sheet, questionnaire sheet and depth interview. The data were analyzed by Moleong’s theory. The findings showed that the respondents’ attitudes were: 12 (60%) negative and 8 (40%) positive. The attitudes levels of university students included in negative and positive attitudes namely in: receiving 11 (55%) negative and 9 (45%) positive, responding 12 (60%) negative and 8 positive, valuing 10 (50%) negative and 10 (50%)  positive,  organizing 12 (60%) positive and 8 (40%) negative, and internalizing values 12 (60%) negative and 8 (40%) positive. The factors influenced the university students’ attitudes were language disloyalty 12 (60%) negative and 8 (40%) positive, language pride lack 14 (70%) negative and 7 (30%) positive, in the unawareness of the norms 11 (55%) negative and 9 (45%) positive. Bahasa Indonesia is dominantly spoken by the university students of Batubara in Medan which caused they have less frequency in using their Batubara Malay language with their friends who are from same region in Medan. Key words: Attitudes, University Students of Batubara, Batubara Malay Language


2019 ◽  
Vol 1 (1) ◽  
pp. 28
Author(s):  
Norsyamira Shahrin ◽  
Rabiatul Adawiyah Abd Rahman ◽  
Noorliza Zainol ◽  
Noor Saliza Salmi ◽  
Mohd Faisal Abdul Wahab

Food handler still fails to play their part even when the government imposes “No Plastic Bag” campaign and a ban on polystyrene foam to pack foods. This research focuses on eco-friendly food packaging based on the perception and practice of young consumers, especially the undergraduates of Mara University of Technology Penang Campus (UiTMPP). Questionnaire was constructed and distributed to 315 respondents.  The collected data were analyzed with simple descriptive statistic of frequency, mean and standard deviation. Most of the respondents are aware on eco-friendlyfood packaging. They agreed that the university should propose some alternative to control and reduce non-biodegradable foods packaging. 


2018 ◽  
Vol 2 (1) ◽  
pp. 91
Author(s):  
Mustaqim - Mustaqim

Abstract. The purpose of this research is to analyze the role of Panglima Laot in the management of fishery resources in Sabang Island. To be able to understand the fisheries management that involves the role of the community in the form of local institutions, a series in-depth interview, observation, as well as literature were successfully carried out to local fishery community. Since this study is a combination of qualitative and quantitative method, the data collection was analysed using phenomenological approach and critical interpretation process to see the validity and reliability of the research findings.  Referring to previous research evidence, the results show that the presence of Panglima Laot has played an important role in providing information, invitation, supervision and participation in the management of fishery resources. In addition, the role of Panglima Laot in the management of fishery resources includes carrying out customs, assisting the government, resolving conflicts in the community, preventing illegal fishing, preserving the coastal environment and fighting for the living standards of fishermen is very influential both in centralization and decentralization era.  Therefore, these findings can be categorized as a useful information for any party working in field of fishery program. 


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