scholarly journals Evaluation of Midwifery Care Standard Policy BPJS Health Participants

2020 ◽  
Vol 7 (2) ◽  
pp. 172-184
Author(s):  
Astri Nurdiana ◽  
Ella Nurlailasari
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
National Health Insurance ◽  
Rural Areas ◽  
Urban Areas ◽  
Midwifery Care ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Standard Rate ◽  
Urban And Rural Areas

Enforcement of national health insurance organized through Badan Penyelenggara Jaminan Kesehatan (BPJS) experiences various polemics, one of which relates to financing for midwifery care listed in Permenkes No. 52 of 2016 concerning health service fare standards in the health insurance program, whether the standard rate can cover the needs of services provided by midwives in rural or urban areas or not. The result found that there is no difference in midwifery care fare between urban and rural areas (p>0.05), but there are differences in midwifery care fare between rural and BPJS fare standard (p<0.05) and between urban fare and BPJS fare standard (p< 0.05)

scholarly journals PERBEDAAN TARIF ASUHAN KEHAMILAN DAN PERSALINAN ANTARA PESERTA BPJS KESEHATAN DAN NON-BPJS KESEHATAN

2020 ◽  
Vol 13 (1) ◽  
pp. 73-83
Author(s):  
Astri Nurdiana ◽  
Ella Nurlailasari
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
Antenatal Care ◽  
National Health Insurance ◽  
Rural Areas ◽  
Urban Areas ◽  
Midwifery Care ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Urban And Rural Areas

Enforcement of national health insurance organized through Badan Penyelenggara Jaminan Kesehatan  experiences various polemics, one of which relates to financing for midwifery care listed in Permenkes No. 52 of 2016 concerning health service fare standards in the health insurance program, whether the standard tariff can cover the needs of services provided by midwives in rural or urban areas or not. The result found that there is no difference in antenatal care tariff between urban and rural areas (p>0.05), while there are differences in antenatal care tariff between urban tariff and UHC tariff standard (p<0.05), additionally there are significant different between both normal and childbirth with emergency condition tariff of UHC and urban and rural areas tariff (p< 0.05)

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.

PENGARUH KUALITAS PELAYANAN BPJS KESEHATAN TERHADAP KEPUASAN PENGGUNA PERSPEKTIF DOKTER RUMAH SAKIT HERMINA BOGOR

2017 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Baby Silvia Putri ◽  
Lindawati Kartika
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
Service Quality ◽  
Multiple Regression ◽  
National Health Insurance ◽  
Descriptive Analysis ◽  
National Health Insurance Program ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Health Service Quality

The study aimed to analyze the perceptions of the doctors of Hermina Hospital Bogor on BPJS health service quality and satisfaction level of the national health insurance program and to analyze the effects of service quality on the doctors’ satisfaction. Questionnaires were utilized to obtain the primary data, while literature reviews were conducted to obtain the secondary data. The data were analyzed by using descriptive analysis and multiple regression analysis. The results of this research, in reference to the descriptive analysis of the perceptions of the doctors in Hermina Hospital Bogor on satisfaction and quality service of the National Health Insurance program, indicated that the program is considered unsuitable in its implementation. The results of multiple regression showed that the variables of BPJS service quality have influences on the satisfaction of the doctors of Hermina Hospital Bogor. Keywords: health service quality, satisfaction, hospital

scholarly journals Factors Associated with Participation in the National Health Insurance Program: A Path Analysis Evidence From Kudus, Central Java

2020 ◽  
Author(s):  
Anom Dwi Prakoso ◽  
◽  
Endang Sutisna Sulaeman ◽  
Arief Suryono ◽  
◽  
...  
Keyword(s):  
Health Insurance ◽  
Family Support ◽  
Social Environment ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Program ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Perceived Benefit ◽  
Perceived Seriousness

ABSTRACT Background: Government of Republic of Indonesia provides the national health insurance program since January 1st 2014. The payment scheme requires hospitals to provide the service first and then make a claim to BPJS on the service by using the tariff package called Indonesia Case Based Groups (INA CBGs). The purpose of this study was to examine factors associated with participation in the national health insurance program using path analysis model. Subjects and Method: This was a case control study. The study was conducted at 5 sub-districts in Kudus, Central Java, from September to October 2019. A sample of 200 informal workers was selected by purposive sampling. The dependent variable was participation in national health insurance. The independent variables were education, income, knowledge, perceived susceptibility, perceived seriousness, perceived benefit, family support, self-efficacy, and social environment. The data were collected by questionnaire and analyzed by path analysis run on stata 13. Results: Participation in the national health insurance program was directly and positively affected by high perceived susceptibility (b= 2.14; 95% CI= -0.09 to 4.38; p= 0.060), high perceived seriousness (b= 4.71; 95% CI= 2.15 to 7.28; p<0.001), high perceived benefit (b= 2.45; 95% CI= 0.07 to 4.83; p= 0.044), strong family support (b= 6.31; 95% CI= 3.20 to 9.41; p<0.001), strong self-efficacy (b= 3.55; 95% CI= 1.02 to 6.07; p= 0.006), and supportive social environment (b= 3.39; 95% CI= 1.24 to 5.55; p= 0.002). Participation in the national health insurance program was indirectly affected by education, income, and knowledge. Conclusion: Participation in the national health insurance program is directly and positively affected by high perceived susceptibility, high perceived seriousness, high perceived benefit, strong family support, strong self-efficacy, and supportive social environment. Participation in the national health insurance program is indirectly affected by education, income, and knowledge. Keywords: national health insurance, Health Belief Model, Social Cognitive Theory Correspondence: Anom Dwi Prakoso. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Centra Java, Indonesia. Email: [email protected]. Mobile: +62895363054393. DOI: https://doi.org/10.26911/the7thicph.04.37

Utilization of well-baby care visits provided by Taiwan's National Health Insurance Program

2004 ◽  
Vol 59 (8) ◽  
pp. 1647-1659 ◽  
Author(s):  
Likwang Chen ◽  
Wen-Shan Yang ◽  
Shyh-Dye Lee ◽  
Hua-Chih Chang ◽  
Chen-Lin Yeh
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Program ◽  
Insurance Program ◽  
Health Insurance Program
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