scholarly journals SISTEM PELAYANAN KESEHATAN BERBASIS PROGRAM KARTU INDONESIA SEHAT DI RUMAH SAKIT UMUM DAERAH SAYANG RAKYAT

2021 ◽  
Vol 4 (1) ◽  
pp. 11-16
Author(s):  
Hasriani Hasriani ◽  
Andi Rasjid Pananrangi ◽  
Syamsul Bahri
Keyword(s):  
Quality Of Service ◽  
Health Insurance ◽  
Health Services ◽  
General Hospital ◽  
National Health Insurance ◽  
Service Providers ◽  
Health Providers ◽  
Government Programs ◽  
South Sulawesi

Pelayanan kesehatan yang berkualitas dan proposional menjadi dambaan bagi setiap rakyat Indonesia, oleh karenanya diperlukan komitmen dari pelaksana pemberi layanan khususnya rumah sakit dalam menunjang pelaksanaan program pemerintah melalui kartu Indonesia sehat. Tujuan penelitian ini untuk mengetahui kualitas pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat Makassar dan untuk mengetahui implementasi pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat Makassar. Pendekatan dalam penelitian ini menggunakan deskriptif kualitatif untuk menggambarkan dan menjelaskan fenomena yang terjadi. Hasil penelitian menunjukan bahwa kualitas pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat sudah berjalan dengan baik dan petugas administrasi maupun petugas medis dalam menjalankan tugas sudah cukup baik, sedangkan implementasi pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat Makassar secara umum sudah sesuai dengan Peraturan Daerah Provinsi Sulawesi Selatan tentang penyelenggara kesehatan dan tentang kerja sama penyelenggaraan pelayanan kesehatan gratis, dan Peraturan Presiden Nomor 64 Tahun 2020 tentang Jaminan Kesehatan Nasional. Hal tersebut tercermin dalam pelaksanaan pelayanan yang diberikan oleh RSUD Sayang Rakyat kepada pasien pengguna kartu Indonesia sehat yang tidak membedakan dengan pasien umum. Quality and proportional health services are the dream of every Indonesian people, therefore commitment from service providers, especially hospitals, is needed in supporting the implementation of government programs through the Healthy Indonesia card. The purpose of this study was to determine the quality of service based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar and to determine the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar. The approach in this study uses descriptive qualitative to describe and explain the phenomena that occur. The results showed that the quality of service based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital was running well and administrative and medical officers in carrying out their duties were quite good, while the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital. Makassar is generally in accordance with the South Sulawesi Provincial Regulation concerning health providers and regarding cooperation in providing free health services, and Presidential Regulation Number 64 of 2020 concerning National Health Insurance. This is reflected in the implementation of the services provided by the Sayang Rakyat Hospital to patients who use the healthy Indonesian card which do not distinguish them from general patients.

scholarly journals Implementation of the Healthy Indonesia Card Program at the Sayang Rakyat Regional General Hospital, Makassar City

2022 ◽  
Vol 2 (4) ◽  
pp. 128-135
Author(s):  
Syamsuddin Maldun ◽  
Saenab Saenab ◽  
Hasriani Hasriani ◽  
Imran Ismail
Keyword(s):  
Health Services ◽  
General Hospital ◽  
Service Providers ◽  
Health Providers ◽  
Government Programs ◽  
South Sulawesi ◽  
Health Service Providers ◽  
Quality Health ◽  
The Government ◽  
Quality Health Services

Quality health services are a hope for every Indonesian people, because this is closely related to one aspect of fulfilling basic life needs for humans, therefore it requires commitment from these health service providers, especially hospitals in supporting the implementation of government programs through the Healthy Indonesia Card. The purpose of this study is to determine and analyze the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar City using qualitative research methods. The results showed that the implementation of the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar in general was in accordance with the South Sulawesi Provincial Regulation regarding health providers and regarding cooperation in providing free health services, and presidential regulation (Perpres) Number 64 of 2020 concerning National health insurance. This is reflected in the implementation of services provided by the Sayang Rakyat Hospital to patients using the Healthy Indonesia Card (KIS) (PBI) which do not differentiate from general patients or other insurance users, provided that the patient has met the terms and conditions as a KIS patient (PBI). All medical expenses for KIS patients (PBI) who undergo outpatient or inpatient treatment are entirely borne by the government.

Cases of Dispute and Pending Claims in Hospitals in the Era of National Health Insurance

2022 ◽  
Vol 2 (1) ◽  
pp. 32-38
Author(s):  
Mrs. Yastori
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance System ◽  
Quality Health ◽  
Icd 10 ◽  
Data Collection Technique ◽  
Observation Method

Background: Indonesia began to implement a National Health Insurance System based on the National Social Security System in 2014 with the support of government regulations which states that Indonesia requires every citizen to have access to comprehensive and quality health services so that can continue their life through the National Health Insurance. Pending and dispute claims are problems that often occur in the era of national health insurance that can affect hospital budget allocation and planning policies, increasing the high cost burden for hospitals which will affect the quality of health services provided. The purpose of this study was to determine pending cases and dispute claims in hospitals in the Era of National Health Insurance.Methods: The study used a descriptive method with a qualitative approach. The data collection technique used is the observation method, namely directly to the e-claim file at several hospitals. 15 e-claim files taken in total from April – July 2021.Results: Obtained 13 cases of pending claims and 2 cases of dispute claims. Cases pending claims are caused by not complying with the code with evidence or resources, not in accordance with medical clinical practice guidelines and the rules of the health insurance provider.Conclusions: In coding, it is necessary to match the theory on the ICD-10, update the ICD-10. It is necessary to understand the rules and provisions made by the insurer and the related guidelines and rules. Please be aware of every latest code update.

scholarly journals Metode Fuzzy Servqual Dalam Mengukur Kepuasan Pasien Terhadap Kualitas Layanan BPJS Kesehatan

2018 ◽  
Vol 5 (1) ◽  
pp. 90-101
Author(s):  
Entin Sutinah ◽  
Odilia Rosdiana Simamora
Keyword(s):  
Quality Of Service ◽  
Patient Satisfaction ◽  
Health Services ◽  
Service Quality ◽  
General Hospital ◽  
Five Dimensions ◽  
Physical Evidence ◽  
Level Of Satisfaction ◽  
Improve Service Quality

Abstrak Kurangnya kualitas pelayanan menjadi salah satu kendala terhadap tingkat kepuasan pasien. Pihak rumah sakit juga sering kali kesulitan dalam mengukur kualitas pelayanannya. Tujuan penelitian ini adalah untuk mengetahui tingkat kepuasan pasien yang menggunakan layanan BPJS Kesehatan di Rumah Sakit Umum Daerah Dr. H. Kumpulan Pane. Pengukuran kualitas pelayanan dilakukan dengan metode Fuzzy servqual. Kualitas pelayanan menggunakan lima dimensi yang terdapat dalam servqual yaitu tangibles (bukti fisik), reliability (keandalan), responsiveness (daya tanggap), assurance (jaminan), emphaty (empati). Hasil penelitian ini menunjukkan bahwa nilai gap dari kelima dimensi memiliki nilai negatif. Yang artinya kualitas pelayanan di dapatkan belum sesuai dengan yang diharapkan oleh pasien BPJS Kesehatan. Nilai gap tertinggi adalah dimensi emphaty (empati) dengan nilai gap sebesar 0.15 dan nilai gap terendah adalah dimensi tangibles (bukti fisik) dengan nilai gap 0.49. dengan demikian dapat diketahui bahwa dimensi tangibles (bukti fisik) ini yang menjadi perhatian untuk dapat meningkatkan kualitas pelayanan. Kata Kunci : Fuzzy, Kepuasan, Pelayanan, Servqual Abstract Lack of quality of service becomes one of the obstacles to the level of patient satisfaction. The hospital is also often difficult to measure the quality of service. The purpose of this study is to determine the level of satisfaction of patients who use BPJS Health services in the Regional General Hospital Dr. H. Collection Pane. Measurement of service quality is done by Fuzzy servqual method. Service quality uses the five dimensions contained in the servqual are tangibles (physical evidence), reliability, responseiveness, assurance, empathy. The results of this study indicate that the gap value of the five dimensions has a negative value. Which means the quality of service is not in accordance with the expected by the patient BPJS Health. The highest gap value is the empathy dimension with the gap value of 0.15 and the lowest gap is the dimension of tangibles (physical proof) with the gap value of 0.49. thus it can be seen that the dimensions of tangibles (physical evidence) is of concern to improve service quality. Keywords: Fuzzy, Satisfaction, Service, Servqual

scholarly journals Analysis of the Dimension of the Quality of Service with Online Registration System Again to Increase Patient Satisfaction in Outpatient Room of Jombang General Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 239-247
Author(s):  
Masrulloh Masrulloh ◽  
Sentot Imam Suprapto ◽  
Yuly Peristiowati
Keyword(s):  
Quality Of Service ◽  
Patient Satisfaction ◽  
Linear Regression ◽  
General Hospital ◽  
Service Providers ◽  
Service Research ◽  
Registration System ◽  
Long Time ◽  
Online Registration

Granting of services on patients the best should give fast service, so that patients are not left waiting a long time to get good, turn at the time of registration or get a room and also at the time of payment. Customers come to your place of service by the time that random, irregular and cannot immediately be served so they have to wait in a long time. In studying the theory of queues, service providers are able to cultivate in order to serve its customers well without having to wait for a long time. The purpose of this research was to analyze the effect of the dimensions of the quality of service with online registration system with increased Patient satisfaction In Outpatient Room of Jombang General Hospital. Design of this research are analytic observational design with a quantitative approach. Variable Dimension, namely the quality of service research online registration (Accuracy, readiness, Speed response) as the independent variable. Patient satisfaction as the dependent variable. The population of this research the whole of patient at Outpatient Room of Jombang General Hospital. as much as 625 patients. Samples taken with the cluster random sampling technique as much as 125 respondents. Data is collected with instruments ceklist and processed in coding, editing, tabulating and scoring as well as tested with linear regression test. Linear regression results indicate that partially and simultaneously the value of p values there are shows < 0,05 so that thereis influence the dimensions of quality of service with online registration system with increased Patient satisfaction In Outpatient Room of Jombang General Hospital. The existence of the speed of service, timeliness of service and readiness the implementation of online registration will affect patient satisfaction. Because the patient will feel comfortable with fast service and not too long to wait, and also with the proper services are provided in accordance with the complaint and adequate facilities

scholarly journals Strategy to increase the quality of service and safety patients in the hospital Imelda Medan 2020

2021 ◽  
Author(s):  
Monica Putri ◽  
Ermi Girsang ◽  
Linda Chiuman ◽  
Ulina Karo Karo
Keyword(s):  
Quality Of Service ◽  
Patient Safety ◽  
Health Services ◽  
General Hospital ◽  
Urban Areas ◽  
Swot Analysis ◽  
International Standards ◽  
Sample Method ◽  
Depth Interviews

Background: Currently, health services have very important demands, including services in hospitals that must be professional with international standards. Health services no longer only focus on patient satisfaction but also focus more on patient safety (patient safety). The aim of the study was to determine the strategy for improving the quality of service and patient safety at the Imelda General Hospital in 2020.  Methods: This research used descriptive qualitative research with an inductive approach. The data used in this study came from in-depth interviews with respondents. The population was drawn from organizational staff at the Imelda Hospital Medan, namely the medical committee, nursing committee, PMKP committee, PPI committee and materials. The sample method used is exhaustive sampling.Results: Based on the research results obtained, the Imelda Hospital Medan is included in a hospital that is able to compete in a competitive market, especially in urban areas. Based on the SWOT analysis, the Imelda Medan General Hospital is able to take advantage of the existing strengths and opportunities with the results of IFE= 2.52 and EFE= 2.50 and are in cell V in the IE matrix.Conclusions: So, the strategy used in determining the strategy for improving quality and patient safety at the Imelda Hospital, Medan in 2020 is hold and maintain, which means maintaining and maintaining existing policies but does not rule out the possibility to improve for the better.

scholarly journals Perception towards national health insurance scheme among enrollees of central Terai: a qualitative study

2021 ◽  
Vol 7 (2) ◽  
pp. 80
Author(s):  
Sailendra Thapa ◽  
Puspa Acharya ◽  
Durga Khadka Mishra
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
Waiting Time ◽  
National Health ◽  
Service Providers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Insurance Scheme

<p class="abstract"><strong>Background:</strong> Out of Pocket Expenditure has always been a primary means of financing health care service in Nepal. National Health Insurance Scheme ensures universal health coverage by addressing the unregulated out-of-pocket spending and providing quality of health service.</p><p class="abstract"><strong>Methods:</strong> A descriptive cross-sectional study was conducted among the enrollees of the National Health Insurance Scheme (NHIS) in Bharatpur Metropolitan City of Chitwan district. Focused Group Discussions were conducted among enrollees to assess the perception towards National Health Insurance Scheme. The qualitative data were analyzed as thematic analysis technique.  </p><p class="abstract"><strong>Results:</strong> Perception towards National Health Insurance Scheme was categorized as perceived quality of care, perceived benefit and provider’s behavior. Respondents were fully satisfied with the premium charge. Availability of drugs was improved but the waiting time and the process of registration was lengthy and full of jargons. Most of the participants perceived that due to less number of service providers or due to inability of allocating separate provider for ensured persons, the consultation time was very less which further affects the quality of care. Enrollment Assistants were considered as primary source of information regarding the NHIS.</p><p class="abstract"><strong>Conclusions:</strong> Long waiting time, difficulty during registration and less number of service providers remain challenge to receive quality of care under NHIS. Participants perceived that the benefit package under affordable premium charge is in favor of them. Addressing these factors in expansion of this program in other district might leads for success of this scheme.</p><p align="center"> </p>

scholarly journals Perception Towards National Health Insurance Scheme among Enrollees of Central Terai: A qualitative Study

2019 ◽  
Author(s):  
Sailendra Thapa ◽  
Puspa Acharya ◽  
Durga Khadka Mishra
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
Waiting Time ◽  
National Health ◽  
Service Providers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Insurance Scheme

Abstract Background Out of Pocket Expenditure has always been a primary means of financing health care service in Nepal. National Health Insurance Scheme ensures universal health coverage by addressing the unregulated out-of-pocket spending and providing quality of health service.Methods A descriptive cross-sectional study was conducted among the enrollees of the National Health Insurance Scheme (NHIS) in Bharatpur Metropolitan City of Chitwan district. Focused Group Discussions were conducted among enrollees to assess the perception towards National Health Insurance Scheme. The qualitative data were analyzed as thematic analysis technique. Results: Perception towards National Health Insurance Scheme was categorized as perceived quality of care, perceived benefit and provider’s behavior. Respondents were fully satisfied with the premium charge. Availability of drugs was improved but the waiting time and the process of registration was lengthy and full of jargons. Most of the participants perceived that due to less number of service providers or due to inability of allocating separate provider for ensured persons, the consultation time was very less which further affects the quality of care. Enrollment Assistants were considered as primary source of information regarding the NHIS.Conclusion Long waiting time, difficulty during registration and less number of service providers remain challenge to receive quality of care under NHIS. Participants perceived that the benefit package under affordable premium charge is in favor of them. Addressing these factors in expansion of this program in other district might leads for success of this scheme.

scholarly journals ANALISIS PENGARUH KUALITAS PELAYANAN DAN FASILITAS KESEHATAN TERHADAP KEPUASAN PASIEN PUSKESMAS

2014 ◽  
Vol 11 (2) ◽  
pp. 1-25
Author(s):  
Th. Radito
Keyword(s):  
Quality Of Service ◽  
Patient Satisfaction ◽  
Health Services ◽  
Health Center ◽  
Health Facilities ◽  
Primary Data ◽  
Government Programs ◽  
Patient’S Satisfaction ◽  
Quality Of Health Services

This study aimed to examine the effect of quality of service and health facilities owned by the health center (Puskesmas) to the patient's satisfaction. Puskesmas as the spearhead of health services in the community are expected to provide quality service and have adequate health facilities so as to increase patient satisfaction.This research was conducted at the Puskesmas Mantrijeron Jl. Panjaitan Mantrijeron 52 Yogyakarta. Puskesmas Mantrijeron chosen as the study site because it is a health center that organizes the quality of health services by government programs of Yogyakarta and by standards of the ISO (International Organization For Standardization) 9001: 2008.Subjects were patients who had treatment and are being treated at the Puskesmas Mantrijeron during the past year. Data collected in the form of primary data derived from the questionnaire which distributed to each respondent. Methods of data analysis using multiple regression.The results showed that the quality of care and health facilities are significantly affects the increase in patient satisfaction. However, from the regression results indicate that the quality of service and health facilities was only able to explain of 39.1% patient satisfaction. While the remaining 60.9% is influenced by other factors.

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