scholarly journals Can Government Hospital Survive in The Era of National Health Insurance?

2019 ◽  
Vol 16 (2) ◽  
pp. 50
Author(s):  
Ida Ayu Diah Tirta Kosala ◽  
Agus Fredy Maradona
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Business Strategy ◽  
Core Competencies ◽  
Sampling Technique ◽  
Business Strategies ◽  
Sustainable Competitive Advantage ◽  
Excellent Service ◽  
The Government

ABSTRACT                 Based on the Minister of Health Regulation Number 28 of 2014 concerning the National Health Insurance Program Implementation Program which is needed to fulfill the basic needs of every person who has to pay contributions or contributions that are approved by the government. Health is a basic human need to be able to live a decent and productive life, for this reason it is necessary to carry out quality-controlled health care and costs, through the National Health Insurance (JKN) program organized by the Social Security Organizing Agency (BPJS). Hospitals are needed to implement business strategies with display-based resources in order to be able to compete in a tiered, competency-based referral system.         This research was conducted at the Tabanan Regency BRSUD with the aim of finding out the business strategy and efforts made by government hospitals in improving excellent service in the JKN era. This study uses qualitative research with a case study approach. Data collection by interview and documentation study. The sampling technique with purposive sampling, Credibility Test (internal validity) using source triangulation techniques.        From the results of the study it can be concluded that the applied business strategy is to improve core competencies (core competency) and hospital capabilities, innovating in all forms of service support and efforts to support excellent service are improving quality, efficiency and financial supply chain to achieve sustainable competitive advantage.

scholarly journals ANALISIS KEPUASAN JAMINAN KESEHATAN NASIONAL PADA PENGGUNA BPJS KESEHATAN DI KOTA SEMARANG

2017 ◽  
Vol 6 (1) ◽  
pp. 53
Author(s):  
Ita Listiyana ◽  
Eunike Raffy Rustiana
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Health Care Insurance ◽  
Cross Sectional ◽  
Significant Difference ◽  
Form Of Government ◽  
The Government

National health insurance (NHI) as a part of national social security system (NSIS) is a form of government commitment to the implementation of health insurance among people in Indonesia entirely. State-owned enterprises (SOEs) assigned specifically by the government to provide health care insurance was the BPJS for Health (social security provider for health). The aim of this study was to analyze the satisfaction of national health insurance among BPJS for Health participants in Semarang City based on education, tuition classes, and place of service. This study was analytical survey with cross sectional approach. Sample of Non PBI (Contribution Assistance Recipients) BPJS for Health were 269 respondents, with purposive proportional sampling technique. There was a significant difference regarding the satisfaction of health insurance based on education level (basic, secondary, and high) and place of service (public hospital and private hospital). There was no significant difference on satisfaction of health insurance based on tuition classes (class I, II, and III). BPJS for Health participants who did not satisfied with the national health insurance were 64.7%. The most important complaint was the process of obtaining an inpatient room.

scholarly journals Hubungan Pengetahuan Dengan Motivasi Menggunakan Jaminan Kesehatan Nasional (JKN) Di Puskesmas Panarung

2020 ◽  
Vol 6 (1) ◽  
pp. 138-142
Author(s):  
Rizka Ovany ◽  
Hermanto Hermanto ◽  
Titus Suprianto
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Social Health Insurance ◽  
Sampling Technique ◽  
Correlation Study ◽  
P Value ◽  
Strong Motivation ◽  
Insurance Mechanism ◽  
The Government

The National Health Insurance (JKN) is carried out with a social health insurance mechanism that is mandatory to meet the basic health needs of the community that pays contributions or is paid by the Government. This is not well understood by many families so there are still families who have not used national health insurance on the grounds that they rarely get sick and do not use it when they seek treatment. This study aims to see the relationship of knowledge with motivation in using JKN. This type of correlation study with a purposive sampling technique, data collection using questionnaires in the form of closed statements as many as 11 items about national health insurance knowledge (JKN), and as many as 15 items of questions. Motivational measurements were given to 35 respondents. The statistical test uses the Rho Spearmen Test (Rank). From 35 respondents, there were 22 respondents (62.9%) lacking knowledge with 16 respondents (45.7%) moderate motivation and 6 respondents (17.1%) strong motivation while 9 respondents had sufficient knowledge level (9 respondents) 25.7%) with the strong motivation of 6 respondents (17.1%) and a moderate motivation of 3 respondents (8.6%) while respondents who have a good level of knowledge amounted to 4 respondents (11.4%) with the strong motivation of 4 respondents (11.4%) and moderate motivation (0%). With the analysis test resultsusing the Rho Spearmen (Rank obtained P-Value 0.002 (0.002 <0.05).

scholarly journals ANALISIS KEPUASAN PASIEN PESERTA JAMINAN KESEHATAN NASIONAL DI APOTEK KIMIA FARMA 396 TUMINTING KOTA MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 302
Author(s):  
Preisdy Aprilia Mumu ◽  
Widya A Lolo ◽  
Imam Jayanto
Keyword(s):  
Patient Satisfaction ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Probability Sampling ◽  
Purposive Sampling ◽  
Level Of Satisfaction ◽  
Close Relationship ◽  
Patient Will

ABSTRACT  The quality of health services has a close relationship with patient satisfaction, because if reality exceeds expectations the patient will use the health service. Patient satisfaction is the expectations that arise after comparing between  reality and expectations. This study aims to determine the level of patient satisfaction of National Health Insurance participants in Kimia Farma Pharmacy 396 Tuminting, Manado City. This type of research is a descriptive study, using non-probability sampling method with purposive sampling technique. This research was conducted by distributing questionnaire sheets to the level of patient satisfaction to 290 respondents who met the inclusion criteria. The results obtained by an average overall patient satisfaction of (-0.51), it can be concluded that the level of satisfaction in the negative range which means the patient is not satisfied with the services provided.Keywords : National Health Insurance, level of satisfaction, expectations, reality. ABSTRAK  Kualitas pelayanan kesehatan memiliki hubungan yang erat dengan kepuasan pasien, karena jika kenyataan melebihi harapan maka pasien akan menggunakan pelayanan kesehatan tersebut. Kepuasan pasien akan muncul setelah membandingkan antara kenyataan dan harapan. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien peserta Jaminan Kesehatan Nasional di Apotek Kimia Farma 396 Tuminting Kota Manado. Jenis penelitian ini merupakan penelitian deskriptif, menggunakan metode non probability sampling dengan teknik purposive sampling. Penelitian ini dilakukan dengan membagikan lembar kuesioner tingkat kepuasan pasien kepada 290 responden yang memenuhi kriteria inklusi. Hasil penelitian yang diperoleh rata-rata secara keseluruhan kepuasan pasien sebesar (-0,51), dapat disimpulkan bahwa tingkat kepuasan berada pada rentang negatif yang artinya pasien tidak puas dengan pelayanan yang diberikan. Kata kunci : Jaminan Kesehatan Nasional (JKN), tingkat kepuasan, harapan, kenyataan.

scholarly journals Kepercayaan Publik (Public Trust) Terhadap E-Government : Studi Kasus Penggunaan E-Mobile BPJS Kesehatan Di Kota Makassar

2020 ◽  
Vol 9 (1) ◽  
pp. 80
Author(s):  
Sitti Mirsa Sirajuddin ◽  
A . Atrianingsi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Mobile Applications ◽  
Mobile Application ◽  
Public Trust ◽  
The Public ◽  
The Government ◽  
Quantitative Descriptive ◽  
High Level

The general objective of the study was to analyze the level of public trust (citizen trust) of e-government based health insurance services, namely the e-mobile National Health Insurance (JKN) BPJS in Makassar City.The design of this research is a quantitative descriptive type. The population in this study were people who used the National Health Insurance (JKN) e-mobile application with 167 respondents. Data collection was carried out using a questionnaire instrument. Data analysis uses multiple linear regression.The results showed that first there was a high level of public trust in JKN e-mobile applications. This means that the application gives satisfaction to the community and is considered beneficial for them. Secondly, the level of public trust is high in the government, where the public considers the government to be serious in providing health insurance services.Tujuan umum penelitian adalah untuk menganalisis tingkat kepercayaan publik (citizen trust) terhadap pelayanan jaminan kesehatan berbasis e-government yaitu e-mobile Jaminan Kesehatan Nasional (JKN) BPJS Kesehatan di Kota Makassar. Desain penelitian ini adalah kuantitatif tipe deskriptif. Populasi dalam penelitian ini adalah masyarakat yang menggunakan aplikasi e-mobile Jaminan Kesehatan Nasional (JKN) dengan jumlah responden sebanyak 383 orang. Pengumpulan data dilakukan dengan menggunakan instrument kuesioner. Analisis data menggunakan regresi linear berganda. Hasil penelitian menunjukkan bahwa, pertama terdapat tingkat kepercayaan tinggi masyarakat terhadap aplikasi e-mobile JKN. Hal ini berarti aplikasi memberi kepuasan kepada masyarakat dan dianggap bermanfaat bagi mereka. Kedua tingkat kepercayaan publik tinggi terhadap pemerintah tinggi, dimana masyarakat menilai pemerintah serius dalam memberikan pelayanan jaminan kesehatan.

scholarly journals Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Gilbert Ti-enkawol Nachinab ◽  
Charles Ampong Adjei ◽  
Florence Assibi Ziba ◽  
Richard Asamoah ◽  
Priscilla Adumoah Attafuah
Keyword(s):  
Health Insurance ◽  
Antenatal Care ◽  
National Health Insurance ◽  
National Health ◽  
Sampling Technique ◽  
Northern Ghana ◽  
Face To Face ◽  
Care Services ◽  
System Factor ◽  
The Individual

Background. Global evidence has shown significant contribution of Antenatal care (ANC) in the detection and treatment of pregnancy related complications. Over the years, many areas in Ghana have recorded high uptake of ANC. However, this is not the case for Binduri district in Northern Ghana where only 37.4% of pregnant women utilised the services of ANC during their period of pregnancy compared to a national figure of 87%. We therefore sought to explore the determinants of ANC uptake among women who failed to utilise ANC services during their period of pregnancy in Binduri District in Northern Ghana. Methodology. The study was an exploratory descriptive study using purposive sampling technique. A total of 15 women who met the inclusion criteria for the study were recruited for a face-to-face interview. The data were analysed using the procedure of inductive thematic analysis. Results. The study findings showed that several factors hindered the use of ANC among our participants. The individual factors that were responsible for nonutilisation of ANC included financial constraints hindering registration with the national health insurance scheme, excuses of being busy, perception that pregnancy was not sickness and concentration on work. Perceived poor attitude of nurses was the only health system factor that contributed to non utilisation of ANC services. Conclusion. There is the need for establishment of registration centres of the national health insurance in all communities to make the scheme more accessible. There should also be intensive public education on importance of attending ANC.

The Scheme of National Health Insurance considered in relation to the Valuations of Approved Societies as at 31 December 1918

1923 ◽  
Vol 54 (2) ◽  
pp. 150-203
Author(s):  
P. N. Harvey
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Financial Structure ◽  
General Interest ◽  
Main Theme ◽  
Main Subject ◽  
The Government ◽  
Technical Features ◽  
Made In

The scheme of National Health Insurance, apart from its general interest to the student of social questions, presents many technical features of special interest to the actuary, and it has been suggested that the completion of the first valuations of approved societies, i.e., the societies administering the monetary benefits of the system, affords an opportunity for discussion of the scientific problems to which these features give rise. With the Government Actuary's consent, I therefore submit in the following paper an examination of some of the more important points of actuarial interest which have emerged in the course of the valuation work. Before approaching the main theme of the paper, however, I have described briefly certain factors, such as the principal alterations made in the financial structure of the scheme by the Act of 1918, a knowledge of which is essential to an understanding of the later part of the paper. These preliminary remarks are placed in Part I, the main subject being dealt with in Part II.

scholarly journals Analysis of Partnership of Private Practice Midwife in The National Health Insurance Program in District Bungo Jambi Province

2018 ◽  
Vol 3 (1) ◽  
pp. 23
Author(s):  
Nurlie Azwar ◽  
Prastuti Soewondo
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Private Practice ◽  
Rapid Assessment ◽  
Neonatal Care ◽  
Research Approach ◽  
Family Doctors ◽  
Depth Interview ◽  
The Government

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.

scholarly journals Ghanaian women’s knowledge on whether malaria treatment is covered by the national health insurance: A multilevel regression analysis of national data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Linus Baatiema ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Jerry Paul Ninnoni ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Malaria Treatment ◽  
Community Level ◽  
Multilevel Regression ◽  
Knowing That ◽  
The Government ◽  
Women's Knowledge ◽  
Women’S Knowledge

Abstract Background To obviate malaria and other healthcare costs and enhance healthcare utilization, the government of Ghana introduced the National Health Insurance Scheme (NHIS) in 2005. Nonetheless, there is dearth of empirical evidence on Ghanaian women’s knowledge about whether malaria treatment is covered by the NHIS or not. The current study, therefore, investigated factors associated with knowledge of malaria treatment with the NHIS among women aged 15-49 in Ghana. Methods The study is a secondary analysis of data from women respondents in the 2014 Ghana Demographic and Health Survey. A total of 2,560 women participated in this study. Descriptive computation of the weighted proportion of women who knew that malaria is covered by NHIS was conducted at 95% confidence interval (CI). A multilevel logistic regression analyses was carried out with Stata’s MLwinN package version 3.05. We declared significance at 5% alpha. Findings from the models were reported as adjusted odds ratios (aOR) and credible intervals (CrIs). Results In all, 81.0% of Ghanaian women included in the study knew that NHIS covers malaria treatment. Women aged 45-49 had higher odds of knowing that NHIS covers malaria relative to those aged 15-19 age category [aOR=1.5;95%crl=1.2-2.1]. Women with higher education (post-secondary) had higher odds of knowing that NHIS covers malaria treatment compared with women who had no formal education [aOR=1.6;95%Crl=1.2-2.0]. Richest women were more likely to know that NHIS covers malaria treatment compared to the poorest women [aOR=1.3;95%Crl=1.2-1.7]. Women who had subscribed to the NHIS were more likely to report that NHIS covers malaria treatment [aOR=1.5;95%Crl=1.2-1.8]. The study revealed that the variance in the tendency for a woman to be aware that NHIS covers malaria treatment is attributable to 10.8% community level factors. Conclusion This study has shown that individual, community and regional level factors affect women’s knowledge on whether NHIS covers malaria treatment or not. As knowledge that malaria treatment is covered by NHIS may increase use of malaria prevention and treatment services in health facilities, we recommend that the Ghana Health Service intensifies community level education and awareness creation efforts, targeted at women among whom awareness levels are currently low.

scholarly journals Factors Influencing Nonrenewal of Health Insurance Membership in Ejisu-Juaben Municipality of Ashanti Region, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Kwawukume Mawumenyo Aku ◽  
Kofi Akohene Mensah ◽  
Peter Twum ◽  
Peter Agyei-Baffour ◽  
Daniel Opoku ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Statistical Significance ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Systemic Factors ◽  
The Government

Background. In the quest to prevent households from making catastrophic expenditures at the point of seeking healthcare, the government of Ghana introduced the National Health Insurance in 2003. However, people are reluctant to renew their membership. This study was, therefore, conducted to identify factors influencing the nonrenewal of National Health Insurance membership in the Ejisu-Juaben Municipality. Methods. A cross-sectional study was conducted among 427 respondents in the Ejisu-Juaben Municipality to ascertain factors influencing the nonrenewal of health insurance membership status. Data were entered and analyzed using Stata version 14. Univariate and multivariate analyses were performed to determine sociodemographic factors, household factors, and systemic factors influencing the nonrenewal of health insurance status. Statistical significance for all testing was set as p ≤ 0.05 . Results. Sociodemographic factors such as gender (AOR = 0.531; CI = 0.287–0.985) and educational level (AOR = 5.268; CI = 1.130–24.551)) were associated with the nonrenewal of health insurance membership. Income levels in Ghana Cedis were 500–1000 (AOR = 0.216; CI = 0.075–0.617) and 1001–2000 (AOR = 0.085; CI = 0.019–0.383). Systemic decision on factors such as clients’ satisfaction (AOR = 0.149; CI = 0.035–0.640), making copayment (AOR = 0.152; CI = 0,068–0.344), acquiring all prescribed drugs (AOR = 4.191; CI = 2.027–8.668), and awareness of mobile renewal (AOR = 3.139; CI = 1.462–6.739) was associated with nonrenewal of membership. Conclusions. The nonrenewal of health insurance membership was influenced by sociodemographic, household, and systemic factors. Therefore, the Municipal Health Directorate and the National Health Insurance Authority have to work on these factors to reach the target of 100% active coverage in the municipality.

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