Implementasi Kebijakan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan (Kbkp)  Di Kabupaten Jember

Sandra, Christyana; Herawati, Yennike Tri; Baroya, Ni'mal; Sulistiyani, Sulistiyani; Ningrum, Prehatin Trirahayu; Akbar, Kurnia Ardiansyah; Ramani, Andrei

doi:10.19184/ikesma.v17i1.22441

Cited by 3 publications

(4 citation statements)

References 1 publication

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“…Hal ini disebabkan seringnya terjadi perubahan terhadap kebijakan implementasi pembayaran kapitasi tanpa adanya pemberitahuan lebih awal sehingga FKTP tidak memiliki waktu yang cukup untuk melakukan adaptasi terhadap perubahan kebijakan tersebut [6]. Adapun indikator KBK yang paling sulit dicapai oleh FKTP adalah indikator angka kontak dan RPPT [7].…”

Section: Latar Belakangunclassified

Analisis Pencapaian Indikator Kapitasi Berbasis Kinerja Pada Masa Pandemi Covid 19

Fadila,

Mega Putri Via,

AAI Citra Dewiyani

et al. 2023

J. Kesehat. Qamarul Huda

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Salah satu implementasi sistem kendali mutu dan kendali biaya pada Fasilitas Kesehatan Tingkat Pertama (FKTP) adalah adanya penyesuaian pembayaran kapitasi berdasarkan pencapaian indikator Kapitasi Berbasis Kinerja (KBK). Hingga saat ini, pencapaian indikator KBK di Puskesmas wilayah Kota Blitar masih belum maksimal. Penelitan ini merupakan penelitan deskriptif kualitatif menggunakan data capaian indikator KBK pada Puskesmas di wilayah kota Blitar. Rata-rata capaian pembayaran KBK di Puskesmas wilayah Kota Blitar sebesar 98%. Hambatan yang dialami dalam pencapaian target indikator angka kontak pada Puskesmas di wilayah Kota Blitar adalah meningkatnya penyebaran virus Covid-19, seringnya gangguan pada aplikasi P-Care dan minimnya kemampuan petugas dalam melakukan input data ke aplikasi P-Care. Selain itu, tantangan yang dihadapi dalam pencapaian indikator RRNS adalah adanya permintaan pasien untuk dapat langsung dirujuk ke Rumah Sakit tanpa melalui pemeriksaan terlebih dahulu dan adanya perbedaan persepsi terkait implementasi rujukan antara Puskesmas dengan BPJS Kesehatan. Disisi lain, kendala yang dihadapi dalam pencapaian target indikator RPPT di Puskesmas wilayah Kota Blitar dikarenakan sebagian besar peserta lanjut usia dan adanya pandemi Covid-19 yang menyebabkan beberapa kegiatan Prolanis tidak dapat dilaksanakan dengan baik.

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Section: Latar Belakangunclassified

Analisis Pencapaian Indikator Kapitasi Berbasis Kinerja Pada Masa Pandemi Covid 19

Fadila,

Mega Putri Via,

AAI Citra Dewiyani

et al. 2023

J. Kesehat. Qamarul Huda

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“…The availability of non-medical personnel such as administrative and medical record staffs affect the achievement of KBK. Administrative staffs play an important role in data input into the BPJS Kesehatan P-Care system (Sandra et al, 2021). The data input will be automatically computed and determined FKTP performance (Widaty, 2017).…”

Section: The Availability Of Human Resourcesmentioning

confidence: 99%

“…Both factors were found in 5 research articles and affect to indicator contact rate and non-specialist referral rate. Lack of support from local governments and the absence of policies that support KBK are factors that affect the achievement of KBK in Jember Health Center (Sandra et al, 2021).…”

Section: Governance and Organizationmentioning

confidence: 99%

Factors Affecting the Achievements of Performance-Based Capitation: A Scoping Review

Aryani

2022

jjkn

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Primary care facilities (FKTP) are the vanguard in the National Health Insurance Program (JKN). The implementation of performance-based capitation (Kapitasi Berbasis Kinerja or KBK) is an effort to ensure FKTP performance through capitation payment arrangements to improve patient satisfaction, quality of health services, and cost-efficiency. Although overall FKTP performances have increased, from 9,276 FKTP that carried out KBK, only 15% achieved perfect performance (100%), with only one of three KBK indicators reached, namely the non-specialist referral ratio. This study aims to review existing literatures to compile various factors that affect the achievement of KBK. Literature searches were conducted systematically in 2016-2021 using PubMed, Google Scholar, PubMed Central, Researchgate, and other sources. The keywords used are capitation, based, performance, and commitment. Literature selection produces nine articles that match the criteria for analysis. Some of the factors that affect the achievement of KBK are the availability of human resources (medical and non-medical personnel), the availability of medical devices, the availability of information systems, governance and organization, and financing. Fulfilment of these factors is needed to achieve KBK indicators. Keywords: indicator, capitation, performance, commitment, JKN Abstrak: Fasilitas Kesehatan Tingkat Pertama (FKTP) merupakan garda terdepan dalam pelayanan kesehatan Program Jaminan Kesehatan Nasional (JKN). Penerapan Kapitasi Berbasis Kinerja (KBK) merupakan upaya memastikan kinerja FKTP untuk meningkatkan kepuasan, mutu layanan kesehatan, dan efisiensi biaya. Meskipun secara keseluruhan kinerja FKTP mengalami kenaikan, dari 9.276 FKTP yang melaksanakan KBK hanya 15% FKTP yang mencapai kinerja 100 persen, dengan indikator KBK yang tercapai hanya satu, yaitu Rasio Rujukan Non Spesialistik. Tujuan penelitian ini untuk mengidentifikasi literatur yang ada dan mengkompilasi berbagai faktor-faktor yang berpengaruh terhadap capaian indikator KBK Program JKN. Penelusuran literatur dilakukan secara sistematis periode tahun 2016-2021 menggunakan PubMed, Google Scholar, PubMed Central, Researchgate dan sumber lainnya. Kata kunci yang digunakan dalam penelusuran literatur adalah kapitasi, berbasis, kinerja, komitmen. Seleksi literatur menghasilkan 9 artikel sesuai kriteria untuk dianalisis. Beberapa faktor yang berpengaruh terhadap capaian KBK yaitu ketersediaan sumber daya manusia (tenaga medis dan non medis), ketersediaan sarana prasarana, ketersediaan sistem informasi, tata kelola dan organisasi serta pembiayaan. Diperlukan pemenuhan terhadap faktor-faktor tersebut agar indikator KBK dapat tercapai. Kata kunci: indikator, kapitasi, berbasis, kinerja, komitmen, JKN

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“…In addition to that, home visits are part of both healthy visits and home visits for sick patients conducted by first-level health facilities (FKTP) as a form of service to achieve contact rates (BPJS Kesehatan, 2019). Achieving contact rates is one of the indicator that is difficult to meet in FKTP (Nofriyenti et al, 2019;Sandra et al, 2021;Widaty, 2017). Several studies recommend the importance of intensifying home visit implementation to accelerate the achievement of contact rates (Fadila & Katmini, 2022;Khujaefah et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Untitled

Putri¹,

Ayuningtyas²

2023

JKM

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Health Care (PHC) is a foundation of universal health coverage for enabling equitable access. However, the access barrier is one of the challenges in implementing PHC. Home visits becomes one of the PHC innovations in several countries. This review aimed to describe home visit implementation in various countries regarding the scope, and service providers to achieve the expected impacts. This descriptive study used scoping review method referring to Arksey and O'Malley's guidelines. Three databases, which are PubMed, ProQuest, and Embase, were searched using keywords, namely "home visit" and "primary health care" or "primary healthcare" or "PHC services". The articles' identification used the PRISMA method. From the search result that was limited to 2002-2022, 367 articles were retrieved and screened for titles and abstracts, resulting in 48 full-text articles for eligibility assessment. Finally, ten studies were further analyzed and synthesized according to the study's aim. The scope of home visits is a comprehensive life cycle approach. Services providers are community health workers, nurses, midwives, doctors, and multidisciplinary teams. The impact of home visits is increasing knowledge and healthy behaviour, utilization, service quality, and health status as well as encouraging cross-sectoral collaboration and interprofessional collaboration. The scope and the impact of the home visit were then categorized based on the three PHC components according to WHO. This research result can be used as input in the development of evidence-based policies for the implementation of home visits as part of the services provided by first-level health facilities with adjustments to the context in Indonesia.

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Implementasi Kebijakan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan (Kbkp) Di Kabupaten Jember

Cited by 3 publications

References 1 publication

Analisis Pencapaian Indikator Kapitasi Berbasis Kinerja Pada Masa Pandemi Covid 19

Analisis Pencapaian Indikator Kapitasi Berbasis Kinerja Pada Masa Pandemi Covid 19

Factors Affecting the Achievements of Performance-Based Capitation: A Scoping Review

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