Ketersediaan Fasilitas dan Tenaga Kesehatan Dalam Mendukung Cakupan Semesta Jaminan Kesehatan Nasional

Misnaniarti, Misnaniarti; Hidayat, Budi; Pujiyanto, Pujiyanto; Nadjib, Mardiati; Thabrany, Hasbullah; Junadi, Purnawan; Besral, Besral; Purwoko, Bambang S.; Trihono, Trihono; Yulaswati, Vivi

doi:10.22435/jpppk.v1i1.425

Cited by 24 publications

(27 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this case, the NHI has provided medical expenses for participants who require health services. 25 The NHI program was run by the social insurance mechanism for six years of its implementation. The HSSA, as the institution designated to deliver the NHI program, always experience a deficit.…”

Section: Discussionmentioning

confidence: 99%

Stakeholder Perception towards the Implementation of National Health Insurance Program

Susanti

Siddiq

Irasanti

et al. 2021

Glob Med Health Commun

View full text Add to dashboard Cite

Indonesian National Health Insurance (NHI) is a social protection program that ensures the fulfillment of basic needs for proper health by implementing a quality and cost control system. There are still differences in perceptions and complaints felt by patients regarding the implementation of the NHI program. The purpose of this study was to evaluate the implementation of the NHI program based on the perception of all stakeholders in the aspect of health equity, quality of service, and health financing. Quantitative research methods with survey techniques on 204 respondents were selected by stratified random sampling in Al-Ihsan Regional General Hospital West Java Province from January to May 2021. The data were analyzed by using the Kruskal-Wallis test and Mann-Whitney U test on the perception of the stakeholder groups. The results showed that the aspects of health equity, service quality, and health financing on the implementation of the NHI program were in a good category. The increase in Healthcare and Social Security Agency (HSSA) insurance premium was considered the lowest aspect. There were significant differences in the perception of stakeholder groups on the aspects of health equity, service quality, and health financing. There were significant differences in perceptions of health equity based on the ages groups and in perceptions of health financing based on income. This indicates that stakeholders' perceptions of the NHI program affected some conditions, including roles in services, ages, and income. PERSEPSI STAKEHOLDER TERHADAP IMPLEMENTASI PROGRAM JAMINAN KESEHATAN NASIONALJaminan Kesehatan Nasional (JKN) merupakan program perlindungan sosial yang menjamin pemenuhan kebutuhan dasar kesehatan yang layak melalui penerapan sistem kendali mutu dan biaya. Masih terdapat perbedaan persepsi dan keluhan yang dirasakan pasien terhadap pelaksanaan program JKN. Tujuan penelitian ini mengevaluasi pelaksanaan program JKN berdasar atas persepsi seluruh stakeholder pada aspek health equity (pemerataan), mutu layanan, dan pembiayaan kesehatan. Metode penelitian kuantitatif dengan teknik survei pada 204 responden yang dipilih secara stratified random sampling di RSUD Al-Ihsan Provinsi Jawa Barat periode Januari−Mei 2021. Analisis data menggunakan Uji Kruskal-Wallis dan Mann-Whitney U terhadap persepsi kelompok stakeholder. Hasil penelitian menunjukkan bahwa aspek health equity, mutu layanan, dan pembiayaan kesehatan pada implementasi program JKN berada dalam kategori baik. Kenaikan premi asuransi BPJS Kesehatan dinilai paling rendah. Terdapat perbedaan signifikan persepsi antara kelompok stakeholder pada aspek health equity, mutu layanan, dan pembiayaan kesehatan. Terdapat perbedaan signifikan persepsi terhadap health equity berdasar atas kelompok usia dan persepsi pada aspek pembiayaan kesehatan berdasar atas pendapatan. Hal ini menunjukkan bahwa persepsi stakeholder terhadap program JKN dipengaruhi beberapa kondisi, antara lain peran dalam layanan, usia, dan pendapatan.

show abstract

Section: Discussionmentioning

confidence: 99%

Stakeholder Perception towards the Implementation of National Health Insurance Program

Susanti

Siddiq

Irasanti

et al. 2021

Glob Med Health Commun

View full text Add to dashboard Cite

show abstract

“…In addition, the government also gives special attention and separate policies for disadvantaged areas, borders, and disadvantaged islands. The government released mobile hospitals, border hospitals, mobile hospitals, flying doctors, and water services, including health financing distribution policies (Laksono et al, 2014;Pratiwi et al, 2014;Misnaniarti et al, 2017;Prawiroharjo, Pratama and Librianty, 2019). Although apparently there is still a need for other health policy support for the redistribution of doctors in Indonesia.…”

Section: Discussionmentioning

confidence: 99%

Distribution Analysis of Doctors in Indonesia

Laksono¹,

Ridlo²,

Ernawaty³

2019

Preprint

View full text Add to dashboard Cite

Introduction: The distribution of health workers was an important study in Indonesia which has a wide geographical range and challenges as an archipelagic country for the fulfillment of fair and equitable health services.Aim: The study was conducted to answer factors related to the distribution of doctors based on provinces in Indonesia.Methods: Advanced analysis of secondary data from "Data and Information: Indonesian Health Profile in 2017". The analysis unit in this study was the province, all 34 provinces in Indonesia were analyzed. The dependent variable was the Number of Doctors. Dependent variables were the number of population, density, percentage of poor people, number of hospitals, and number of Puskesmas.Results: Variability in the availability of doctors was very wide. The more the population, the more attractive it was for doctors to practice in the province. The denser the population, the more attractive it was for doctors to practice in the province. The more the poor population, the more attractive it was for doctors to practice in the province. The more hospitals, the more attractive it was for doctors to practice in the province. The more Puskesmas, the more attractive it was for doctors to practice in the province.Conclusions: All variables analyzed were related to the number of doctors. Variables of population, density, percentage of poor people, number of hospitals, and number of Puskesmas were positively related to the number of doctors.

show abstract

“…Hasil penelitian menunjukkan bahwa ibu hamil yang tinggal di wilayah Jawa-Bali akan memperoleh pelayanan ANC ideal dibandingkan ibu hamil yang tinggal di wilayah non Jawa-Bali. Hal ini disebabkan oleh tidak meratanya fasilitas kesehatan serta kondisi geografis yang bervariasi, sehingga masyarakat yang tinggal di luar Jawa-Bali tidak memiliki banyak pilihan untuk melakukan pemeriksaan ANC (Misnaniarti et al, 2019). Misnaniarti juga menyatakan bahwa rasio dokter spesialis per-penduduk lebih tinggi di wilayah Jawa-Bali, akan tetapi untuk rasio tempat tidur (TT) hampir sama untuk semua wilayah.…”

Section: Hasilunclassified

Pelayanan Pemeriksaan Kehamilan Berkualitas Yang Dimanfaatkan Ibu Hamil Untuk Persiapan Persalinan Di Indonesia

Dharmayanti

Azhar

Tjandrarini

et al. 2019

jek

View full text Add to dashboard Cite

Antenatal care (ANC) is a prevention healthcare for maternal health and their babies. In order to fulfill the needs of them, an accessible health facility that provides ANC with qualified services for the community is needed. This study aims to determine the utilization of maternal health services as preparation for safe delivery. Analysis of this study used the data from National Health Indicator Survey (Sirkesnas) 2016 and Village Potential Census (Podes) 2014. The analysis technique was multivariable logistic regression. The results showed that the use of qualified ANC tended to be used by mothers who were examined by midwives in health centers, highly educated mothers, those who were living in moderate and good neighborhoods, not living in slums (social environment) and residing in Java-Bali region. It can be concluded that midwives and location of ANC provided important role to improve the utilization of ANC services as an ideal preparation for safe delivery.

show abstract

Ketersediaan Fasilitas dan Tenaga Kesehatan Dalam Mendukung Cakupan Semesta Jaminan Kesehatan Nasional

Cited by 24 publications

References 2 publications

Stakeholder Perception towards the Implementation of National Health Insurance Program

Stakeholder Perception towards the Implementation of National Health Insurance Program

Distribution Analysis of Doctors in Indonesia

Pelayanan Pemeriksaan Kehamilan Berkualitas Yang Dimanfaatkan Ibu Hamil Untuk Persiapan Persalinan Di Indonesia

Contact Info

Product

Resources

About