Pengaruh Dana Kapitasi Dalam Meningkatkan Kualitas Layanan Pada Fasilitas Kesehatan Tingkat Pertama Di Yogyakarta

Abstract

This study aims to investigate the effect of capitation in improving the service quality at primary care in Yogyakarta province. Variables in this research are incentives and the proportion of capitation. This research use financial and performance primary care reports which collected from Health Agency in Yogyakarta Province. Data was successfully processed were 62 reports. The results of this research show that incentives and the proportion of capitation statistically influence in improving service quality, on the other side proportion of capitation funds statistically does not strengthen relationship between incentives and service quality.

Theory-practice gap of capitation payment in the Indonesian national health insurance: toward universal health coverage

“…In urban areas, capitation revenue usage, in most cases, is lacking to finance operational PHCs (Kurniawan et al, 2016;Pasaribu et al, 2019;Yulianto and Nadjib, 2017). Puskesmas used capitation revenue to pay top-up income to incentivize employees to improve quality care, but it is not synonymous with an increase in quality improvement (Kurniawan et al, 2016;Shofiyah and Bastian, 2020;Sumardjoko and Akhmadi, 2020;Yulianto and Nadjib, 2017).…”

“…However, there are variations of about 570 local governments’ discretions as regards the ways in which these financial incentives are distributed. In general, studies found that current capitation rates have few impacts on improving the quality of PHC services (Kurniawan et al ., 2016; Purnamasari and Puspandari, 2019; Shofiyah and Bastian, 2020; Sumardjoko and Akhmadi, 2020; Yulianto and Nadjib, 2017).…”

“…Puskesmas used capitation revenue to pay top-up income to incentivize employees to improve quality care, but it is not synonymous with an increase in quality improvement (Kurniawan et al. , 2016; Shofiyah and Bastian, 2020; Sumardjoko and Akhmadi, 2020; Yulianto and Nadjib, 2017).…”

“…Financial incentives do improve service quality, especially in public or private PHCs that have a large number of enrolled members. Nonetheless, the amount of capitation revenues remains still insufficient to meet a high standard of quality (Shofiyah and Bastian, 2020). In several PHCs.…”

Apakah Kepemilikan Institusional Dapat Memoderasi Faktor-Faktor Yang Mempengaruhi Agresivitas Pajak?

“…Agel t nt akan mel maksimalkan kel untungan pribadinya del ngan mel ngabaikan tanggungjawab yang tel lah diamanahkan del ngan tujuan untuk kel pel ntingan pribadi. Sel lain itu juga agel nt akan bel rusaha mel maksimalkan utilitasnya walaupun harus mel ngorbankan kel pel ntingan principal (Shofiyah & Bastian, 2020).…”