Profil persalinan pada era JKN-BPJS di RSUP Prof Dr. R. D. Kandou Manado periode 1 Januari – 30 Juni 2016

Astoguno, Arya P.; Kaeng, Joice J.; Mewengkang, Maya

doi:10.35790/ecl.4.2.2016.14496

Cited by 4 publications

(4 citation statements)

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“…For example, a patient might need to buy a required medicine outside of the health facility, which adds an additional OOP cost because it is not reimbursed or covered under JKN. Another possibility for OOP costs despite use of JKN may be due to limited availability of rooms or beds covered under JKN at the time of a mother's delivery due to high demand [25]. This situation may force mothers either to go to another health facility or take a higher-level room or bed which might not be covered by JKN, leading to OOP costs.…”

Section: Discussionmentioning

confidence: 99%

The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia

Nugraheni

Mubasyiroh

2020

PLoS ONE

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The maternal mortality rate in Indonesia is still high, at 305 per 100,000 live births. Several studies indicated maternal financial burden as one of the dimensions of access that influence a pregnant woman's ability to receive adequate, high-quality medical care. This study aims to identify the association between the use of Indonesia's national health insurance (JKN) and out-of-pocket (OOP) expenditures in accessing delivery services, using data from the Indonesian Family Life Survey 5. In addition, this study also investigated the relationship of JKN and the potential reduction of catastrophic delivery expenditures (CDEs) for delivery services. The results show that JKN was associated with reduced OOP expenditures for delivery as well as reduced risk of incurring CDE. However, some OOP expenditure for cost of delivery services still exists among mothers who used JKN during delivery, potentially due to factors such as medicine stock availability and inpatient care shortages.

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Section: Discussionmentioning

confidence: 99%

The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia

Nugraheni

Mubasyiroh

2020

PLoS ONE

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“…The CS rate report from one of the referral hospitals in the territory of Indonesia also shows an SC rate of up to 50.2% for patients using the national health insurance program (JKN). 25 Furthermore, several comprehensive national reports from BPJS Kesehatan also state that the CS rate rose around 57% in 2017. 8,26,27 Research shows that CS rates above 10% are not associated with a reduction in maternal and infant mortality.…”

Section: Discussionmentioning

confidence: 99%

Ina-Cbgs Claim versus Total Hospital Cost: A Vaginal Delivery Investigation at Airlangga University Academic Hospital, Indonesia

Wardhana

Gumilar

Rahmadhany³

et al. 2020

Journal of Public Health Research

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Background: Inadequate funding for vaginal delivery can be one of the barriers to reducing the maternal mortality rate. It could be therefore critical to compare the vaginal delivery cost between total hospital cost and INA-CBGs cost in national health insurance. Methods: This was a retrospective cross-sectional study conducted from October to December 2019 in Universitas Airlangga Academic Hospital. It collected data on primary diagnosis, length of stay, total hospital cost, INA-CBGs cost, and counted disparity. The data analyzed statistically using t-test independent sample (or Mann-Whitney test).Results: A total of 149 vaginal delivery claims were found, with the majority having a level II severity (79.87%) and moderate preeclampsia as a primary diagnosis (20.1%). There was a significant disparity in higher total hospital costs compared with government INA-CBGs costs (Rp. 9,238,022.09±1,265,801.88 vs 1,881,521.48±12,830.15; p<0.001). There was also an increase of LOS (p<0.001), total hospital cost (p<0.001), and cost disparity (p<0.01) in a higher severity level of vaginal delivery.Conclusion: Vaginal delivery costs in INA-CBGs scheme are underneath the actuarial value. There was also an increase in total hospital costs and a more significant disparity in the higher severity levels of vaginal delivery.

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“…Maternity services are one of the advantages that National Health Insurance (JKN) subscribers can obtain from the Health Social Security Administration (BPJS). The JKN program enables pregnant women enrolled in BPJS Health to acquire insurance or cost protection while utilizing services during pregnancy, birth, postpartum, post-abortion care, and post-abortion family planning (1). One of the benefits of JKN for BPJS Health users is free delivery.…”

Section: Preliminarymentioning

confidence: 99%

Non-compliance Analysis of Independent Participants Paying BPJS Health Contributions After Utilization of Delivery Services

Solida

Amir

Noerjoedianto

2022

IJHS

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Losses experienced by BPJS Health due to payment of contributions that have been stopped for participants who have used maternity services of more than 200 billion in a span of 2 years. It was recorded that 64.7% of mothers who were about to give birth registered as participants a month before giving birth and then quit (43%) or did not comply with the payment after delivery. The largest percentage comes from independent participants or non-wage recipients (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is the highest in Jambi City. There were 77,489 participants in arrears in 2021 which resulted in a loss of 60.1 billion. Non-compliance in paying dues comes from multiple factors. The purpose of this study is to analyze the factors causing the non-compliance of independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. A quantitative study approach with a cross-sectional design conducted in Jambi City in 2022. There were 96 respondents who were selected based on the accidental sampling technique. The study instrument was a questionnaire. Quantitative data processing through the stages of editing, coding, entry and cleaning with SPSS. Data analysis consisted of univariate analysis and bivariate analysis using chi-square test. The results of the study found that as many as 33.3% of independent participants did not comply in paying BPJS Health contributions after using childbirth services. There is a significant relationship between the number of family members (p = 0.001), knowledge (0.000), perception of illness (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP) with the non-compliance of independent participants in paying BPJS Health contributions. after the use of maternity services. It is recommended for BPJS Health to consider the application of the waiting period method for participants who will take advantage of maternity services. As well as increasing promotive activities for the Jambi City Government in educating and increasing public awareness about the importance of health insurance in protecting household financing.

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Profil persalinan pada era JKN-BPJS di RSUP Prof Dr. R. D. Kandou Manado periode 1 Januari – 30 Juni 2016

Cited by 4 publications

References 0 publications

The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia

The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia

Ina-Cbgs Claim versus Total Hospital Cost: A Vaginal Delivery Investigation at Airlangga University Academic Hospital, Indonesia

Non-compliance Analysis of Independent Participants Paying BPJS Health Contributions After Utilization of Delivery Services

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