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All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Proceedings of the International Conference on Applied Science and Health Jurnal ARSI (Administrasi Rumah Sakit Indonesia) Journal of Indonesian Health Policy and Administration
Nurwahyuni, Atik
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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DETERMINANT OF LOYALTY OF EXECUTIVE CLASS PATIENTS AT AMBULATORY SERVICES AT SILOAM HOSPITALS TB SIMATUPANG DURING COVID-19 PANDEMICS Sembiring, Dian Agnesa; Nurwahyuni, Atik
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Business competition in the health industry is getting tighter, especially since the COVID-19 pandemic has significantly decreased patient visits. This study aims to determine the determinants of executive patient loyalty at the Siloam Hospitals TB Simatupang outpatient installation during the COVID-19 pandemic era. This research is quantitative research with an observational research design. The study population consisted of 520 patients with a sample of 84 patients with research instruments using a questionnaire. The results of the study stated that most respondents were loyal to services at the executive clinic, with an NPS of 50%. Customer satisfaction, service quality, perceived value, trust, hospital brand image, and commitment significantly and positively affect executive patient loyalty. Specifically, the commitment variable has a direct influence on loyalty. Customer satisfaction, service quality, trust, hospital brand image, and OCB indirectly affect loyalty. Commitment (0.865) is the most influential variable on patient loyalty. Furthermore, the variables customer satisfaction (0.541), trust (0.484), service quality (0.425), OCB (0.249), hospital brand image (0.107) respectively also have a degree of influence on patient loyalty.
Health Care Spending for Cardiovascular Disease under National Health Insurance Scheme in Indonesia Before and During COVID-19: Descriptive Analysis and PolicyRecommendations Nurwahyuni, Atik; Soewondo, Prastuti; Nadjib, Mardiati; Farianti, Yuli; Mukhlisa, Mazda Novi; Wahyuningsih, Helmi; Mangunsong, Emmy Ridhawaty; Athiyah, Athiyah; Yunita, Yunita; Sayekti, Sekar Arum Handarbeni; Sari, Kurnia; Megraini, Amila
Journal of Indonesian Health Policy and Administration Vol. 8, No. 2
Publisher : UI Scholars Hub

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The Cardiovascular disease (CVD) prevalence continues to increase. This study aims to identify the CVD spending and utilization in the Indonesia National Health Insurance (JKN) scheme 2017-2021 using the JKN claims classified by Disease Accounts analyzed descriptively. The CVD spending increased by $125,4 million in 2019 compared to 2017 and mostly for the hospital (91% in 2019) with the highest spending occurring in the age above 60 years. Moreover, the hospital inpatient spending was dominated during these five years. The highest portion of spending by severity level was at mild level, followed by moderate and severe levels. Health facilities’ capacities across the regions remain the issue in providing health services, especially for the CVD that require further treatment using advanced technology. The CVD cost continues to increase annually; fortunately, the JKN plays a key role as financial protection for participants. But, there was a decrease in the number of visits and spending on CVD during the COVID-19 pandemic because of lockdown policies and health systems shifting to provide capacity to overcome COVID-19. The decrease in the number of visits to health facilities raises the potential of being diagnosed later with more severe. As policy recommendations, strengthening primary care screening and hospital capacity across regions through implementing the Health System Transformation are expected to reduce the impact of these problems.
Co-Authors Adang Bachtiar Athiyah, Athiyah Damayan, Anak Agung Istri Agung Sri Stuti Daruki, Maria Wahyu Fadliyah, Hilyatul Farianti, Yuli Febriadi, Yudi Ida Bagus N Maharjana Kurnia Sari Mangunsong, Emmy Ridhawaty Megraini, Amila Mukhlisa, Mazda Novi Nadjib, Mardiati Prastuti Soewondo Pulungan, Nopiana Sayekti, Sekar Arum Handarbeni Sembiring, Dian Agnesa Suherman, Suherman Suwedia, I Nyoman Gede Bayu Wiratama Tetriadi, Tetriadi Tetriyadi, Tetriyadi Wahyuningsih, Helmi Yuliani Yuliani Yunita Yunita