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All Journal International Journal of Public Health Science (IJPHS) Archive of Community Health International Journal of Biosciences and Biotechnology Buletin Udayana Mengabdi Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Farmasi Klinik Indonesia Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Jurnal Ekonomi Kesehatan Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Keluarga Berencana Journal of Health Sciences and Medicine OISAA Journal of Indonesia Emas Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat
Putu Ayu Indrayathi
Program Studi Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana, Bali
Humanities Biochemistry, Genetics & Molecular Biology Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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Journal : Jurnal Kesehatan Masyarakat

 1 
The Implementation of Credentialing for First-Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar Ulandari, Luh Putu Sinthya; Indrayathi, Putu Ayu
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.4944

Abstract

The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.
The Implementation of Credentialing for First-Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar Ulandari, Luh Putu Sinthya; Indrayathi, Putu Ayu
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.4944

Abstract

The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.
Co-Authors Anak Agung Sagung Istri Maradi Suryaningrat Anastasia Septya Titisari Benny Tjahjono Budiastri Coratry Shovariah Premilga Desak Putu Yulita Kurniati Dinar Lubis Dinar Lubis Dyah Pradnyaparmita Duarsa Fery Dwiyanto HARI MULYAWAN Hendrayani, Ni Wayan Ani I Gusti Ayu Agung Putri Krismayanthi I Ketut Suwiyoga I Ketut Tunas I Made Ady Wirawan I Made Artana I Nyoman Gede Budiana I Putu Ganda Wijaya I Putu Ganda Wijaya I Putu Ganda Wijaya Istiana Marfianti Istiana Marfianti Ketut Suarjana Laszlo Robert Koloszvari Laszlo Robert Kolozsvari Laszlo Robert Kolozsvari Luh Kadek Ratih Swandewi Luh Kadek Ratih Swandewi Luh Putu Sinthya Ulandari Luh Putu Sinthya Ulandari Made Nopy Diah Sundari Monika Sri Yuliarti Murniati, Ni Nengah Ngakan Putu Anom Harjana Ni Ketut Sutiari Ni Luh Komang Megayanti Ni Luh Saptiaryati Ni Made Ari Listiani Ni Made Mas Dwi Purwaningrat Ni Made Sri Nopiyani Ni Nengah Murniati Ni Nyoman Intan Widya Sari Ni Wayan Ani Hendrayani Ni Wayan Arya Utami, Ni Wayan Arya Nijyoti, Nitya Nirmala, Putu Nitya Nitya Nijyoti Pande Made Sri Rahayu Pande Putu Januraga Putu Dwiki Damadita Putu Erma Pradnyani Putu Inok Puspaeni Putu Nitya Nirmala Putu Novi Trisna Dewi R. A.T. Kuswardhani Rasmaya Niruri Rasmaya Niruri Rasmaya Niruri Rina Listryowati Rina Listyowati Rina Listyowati Rini Noviyani Sagun Chandra Yowani Sri Idayani Sri Idayani, Sri Suandana, Iwan Abdi Sundari, Made Nopy Diah WIDARSA WIDARSA Wijaya, I Putu Ganda Yaslis Ilyas