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Journal : Jurnal Kebijakan Kesehatan Indonesia

Analisis Ketersediaan Fasilitas Kesehatan dan Pencapaian Universal Health Coverage Jaminan Kesehatan Nasional se Provinsi Bengkulu Yandrizal Yandrizal; Desri Suryani; Betri Anita; Henni Febriawati; Riska Yanuarti; Bintang Agustina Pratiwi; Heldi Saputra
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 3 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.848 KB) | DOI: 10.22146/jkki.v5i3.30668

Abstract

ABSTRACTIntroduction: The National Health Insurance began in 2014 gradually toward Universal Health Coverage. The purpose of the National Health Insurance in general is easier for people to access health services and obtain quality health services. Health providers are limited, extensive spread of population and limited access, leading to less supply (provision of services) by the government and other parties, so it would appear inequality and financing of health care.Purpose: to know the availability of health care facilities as well as efforts to achieve compliance with Univarsal Coverange Health in Bengkulu Province.Metoe Research: Research using design analysis method formative To assess the implementation of policies. Descriptive study is observational, presents an overview and focus on solving the actual problem. The unit analyzes the data collection was health facilities using quantitative and qualitative approaches.Results And Discussion: The first-level health facilities(FKTP) as much as 272 units, 590 units needs. Puskesmas capitation average Rp. 4847, -. All hospitals are already working with BPJS and needs a bed in 1769, the highest available FKTP 1329. Utilization of Physician Practice. Government encourages open pratama clinics and doctors as well as provide opportunities practice at the PPDS.Conclusion: The first-level health facilities are lacking. Doctors and dentists in the health centers are still less impact on the small capitation funds received. Local Government clinics and physician practices to encourage and develop the health center. Shortage of specialist doctors by maximizing all participants Medical Education Program Specialist of the Bengkulu Province can return by providing specialist medical support equipment and incentives.Keywords: Equity Services, Access Services, Equity Health Care Financing.ABSTRAKLatar belakang: Jaminan Kesehatan Nasional dimulai pada Tahun 2014 secara bertahap menuju Universal Health Coverage. Tujuan Jaminan Kesehatan Nasional secara umum yaitu mempermudah masyarakat untuk mengakses pelayanan kesehatan dan mendapatkan pelayanan kesehatan yang bermutu. Pemberi pelayanan kesehatan yang terbatas, penyebaran penduduk yang luas dan akses yang terbatas, menyebabkan kurang supply (penyediaan layanan) oleh pemerintah dan pihak lain, sehingga akan muncul ketidakmerataan pelayanan dan pembiayaan kesehatan.Tujuan: mengetahui ketersediaan fasilitas pelayanan kesehatan serta upaya pemenuhan untuk mencapai Univarsal Health Coverange di Provinsi Bengkulu.Metode: penelitian menggunakan rancangan metode analisisformatif Untuk menilai pelaksanaan kebijakan. Jenis penelitian deskriptif yang bersifat observasional, menyajikan Gambaran dan memusatkan pada pemecahan masalah aktual. Unit analisis fasilitas kesehatan. Pengumpulan data menggunakan pendekatan kuantitatif dan kualitatif.Hasil: Fasilitas kesehatan tingkat pertama (FKTP) sebanyak 272 unit, kebutuhan 590 unit. Kapitasi Puskesmas rerata Rp. 4.847,-. Semua rumah sakit sudah bekerja sama dengan BPJS dan kebutuhan tempat tidur 1769, tersedia 1329. Pemanfaatan FKTP tertinggi Dokter Praktek. Pemerintah mendorong buka klinik pratama dan prakter dokter serta memberi kesempatan Pendidikan Dokter Spesialis.Kesimpulan: Fasilitas kesehatan tingkat pertama masih kurang. Dokter umum dan dokter gigi di Puskesmas masih kurang berdampak kepada kecil dana kapitasi yang diterima. Pemerintah Daerah mendorong klinik dan dokter praktek dan mengembangkan Puskesmas Perawatan. Kekurangan dokter spesialis dengan memaksimalkan semua peserta Program Pendidikan Dokter Spesialis dari Provinsi Bengkulu dapat kembali dengan menyediakan peralatan penunjang medis spesialistik dan insentif .Kata Kunci : Pemerataan Pelayanan, Akses Pelayanan, Pemerataan Pembiayaan Kesehatan.
Analisis Besaran dan Pembayaran Kapitasi Berbasis Komitmen Pelayanan terhadap Pengendalian Rujukan di Puskesmas Kota Bengkulu Henni Febriawati; Yandrizal Yandrizal; Yulia Afriza; Bintang Agustina Pratiwi; Riska Yanuarti; Desri Suryani
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2719.886 KB) | DOI: 10.22146/jkki.v6i4.30890

Abstract

Background: Puskesmas as primary health care center where the role of Puskesmas is interpreted as gate keeper or first contact and referral agent in accordance with standard of medical service. BPJS Kesehatan always strives to increase efficiency and effectiveness by developing quality control system of service and payment system of health service through capitation payment pattern to first  level health facility. Problem formulation, how the implementation of Kapuas basaran policy based on fulfillment of service commitment to control at Public Health Center of Bengkulu City. Research Objective, knowing the role of policy of capitation scale based on fulfillment of service commitment to referral control at public health center Bengkulu City. Research methods: This research uses quantitative and qualitative method with exploratory research design, unit of Puskesmas analysis in Bengkulu City. The type of this research is descriptive research to describe the implementation of capitation policy based on fulfillment of service commitment to referral number in public health center Bengkulu City. Results and discussion:Referral from public health center in Bengkulu City decreased from 2014 as many as 113,075 visits and 25,183 (22.27%) referrals, by 2015 149,483 visits and 26,963 (18.04%) referrals, 2016 226,313 visitation and 23,545 referrals (10 , 40%) In 2016 the number of participants in Bengkulu City was 156,854 inhabitants and the number of contact rate was 15.726 (10.06%). Visits were 13,068 (8.33%) and healthy visits 2,658 (1.69%). All informants understand about the activities undertaken to achieve the safe zone target ratio. Conclusions and recommendations:The implementation of a service commitment-based capitation policy can control the referral of the public health center. Informants have a common perception in achieving contact numbers to achieve the target of safe zones and achievement zones by optimizing public health efforts and individual health efforts to make healthy visits and sick visits to the community. Policy implementation can be developed by maximizing existing community health efforts in Puskesmas, improving the achievement of contact rates indicator, non-specialist referral ratios, and proline visits routinely.
Co-Authors Agung Suhadi ahmad rizal Amin Amin Andry Sartika Angraini, Wulan Aning Tri Subeqi Apriza Fitriani Ayu Maharani Ayu Wijayanti Azzaria Fidella Betri Anita Betri Anita Betrianita Betrianita Bunga Tiara Kasih Cici Agustiawati darwis darwis, darwis Dedy Novriadi Dedy Novriadi Demsa Simbolon Desri Suryani diniarti, fiya Eli Rustinar Eliana Eliana Emi Kosvianti Erni Riany Essy Tuwi Susanti ESSY TUWI SUSANTI EVA OKTAVIDIATI, EVA Fatsiwi Nunik Andari Febri Aguston Ferasinta Ferasinta Fitri Wulandari Frensi Riastuti Frensi Triastuti Harjuita, Tiara Rifki Hasa Husin Heldi Saputra Henni Febriawati Henni Febriawati, Henni Husin, Hasan irfina syafitri Junita Junita Kambera, Loli Ledyawati Ledyawati Lesmi, Anisa Liza Fitri Lina Loli Kambera Loli Kambera Lusi Okavianti M. Amin M. Amin M. Amin M. Ismail Shaleh Merri Sri Hartati Mohammad Amin Mohammad Amin Mohammad Amin Mugia Bayu Raharja Muhammad Amin Muhammad Amin Muhammad Arif Tobing Mutiara Nafita Nafita Nio firdaus Nofa Sagitarius NOPIA WATI Nopia Wati Nopia Wati Nopia Wati Nora Idiawati Nova Kartini Nur Elly Nur Hidayah Okavianti, Lusi Oktarianita Oktarianita Oktarianita Oktarianita Oktarianita Oktarianita Oktarianita, Oktarianita Padila Padila Pebi Fermana Podesta, Fiana Putri Wulan Dari Qurrata A’Ayun Qurrata A’Ayun Rangga Jayanuarto Rengga Depri Admaja Riska Yanuarti Riski Wais Al Qorni Rita, Wismalinda Sagitarius, Nofa Sandy Ardiansyah Sari, Suci Pitria Shaleh, M. Ismail Siti Nurazisah Sri Indarti Sri Lilestina Nasution Suci Pitria Sari Surahman, Fery Susilawati Susilawati Susilawati, Susilawati Tiara Rifki Harjuita Titi Darmi Tuti Rohani, Tuti Wati, Nopia Weti Weti Wulan Angraini Yandrizal Yandrizal Yanti, Lussyefrida Yanuarti, Riska Yulia Afriza Yundari, Yundari Yusup Al Gofar