Sri Sularsih Endartiwi, Sri Sularsih
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PELAKSANAAN KEBIJAKAN RUJUKAN BERJENJANG BAGI PESERTA BPJS KESEHATAN Endartiwi, Sri Sularsih; Ispandiyah, Woro
Jurnal Ilmiah Ilmu Kesehatan: Wawasan Kesehatan Vol 5, No 2: JANUARI 2019
Publisher : STIKes Kapuas Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33485/jiik-wk.v5i2.129

Abstract

BPJS Kesehatan  dalam memberikan pelayanan kepada para peserta Jaminan Kesehatan Nasional (JKN) menerapkan kebijakan rujukan berjenjang. Di Provinsi Daerah Istimewa Yogyakarta (DIY) juga menerapkan Peraturan Gubernur Daerah Istimewa Yogyakarta Nomor 59 tahun 2012 Tentang Pedoman Pelaksanaan Sistem Rujukan Pelayanan Kesehatan. Kabupaten Bantul menduduki peringkat pertama untuk kasus rujukan tertinggi di Provinsi DIY yaitu yaitu 136.668 kasus. Penerapan kebijakan rujukan berjenjang tersebut masih memberikan permasalahan di fasilitas kesehatan tingkat pertama. Penelitian ini bertujuan untuk menganalisis pelaksanaan kebijakan rujukan berjenjang bagi peserta BPJS Kesehatan Di Fasilitas Kesehatan Tingkat Pertama Bantul Yogyakarta Tahun 2018. Penelitian ini adalah penelitian deskriptif kualitatif. Rancangan penelitian adalah studi kasus (case study). Penelitian ini akan dilaksanakan di Fasilitas Kesehatan Tingkat pertama (FKTP)  Kabupaten Bantul Yogyakarta. Hasil penelitian menunjukkan pelaksanaan kebijakan rujukan berjenjang di Fasilitas Kesehatan Tingkat Pertamaa (FKTP) di Kabupaten Bantul Provinsi Daerah Istimewa Yogyakarta sudah berjalan dengan baik dan mengacu pada Peraturan Gubernur DIY No 59 tahun 2012 tentang Pedoman Pelaksanaan Sistem Rujukan Pelayanan Kesehatan khususnya pada pasal 9, 10, 11 dan 12. Kebijakan yang terbaru adalah Keputusan Kadinkes Provinsi DIY No 445/00905/III-2 tahun 2017 tentang sistem rujukan pelayanan kesehatan yang salah satunya menyebutkan bahwa pelayanan rujukan dilaksanakan dengan berbasis wilayah dan kompetensi. Selain itu juga Peraturan Direktur Jaminan Pelayanan Kesehatan No 4 tahun 2018 tentang penyelenggaraan sistem rujukan berjenjang berbasis kompetensi melalui integrasi sistem informasi. BPJS Kesehatan melakukan sosialisasi terkait dengan penerapan kebijakan-kebijakan yang baru terkait rujukan berjenjang.
DAMPAK KEBIJAKAN KEPESERTAAN MANDIRI JAMINAN KESEHATAN NASIONAL (JKN) DI YOGYAKARTA Endartiwi, Sri Sularsih; Trisnantoro, Laksono; Hendrartini, Yulita
Jurnal Kesehatan Masyarakat Vol 10, No 1 (2017): Jurnal Kesehatan Masyarakat Volume 10/ Nomor 01
Publisher : STIKES Wira Husada Yogyakarta

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Abstract

ABSTRACT Background: The implementation of National Health Insurance (JKN) had been started since 1 January 2014. In the first semester, several problems are found in the admission department. First, it is found that there about 10% or 4,400 participants are they who are suffering for disease or have used the health insurance. Second, there are participants who are already undergoing treatment at the hospital and turning out a large cost then they are newly registered as JKN participants. Objective: To monitoring the implementation of independent participants policy of the National Health Insurance (JKN) in Yogyakarta. Methods: This research is a case study with qualitative and quantitative approaches. Research will be conducted in the BPJS Yogyakarta, Academic Hospital of the Gadjah Mada University, the Office of the Provincial Council Commission D Yogyakarta, Yogyakarta Provincial Health Office in April 2015. The study was conducted by in-depth interviews as well as filling the form of independent patient data. Results: The viewpoint of the national health insurance participant is positive. Independent participants consider it is important to enforce the national health insurance program. Participants also consider it is reasonable for them to pay the monthly dues. Their motivation to register as an independent participant is already going to take advantage of health services, a precaution and to protect themselves against the risk of illness. Compliance participants who pay dues are in arrears to pay dues by 27%. The impact of independent participants is people who are already sick or have health services and will utilize it for about 123% claims ratio. It is better for the hospital to do socialization, add more facilities and infrastructure, improve the hospital services, leadership and bureaucracy. Conclusion: Independent participants policy is to motivate people who are already sick to register as a participants and 27% of participants who had recovered in arrears to pay.The fundamental improvement in the independentparticipants policy is an improvement on Presidential Decree No. 12 of 2013, especially chapters 4 and 5, Presidential Decree No. 111 of 2013 chapter 16F, and The Health Minister regulations No. 71 of 2013 article 21 paragraph 1 and 22 paragraph 1 Keywords: impact, independent participant,National Health Insurance (JKN)
HUBUNGAN USIA DAN LAMA KERJA DENGAN RISIKO KELUHAN NYERI PUNGGUNG BAWAH PADA PEMBUAT EMPING TELO DI DESA RINGINHARJO KECAMATAN BANTUL KABUPATEN BANTUL DIY TAHUN 2017 Wydiarti, Diyah; Endartiwi, Sri Sularsih
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol 13, No 1 (2018)
Publisher : Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat

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Abstract

Background: One aspect of occupational health is occupational disease, it is a worker risk due to industrial development and labor increase. According to Minister of Manpower and Transmigration Regulation no. Per.01 / MEN / 1981, occupational diseases are caused by a number of factors but some are from work, and lifestyle diseases. The problem that happened in Ringinharjo Village Hamlet from observation on September 26, 2017, obtained 10 respondents who are whole is teling emping maker, got result 80% of respondents have complaints of pain in back area, wrist and shoulder. Purpose: This study aims to determine the correlation between age and duration of work with risk of low back pain complaints on cassava emping maker in Ringinharjo Village, Bantul District, DIY. Method: This research design is analytic survey study with cross sectional approach. A sample of 30 female teling employs was selected from the total sample. Data were analyzed by Kendall-tau test. Result: There is correlation between age  = 0.000, duration of work  = 0.037 with lower back pain complaints. Conclusion: There is a correlation between age and duration of work, with lower back complaints on cassava maker in Ringinharjo Village, Bantul District, Bantul Regency, DIY.