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Fuzna Alfiani; Pembimbing: Atik Nurwahyuni; Penguji: Pujiyanto, Santy Parulian Panjaitan
S-8847
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Hana Zakiyah; Pembimbing: Kurnia Sari; Penguji: Pujiyanto, Laksmi Damaryanti
Abstrak:
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Latar Belakang: Gangguan kesehatan mental memberikan beban ekonomi signifikan secara global, dengan proyeksi kerugian mencapai USD 6 triliun pada tahun 2030. Di Indonesia, estimasi biaya langsung tahunan mencapai Rp87,5 triliun apabila seluruh invidiu dengan gangguan mental menjalani pengobatan rutin. Tujuan: Mengetahui besaran biaya dan faktor-faktor yang berhubungan dengan biaya layanan kesehatan mental pada rawat jalan FKRTL Peserta JKN. Metode: Desain studi dengan potong lintang menggunakan Data Sampel BPJS Kesehatan 2024. Analisis dilakukan secara univariat dan bivariat terhadap 785.150 peserta aktif layanan kesehatan mental. Hasil: BPJS Kesehatan menanggung total biaya layanan kesehatan mental sebesar Rp3,4 triliun dalam satu tahun. Terdapat hubungan signifikan antara biaya layanan dengan usia, segmentasi peserta, jumlah diagnosis, frekuensi kunjungan RJTL, regional FKRTL, kepemilikan FKRTL, dan kondisi penyakit kronis. Kesimpulan: Biaya tertinggi ditemukan pada kelompok usia lanjut dan wilayah Regional 1, yang mencerminkan konsentrasi layanan serta akses yang lebih optimal. Temuan ini menyoroti pentingnya pemerataan dan pendekatan berbasis kebutuhan layanan kesehatan mental.
Background: Mental health disorders present a significant global economic burden, with projected losses reaching USD 6 trillion by 2030. In Indonesia, the estimated annual direct cost may reach IDR 87.5 trillion if all individuals with mental disorders undergo routine treatment. Objective: To identify the total cost and factors associated with mental health service expenditures in outpatient care at advanced referral health facilities (FKRTL) for JKN participants. Methods: This study uses cross-sectional design using the 2024 BPJS Kesehatan Sample Data. Univariate and bivariate analyses were conducted on 785,150 active mental health service users. Results: BPJS Kesehatan covered a total of IDR 3.4 trillion in mental health outpatient services within one year. There was a significant relationship between service costs and age, participant segmentation, number of diagnoses, outpatient visits frequency, advanced health facilities regional, advanced referral health facilities ownership, and chronic disease conditions. Conclusions: The highest costs were observed among the elderly and in Regional 1, reflecting a concentration of services and better access. These findings highlight the importance of equitable distribution and need-based approaches in mental health service financing.
Background: Mental health disorders present a significant global economic burden, with projected losses reaching USD 6 trillion by 2030. In Indonesia, the estimated annual direct cost may reach IDR 87.5 trillion if all individuals with mental disorders undergo routine treatment. Objective: To identify the total cost and factors associated with mental health service expenditures in outpatient care at advanced referral health facilities (FKRTL) for JKN participants. Methods: This study uses cross-sectional design using the 2024 BPJS Kesehatan Sample Data. Univariate and bivariate analyses were conducted on 785,150 active mental health service users. Results: BPJS Kesehatan covered a total of IDR 3.4 trillion in mental health outpatient services within one year. There was a significant relationship between service costs and age, participant segmentation, number of diagnoses, outpatient visits frequency, advanced health facilities regional, advanced referral health facilities ownership, and chronic disease conditions. Conclusions: The highest costs were observed among the elderly and in Regional 1, reflecting a concentration of services and better access. These findings highlight the importance of equitable distribution and need-based approaches in mental health service financing.
S-12051
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Enzelika Rahel Sininta; Pembiming: Atik Nurwahyuni; Penguji: Vetty Yulianty Permanasari, Erfan Chandra Nugraha
Abstrak:
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Penelitian ini bertujuan menganalisis penggunaan persalinan sectio caesarea di fasilitas rujukan tingkat lanjut di Provinsi DKI Jakarta pada tahun 2023, menggunakan desain penelitian non-eksperimental analitikal dengan pendekatan cross-sectional data sampel BPJS Kesehatan 2024. Hasil analisis menunjukkan bahwa sebesar 77,6% peserta melahirkan dengan tindakan sectio caesarea. Beberapa faktor ditemukan memiliki hubungan signifikan terhadap pemilihan metode persalinan ini, antara lain: usia >35 tahun (OR: 1,93; 95% CI: 1,68–2,21), domisili di Jakarta Timur (OR: 4,68; 95% CI: 4,18–5,25), status kepesertaan PBPU (OR: 2,50; 95% CI: 2,23–2,79), hak kelas rawat Kelas I, kepemilikan fasilitas swasta (OR: 3,19; 95% CI: 3,08–3,32), tipe FKRTL kelas C (OR: 1,50; 95% CI: 1,47–1,75), serta lokasi FKRTL di Jakarta Timur (OR: 3,75; 95% CI: 3,53–3,98). Faktor riwayat sectio caesarea merupakan prediktor terkuat (OR: 77,2; 95% CI: 61,42–97,2), yang menunjukkan adanya kecenderungan tinggi untuk menjalani sectio berulang. Temuan ini menegaskan pentingnya perhatian terhadap keputusan medis pada persalinan pertama yang berpotensi memengaruhi pola persalinan berikutnya. Intervensi perlu dilakukan secara menyeluruh, baik pada sisi ibu melalui intervensi preventif dan penguatan kesiapan sejak di layanan primer, maupun pada sisi pelayanan melalui audit medis dan penerapan panduan klinis yang ketat.
This study aims to analyze the use of caesarean section deliveries in advanced referral health facilities in DKI Jakarta Province in 2023, using an non-experimental analytical cross-sectional design based on BPJS Health sample data from 2024. Results showed that 77.6% of participants gave birth via caesarean section. Several factors were significantly associated with caesarean delivery, including age over 35 years (OR: 1.93; 95% CI: 1.68–2.21), residence in East Jakarta (OR: 4.68; 95% CI: 4.18–5.25), PBPU insurance status (OR: 2.50; 95% CI: 2.23–2.79), Class I inpatient entitlement, private hospital ownership (OR: 3.19; 95% CI: 3.08–3.32), Class C hospital type (OR: 1.50; 95% CI: 1.47–1.75), and facility location in East Jakarta (OR: 3.75; 95% CI: 3.53–3.98). History of caesarean section was the strongest predictor (OR: 77.2; 95% CI: 61.42–97.2), indicating a high likelihood of reccuring procedures. These findings highlight the importance of careful medical decision-making during the first delivery, as it can significantly influence subsequent delivery patterns. Comprehensive interventions are needed, both on the maternal side through preventive measures and strengthened readiness starting at the primary care level, and on the service side through medical audits and strict implementation of clinical guidelines.
This study aims to analyze the use of caesarean section deliveries in advanced referral health facilities in DKI Jakarta Province in 2023, using an non-experimental analytical cross-sectional design based on BPJS Health sample data from 2024. Results showed that 77.6% of participants gave birth via caesarean section. Several factors were significantly associated with caesarean delivery, including age over 35 years (OR: 1.93; 95% CI: 1.68–2.21), residence in East Jakarta (OR: 4.68; 95% CI: 4.18–5.25), PBPU insurance status (OR: 2.50; 95% CI: 2.23–2.79), Class I inpatient entitlement, private hospital ownership (OR: 3.19; 95% CI: 3.08–3.32), Class C hospital type (OR: 1.50; 95% CI: 1.47–1.75), and facility location in East Jakarta (OR: 3.75; 95% CI: 3.53–3.98). History of caesarean section was the strongest predictor (OR: 77.2; 95% CI: 61.42–97.2), indicating a high likelihood of reccuring procedures. These findings highlight the importance of careful medical decision-making during the first delivery, as it can significantly influence subsequent delivery patterns. Comprehensive interventions are needed, both on the maternal side through preventive measures and strengthened readiness starting at the primary care level, and on the service side through medical audits and strict implementation of clinical guidelines.
S-12060
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Farizah Fauziah; Pembimbing: Atik Nurwahyuni; Penguji: Pujiyanto; Erika Verayanti LG
S-8831
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Dewi Anggraeni; Pembimbing: Jaslis Ilyas; Penguji: Pujiyanto, Lidia Marpaung
S-8990
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Ayu Novi Kurnia; Pembimbing: Atik Nurwahyuni; Penguji: Pujiyanto, Santy Parulian Panjaitan
S-8832
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Indarwati Hikmawan; Pembimbing: Wahyu Sulistiadi; Penguji: Anhari Achadi, Ridho Lahiya
Abstrak:
Dalam dunia asuransi semakin banyaknya peserta semakin baik dan sebaliknya, termasuk asuransi sosial yang dikenal sebagai Jaminan kesehatan Nasional seperti yang diterapkan di Indonesia. Namun faktanya, masih ada masyarakat yang belum menjadi peserta JKN dikarenakan mereka mengganggap mereka harus membayar iuran yang menurut mereka mahal setiap bulan, kemudian masih ada peserta yang belum mengetahui tentang JKN. Skripsi ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepesertaan mandiri di wilayah kerja BPJS Kesehatan kantor layanan operasional Kabupaten Bogor tahun 2015. penelitian ini menggunakan penelitian kuantitatif dengan desain cross sectional yang berarti pengukuran variabel dependen dan independen dilaksanakan pada satu waktu. jumlah populasi pada penelitian ini adalah 110 orang, menggunakan alat ukur kuisoner, analisis yang digunakan adalah analisis univariat dan bivariat dengan uji statuistk chi-square. Hasil penelitian 6 (enam) variable signifikan berhubungan dengan kepesertaan mandiri yaitu pendidikan, pekerjaan, pandangan terhadap resiko, pendapatan, premi dan kegunaan dan 3 (tiga) variable tidak signifikan berhubungan dengan kepesertaan mandiri yaitu umur, jenis kelamin dan jumlah anggota keluarga Peneliti menyarankan kepada pihak BPJS KLO Kabupaten Bogor untuk melakukan sosialisasi kepada peserta terkait dengan cara, syarat pendaftaran dan manfaat menjadi peserta JKN agar dapat tercapainya cakupan semesta.
Kata kunci: Kepesertaan mandiri, Resiko sakit, Pendapatan, Premi, Kegunaan.
In the insurance world, the better the increasing number of participants and vice versa, including social insurance, known as the National Health Insurance as applied in Indonesia. But in fact, there are still people who have not joined the JKN because they assume they must pay dues according to their expensive every month, then there are participants who do not know about JKN. This thesis aims to determine the factors independently associated with participation in the work area BPJS Bogor district office operational services in 2015. This study uses a quantitative research with cross sectional design meaningful measurements of dependent and independent variables held at one time. the total population in this study were 110 people, using a questionnaire measuring devices, analysis is the analysis of univariate and bivariate with chi-square test statuistk. Results of the study six (6) variables significantly associated with the participation of independent education, employment, views on risk, income, premiums and usability and 3 (three) variables were not significantly related to the participation of self-such as age, gender and number of family members also suggested to KLO BPJS the Bogor Regency for dissemination to participants related to how, registration requirements and the benefits of being JKN participants in order to achieve universal coverage.
Keywords: Independent participation, risk of illness, income, premiums, Usability
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Kata kunci: Kepesertaan mandiri, Resiko sakit, Pendapatan, Premi, Kegunaan.
In the insurance world, the better the increasing number of participants and vice versa, including social insurance, known as the National Health Insurance as applied in Indonesia. But in fact, there are still people who have not joined the JKN because they assume they must pay dues according to their expensive every month, then there are participants who do not know about JKN. This thesis aims to determine the factors independently associated with participation in the work area BPJS Bogor district office operational services in 2015. This study uses a quantitative research with cross sectional design meaningful measurements of dependent and independent variables held at one time. the total population in this study were 110 people, using a questionnaire measuring devices, analysis is the analysis of univariate and bivariate with chi-square test statuistk. Results of the study six (6) variables significantly associated with the participation of independent education, employment, views on risk, income, premiums and usability and 3 (three) variables were not significantly related to the participation of self-such as age, gender and number of family members also suggested to KLO BPJS the Bogor Regency for dissemination to participants related to how, registration requirements and the benefits of being JKN participants in order to achieve universal coverage.
Keywords: Independent participation, risk of illness, income, premiums, Usability
S-8952
Depok : FKM UI, 2016
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Shaznia Adzra; Pembimbing: Kurnia Sari; Penguji: Septiara Putri, Taufik Hidayat
Abstrak:
Penelitian ini menganalisis faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan rawat jalan di Indonesia. Penelitian ini merupakan penelitian observasional dengan desain cross sectional menggunakan data Indonesia Life Family Survey-5 tahun 2014 (IFLS 2014). Sampel yang diperoleh sebesar 25.212 orang. Uji hubungan dianalisis dengan menggunakan Chi-square. Hasil penelitian didapatkan pemanfaatan pelayanan kesehatan rawat jalan di Indonesia cukup rendah yaitu sebesar 20,4%. Individu dengan karakteristik lansia (≥46 tahun), berjenis kelamin perempuan, berpendidikan rendah, tidak bekerja, memiliki tingkat pendapatan tinggi, bertempat tinggal di kota, memiliki asuransi kesehatan, dan memiliki kondisi kronis bermakna secara statistik untuk lebih berkemungkinan memanfaatkan pelayanan kesehatan rawat jalan di Indonesia.
Kata kunci: Pemanfaatan pelayanan kesehatan, rawat jalan, IFLS 5, model perilaku Andersen
This study analyzes the factors associated with the utilization of outpatient health services in Indonesia. This is an observational study with a cross sectional design using data from the Indonesia Life Family Survey-5 2014 (IFLS 2014). The sample of total 25.212. The relationship test was analyzed using Chi-square. The results showed that the utilization of outpatient health services in Indonesia was quite low, amounting to 20.4%. Individuals with elderly characteristics (≥46 years), female, low education, unemployed, have high income levels, live in cities, have health insurance, and have chronic conditions are statistically more likely to use outpatient health services in Indonesia.
Key words: Health service utilization, outpatient, IFLS 5, Andersen behavioral model
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Kata kunci: Pemanfaatan pelayanan kesehatan, rawat jalan, IFLS 5, model perilaku Andersen
This study analyzes the factors associated with the utilization of outpatient health services in Indonesia. This is an observational study with a cross sectional design using data from the Indonesia Life Family Survey-5 2014 (IFLS 2014). The sample of total 25.212. The relationship test was analyzed using Chi-square. The results showed that the utilization of outpatient health services in Indonesia was quite low, amounting to 20.4%. Individuals with elderly characteristics (≥46 years), female, low education, unemployed, have high income levels, live in cities, have health insurance, and have chronic conditions are statistically more likely to use outpatient health services in Indonesia.
Key words: Health service utilization, outpatient, IFLS 5, Andersen behavioral model
S-10321
Depok : FKM UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Anne Aryanti; Pembimbing: Prastuti Soewondo; Penguji: Atik Nurwahyuni, Amila Megraini
Abstrak:
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Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan utilisasi rawat jalan tingkat lanjut peserta JKN pada anak yang merupakan pasien diabetes mellitus di Indonesia berdasarkan Data Sampel BPJS Kesehatan Kontekstual Diabetes Mellitus tahun 2015-2020. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain studi observasional yang bersifat cross sectional. Teknik pengambilan sampel menggunakan total sampling dan sampel merupakan seluruh data peserta JKN di Indonesia yang pernah didiagnosis diabetes mellitus di layanan Fasilitas Kesehatan Rujukan Tingkat Lanjut antara tahun 2015-2020. Penelitian ini menggunakan aplikasi olah data Stata. Sampel hasil pembobotan diperoleh sebesar 938 peserta Hasil penelitian diperoleh bahwa utilisasi rawat jalan tingkat lanjut peserta JKN pada anak yang memiliki penyakit diabetes mellitus di Indonesia tahun 2015-2020 sebagian besar diakses oleh peserta dengan jenis kelamin perempuan (80,65%), Jenis FKTP dokter umum (100%), kepemilikan FKRTL swasta (80,64% ), segmentasi kepesertaa PBI APBN (93,05%), hak kelas rawat III (83,53%), wilayah tempat tinggal regional 4 dan 5 (100%), dan memiliki penyakit penyerta (89,58%). Variabel yang memiliki hubungan secara signifikan dengan utilisasi rawat jalan tingkat lanjut adalah jenis FKTP, segmentasi kepesertaan, hak kelas rawat, wilayah tempat tinggal, dan penyakit penyerta. Dari hasil analisis didapatkan nilai Adjusted Odds Ratio (AOR) terbesar yaitu pada peserta yang memiliki penyakit penyerta 18,06 (95% CI: 11,01 – 29,62) yang menunjukkan bahwa peserta dengan penyakit penyerta memiliki peluang sebanyak 18,06 kali untuk melakukan utilisasi pelayanan kesehatan rawat jalan tingkat lanjut dibandingkan peserta yang tidak memiliki penyakit penyerta. Hasil penelitian menyimpulkan bahwa variabel yang paling berpengaruh terhadap pemanfaatan rawat jalan tingkat lanjut diabetes mellitus di Indonesia adalah penyakit penyerta.
This study aims to determine the factors associated with outpatient utilization of JKN participants in children who are diabetes mellitus patients in Indonesia based on the 2015-2020 Diabetes Mellitus Contextual BPJS Health Sample Data. This research is a quantitative study using an observational study design that is cross sectional. The sampling technique uses total sampling and the sample is all data on JKN participants in Indonesia who have been diagnosed with diabetes mellitus at Advanced Referral Health Facilities services between 2015-2020. This study uses the Stata data processing application. The sample of the weighting results was obtained for 938 participants. The results showed that the utilization of advanced outpatient care for JKN participants for children with diabetes mellitus in Indonesia in 2015-2020 was mostly accessed by participants with female sex (80.65%), FKTP types of general practitioners (100%), ownership Private FKRTL (80.64%), APBN PBI membership segmentation (93.05%), right to class III care (83.53%), region of residence regional 4 and 5 (100%), and have comorbidities (89, 58%). Variables that have a significant relationship with the utilization of advanced outpatient care are the type of FKTP, membership segmentation, treatment class entitlement, area of residence, and comorbidities. From the analysis results, the largest Adjusted Odds Ratio (AOR) value was obtained for participants who had comorbidities of 18.06 (95% CI: 11.01 – 29.62) which indicated that participants with comorbidities had 18.06 times the chance of making use of advanced outpatient health services compared to participants who do not have comorbidities. The results of the study concluded that the variables that most influenced the use of advanced diabetes mellitus outpatient care in Indonesia were comorbidities.
S-11390
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Suci Wulandari; Pembimbing: Vetty Yulianty Permanasari; Penguji: Pujiyanto, Lia Y. Surosa
Abstrak:
Penelitian ini membahas tentang faktor-faktor yang berhubungan dengan tingkat pengetahuan calon peserta perorangan yang mendaftar di Kantor BPJS Kesehatan Cabang Utama Jakarta Pusat tentang sistem pendaftaran. Tujuan penelitian ini untuk mengetahui gambaran umur, jenis kelamin, pendidikan, pekerjaan, penghasilan, sosialisasi langsung dan tidak langsung yang dilakukan oleh pihak BPJS Kesehatan serta hubungannya dengan tingkat pengetahuan calon peserta perorangan BPJS Kesehatan. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross sectional. Berdasarkan hasil penelitian, responden yang memiliki tingkat pengetahuan kurang yaitu sebesar 55,2%. Terdapat perbedaan yang signifikan antara umur, pendidikan, penghasilan, dan sosialisasi tidak langsung dengan tingkat pengetahuan.
Kata kunci: Calon peserta perorangan, BPJS Kesehatan, tingkat pengetahuan, sosialisasi tidak langsung, sistem pendaftaran.
This research discusses the factors associated with knowledge level of individual potential participant regarding registration system in Central Jakarta main branch office of BPJS Kesehatan in 2015. This research aims to describe the age, sex, education, occupation, income, direct and indirect socialization conducted by BPJS Kesehatan, and determine its relationship with the knowledge level of individual potential participant. This is a quantitative research with cross-sectional study design. The result showed that 55.2% of respondents have less knowledge level. There were significant differences between age, education, income, and indirect socialization with the knowledge level.
Keywords: Individual potential participant, BPJS Kesehatan, knowledge level, indirect socialization, registration system.
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Kata kunci: Calon peserta perorangan, BPJS Kesehatan, tingkat pengetahuan, sosialisasi tidak langsung, sistem pendaftaran.
This research discusses the factors associated with knowledge level of individual potential participant regarding registration system in Central Jakarta main branch office of BPJS Kesehatan in 2015. This research aims to describe the age, sex, education, occupation, income, direct and indirect socialization conducted by BPJS Kesehatan, and determine its relationship with the knowledge level of individual potential participant. This is a quantitative research with cross-sectional study design. The result showed that 55.2% of respondents have less knowledge level. There were significant differences between age, education, income, and indirect socialization with the knowledge level.
Keywords: Individual potential participant, BPJS Kesehatan, knowledge level, indirect socialization, registration system.
S-8636
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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