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Backgorund: The high of outpatient revisit in hospital from INA CBG Claims with grouping code Q-5-44-0 since 2014 can be a burden on health assurance (JKN) financing. Based on INA CBG system, grouping code: Q- 5-44-0 is set for follow up after treatment visit at secondary health facilities. This condition needs indepth analysis to find factor which is related with outpatient revisit rate. Methodology: This study used a cross-sectional study (quantitative methods) to observe relationship between independent variables of JKN participant (gender, age cluster, participant cluster) and hospital (ownership type, hospital referral class, specialist clinic) with outpatient revisit rate (dependent variable). Sample size were 2.947 participant identities as uniqely code which is presented every participant from nine branch offices of BPJS Kesehatan (Indonesia administration bodies of social health security). Results: the average number of 9.96 visits in 2017 was highest in Class B FKRTL (51.5%) and the highest specialist poly destination was internal medicine poly (27.5%). There is no average difference between the number of outpatient revisit for women and men, there is no difference in the average number of outpatient revisit between government and private ownership, and there is no difference in the number of outpatient revisit between age groups. There is an average difference in the number of outpatient revisit between subsidized participan and Non-subsidized participan, there are differences in the number of outpatient revisit between hospital classes, and there is a significant difference in the number of outpatient revisit between specialists clinic. Hospital class and specialist clinic have a positive influence on the number of return visits while the participation segment has a negative influence on the number of return visits. Non-subsidized participan, hospital class B, neurosurgical poly, gastrology poly, geriatric poly, kidney poly, emergency clinic, eye clinic, poly obgyn, and poly rheumatology had negative effect while subsidized participan, hospital class A, C, and with other specialist clinic had a positive effect on the number of outpatient revisit.
Peserta PBPU nonaktif per Juli 2021 mencapai 16,6 juta, 3,3 juta lebih banyak dari pada Desember 2019. Data Laporan Pengelolaan Program Tahun 2020 menunjukkan pada tahun 2019 BPJS Kesehatan memiliki 224.149.019 peserta terdaftar JKN sedangkan pada 2020 berkurang sebesar 1.687.113 peserta. Penelitian ini mengidentifikasi faktor-faktor yang mempengaruhi kepatuhan peserta mandiri dalam membayar iuran JKN di masa pandemi Covid-19. Penelitian ini berbentuk narative systematic review dengan pendekatan kualitatif. Pencarian artikel menggunakan basis data GARUDA Kemdikbud dan Google Scholar. Hasil pencarian ditemukan 7 artikel terseleksi berdasarkan kriteria inklusi dan eksklusi. Pada penelitian ini ditemukan bahwa tingkat kepatuhan peserta berkisar antara 25,9–69%. Dari ketujuh artikel tersebut didapatkan bahwa peserta yang patuh membayar iuran JKN adalah peserta yang memiliki pendidikan tinggi, pendapatan tinggi, persepsi positif terhadap pelayanan kesehatan, bekerja, berpengetahuan cukup, berkemauan membayar tinggi, dan memiliki kecenderungan tinggi untuk mengikuti kelompok rujukan. Pengetahuan menjadi faktor signifikan yang berhubungan dengan kepatuhan membayar iuran JKN. BPJS Kesehatan diharapkan untuk dapat lebih massif melakukan berbagai upaya edukasi melalui media sosial dengan melibatkan influencer sebagai brand ambassador untuk meningkatkan pengetahuan peserta JKN akan pentingnya kepatuhan membayar iuran JKN.
