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Aprillia Sriduma Tambunan; Pembimbing: Kurnia Sari; Penguji: Mardiati Nadjib, La Ode
Abstrak:
Penelitian ini bertujuan untuk menghitung biaya rata-rata 10 diagnosa penyakit terbanyak dan termahal peserta Program Pelayanan Kesehatan Karawang Sehat di Kabupaten Karawang periode Januari-Desember 2018. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan menggunakan desain cross sectional. Data yang digunakan dalam penelitian ini adalah data sekunder yang didapatkan dari data klaim Program Pelayanan Kesehatan Karawang Sehat. Analisis yang dilakukan adalah analisis Univariat. Hasil penelitian ini menunjukkan bahwa peserta laki-laki mendapatkan pelayanan rawat inap terbanyak yaitu 50,4% dari seluruh klaim. Rata-rata umur peserta yang mendapatkan pelayanan rawat inap adalah 33,41 tahun dan rata-rata lama hari rawat adalah 4,86 hari. Typhoid Fever merupakan penyakit rawat inap terbanyak, penyakit rawat inap termahal yaitu Hydrocephalus, unspecified dengan biaya Rp213.576.000,00. Biaya rata-rata perawatan paling besar peserta Program Pelayanan Kesehatan Karawang Sehat periode Januari - Desember 2018 pada 10 penyakit rawat inap terbanyak adalah penyakit Tuberculosis of lung, confirmed by unspecified means yaitu sebesar Rp5.393.807,55 dan pada 10 penyakit rawat inap termahal adalah Presence of cerebrospinal fluid drainage device yaitu sebesar Rp34.804.500,00. Saran untuk Program Pelayanan Kesehatan Karawang Sehat adalah melakukan kegiatan promotif dan preventif pada penyakit-penyakit rawat inap yang terbanyak terjadi pada peserta Program Pelayanan Kesehatan Karawang Sehat. Melakukan pemeriksaan berulang terhadap klaim 10 diagnosa penyakit rawat inap termahal dengan jumlah kasus yang besar untuk menghindari terjadinya pembengkakan biaya dan fraud. Melakukan kerjasama dengan Dinas Sosial dan Dinas Kependudukan Dan Catatan Sipil untuk mengatasi data kependudukan penduduk miskin Kabupaten Karawang, sehingga dapat diintegrasikan ke dalam skema Jaminan Kesehatan Nasional.
This study aims to calculate top 10 diagnosis of disease and top 10 expensive disease inpatient care among participants of the Healthy Karawang Health Service Program in Karawang Regency, January-December 2018. This research is a quantitative descriptive study using a cross sectional design. The data used in this study are secondary data obtained from the claims data of the Karawang Sehat Health Service Program. The analysis carried out was Univariate analysis. The results of this study indicate that the male participants received the most inpatient services, namely 50.4% of all claims. The average age of participants who received inpatient services was 33.41 years and the average length of stay was 4.86 days. Typhoid Fever is the most hospitalized disease, the most expensive inpatient disease, Hydrocephalus, unspecified at a cost of Rp213.576.000,00. The highest average cost of care for participants in the Healthy Karawang Health Service Program for the period of January - December 2018 in the 10 most inpatient diseases was Tuberculosis of Lung, confirmed by unspecified means which was Rp5.393.807,55 and in the 10 most expensive inpatient diseases Presence of cerebrospinal fluid drainage device is Rp34.804.500,00. Suggestions for the Karawang Sehat Health Service Program are to carry out promotive and preventive activities in hospitalized diseases, which mostly occur in the participants of the Healthy Karawang Health Service Program. Conduct repeated checks on claims of 10 most expensive inpatient diagnoses with a large number of cases to avoid the occurrence of cost overruns and fraud. Collaborating with the Social Service and Population and Civil Registry Service to address the population data of the poor population of Karawang Regency, so that it can be integrated into the National Health Insurance scheme.
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This study aims to calculate top 10 diagnosis of disease and top 10 expensive disease inpatient care among participants of the Healthy Karawang Health Service Program in Karawang Regency, January-December 2018. This research is a quantitative descriptive study using a cross sectional design. The data used in this study are secondary data obtained from the claims data of the Karawang Sehat Health Service Program. The analysis carried out was Univariate analysis. The results of this study indicate that the male participants received the most inpatient services, namely 50.4% of all claims. The average age of participants who received inpatient services was 33.41 years and the average length of stay was 4.86 days. Typhoid Fever is the most hospitalized disease, the most expensive inpatient disease, Hydrocephalus, unspecified at a cost of Rp213.576.000,00. The highest average cost of care for participants in the Healthy Karawang Health Service Program for the period of January - December 2018 in the 10 most inpatient diseases was Tuberculosis of Lung, confirmed by unspecified means which was Rp5.393.807,55 and in the 10 most expensive inpatient diseases Presence of cerebrospinal fluid drainage device is Rp34.804.500,00. Suggestions for the Karawang Sehat Health Service Program are to carry out promotive and preventive activities in hospitalized diseases, which mostly occur in the participants of the Healthy Karawang Health Service Program. Conduct repeated checks on claims of 10 most expensive inpatient diagnoses with a large number of cases to avoid the occurrence of cost overruns and fraud. Collaborating with the Social Service and Population and Civil Registry Service to address the population data of the poor population of Karawang Regency, so that it can be integrated into the National Health Insurance scheme.
S-9916
Depok : FKM-UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Trensnani suci Nurani; Pembimbing: Ronnie Rivany; Penguji: Pujiyanto, Heru Susmono
Abstrak:
Sektor pelayanan Rawat Inap cenderung menyerap biaya terbesar di era Jamkesmas, sedangkan di era JKN ini belum diketahui gambaran utilisasi rawat inap khususnya lama hari rawat yang seharusnya mendapat perhatian khusus sebagai salah satu variabel data dasar untuk merevisi tarif. Kabupaten Bogor sendiri merupakan wilayah terpadat di Provinsi Jawa Barat dengan tingkat utilisasi tertinggi kedua di Indonesia. Studi ini menggunakan pendekatan kuantitatif dan desain studi cross sectional dan fokus pada dua kasus berbiaya tertinggi. Hasil penelitian pada kasus prosedur operasi dan pembedahan caesar hanya derajat keparahan yang mempunyai hubungan bermakna dengan lama hari rawat. Sedangkan pada kasus peradangan dan infeksi pernafasan variabel status kepesertaan, jenis rumah sakit dan derajat keparahan mempunyai hubungan bermakna dengan lama hari rawat. Hal ini menunjukkan bahwa ada potensi lama hari rawat yang seharusnya didasarkan semata pada indikasi medis ikut dipengaruhi oleh faktor non medis lainnya yang perlu disoroti lebih lanjut. Kata kunci: JKN, lama hari rawat, rawat inap, utilisasi
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S-8768
Depok : FKM-UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Galih Permana; Pembimbing: Pujiyanto; Penguji: Purnawan Junadi, Vetty Yulianty Permanasari, Mursalim, Ubbay Ujziana
T-4606
Depok : FKM-UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Riska Andewi; Pembimbing: Pujiyanto; Penguji: Vetty Yulianti Permanasari, Untung Patri Wicaksono Pribadi
Abstrak:
Penelitian bertujuan untuk mengetahui gambaran kepatuhan peserta PRB BPJS Kesehatan Jakarta Selatan dalam meminum obat PRB dan apa faktor-faktor yang mempengaruhinya. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross sectional. Pengumpulan data dilakukan di 2 apotek penyelenggara pelayanan PRB terbesar se-Jakarta Selatan dengan menggunakan instrumen kuesioner. Hasil analisis dari 100 responden penelitian didapatkan proporsi kepatuhan peserta PRB BPJS Kesehatan Jakarta Selatan dalam meminum obat PRB sebesar 39%, di mana terdapat hubungan signifikan antara tingkat pengetahuan peserta PRB terkait penyakit dan aturan pengobatan (p value < 0,01; OR = 23,296), motivasi (p value < 0,01; OR = 13,940), dan dukungan sosial (p value = 0,033; OR = 2,843) dengan kepatuhan dalam meminum obat. Variabel jenis kelamin, umur, diagnosis penyakit, ketersediaan obat, dan jumlah jenis obat tidak memiliki hubungan yang signifikan terhadap kepatuhan peserta dalam meminum obat. Kata kunci: PRB, Program Rujuk Balik, Kepatuhan, BPJS Kesehatan
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S-9958
Depok : FKM-UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Ana Elsiana Missa; Pembimbing : Kurnia Sari; Penguji: Atik Nurwahyuni, Astrid Saraswaty Dewi
S-10383
Depok : FKM-UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Julia Istiqomah Puteri; Pembimbing: Pujiyanto; Penguji: Vetty Yulianty, Radiah Nazmah Sari
S-8894
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Apriliya Prihayati; Pembimbing: Budi Hidayat; Penguji: Pujiyanto, Prastuti Soewondo, Citra Jaya, Nana Tristiana
Abstrak:
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Tingginya biaya pengobatan merupakan salah satu kendala dalam mengakses layanan kesehatan yang terjangkau bagi kelompok miskin dan rentan miskin, sehingga pemerintah Indonesia membuat program JKN melalui skema subsidi/bantuan iuran jaminan untuk menjamin kelompok tersebut dalam memenuhi kebutuhan pemeliharaan kesehatan tanpa kesulitan membayar. Penelitian ini bertujuan untuk mengetahui pengaruh jaminan kesehatan terhadap pemanfaatan dan biaya pelayanan kesehatan (OOP) rawat jalan bagi peserta jaminan bersubsidi dan tidak bersubsidi. Desain studi ini adalah cross-sectional menggunakan data Susenas 2018 dengan sampel memenuhi kriteria inklusi sebanyak 66.132 responden. Hasil analisis menunjukan bahwa dengan adanya jaminan kesehatan dapat meningkatkan pemanfaatan pelayanan kesehatan rawat jalan bagi peserta asuransi jaminan bersubsidi sebesar 49% dan tidak berubsidi sebesar 48% serta dari hasil analisis masih terdapat OOP pada pelayanan kesehatan rawat jalan yang disebabkan peran ganda provider dan asimetrik informasi yang menyebabkan fenomena Supplier Induced Demand (SID). Oleh karena itu perlu dilakukan penegakan monitoring dan evaluasi terhadap fungsi kontrol BPJS Kesehatan sehingga tujuan jaminan kesehatan dapat memberikan perlindungan keuangan dapat terwujud.
The high cost of treatment is one of the obstacles in accessing affordable health services for the poor and vulnerable, so the Indonesian government created the JKN program through a guarantee scheme for contributions / subsidy assistance to ensure groups meet health care needs without difficulty paying. This study aims to determine the effect of health insurance on the utilization and cost of outpatient health services (OOP) for participants in subsidized and non-subsidized insurance. The study design was cross- sectional and quantitative approach of secondary data (data Susenas 2018) with the amount of research sampels which fit with inclusive criteria was 66,132 respondents. The analysis shows that the existence of health insurance can increase the utilization of outpatient health care services for subsidized is 49% and non-subsidized is 48% and from the results of the analysis there are still OOP in outpatient health services due to the dual role of providers and asymmetries. information that causes the supplier induced demand (SID). Therefore it is necessary to monitor and evaluate the BPJS Health control function so that the goal of health insurance can provide financial protection can be realized.
The high cost of treatment is one of the obstacles in accessing affordable health services for the poor and vulnerable, so the Indonesian government created the JKN program through a guarantee scheme for contributions / subsidy assistance to ensure groups meet health care needs without difficulty paying. This study aims to determine the effect of health insurance on the utilization and cost of outpatient health services (OOP) for participants in subsidized and non-subsidized insurance. The study design was cross- sectional and quantitative approach of secondary data (data Susenas 2018) with the amount of research sampels which fit with inclusive criteria was 66,132 respondents. The analysis shows that the existence of health insurance can increase the utilization of outpatient health care services for subsidized is 49% and non-subsidized is 48% and from the results of the analysis there are still OOP in outpatient health services due to the dual role of providers and asymmetries. information that causes the supplier induced demand (SID). Therefore it is necessary to monitor and evaluate the BPJS Health control function so that the goal of health insurance can provide financial protection can be realized.
T-5943
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sri Kusmiyati; Pemb. Budi Hidayat; Penguji: Pujiyanto, Togi Asman Sinaga, Feurah Dihan Bahar
T-2706
Depok : FKM UI, 2007
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Arinditya Septiandri Pujiastuti; Pembimbing: Ede Surya Darmawan; Penguji: Mardiati Nadjib, Hilmi
Abstrak:
Pelayanan Farmasi merupakan salah satu penunjang pelayanan kesehatanyang bermutu di rumah sakit, sehingga perbekalan farmasi terutama obat memerlukan pengelolaan dengan konsep manajemen logistik yang bermutu. Ditemukannya data stock out sebanyak 52,8% obat SMF internist dengan yang tidak terdaftar di formularium sebanyak 36%. Tujuan dari penelitian ini adalahuntuk mengetahui pengendalian obat SMF internist menggunakan metodeAnalisis ABC indeks kritis. Penelitian ini memberikan gambaran mengenai proses pengendalian persediaan obat SMF Internist dengan menggunakan metode Analisis ABC di RSU Hasanah Graha Afiah Tahun 2011. Penelitian ini merupakan penelitian deskriptif kualitatif dengan 2 orang informan dan 2 orang user (dokter internist), Hasil penelitian ini menunjukkan kelompok A indeks kritis terdiri atas 57 item (11%) dengan nilai investasi Rp.165.566.630, kelompok Bterdiri atas 241 item obat (46%) dengan nilai investasi Rp. 357.334.193, kelompokC terdiri atas 214 item obat (41%) dengan nilai investasi Rp. 24.887.825 .Kata kunci : Pengendalian Persediaan, Obat SMF Internist, ABC Indeks Kritis
Pharmacy services is one of supporting health sevices in hospitals, so thatthe drug primarily pharmaceuticals require management to logistics managementconcept of quality. Data discovery of as much as 52,8% stock out SMF Internistdrug that is not listed on formulary as much as 36% . The purpose of this studywas to determine the drug control internist SMF ABC analysis method in RSUHasanah Graha Afiah in 2011. This research is a qualitative descriptive study withtwo informants and 2 user (physician internist), the results of this studydemonstrate the critical index of group A consisted of 57 items (46%) with aninvestment of Rp.165.566.630, group B consisted of 241 drug items (46%) withann investment of Rp. 357.334.193, group C consisted of 214 drug items (41%)with an investment of Rp.24.887.825Key words:Inventory control drugs, internist, ABC index critical.
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Pharmacy services is one of supporting health sevices in hospitals, so thatthe drug primarily pharmaceuticals require management to logistics managementconcept of quality. Data discovery of as much as 52,8% stock out SMF Internistdrug that is not listed on formulary as much as 36% . The purpose of this studywas to determine the drug control internist SMF ABC analysis method in RSUHasanah Graha Afiah in 2011. This research is a qualitative descriptive study withtwo informants and 2 user (physician internist), the results of this studydemonstrate the critical index of group A consisted of 57 items (46%) with aninvestment of Rp.165.566.630, group B consisted of 241 drug items (46%) withann investment of Rp. 357.334.193, group C consisted of 214 drug items (41%)with an investment of Rp.24.887.825Key words:Inventory control drugs, internist, ABC index critical.
S-7561
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Asianti Yasmuarsih; Pembimbing: Mardiati Nadjib; Penguji: Prastuti Soewondo, Pujiyanto, Marlina Widyadewi, Endang Kartika Wahyuningsih
T-3187
Depok : FKM UI, 2010
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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