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Prita Cipta Sari; Pemb. Hendrik Manarang Taurany; Penguji: Jaslis Ilyas, Sugma Agung Purboyo
S-5281
Depok : FKM UI, 2008
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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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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Eka Nuryani; Pembimbing: Pujiyanto; Penguji: Ronnie Rivany, Mohammad Yani
S-4785
Depok : FKM UI, 2006
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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Nurrahmawati; Pembimbing: Amal C. Sjaaf, Mardiati Nadjib; Penguji: Ede Surya Darmawan, Rina Fitriani Bahar
Abstrak:
Latar Belakang : Jenis Pelayanan Rawat Jalan Tingkat Pertama yang diberikan oleh suatu Puskesmas berupa Pelayanan kesehatan Dasar (Yankesdas), pelayanan persalinan, dan revitalisasi posyandu (Revipos); Proposi kunjungan Keluarga miskin (gakin) terhadap jumlah keluarga miskin yang terdaftar pada masing-masing puskesmas; maupun kebijakan yang ditetapkan, diduga berhubungan dengan pemanfaatan dana kesehatan program Jaminan Pemeliharaan Keluarga Miskin (JPK-Gakin) untuk pelayanan Rawat Jalan Tingkat Pertama (RJTP) pada Puskesmas. Hal ini tergambar pada penelitian tentang Analisa Kesesuaian Pemanfaatan Dana Kesehatan Program JPK-Gakin untuk Pelayanan Rawat Jalan Tingkat Pertama (RJTP) pada 6 (Enam) Puskesmas di kota Depok, tahun 2004.
Tujuan : Penelitian ini bertujuan untuk mengetahui apakah pemanfaatan dana Program Jaminan Pemelihaan Keluarga Miskin (JPK-Gakin) di Puskesmas sudah sesuai dengan peruntukannya atau tidak, dan bagaimana pengaruh kebijakan yang berlaku.
Disain : Penelitian ini adalah riset evaluasi (evaluative research). Populasi adalah 27 Puskesmas yang menyampaikan Laporan Pelaksanaan Kegiatan dan Keuangan PKPS BBM Bidang Kesehatan kepada Dinas Kesehatan kota Depok untuk tahun 2004, yang secara purposif di pilih 6 (Enam) puskesmas yang merupakan sample penelitian. Enam Puskesmas yang di pilih adalah 3 (tiga) Puskesmas dengan jumlah Keluarga miskin (Gakin) tertinggi dan 3 (tiga) Puskesmas dengan jumlah Keluarga miskin (Gakin) terendah di kota Depok, dan di lakukan kajian pada data sekunder yang bersifat kuantitatif, serta di lakukan penelusuran kepada data primer (wawancara, dan diskusi dengan pihak puskesmas) yang bersifat kualitatif. Pengolahan data kuantitatif menggunakan analisis univariat, analisis bivariat (uji T Independent).
Hasil : penelitian menunjukkan bahwa pemanfaatan dana pada jenis pelayanan kesehatan dasar (yankesdas) dan revitalisasi posyandu (revipos) tidak terkait dengan jumlah keluarga miskin (gakin) yang terdaftar pada masing-masing puskesmas, karena sebagian besar pemanfaatan dana dialokasikan kepada biaya yang bersifat non pelayanan medis kepada pasien Jaminan Pemeliharaan Keluarga Miskin (JPK-Gakin). Sementara untuk persalinan, di ketahui bahwa dari laporan yang di sampaikan oleh masing-masing puskesmas kepada Dinas Kesehatan kota Depok masih belum sesuai dengan standar cost yang ditetapkan untuk setiap ibu bersalin (bulin) dari keluarga miskin yang di tolong bidan, yakni Rp. 200.000,-.
Kesimpulan : Dalam analisa kesesuaian pemanfaatan dana kesehatan program JPK-Gakin untuk Pelayanan Rawat Jalan Tingkat Pertama (RJTP) pada 6 (Enam) Puskesmas di kota Depok tahun 2004, masih belum sesuai dengan kebijakan yang di tetapkan, proporsi kunjungan terhadap jumlah peserta keluarga miskin (gakin) pada masing-masing puskesmas belum optimal, hal ini di tunjukkan oleh adanya perbedaan yang signifikan expenditure per unit kunjungan untuk pelayanan kesehatan dasar pada masing-masing puskesmas yang di teliti.
Kata Kunci : RJTP, JPK-GAKIN, Expenditure, Yankesdas, Revipos, riset evaluasi.
Background : First Level Outpatient Services provided by a community health center are Primary Health Care (Yaskandes), giving birth services, and revitalization of community-based integrated service posts (Posyandu) (Revipos). The proportion of poor family visit to the number of poor families registered at each community health center and the policies established are expected to be related to the utilization of the Poor Family Care Guarantee Program (JKP-Gakin) health funds for first level outpatient services in the health centers. This is revealed by the research on Analysis of the Conformity of Health Fund Utilization of Poor Family Care Guarantee Program for First Level Outpatient Services at six community health centers in Depok, in 2004.
Aim : This research is aimed at knowing whether the utilization of the fund at health centers has conformed to what it is meant for or not, and how the policy influences are.
Design : This research is an evaluative research. The population is 27 community health centers giving the Report of Activity Implementation and Subsidy Reduction Compensation Program Finance (PKPS BBM) in health to Health Office in Depok in 2004. Six community health centers were purposively selected as research samples. Three of the health centers are the highest poor family number's health centers and the rest are the lowest in Depok. The secondary data were analyzed quantitatively, while the primary one (interview, discussion with health center personnel) were studied qualitatively. The quantitative data were processed using univariate and bivariate analyses (Independent T test).
Result : The results show that the fund utilization for Primary Health Care and revitalization of community-based integrated service posts is not related to the number of poor families registered in each health center because the funds are mostly allocated to finance non-medical services for poor family care guarantee outpatients. Meanwhile, for giving birth, it was known from reports given by each of the health centers to Depok Health Offices that the utilization has still not conformed to the standard cost determined for every giving birth mother of poor families helped by midwives, namely Rp 200,000.
Conclusion : Hence, it is concluded that the utilization of the health funds has not complied with the policy determined; the proportion of visit to the number of poor family participants at each health center has not been optimum. This is indicated by significant difference of expenditure per unit of visit for primary health care at every community health centers studied.
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Tujuan : Penelitian ini bertujuan untuk mengetahui apakah pemanfaatan dana Program Jaminan Pemelihaan Keluarga Miskin (JPK-Gakin) di Puskesmas sudah sesuai dengan peruntukannya atau tidak, dan bagaimana pengaruh kebijakan yang berlaku.
Disain : Penelitian ini adalah riset evaluasi (evaluative research). Populasi adalah 27 Puskesmas yang menyampaikan Laporan Pelaksanaan Kegiatan dan Keuangan PKPS BBM Bidang Kesehatan kepada Dinas Kesehatan kota Depok untuk tahun 2004, yang secara purposif di pilih 6 (Enam) puskesmas yang merupakan sample penelitian. Enam Puskesmas yang di pilih adalah 3 (tiga) Puskesmas dengan jumlah Keluarga miskin (Gakin) tertinggi dan 3 (tiga) Puskesmas dengan jumlah Keluarga miskin (Gakin) terendah di kota Depok, dan di lakukan kajian pada data sekunder yang bersifat kuantitatif, serta di lakukan penelusuran kepada data primer (wawancara, dan diskusi dengan pihak puskesmas) yang bersifat kualitatif. Pengolahan data kuantitatif menggunakan analisis univariat, analisis bivariat (uji T Independent).
Hasil : penelitian menunjukkan bahwa pemanfaatan dana pada jenis pelayanan kesehatan dasar (yankesdas) dan revitalisasi posyandu (revipos) tidak terkait dengan jumlah keluarga miskin (gakin) yang terdaftar pada masing-masing puskesmas, karena sebagian besar pemanfaatan dana dialokasikan kepada biaya yang bersifat non pelayanan medis kepada pasien Jaminan Pemeliharaan Keluarga Miskin (JPK-Gakin). Sementara untuk persalinan, di ketahui bahwa dari laporan yang di sampaikan oleh masing-masing puskesmas kepada Dinas Kesehatan kota Depok masih belum sesuai dengan standar cost yang ditetapkan untuk setiap ibu bersalin (bulin) dari keluarga miskin yang di tolong bidan, yakni Rp. 200.000,-.
Kesimpulan : Dalam analisa kesesuaian pemanfaatan dana kesehatan program JPK-Gakin untuk Pelayanan Rawat Jalan Tingkat Pertama (RJTP) pada 6 (Enam) Puskesmas di kota Depok tahun 2004, masih belum sesuai dengan kebijakan yang di tetapkan, proporsi kunjungan terhadap jumlah peserta keluarga miskin (gakin) pada masing-masing puskesmas belum optimal, hal ini di tunjukkan oleh adanya perbedaan yang signifikan expenditure per unit kunjungan untuk pelayanan kesehatan dasar pada masing-masing puskesmas yang di teliti.
Kata Kunci : RJTP, JPK-GAKIN, Expenditure, Yankesdas, Revipos, riset evaluasi.
Background : First Level Outpatient Services provided by a community health center are Primary Health Care (Yaskandes), giving birth services, and revitalization of community-based integrated service posts (Posyandu) (Revipos). The proportion of poor family visit to the number of poor families registered at each community health center and the policies established are expected to be related to the utilization of the Poor Family Care Guarantee Program (JKP-Gakin) health funds for first level outpatient services in the health centers. This is revealed by the research on Analysis of the Conformity of Health Fund Utilization of Poor Family Care Guarantee Program for First Level Outpatient Services at six community health centers in Depok, in 2004.
Aim : This research is aimed at knowing whether the utilization of the fund at health centers has conformed to what it is meant for or not, and how the policy influences are.
Design : This research is an evaluative research. The population is 27 community health centers giving the Report of Activity Implementation and Subsidy Reduction Compensation Program Finance (PKPS BBM) in health to Health Office in Depok in 2004. Six community health centers were purposively selected as research samples. Three of the health centers are the highest poor family number's health centers and the rest are the lowest in Depok. The secondary data were analyzed quantitatively, while the primary one (interview, discussion with health center personnel) were studied qualitatively. The quantitative data were processed using univariate and bivariate analyses (Independent T test).
Result : The results show that the fund utilization for Primary Health Care and revitalization of community-based integrated service posts is not related to the number of poor families registered in each health center because the funds are mostly allocated to finance non-medical services for poor family care guarantee outpatients. Meanwhile, for giving birth, it was known from reports given by each of the health centers to Depok Health Offices that the utilization has still not conformed to the standard cost determined for every giving birth mother of poor families helped by midwives, namely Rp 200,000.
Conclusion : Hence, it is concluded that the utilization of the health funds has not complied with the policy determined; the proportion of visit to the number of poor family participants at each health center has not been optimum. This is indicated by significant difference of expenditure per unit of visit for primary health care at every community health centers studied.
T-2157
Depok : FKM UI, 2005
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Amilia Wulandhani; Pembimbing: Anhari Achadi; Penguji: Atik Nurwahyuni, Pujiyanto, Lina Marlina, Donni Hendrawan
Abstrak:
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Ageing population merupakan permasalahan bagi sistem kesehatan di berbagai negara. Lansia merupakan kelompok rentan yang berisiko tinggi menderita penyakit tidak menular kronis, multimorbiditas, serta disabilitas. FKTP menjadi akses pelayanan kesehatan terdekat lansia berkaitan dengan sistem berjenjang dalam skema JKN. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan rawat jalan tingkat pertama pada lansia peserta JKN tahun 2022. Penelitian dilakukan dengan pendekatan cross-sectional menggunakan data sampel BPJS Kesehatan tahun 2023. Pemanfaatan pelayanan RJTP pada lansia peserta JKN tahun 2022 adalah 43,35%. Terdapat hubungan signifikan antara kelompok usia, jenis kelamin, hubungan keluarga, segmen peserta, wilayah tempat tinggal, riwayat penyakit kronis, jenis FKTP, dan kepemilikan FKTP dengan pemanfaatan pelayanan RJTP pada lansia. Faktor yang paling dominan berhubungan dengan pemanfaatan pelayanan RJTP pada lansia adalah riwayat penyakit kronis dimana lansia dengan riwayat penyakit kronis berpeluang lebih besar (AOR 41,84; 95% CI 37,35-46,87; p value 0,000) memanfaatkan pelayanan RJTP dibandingkan lansia tanpa riwayat penyakit kronis. Diperlukan kerja sama antara Kementerian Kesehatan, BPJS Kesehatan, dan pemerintah daerah untuk mengoptimalkan program pelayanan kesehatan lansia seperti ILP, Prolanis, serta mengedukasi masyarakat untuk meningkatkan pemanfaatan pelayanan RJTP pada lansia.
The ageing population is a problem for the health system across countries. The elderly are a vulnerable population with higher risk of chronic diseases, multimorbidity, and disability. Primary care facilities (FKTP) are the closest access to health services for elderly related to the tiered system in JKN scheme. This study aims to determine factors associated with the utilization of primary outpatient services (RJTP) among elderly JKN participants in 2022. This is a cross-sectional study using BPJS Kesehatan sample data in 2023. This study found RJTP utilization among elderly JKN participants in 2022 was 43,35%. There is a significant relationship between age group, gender, family relationship, participant segment, area of residence, chronic condition, type of FKTP, and ownership of FKTP with the utilization of RJTP. The most dominant factor related to the utilization of RJTP is chronic conditions, where elderly with a chronic disease have a greater chance (AOR 41,84; 95% CI 37,35–46,87; p value 0.000) of utilizing RJTP compared to elderly without a chronic disease. Collaboration is needed between Kementerian Kesehatan, BPJS Kesehatan, and local government to optimize elderly health service programs such as ILP, Prolanis, and educate people to increase RJTP utilization for the elderly.
T-7056
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ary Imelda; Pembimbing: Mardiati Nadjib
S-2350
Depok : FKM UI, 2001
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Evi Alviah; Pembimbing: Suharnyoto Martomulyono
S-1817
Depok : FKM UI, 2000
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nabilah Noviyanti Putri; Pembimbing: Vetty Yulianty Permanasari; Penguji: Purnawan Junadi, Erfan Chandra Nugraha
Abstrak:
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Pelayanan Rawat Jalan Tingkat Pertama (RJTP) memiliki peran strategis dalam pengelolaan diabetes melitus pada peserta Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan untuk menganalisis keteraturan kunjungan RJTP serta faktor-faktor yang memengaruhinya pada peserta JKN penderita diabetes melitus di Provinsi Jawa Tengah. Penelitian menggunakan desain kuantitatif dengan pendekatan cross-sectional dan memanfaatkan data sekunder sampel BPJS Kesehatan tahun 2024, melibatkan 10.834 peserta diabetes melitus tipe 1 dan tipe 2. Analisis dilakukan secara univariat dan bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa rata-rata kunjungan RJTP sebesar 9,54 kali per tahun, namun sebagian besar peserta masih tergolong tidak rutin. Terdapat hubungan signifikan antara utilisasi RJTP dengan usia, jenis kelamin, segmentasi kepesertaan, jenis FKTP, wilayah tempat tinggal, dan jenis diabetes melitus. Temuan ini menunjukkan adanya ketimpangan keteraturan kunjungan pelayanan primer dan perlunya penguatan peran FKTP dalam pengelolaan diabetes melitus untuk meningkatkan keteraturan kunjungan dan efisiensi pembiayaan JKN.
Primary Outpatient Services (RJTP) play a strategic role in the management of diabetes mellitus in National Health Insurance (JKN) participants. This study aims to analyze the regularity of RJTP visits and the factors influencing it in JKN participants with diabetes mellitus in Central Java Province. The study used a quantitative design with a cross-sectional approach and utilized secondary data from the 2024 BPJS Kesehatan sample, involving 10,834 participants with type 1 and type 2 diabetes mellitus. Analysis was performed using univariate and bivariate analyses using the chi-square test. The results showed that the average RJTP visit was 9.54 times per year, but most participants were still classified as irregular. There was a significant relationship between RJTP utilization and age, gender, participant segmentation, type of FKTP, area of residence, and type of diabetes mellitus. These findings indicate an imbalance in the regularity of primary care visits and the need to strengthen the role of FKTP in diabetes mellitus management to improve visit regularity and JKN financing efficiency.
S-12212
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Muhammad Arzumar Afzaal Ghiffari; Pembimbing: Zakianis; Penguji: Atik Nurwahyuni, Yulia Fitria Ningrum
Abstrak:
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Diare merupakan salah satu penyakit yang masih menjadi beban kesehatan masyarakat di Indonesia. Meskipun prevalensinya menurun menjadi 2% pada tahun 2023, jumlah kunjungan peserta Jaminan Kesehatan Nasional (JKN) ke Fasilitas Kesehatan Tingkat Pertama (FKTP) akibat diare tetap tinggi. Penelitian ini bertujuan untuk menganalisis hubungan antara faktor kesehatan lingkungan dan faktor sosial demografi terhadap kunjungan peserta JKN akibat diare ke FKTP metode kapitasi. Penelitian menggunakan desain cross-sectional dengan pendekatan kuantitatif dan analisis regresi logistik multilevel. Data berasal dari 2.425.370 peserta JKN dan 392 kabupaten/kota di Indonesia tahun 2023 yang memiliki data lingkungan lengkap. Hasil penelitian menunjukkan bahwa jenis kelamin (laki-laki) (1,21; 1,03-1,43), usia (balita) (1,59; 1,19-2,12), kelas rawat (kelas 3) (0,83; 0,68-1) dan segmentasi peserta (Penerima Bantuan Iuran) (0,74; 0,61-0,9) berpengaruh signifikan terhadap frekuensi kunjungan. Selain itu, timbulan sampah (tinggi) (1,23; 1,04-1,45) dan jenis sumber air minum (0,82; 0,68-0,99) juga berpengaruh terhadap kunjungan berulang. Faktor lingkungan lain seperti jenis sumber air minum tidak signifikan secara statistik. Dapat disimpulkan bahwa faktor individu lebih berperan dibandingkan faktor lingkungan dalam memengaruhi kunjungan peserta JKN akibat diare. Hasil ini dapat menjadi masukan untuk penguatan kebijakan sanitasi dan pelayanan kesehatan primer di Indonesia.
Diarrhea remains a significant public health burden in Indonesia. Although its prevalence decreased to 2% in 2023, the number of visits by National Health Insurance (JKN) participants to Primary Healthcare Facilities (FKTP) due to diarrhea remains high. This study aims to analyze the relationship between environmental health factors and sociodemographic factors with JKN participants’ visits to FKTP under the capitation scheme. The study employed a cross-sectional design with a quantitative approach and multilevel logistic regression analysis. Data were obtained from 2,425,370 JKN participants across 392 districts/cities in Indonesia in 2023 with complete environmental data. The results showed that sex (male) (1.21; 1.03–1.43), age (under-five children) (1.59; 1.19–2.12), treatment class (class 3) (0.83; 0.68–1), and participant segmentation (Subsidized Beneficiaries) (0.74; 0.61–0.9) had a significant influence on visit frequency. In addition, high waste generation (1.23; 1.04–1.45) and type of drinking water source (0.82; 0.68–0.99) were also associated with repeat visits. Other environmental factors, such as the type of drinking water source, were not statistically significant. It can be concluded that individual factors play a greater role than environmental factors in influencing JKN participants’ visits due to diarrhea. These findings may serve as input for strengthening sanitation policies and primary healthcare services in Indonesia.
S-11986
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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