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ABSTRAK This thesis discusses the demand pattern of outpatient care in those commercial health insurance in Indonesia by using outpatient claims data at 2.566.850 million. Using quantitative esearch method with cross sectional design. The results showed that outpatient demand on the commercial health insurance participants related to the characteristics of participants, the diagnosis of disease, characteristic of health insurance benefits, and types of health care facilities. The dominant predictor affecting the demand are tuberculosis and the benefits of unlimited ceiling. As a suggestion for a national social health insurance policy, outpatient premium is amounting to Rp 3,112 per person per month and outpatient premium for commercial health insurance is amounting to Rp 115,665. Keywords: Demand, health insurance
Chronic Kidney Disease (CKD) poses a significant financial burden, making the utilization of Advanced Outpatient Services (AOS) crucial, especially for National Health Insurance (JKN) participants. This cross sectional study involved 498 CKD patients who used AOS in 2023. The results showed that age, sex, marital status, membership segmentation, class of care entitlement, and facility ownership were significantly associated with AOS utilization (p<0.05). Age ≥65 years was the most dominant factor (AOR: 1.48; 95% CI: 1.29–1.69). All variables had a significant influence on the utilization of AOS among CKD patients.
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.
Penelitian ini bertujuan untuk melakukan analisis kebijakan rekrutmen Tim Kesehatan Haji Indonesia (TKHI). Kebijakan rekrutmen TKHI dapat dipandang sebagai suatu sistem, dengan input berupa permintaan, sumber daya dan dukungan, proses mencakup tiga dimensi kebijakan publik yang meliputi dimensi politik, dimensi hukum dan dimensi manajemen, untuk menghasilkan kebijakan rekrutmen TKHI sebagai output. Dari penelitian yang dilakukan, diketahui bahwa kebijakan yang ada sekarang cukup memadai untuk mencapai tujuannya, namun masih memerlukan perbaikan dalam aspek manajemen yang meliputi perencanaan, penilaian kinerja dan pemberian kompensasi serta diperlukan suatu prosedur operasional standar sebagai pedoman pelaksanaan kegiatan. Kata kunci : Analisis kebijakan, rekrutmen, TKHI, professional
This thesis is focused on the analysis of Indonesian Hajj Health Team (TKHI) Recruitment Policy. TKHI recruitment policy can be seen as a system consisting of demand, resources and support as the input, three dimensions of public policy as the process which aimed at the policy for recruiting TKHI itself as the output. In this research, the writer found that the policy is effective in gaining its objective. However, there are still several aspects needs to be strengthened i.e. planning, performance appraisal and compensation as part of management functions and the need for a standard operating procedure as guidelines for implementation to be fulfilled. Key words : Policy analysis, recruitment, TKHI, professional