Ditemukan 40135 dokumen yang sesuai dengan query :: Simpan CSV
Erdayani; Pembimbing: Prastuti Suwondo; Penguji: Pujiyanto, Isti Qomarsih
Abstrak:
Skripsi ini membahas analisis umur, jenis kelamin, wilyah tempat tinggal dan diagnosis penyakit terhadap tingkat utilisasi dan biaya klaim Program Jaminan Pemeliharaan Kesehatan Bapel JPKM PT X di RS P. Penelitian ini adalah penelitian deskriptik analitik dengan desain crosssectional atau potong lintang. Hasil penelitian menyarankan di lakukannya manajemenutilisasasi secara berkelanjutkan dan memperhatikan faktor usia, jenis kelamin, wilayah tempattinggal dan diagnosis. Faktor lain yang perlu diperhatikan adalah lama hari rawat. Kata Kunci :Utilisasi
This study analyzes age, gender, diagnosis, lenght of stay, and diagnosis of disease ofparticipants on the level of utilization and claim cost in Health care program in Bapel JPKM PTX di RS P. This is describe about descriptic analytical study use cross sectional design. Theresults of this study suggest Skripsi ini membahas analisis umur, jenis kelamin, wilyah tempattinggal dan diagnosis penyakit terhadap tingkat utilisasi dan biaya klaim Program JaminanPemeliharaan Kesehatan Bapel JPKM PT X di RS P. Penelitian ini adalah penelitian deskriptikanalitik dengan desain cross sectional atau potong lintang. Hasil penthat it is need to considerother factors besides age, gender, diagnosis and status of participants. Same factors needs to beconcerned are leght of stay and type of health care.Key word :Utilization.
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This study analyzes age, gender, diagnosis, lenght of stay, and diagnosis of disease ofparticipants on the level of utilization and claim cost in Health care program in Bapel JPKM PTX di RS P. This is describe about descriptic analytical study use cross sectional design. Theresults of this study suggest Skripsi ini membahas analisis umur, jenis kelamin, wilyah tempattinggal dan diagnosis penyakit terhadap tingkat utilisasi dan biaya klaim Program JaminanPemeliharaan Kesehatan Bapel JPKM PT X di RS P. Penelitian ini adalah penelitian deskriptikanalitik dengan desain cross sectional atau potong lintang. Hasil penthat it is need to considerother factors besides age, gender, diagnosis and status of participants. Same factors needs to beconcerned are leght of stay and type of health care.Key word :Utilization.
S-7577
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Mahlil; Pembimbing: Hasbullah Thabrany
T-770
Depok : FKM UI, 2000
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Setiorini; Pembimbing: Purnawan Junadi; Penguji: Dumilah Ayuningtyas, Heru Susmono
Abstrak:
Skripsi ini menganalisa utilisasi dan biaya klaim rawat inap PT BGS dan PT XYZ periode polis 2011-2012 di PT Asuransi Allianz Life Indonesia menurut usia,jenis kelamin, diagnosa, status peserta, LOS (lenght of stay), dan tipe provider. Penelitian ini bersifat kuantitatif menggunakan design study crossectional. Hasil penelitian menunjukkan bahwa utilisasi dan biaya klaim pada PT BGS didominasi oleh peserta dengan usia dewasa produktif, berstatus employee, berjenis kelamin laki-laki, dengan diagnosa certain infectious and parasitic disease, biaya klaim tertinggi terdapat pada usia dewasa produktif. Sedangkan untuk PT XYZ, utilisasi dan biaya klaim didominasi oleh peseta dengan usia dewasa produktif, berjenis kelamin perempuan, berstatus peserta child, dan biaya klaim tertinggi pada usia dewasa produktif.
This study aims to analyze utilization and inpatient claim cost of PT BGS and PT XYZ in PT Asuransi Allianz Life Indonesia 2011-2012 Policy Periode based on age, gender, diagnose, member status, LOS (lenght of stay), and tipe of provider. This study is a cross sectional study with descriptive design through a quantitative approach. The result of this study showed that PT BGS is dominated by productive age , in men gender, with certain infectious and parasitic disease, the highest of claim is in productive age. Thus, PT XYZ is dominated by productive age , in female gender, with certain infectious and parasitic disease, the highest of claim is in productive age.
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S-8018
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Erdayani; Pembimbing: Budi Hidayat; Pujiyanto; Penguji: Atik Nurwahyuni, Hasbullah Tabrany, Risky Kusuma Hartono
Abstrak:
Utilisasi dan biaya klaim merupakan komponen utama dalam perhitungan biaya perkapita, kemudian dalam perhitungan premi ditambahkan dengan faktorfaktor lain yaitu faktor risiko (risk factor) dan beban lainnya (loading factor. Dalam perhitungan premi pertimbangan utama adalah kecukupan premi untuk membiaya program jaminan kesehatan. Tujuan penelitian ini adalah untuk mengetahui faktorfaktor yang mempengaruhi perhitungan premi dan perhitungan nilai premi dalam program jaminan kesehatan pensiunan PT X di Bapel JPKM PT RS Pelabuhan, sehingga didapatkan nilai premi yang cukup dan bersaing. Metode yang digunakan menggunakan analisis logit dan regresi OLS pada data panel, data yang digunakan adalah data utilisasi dan biaya klaim periode 2016-2018. Hasil dari penelitina ini adalah biaya perkapita PMPM sebesar Rp.702.462, jika dibandingkan dengan premi yang berlaku saat ini sebesar RP.674.964 maka terdapat selisih sebesar Rp.27.498. Dengan demikian Bapel mengalami defisit sebesar Rp.27.498 perorang setiap bulannya.Besaran nilai Premi Netto adalah Rp.821.735, sedangkan premi bruto yang didapat PMPM adalah Rp.978.077. Variabel yang paling berhubungan meningkatkan probabilitas pemanfaatan pelayanan kesehatan dan biaya adalah usia dan jenis kelamin.
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T-5808
Depok : FKM-UI, 2020
S2 - Tesis 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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Yuliana Setypany; Pembimbing: Helen Andriani; Penguji: Puput Oktamianti, Rina Mutiara
Abstrak:
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Penelitian ini bertujuan untuk menganalisis pengalaman peserta dan petugas dalam proses verifikasi perawatan pada Program Jaminan Kecelakaan Kerja (JKK) yang diselenggarakan oleh PT ASABRI (Persero). Program ini dirancang untuk memberikan perlindungan sosial bagi prajurit TNI, anggota Polri, dan ASN di lingkungan Kementerian Pertahanan dan Polri. Pendekatan kualitatif digunakan dalam penelitian ini dengan desain studi kasus. Data dikumpulkan melalui wawancara mendalam terhadap tiga peserta JKK dan tiga petugas ASABRI yang terlibat langsung dalam proses verifikasi, serta analisis dokumen pendukung. Hasil penelitian menunjukkan bahwa proses verifikasi perawatan mencakup beberapa tahapan, yaitu pengecekan dokumen, validasi data medis, dan evaluasi kepatuhan terhadap standar prosedur operasional (SOP). Peserta mengungkapkan bahwa proses verifikasi kerap kali rumit dan birokratis, terutama terkait kelengkapan dokumen dan ketidakpastian informasi. Dari sisi petugas, tantangan terbesar terletak pada kurangnya sosialisasi dan literasi peserta, serta keterbatasan sumber daya manusia dalam menangani klaim yang kompleks. Persepsi terhadap kualitas pelayanan, ditinjau melalui dimensi SERVQUAL (tangible, reliability, responsiveness, assurance, empathy), berpengaruh terhadap tingkat kepuasan peserta. Penelitian ini menyimpulkan bahwa peningkatan efektivitas verifikasi perawatan sangat penting dalam menjamin kepuasan peserta. Rekomendasi meliputi penyederhanaan prosedur administratif, pelatihan petugas, dan optimalisasi sistem informasi untuk mendukung proses klaim. Temuan ini diharapkan dapat menjadi bahan evaluasi dan perbaikan kebijakan layanan JKK di lingkungan ASABRI.
This study aims to analyze the experiences of participants and officers in the medical care verification process within the Occupational Injury Insurance Program (JKK) managed by PT ASABRI (Persero). This program is designed to provide social protection for Indonesian National Armed Forces (TNI) soldiers, National Police members, and Civil Servants (ASN) within the Ministry of Defense and the Police. A qualitative approach with a case study design was used. Data were collected through in-depth interviews with three JKK participants and three ASABRI officers directly involved in the verification process, along with a review of supporting documents. The findings reveal that the verification process includes several stages: document checking, medical data validation, and compliance evaluation with standard operating procedures (SOPs). Participants reported that the verification process is often complicated and bureaucratic, especially regarding documentation requirements and the lack of clear information. From the officers’ perspective, the main challenges include low participant literacy, lack of socialization, and limited human resources in handling complex claims. Perceptions of service quality, assessed through the SERVQUAL dimensions (tangibles, reliability, responsiveness, assurance, empathy), influence participant satisfaction levels. This study concludes that enhancing the effectiveness of the medical care verification process is essential for ensuring participant satisfaction. Recommendations include simplifying administrative procedures, improving staff training, and optimizing information systems to support the claims process. These findings are expected to serve as input for evaluating and improving policy in ASABRI’s JKK services.
This study aims to analyze the experiences of participants and officers in the medical care verification process within the Occupational Injury Insurance Program (JKK) managed by PT ASABRI (Persero). This program is designed to provide social protection for Indonesian National Armed Forces (TNI) soldiers, National Police members, and Civil Servants (ASN) within the Ministry of Defense and the Police. A qualitative approach with a case study design was used. Data were collected through in-depth interviews with three JKK participants and three ASABRI officers directly involved in the verification process, along with a review of supporting documents. The findings reveal that the verification process includes several stages: document checking, medical data validation, and compliance evaluation with standard operating procedures (SOPs). Participants reported that the verification process is often complicated and bureaucratic, especially regarding documentation requirements and the lack of clear information. From the officers’ perspective, the main challenges include low participant literacy, lack of socialization, and limited human resources in handling complex claims. Perceptions of service quality, assessed through the SERVQUAL dimensions (tangibles, reliability, responsiveness, assurance, empathy), influence participant satisfaction levels. This study concludes that enhancing the effectiveness of the medical care verification process is essential for ensuring participant satisfaction. Recommendations include simplifying administrative procedures, improving staff training, and optimizing information systems to support the claims process. These findings are expected to serve as input for evaluating and improving policy in ASABRI’s JKK services.
S-12076
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Djauhari Thalib; Pembimbing: Wiku Bakti Bawono Adisasmito
T-862
Depok : FKM UI, 2000
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Irna Taulaza Djohan; Pembimbing: Hasbullah Thabrany; Penguji: Pujiyanto, Tono Rustiano
S-6796
Depok : FKM-UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Elissa Hanna; Pembimbing: Wahyu Sulistiadi; Penguji: Budi Hidayat, Handayani
S-6051
Depok : FKM UI, 2010
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Lemi Kurniawan; Pembimbing: Mieke Savitri; Penguji: Dumilah Ayuningtyas, Atik Nurwahyuni, Doni Arianto
Abstrak:
Abstrak
Tesis ini membahas analisis Implementasi Kebijakan Pelaporan Rumah Sakit Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam dari informan terpilih. Hasil penelitian menunjukkan dari aspek Input Laporan masih ada Rumah Sakit yang melaporkan belum sesuai dengan manlak aspek proses berdasarkan kepada teori implementasi kebijakan Edward III faktor komunikasi, sumber daya, disposisi dan struktur birokrasi, serta aspek Umpan balik Kesimpulannya, Implementasi Kebijakan Pelaporan PPK Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012 belum dilaksanakan secara maksimal, karena belum adanya batas waktu penyampaian Saran peneliti bagi Pusat Pembiayaan dan Jaminan Kesehatan adanya batas waktu penyampaian pelaporan dan umpan balik secara berkala dan tertulis terhadap Rumah Sakit lanjutan tersebut.
This thesis discusses the analysis of the Policy Implementation Advanced Reporting Hospital JAMKESMAS Program at the Center for Financing and Health Security in 2012. This study used a qualitative approach by conducting indepth interviews from selected informants. Results of the study showed there are still aspects of the Report Input Hospital reported manlak not in accordance with aspects of the process of policy implementation is based on the theory of Edward III factor of communication, resources, disposition and bureaucratic structure, aspect Feedback conclusion, Reporting Implementation Program Advanced Hospital JAMKESNAS the Central Financing and Health Insurance in 2012 has not been fully implemented, because there is no deadline for submission of suggestions researcher for the Center for Health Financing and Guarantee the deadline reporting and feedback on the advanced Hospital.
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Tesis ini membahas analisis Implementasi Kebijakan Pelaporan Rumah Sakit Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam dari informan terpilih. Hasil penelitian menunjukkan dari aspek Input Laporan masih ada Rumah Sakit yang melaporkan belum sesuai dengan manlak aspek proses berdasarkan kepada teori implementasi kebijakan Edward III faktor komunikasi, sumber daya, disposisi dan struktur birokrasi, serta aspek Umpan balik Kesimpulannya, Implementasi Kebijakan Pelaporan PPK Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012 belum dilaksanakan secara maksimal, karena belum adanya batas waktu penyampaian Saran peneliti bagi Pusat Pembiayaan dan Jaminan Kesehatan adanya batas waktu penyampaian pelaporan dan umpan balik secara berkala dan tertulis terhadap Rumah Sakit lanjutan tersebut.
This thesis discusses the analysis of the Policy Implementation Advanced Reporting Hospital JAMKESMAS Program at the Center for Financing and Health Security in 2012. This study used a qualitative approach by conducting indepth interviews from selected informants. Results of the study showed there are still aspects of the Report Input Hospital reported manlak not in accordance with aspects of the process of policy implementation is based on the theory of Edward III factor of communication, resources, disposition and bureaucratic structure, aspect Feedback conclusion, Reporting Implementation Program Advanced Hospital JAMKESNAS the Central Financing and Health Insurance in 2012 has not been fully implemented, because there is no deadline for submission of suggestions researcher for the Center for Health Financing and Guarantee the deadline reporting and feedback on the advanced Hospital.
T-3768
Depok : FKM-UI, 2013
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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