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ABSTRAK
Sistem Jaminan Sosial Nasional memberikan pertimbangan utama untuk memberikanjaminan sosial yang menyeluruh bagi seluruh rakyat Indonesia, sehingga semua rakyatIndonesia dapat memperoleh derajat kesehatan yang optimal agar dapat bekerja dan hidupdengan layak. Pada era SJSN tonggak utama pelayanan kesehatan adalah pelayanankesehatan primer sebagai gatekeeper. Saat ini jumlah puskesmas di kota Malang sebanyak 15puskesmas, jumlah tersebut belum berubah sejak tahun 2010 hingga tahun 2013, begitu jugadengan jumlah dokter di puskesmas. Penelitian ini bertujuan untuk menganalisis kesiapanpuskesmas kota malang dalam menyongsong SJSN tahun 2014. Penelitian ini merupakanpenelitian deskriptif analitik dengan pendekatan Cross Sectional serta wawancara mendalampada informan dan studi literature. Hasil penelitian menunjukkan bahwa keterbatasan jumlahpuskesmas serta kurangnya ketersediaan tenaga kesehatan menyebabkan ketidaksiapanpuskesmas dalam menyongsong SJSN tahun 2014.
ABSTRACT
Universal coverage gives primary consideration to provide a comprehensive social securityfor all Indonesian people, so that all the people of Indonesia can obtain optimal health statusin order to work and live decently. Universal coverage a major milestone in the era of healthcare is primary health care as a gatekeeper. Currently the number of health centers in the cityof Malang as much as 15 health centers, that number has not changed since the year 2010until the year 2013, as well as the number of doctors in the health centers. This study aims toanalyze the city primary health center readiness in facing National Social Insurance in2014. This research is a descriptive analytical cross-sectional approach and in-depthinterviews with informants and the literature study. The results showed that the limitednumber of health centers and the lack of availability of health centers lead to unpreparednessin facing National Social Insurance in 2014.
Abstrak
Pemerintah Indonesia telah melakukan pembenahan sistem dan insfrastrukturkesehatan khususnya Rumah Sakit dan Puskesmas sebagai provider BPJS untukmengimplementasikan progam universal health coverage dalam SJSN. Tujuanpenelitian untuk mengetahui kebutuhan tempat tidur di Kabupaten BolaangMongondow Propinsi Sulawesi Utara dalam implementasi program SJSN.Metode penelitian yaitu penelitian operasional yang membuat estimasi danproyeksi kebutuhan tempat tidur, Pendekatan kualitatif dengan indepth interview(wawancara mendalam) kepada informan tertentu juga dilakukan agar dapatgambaran strategi kebijakan. Hasil penelitian yaitu estimasi jumlah TT tahun2013 antara ketersediaan TT dan kebutuhan TT mencukupi. Proyeksi jumlah TTtahun 2018 dan tahun 2023 yaitu kebutuhan TT meningkat tetapi ketersediaankurang. Strategi kebijakan yaitu pemerintah daerah membangun RS tipe C danakan mengembangkan Puskesmas Non Perawatan menjadi Puskesmas Perawatan.Hasil penelitian ini lebih lanjut diarahkan kepada pemerintah Kabupaten BolaangMongondow.
The Indonesian government has to reform the health system and infrastructure inparticular hospitals and health centers as providers BPJS for implementationuniversal health coverage program in the Social Security System. Researchpurposes to determine the bed needs in Bolaang Mongondow Regency NorthSulawesi Province in SJSN program implementation. Research methods thatoperational research to make estimates and projected needs bed, qualitativeapproach with indepth interview to specific informants also done in order tooverview policy strategy. The results are estimates of the number of beds in 2013between the availability of beds and beds needs sufficient. Projected number ofbeds in 2018 and in 2023 the need for beds increased but the availability is less.Policy strategies that local governments establish hospitals type C and willdevelop PHC Non Care into Care PHC. Results of this study further directed togovernment Bolaang Mongondow Regency.
Kata kunci: Kualitas, pengendalian kualitas, data, informasi, sistem informasi
This thesis discusses the quality control of data in membership information systems BPJS Kesehatan after transformed from the company became a legal entity on January 1st 2014. Study was a qualitative descriptive study. The results showed that factors such as employee, customers data, information technology, work procedures or mechanisms, product design, information technology infrastructure maintenance, quality standards and feedback affect the quality of membership data. Therefore, it is recommended that BPJS Kesehatan controlling those factors continuously, so that the resulting information is relevant, accurate, complete and timely.
Key words: Quality, quality control, data, information, information system
ABSTRAK
Tesis ini membahas kesiapan puskesmas di Kabupaten Ketapang dalam menyongsongImplementasi Jaminan Kesehatan Nasional 2014 nanti. Penelitian ini adalahpenelitian kuantitatif dengan desain cross sectional dilengkapi dengan wawancara.Dari hasil analisis variabel penelitian didapatkan bahwa tidak ada puskesmas yangsiap dilihat dari dimensi utilisasi dan kualitas pelayanan kesehatan. Penelitimenyarankan agar Dinas Kesehatan Kabupaten Ketapang menambah sumber dayapuskesmas seperti tenaga kesehatan inti yaitu dokter, dokter gigi, perawat, dan bidan;juga peralatan dan obat pelayanan kesehatan dasar; dengan melakukan advokasi kepemerintah daerah untuk menambah anggaran kesehatan.
ABSTRACT
Readiness in order to facing the implementation of the National Health Insurance2014. This study was a quantitative research with cross sectional design featuresinterview with key informants. From the analysis of the study variables mentionedthat no primary health care is ready viewed from the dimensions of utilization andquality of health services. Researchers suggested that the health departement inKetapang Regency to adds resources center specially for the core professional suchas doctors, dentists, nurses, and midwives; other things is also for equipment andprimary health care medicines; by advocating to local governments for increase thehealth budget.
Kata kunci: Kasus rujukan, dokter, puskesmas, pasien JKN
This study aims to determine the factors associated with referral cases of National Health Insurance (JKN) Participants at Tanah Sareal health center and Cipaku health center in 2016. This study uses a mixed methods research with quantitative and qualitative approach, by using secondary data from primary care application of health centers and in-depth interviews. The results of this study found that referral cases are influenced by patient age, sex, type of membership, diagnosis, distance of health center to referral center, completeness of medical equipment, physician perception about the role of gatekeeper and capitation, physician experience and patient understanding of participants JKN about referral procedures. The researcher suggests improving the physician decision to reduce referral cases are not based on medical indications, and the coordination between health center, BPJS Kesehatan and the regional health office to provide medical equipment required in health center.
Key words: Referral cases, physician, health center and patient JKN