Ditemukan 6 dokumen yang sesuai dengan query :: Simpan CSV
Rahma Anindita; Pembimbing: Mardiati Nadjib; Penguji: Pujiyanto, Wachyu Sulistiadi, Ari Dwi Aryani, Maria Hotnida
Abstrak:
Pada sistem pembayaran Kapitasi Berbasis Kinerja (KBK), akan dilakukan perhitungan pencapaian kinerja Fasilitas Kesehatan Tingkat Pertama (FKTP) berdasarkan indikator Angka Kontak, Rasio Rujukan Non Spesialistik, dan Rasio Peserta Prolanis Terkendali sebagai dasar pembayaran kapitasi. Penelitian ini merupakan penelitian non eksperimental melalui pendekatan kuantitatif, yang bertujuan untuk mengetahui hubungan status pemberlakuan KBK konsekuensi, rasio dokter banding peserta, kelengkapan sarana prasanaran, lingkup pelayanan dan pola pengelolaan keuangan Puskesmas dengan nilai capaian KBK pada Puskesmas di wilayah Provinsi Sumatera Utara Tahun 2023. Dari hasil penelitian ini, nilai capaian KBK Puskesmas di Provinsi Sumatera Utara bulan Desember 2023 sebesar 2,8 atau belum bisa mencapai target nilai capaian KBK maksimal. Rasio dokter banding peserta dan kelengkapan sarana prasarana mempunyai hubungan yang signifikan terhadap nilai capaian KBK. Pemenuhan tenaga medis dokter berdasarkan jumlah peserta terdaftarnya, pemenuhan kebutuhan sarana prasarana sesuai kebutuhan tata laksana jenis penyakit yang dapat dilakukan di FKTP dan pengaturan distribusi peserta terdaftar perlu menjadi perhatian untuk meningkatkan kinerja sesuai ketentuan Kapitasi Berbasis Kinerja.
In the Performance Based Capitation (KBK) payment system, the performance achievement of First Level Health Facilities (FKTP) will be calculated based on the indicators of Contact Rate, Non-Specialist Referral Ratio, and Controlled Prolanis Participant Ratio as the basis for capitation payments. This research is a non-experimental research using a quantitative approach, which aims to determine the relationship between the status of implementation of KBK consequences, the ratio of doctors to participants, fulfillment of infrastructure, scope of services and financial management patterns of Community Health Centers with the value of KBK achievements at Puskesmas in the North Sumatra Province region in 2023. From the results of this research, the KBK achievement value for Puskesmas in North Sumatra Province in December 2023 is 2.8 or has not yet reached the target maximum. The ratio of doctors to participants and fulfillment of infrastructure have a significant relationship to the KBK achievement score. Fulfillment of doctors based on the number of registered participants, fulfillment of infrastructure and arrangements for the distribution of registered participants need to be paid attention to in order to improve performance in accordance with the provisions of Performance Based Capitation.
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In the Performance Based Capitation (KBK) payment system, the performance achievement of First Level Health Facilities (FKTP) will be calculated based on the indicators of Contact Rate, Non-Specialist Referral Ratio, and Controlled Prolanis Participant Ratio as the basis for capitation payments. This research is a non-experimental research using a quantitative approach, which aims to determine the relationship between the status of implementation of KBK consequences, the ratio of doctors to participants, fulfillment of infrastructure, scope of services and financial management patterns of Community Health Centers with the value of KBK achievements at Puskesmas in the North Sumatra Province region in 2023. From the results of this research, the KBK achievement value for Puskesmas in North Sumatra Province in December 2023 is 2.8 or has not yet reached the target maximum. The ratio of doctors to participants and fulfillment of infrastructure have a significant relationship to the KBK achievement score. Fulfillment of doctors based on the number of registered participants, fulfillment of infrastructure and arrangements for the distribution of registered participants need to be paid attention to in order to improve performance in accordance with the provisions of Performance Based Capitation.
T-6980
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Lupi Trijayanti; Pembimbing: Ascobat Gani; Penguji: Adang Bachtiar, Pujiyanto, Maria Hotnida, Christina Yana Bintari
Abstrak:
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Kapitasi berbasis kinerja (KBK) merupakan sistem pembayaran kapitasi setiap bulannya yang didasari penilaian kinerja pelayanan fasilitas kesehatan tingkat pertama (FKTP) yang bersangkutan dalam rangka upaya meningkatkan efektifitas dan efisiensi pembiayaan kesehatan dan peningkatan kualitas pelayanan kesehatan. Namun pada pelaksanaannya banyak faktor eksternal dan internal yang mempengaruhi capaian KBK. Capaian pembayaran KBK di puskesmas wilayah Kota Depok hanya 2 (5,3%) puskesmas dari 38 puskesmas yang menerima pembiayaan kapitasi sebesar 100%. Tujuan penelitian ini adalah untuk menganalisis validitas dari setiap indikator penilaian KBK menurut persepsi petugas puskesmas di wilayah kerja kota Depok. Penelitian ini merupakan penelitian non-eksperimental melalui pendekatan kualitatif. Lokasi penelitian dilakukan di 4 (empat) puskesmas dengan kriteria 2 (dua) puskesmas dengan capaian capaian tertinggi atau meningkat dan 2 (dua) puskesmas dengan capaian terendah atau tidak mencapai target. Informan pada penelitian ini dipilih dengan aspek kecukupan dan kelayakan yang mana dianggap sesuai dengan topik terdiri dari (i) Kepala Bagian Penjaminan Manfaat dan Utilisasi, BPJS Kesehatan Ka. Cab. Kota Depok, (ii) Kepala Seksi Pelayanan Kesehatan Primer Dinas Kesehatan Kota Depok, (iii) Kepala Puskesmas, (iv) PIC UKP Puskesmas, dan (v) PIC prolanis. Sumber data bersumber dari data primer (wawancara mendalam) dan data sekunder (telaah dokumen). Hasil penelitian menunjukan bahwa indikator RRNS benar menggambarkan dari kinerja layanan rujukan yang mana pemberian rujukan dibawah wewenang puskesmas tanpa ada intervensi dari pasien atau keluarga pasien. Indikator angka kontak tidak valid dikarenakan tidak dapat menggambarkan kontak rate, banyak faktor yang mempengaruhinya yaitu karakteristik peserta (mobilitas, kerentanan, kecenderungan berobat dan kepercayaan), lokasi puskesmas yang mempengaruhi biaya transportasi, sarana prasarana serta sistem kerja. Serta indikator rasio peserta prolanis terkendali (RPPT) tidak valid karena belum tepat menilai kinerja pelaksanaan kegiatan prolanis, banyak faktor yang mempengaruhi yaitu perilaku peserta prolanis terhadap gaya hidup (rutin berobat, pola makan minum, aktifitas fisik) yang banyak dipengaruhi budaya dan lingkungan sosial, sistem pencatatan dan perhitungan indikator, sistem pelayanan puskesmas dan kecenderungan berobat (health belief).
Performance-based capitation (KBK) is a monthly capitation payment system based on an assessment of the service performance of the first level health facility (FKTP) concerned in an effort to increase the effectiveness and efficiency of health financing and improve the quality of health services. However, in practice, there are many external and internal factors that affect KBK achievements. Only 2 (5.3%) out of 38 puskesmas received capitation financing at the Depok City Health Centers for KBK payments. The purpose of this study was to analyze the validity of each KBK assessment indicator according to the perceptions of health center staff in the working area of the city of Depok. This research is a non-experimental research using a qualitative approach. The research locations were conducted in 4 (four) puskesmas with the criteria of 2 (two) puskesmas with the highest or increasing achievements and 2 (two) puskesmas with the lowest achievements or not reaching the target. The informants in this study were selected based on the adequacy and feasibility aspects which were considered appropriate to the topic consisting of (i) Head of Benefit Guarantee and Utilization Section, BPJS Kesehatan Ka. Cab. Depok City, (ii) Head of the Primary Health Service Section of the Depok City Health Office, (iii) Head of the Puskesmas, (iv) PIC UKP Puskesmas, and (v) PIC prolanis. Sources of data come from primary data (in-depth interviews) and secondary data (document review). The results showed that the RRNS indicator correctly described the performance of referral services in which referrals were made under the authority of the puskesmas without any intervention from the patient or the patient's family. The contact number indicator is invalid because it cannot describe the contact rate, many factors influence it, namely the characteristics of the participants (mobility, vulnerability, tendency to seek treatment and trust), the location of the puskesmas which affects transportation costs, infrastructure and work systems. As well as the controlled prolanis participant ratio indicator (RPPT) is invalid because it is not yet appropriate to assess the performance of the implementation of prolanis activities, many factors influence, namely the behavior of prolanis participants towards lifestyle (routine treatment, eating and drinking patterns, physical activity) which is heavily influenced by culture and the social environment, system for recording and calculating indicators, health center service systems and tendencies to seek treatment (health beliefs).
T-6705
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Intan Permata Sari; Pembimbing: Kurnia Sari; Penguji: Pujiyanto, Erika Verayanti
S-9344
Depok : FKM UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Aan Nurhasanah; Pembimbing: Evi Martha; Penguji: Soekidjo Notoatmodjo, Sudarti Kresno, Yupi Supartini, Omi Haryatim
Abstrak:
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Tesis ini membahas tentang pelaksanaan Kurikulum Berbasis Kompetensi ( KBK ) di Jurusan Keperawatan Politeknik Kesehatan Kementrian Kesehatan ( Poltekkes Kemenkes ) Jakarta III tahun 2011. Penelitan ini adalah penelitian kualitatif dengan pendekatan fenomenologis. Sampel penelitian ini terdiri dari, Kepala Pusat Pendidikan dan Latihan Tenaga Kesehatan (Kapusdiklatnakes, Direktur Poltekkes Kemenkes Jakarta III. Ketua Jurusan Keperawatan , Ketua Program Studi Keperawatan kimia 17, Ketua Program Studi Keperawatan Anestesi, Ketua Program Studi Keperawatan Persahabatan, Dosen 3 Jurusan Keperawatan Poltekkes Kemenkes Jakarta III dan Mahasiswa Jurusan Keperawatan Poltekkes Kemenkes Jakarta III. Hasil penelitian menyatakan bahwa pada aspek kontek, komitmen manajemen dan jajarannya dalam melaksanakan KBK terlihat bersungguh-sungguh, dibuktikan dengan tekad yang kuat dan semangat dalam menjalankan Kurikulum Berbasis Kompetensi melalui menjalin komunikasi yang terbuka, mengadakan pelatihan-pelatihan, workshop, perhatian terhadap aspek input berupa pemenuhan kebutuhan dari manajemen pelaksana, berupa sarana prasarana, walaupun belum seperti yang diharapkan. Proses pelaksanaan yang direspon positif oleh dosen dan mahasiswa dengan dibuktikan semangat dalam melaksanakan kegiatan proses belajar mengajar juga stakeholder dibuktikan dengan respon terhadap produk yang dihasilkan dengan menjadikan lulusan sebagai karyawannya dan tingkat keberhasilan dalam mengikuti evaluasi semester dengan nilai tertinggi sempurna = 4 oleh mahasiswa dari tingkat III Program Studi Persahabatan dan terendah = 3.41 dari Program Studi Keperawatan Kimia 17 dan Keperawatan Anestesi.
This thesis discusses the implementation of Competency Based Curriculum (CBC) in the Department of Health Ministry of Health Nursing Polytechnic (Polytechnic Kemenkes) Jakarta III in 2011. This is a qualitative research study with a phenomenological approach. This study sample consisted of, Head of Education and Training of Health Workers (Kapusdiklatnakes, Director of the polytechnic Kemenkes Jakarta III. Chairman of the Department of Nursing, Chief Nursing Studies Programme chemistry 17, Chairman of the Anesthesia Nursing Program, Chairman of the Friendship of Nursing Studies Programme, Department of Nursing Polytechnic lecturer 3 Kemenkes Jakarta III and Student Programs Nursing Polytechnic Kemenkes Jakarta III. The study states that the aspect of context, the commitment of management and staff in implementing the CBC looks serious, as evidenced by a strong determination and zeal in carrying through the Competency-Based Curriculum to establish open communication, conduct trainings, workshops, attention to aspects of the input needs of executive management, in the form of infrastructure, although not as expected. the process of implementing a positive response by faculty and students with a demonstrated passion for teaching and learning activities are also stakeholders evidenced by response to the products produced by making the graduates as employees and the level of success in following the evaluation of the semester with the highest value of perfect = 4 by students from level III Friendship Studies Program and the lowest = 3.41 of Nursing Studies Program of Chemistry 17 and Nursing Anesthesia.
T-3334
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Saudatina Arum Maujudah; Pembimbing: Amal Chalik Sjaaf; Penguji: Pujiyanto, Wahyu Sulistiadi, Monika Saraswati Sitepu, Ilmi Tri Indiarto
Abstrak:
Kecenderungan biaya pelayanan kesehatan yang terus meningkat mendorong pemerintah untuk mencari alternatif pembiayaan yang dapat mengefisienkan dana tanpa mengurangi mutu pelayanan. Salah satu sistem tersebut adalah dengan dijalankannya konsekuensi kapitasi berbasis komitmen pelayanan dimana puskesmas dibayar berdasar jumlah peserta terdaftar yang menjadi tanggungannya dipantau efektifitasnya dengan melihat kecenderungan angka kontak (≥1500/00), rasio prolanis (≥50%), dan rasio rujukan kasus non spesialistik (<0.5%), sehingga diharapkan moral hazard dari sisi suplai dapat dicegah atau diminimalisir. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pelaksanaan KBK. Penelitian ini dilakukan di wilayah DKI Jakarta dengan unit analisis Puskesmas, dengan mixed method dengan model sequential (quan QUAL), data kualitatif diambil dengan metode indeph interview kepada informan kunci terkait untuk memvalidasi data yang tidak bisa divalidasi dengan metode kuantitatif. Hasil penelitian Implementasi KBK selama 2 tahun telah cukup baik dan signifikan meningkatkan rata-rata angka kontak pada tahun 2017 sebesar 192.6 0/00 (target ≥150 0/00), dan rata-rata rasio prolanis sebesar 44.9% (≥50%), dan menurunkan rata-rata rasio rujukan kasus non spesialistik menjadi 0.3% (target <5%). Dari analisis multivariate, didapatkan pemodelan variable didapatkan variable nilai kapitasi, dan kecukupan SDM (dokter, perawat, bidan, tenaga kefarmasian) adalah yang signifikan berpengaruh dominan terhadap capaian indikator komitmen pelayanan (p value <0.05). Penerapan kompensasi pemotongan kapitasi berdampak positif cukup memberi efek jera bagi puskesmas untuk mengerahkan segala usaha untuk pencapaian indikator komitmen pelayanan, di sisi lain adanya indikasi moral hazard di lapangan, sehingga diperlukan monitoring dan evaluasi dari berbagai pihak tanpa terfragmentasi agar cita-cita implementasi KBK untuk mewujudkan pelayanan yang berkualitas bisa diwujudkan.
Kata kunci: implementasi KBK, angka kontak, rasio prolanis, rasio rujukan kasus non spesialistik
The increasing trend of health care costs has prompted the government to seek financing alternatives that can streamline funds without reducing the quality of services. One such system is the implementation of the commitment-based capitation consequence where the puskesmas is paid based on the number of registered participants who are responsible for its effectiveness monitoring by looking at the tendency of contact numbers (≥1500/00), prolanis ratio (≥50%), and non-specialist case referral ratio (<0.5%), so it is expected that moral hazard from the supply side can be prevented or minimized. This study aims to determine the factors associated with the implementation of Capitation Based on Service Commitment This research was conducted in DKI Jakarta area with Puskesmas as analysis unit, with sequential model mixed method (quan QUAL), qualitative data was taken by indeph interview method to key informant related to validate data which can not be validated by quantitative method. The results of two year implementation significantly increased the average contact rate in 2017 by 192.6 0/00 (target ≥150 0/00), and the average prolanis ratio of 44.9% (≥50%), and lowering the average non-specialist case referral ratio to 0.3% (target <5%). From multivariate analysis, variables modeling related to achievement of service commitment indicator were capitation value, human resources (adequacy of doctor, nurse, midwife, pharmacy) are significant influence dominanly to achievement indicator of service commitment (p value <0.05). Implementation of capitation compensation is positive enough to give an effect for all puskesmas efforts to achieve the indicator of service commitment, on the other side of the indication of moral hazard, so monitoring and evaluation is needed to create the quality service..
Keywords: implementation of capitation based on service commitment, communication contact, prolanis ratio, non-specialist case ratio
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Kata kunci: implementasi KBK, angka kontak, rasio prolanis, rasio rujukan kasus non spesialistik
The increasing trend of health care costs has prompted the government to seek financing alternatives that can streamline funds without reducing the quality of services. One such system is the implementation of the commitment-based capitation consequence where the puskesmas is paid based on the number of registered participants who are responsible for its effectiveness monitoring by looking at the tendency of contact numbers (≥1500/00), prolanis ratio (≥50%), and non-specialist case referral ratio (<0.5%), so it is expected that moral hazard from the supply side can be prevented or minimized. This study aims to determine the factors associated with the implementation of Capitation Based on Service Commitment This research was conducted in DKI Jakarta area with Puskesmas as analysis unit, with sequential model mixed method (quan QUAL), qualitative data was taken by indeph interview method to key informant related to validate data which can not be validated by quantitative method. The results of two year implementation significantly increased the average contact rate in 2017 by 192.6 0/00 (target ≥150 0/00), and the average prolanis ratio of 44.9% (≥50%), and lowering the average non-specialist case referral ratio to 0.3% (target <5%). From multivariate analysis, variables modeling related to achievement of service commitment indicator were capitation value, human resources (adequacy of doctor, nurse, midwife, pharmacy) are significant influence dominanly to achievement indicator of service commitment (p value <0.05). Implementation of capitation compensation is positive enough to give an effect for all puskesmas efforts to achieve the indicator of service commitment, on the other side of the indication of moral hazard, so monitoring and evaluation is needed to create the quality service..
Keywords: implementation of capitation based on service commitment, communication contact, prolanis ratio, non-specialist case ratio
T-5293
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ilma Dewayani; Pembimbing: Atik Nurwahyuni; Penguji: Pujiyanto, Reza Rahman
Abstrak:
Penelitian ini bertujuan untuk mengetahui implementasi Peraturan Kapitasi Berbasis Pemenuhan Komitmen Pelayanan pada Puskesmas di Wilayah Jakarta Timur Tahun 2017. Penelitian ini merupakan penelitian kualitatif dengan pengumpulan data melalui wawancara, observasi, dan telaah dokumen. Penelitian ini menunjukkan bahwa ada masalah dalam sisi komunikasi, sumber daya, serta pelaksanaan untuk mencapai indikator kinerja. Peneliti menyarakan agar dilakukan upaya perbaikan dalam hal sosialisasi, peninjauan ulang mengenai beban kerja dan pembagian tugas, membuat SOP khusus untuk kegiatan Prolanis, pelatihan rutin untuk dokter, membuat anggaran khusus Prolanis, serta pembuatan kebijakan khusus terkait pelayanan bagi peserta yang bukan terdaftar di Puskesmas yang dituju.
Kata kunci : Peraturan KBK, Implementasi, indikator angka kontak, indikator rasio prolanis, indikator rujukan non spesialistik.
This research aims to find out the implementation of Performance-Based Capitation Regulation in Primary Helalth Care in East Jakarta Region, 2017. This research is a qualitative study with data collection through interviews, observation, and document review. This study shows that there are problems in communication, resources, and implementation to achieve performance indicators. The researcher suggested that improvement efforts should be made in the case of socialization, review of workload and task division, make SOPs for Prolanis activities, routine training for doctors, make allocation budget for Prolanis, and policy making related to services for participants who are not registered in Primary Health Care Addressed.
Key words : Performance-Based Capitation, Implementation, contack rate indicators, Prolanis ratio indicators, non-specialistic refferal indicators.
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Kata kunci : Peraturan KBK, Implementasi, indikator angka kontak, indikator rasio prolanis, indikator rujukan non spesialistik.
This research aims to find out the implementation of Performance-Based Capitation Regulation in Primary Helalth Care in East Jakarta Region, 2017. This research is a qualitative study with data collection through interviews, observation, and document review. This study shows that there are problems in communication, resources, and implementation to achieve performance indicators. The researcher suggested that improvement efforts should be made in the case of socialization, review of workload and task division, make SOPs for Prolanis activities, routine training for doctors, make allocation budget for Prolanis, and policy making related to services for participants who are not registered in Primary Health Care Addressed.
Key words : Performance-Based Capitation, Implementation, contack rate indicators, Prolanis ratio indicators, non-specialistic refferal indicators.
S-9454
Depok : FKM UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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