Ditemukan 46 dokumen yang sesuai dengan query :: Simpan CSV
ABSTRAK
Pembiayaan kesehatan terus mengalami peningkatan. Beberapa faktor menyebabkan terjadinya peningkatan tersebut. Dampak negatif dari meningkatnya pembiayaan kesehatan adalah menekan kemampuan pemberi dana atau perusahaan untuk menyediakan biaya pelayanan kesehatan bagi karyawan dan keluarga karyawannya. Penelitian ini bertujuan untuk melihat bagaimana hubungan karakteristik peserta dengan angka kunjungan dan biaya penyakit katastropik pada peserta ASO PT. GAMI tahun 2011 ? 2012. Penelitian dilakukan dengan pendekatan kuantitatif dengan disain penelitian cross sectional.
Dari hasil penelitian disimpulkan bahwa karakteristik peserta yang paling berhubungan dengan angka kunjungan dan biaya penyakit katastropik adalah usia. Klasifikasi benefit as charge dengan limit tahunan mempunyai hubungan yang signifikan dengan biaya penyakit katastropik. Penelitian selanjutnya, bisa lebih menggali variabel periode kepesertaan.
ABSTRACT
Health financing continues to increase. Several factors led to this increase. The negative impact of rising health care financing is pressing lenders or companies ability to provide health care costs for employees and employee families. This study aims to look at how the characteristics of the participants relationship with the number of visits and the cost of catastrophic illness on ASO participants PT. GAMI years 2011-2012. Research is a quantitative approach with a crosssectional study design.
The final conclusion is that the characteristics of the participants are most related to the number of visits and the cost of catastrophic illness is the age. Benefit classification as a charge to annual limit has a significant connection with catastrophic illness costs. For further research could further explore variable period of membership.
Kata Kunci :BPJS Kesehatan, kepesertaan, pendaftaran , pengalihan peserta, perubahan dat apeserta
The study aims to overview about the implementation participants administration ofBPJS Kesehatan Bogor. This study is descriptive research with qualitative methodeby depth interview, observation, and document review to cellect data . The researchersuggests some suggestions for the implementation of participant administration, suchas empowerment of human resources, development and strengthening websitesystem, and faster administration services in service counter. So that, theimplementation of participants administration process in BPJS Kesehatan such asregistration process, transferring of participants status, and updating data ofparticipants will work at ease and optimally.
Keywords :BPJS Kesehatan, participants, registration, transferring, updating
Membership Division to be important because effectuation Health BPJS as Social SecurityHealth on Indonesia in 2014. In order insure satisfaction to membership, Health BPJSconstantly socialize right and obligations member JKN to information clearly. Since the entryinto force of JKN in 2014, Health BPJS be the main point for the trip membership. In thisstudy, authors wanted to know Analysis Preparing of Transition Membership Division PTAskes to Health BPJS on January 2014. This study is a qualitative research design withanalysis. Results of the study suggest that necessary additional human resources that has theappropriate quality of work required expertise, improving the quality of educationalbackground in the field of insurance, disseminate to member file must be equipped so that themembership process can be carried out effectively and efficiently, updates made in the budgetplan on Health BPJS that can be done well, so in preparation for transition PT Askes toHealth BPJS is ready to operate to the fullest.Keywords: membership, insurence membership, BPJS , social insurance
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.
