Ditemukan 4 dokumen yang sesuai dengan query :: Simpan CSV
Mus'ab; Pembimbing: Mardiati Nadjib; Penguji: Kurnia Sari, Vetty Yulianty Permanasari, Mazda Novi Mukhlisa, Veronica Maulana
Abstrak:
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Dana Bagi Hasil Cukai Hasil Tembakau (DBH CHT) merupakan salah satu sumber pendanaan penting yang dirancang untuk mendukung upaya pengendalian dampak konsumsi tembakau serta peningkatan pelayanan kesehatan di daerah. Namun dalam implementasinya, pemanfaatan DBH CHT belum sepenuhnya mampu menurunkan prevalensi merokok secara nasional, termasuk di Kabupaten Karawang sebagai salah satu daerah penghasil rokok dan penerima DBH CHT tertinggi di Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran penggunaan DBH CHT serta menganalisis implementasi penggunaan DBH CHT pada bidang kesehatan di Kabupaten Karawang tahun 2020-2024. Penelitian ini menggunakan pendekatan deskriptif kualitatif dengan metode studi kasus eksploratif. Data dikumpulkan melalui wawancara mendalam dengan informan dari BAPPEDA, BPKAD, Sekretariat Daerah, dan Dinas Kesehatan, serta telaah dokumen perencanaan dan laporan keuangan. Analisis dilakukan menggunakan kerangka Public Financial Management (PFM). Hasil penelitian menunjukkan bahwa pelaksanaan kebijakan DBH CHT di Kabupaten Karawang telah mengacu pada seluruh regulasi nasional dan telah disosialisasikan, namun pemahaman pihak yang terlibat dalam penggunaan DBH CHT belum merata. Alokasi DBH CHT untuk kesehatan tergolong besar, yaitu 55,2%-99,9% dari total pagu DBH CHT dan memberikan kontribusi 12,3%-19,5% terhadap total anggaran kesehatan daerah. Orientasi anggaran berubah setiap tahun, dari respons pandemi pada 2020, penguatan sarana-prasarana kesehatan pada 2021-2022 dan 2024, hingga dukungan pembiayaan JKN untuk pencapaian UHC pada 2023 dan 2025. Sistem pembayaran masih berfokus pada kepatuhan pelaporan administratif dan belum berbasis kinerja. Realisasi anggaran sangat tinggi (90%-100%), namun program pelayanan kesehatan khususnya kegiatan penuruan prevalensi merokok belum diprioritaskan dalam perencanaan dan penganggaran. Monitoring dan evaluasi dilakukan, tetapi tidak terdokumentasi. Pelaporan dilakukan rutin melalui aplikasi digital namun aksesibilitas publik masih terbatas. Penelitian merekomendasikan agar pemanfaatan DBH CHT lebih difokuskan pada penguatan program promotif dan preventif seperti penurunan prevalensi merokok, peningkatan kualitas perencanaan dan evaluasi, penguatan koordinasi antar-OPD, peningkatan transparansi publik melalui laporan yang mudah diakses, serta penyusunan kebijakan dan mekanisme pendanaan berbasis kinerja untuk memastikan alokasi anggaran tepat sasaran.
The Tobacco Excise Revenue Sharing Fund (DBH CHT) is an important source of financing intended to support the control of tobacco consumption impacts and the improvement of health services at the local level. However, in practice, the utilization of DBH CHT has not yet been able to significantly reduce smoking prevalence nationally, including in Karawang Regency, one of Indonesia’s largest cigarette-producing areas and the highest recipient of DBH CHT. This study aims to describe and analyze the utilization and implementation of DBH CHT in the health sector in Karawang Regency during 2020-2024. The study employed a qualitative descriptive approach using an exploratory case study design. Data were collected through in-depth interviews with key informants from BAPPEDA, BPKAD, Regional Secretariat and the Health Office, as well as a review of planning documents and financial reports. Data analysis was conducted using the Public Financial Management (PFM) framework. The results indicate that DBH CHT policies in Karawang Regency have complied with national regulations and have been formally disseminated; however, stakeholders’ understanding remains uneven. The allocation of DBH CHT to the health sector was relatively high, ranging from 55.2%-99.9% of the total DBH CHT budget, contributing 12.3%-19.5% to the overall regional health budget. Budget orientation shifted annually, from pandemic response in 2020, strengthening health infrastructure in 2021-2022 and 2024, to supporting National Health Insurance (JKN) financing for achieving Universal Health Coverage (UHC) in 2023 and 2025. The payment system remains focused on administrative compliance rather than performance-based mechanisms. Budget absorption was very high (90%-100%); however, specific health service programs aimed at reducing smoking prevalence were not prioritized in planning and budgeting. Monitoring and evaluation activities were conducted but not systematically documented, while reporting was routinely submitted through digital applications, although public accessibility remains limited. This study recommends prioritizing the use of DBH CHT for strengthening promotive and preventive programs, particularly smoking prevalence reduction, improving planning and evaluation quality, enhancing inter-agency coordination, increasing public transparency through accessible reporting, and developing performance-based policies and financing mechanisms to ensure more effective and targeted budget allocation.
T-7467
Depok : FKM-UI, 2026
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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Raharni; Promotor: Purnawan Junadi; Ko-Promotor: Asri Adisasmita, Trihono; Ketua Tim Penguji: Anhari Achadi; Penguji: Azrul Azwar, Endang L. Achadi, Minarto, Dwisusilowati
D-289
Depok : FKM-UI, 2013
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Pirtha Agus Isnanti; Pembimbing: Pujiyanto; Penguji: Jaslis Ilyas, Nanik Jodjuana
Abstrak:
Skripsi ini membahas utilisasi rawat inap kasus typhoid fever pada RS. Fikri Medika dan RS. Proklamasi Program Pelayanan Karawang Sehat tahun 2016 berdasarkan variabel demografi (jenis kelamin, umur, status perkawinan), PPK I (asal rujukan), spesialisasi pelayanan, diagnosis, lama hari rawat dan biaya perawatan berdasarkan komponennya. Desain penelitian ini adalah kuantitaif bersifat deskriptif dengan rancangan penelitian cross sectional. Hasil penelitian ini menunjukkan adanya perbedaan rata-rata biaya perawatan yang signifikan antara RS. Fikri Medika dan RS. Proklamasi dan komponen yang berkontribusi adalah pemeriksaan dokter dan obat. Pola utilisasi di kedua rumah sakit sama pada variabel jenis kelamin, status perkawinan, spesialisasi pelayanan dan lama hari rawat. Berdasarkan umur, diagnosis dan PPK I (asal rujukan) terdapat perbedaan. Terdapat perbedaan yang signifikan pada pola utilisasi, sehingga disarankan kepada program perlunya audit medis dan biaya untuk mencagah fraud dan abuse, meningkatkan kualitas dan kualifikasi sumber daya manusia untuk meningkatkan review utilisasi serta bagi rumah sakit agar mengklaimkan biaya sesuai dengan cinical pathway tarif yang disepakati. Kata Kunci: Utilisasi, typhoid fever, rawat inap, Karawang Sehat This study discusses the utilization of inpatient case of typhoid fever in hospital Fikri Medika and hospital Proklamasi, Karawang Sehat Service Program 2016 based on demographic variables (gender, age, marital status), basic health services (origin of referral), service specialization, diagnosis, length of stay and maintenance cost by component. The design of this research is quantitative descriptive with cross sectional study design. The results of this study indicate a significant difference in mean maintenance costs between hospitals Fikri Medika and Proklamasi and components that contribute are physician examinations and drug. The utilization patterns in both hospitals are the same in the gender variables, marital status, service specialization and length of stay. Based on age, diagnosis and basic health services (referral origin) there are differences. There are significant differences in utilization patterns, so it is advisable to the program for medical audits and fees for fraud and abuse prevention, improving the quality and qualifications of human resources to improve the utilization review and for hospitals to claim costs in accordance with agreed cinical pathway rates. Keywords: Utilization, typhoid fever, inpatient, Karawang Sehat
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S-9566
Depok : FKM-UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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