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Kata kunci: Program Pengelolaan Penyakit Kronis, pemanfaatan
The purpose of this research is to determine factors associated with the utilization of chronic disease management program at BPJS Kesehatan, Branch Office, East Jakarta, 2015 using cross sectional method. Data was collected primary and supported by structured questionnaire. The results shows that 53.4% of respondents have a high utilization rates and 36.6% have a low utilization rate. The variables that were found to have a significant relationship with the utilization of Prolanis are education, family support, doctor support and the benefits of Prolanis, each with p value 0,015; 0,002; 0,025 and 0,005. Characteristic, accessibility to primary health care, perceive of seriousness and vulnerability of diseases, and barriers variables have no significant relationship with the utilization of Prolanis.
Keywords: Chronic Disease Management Program, utilization, primary health care
Pola pembayaran pelayanan persalinan pervaginam normal yang dibayarkan oleh BPJS Kesehatan adalah dengan cara nonkapitasi yakni sebesar Rp.600.000. Fasilitas Kesehatan sebagai mitra kerja BPJS Kesehatan diharuskan memberikan pelayanan kesehatan sesuai perjanjian kerjasama dan tanpa menarik iur-biaya. Penarikan iur-biaya yang dilakukan oleh fasilitas pelayanan kesehatan mitra kerja BPJS merupakan salah satu tindakan kecurangan (fraud). Penelitian ini dilakukan dengan metode kualitatif. Hasil penelitian menemukan bahwa faktor kebutuhan finansial menjadi pendorong bagi klinik mitra kerja BPJS Kesehatan untuk menarik iur biaya pada peserta BPJS Kesehatan. Pegawasan yang dilakukan oleh BPJS Kesehatan, DinKes, serta Kementrian Kesehatan belum dilakukan secara optimal dan penggunaan sanksi seperti yang tertuang didalam PMK No. 36 Tahun 2015 juga belum dilakukan sepenuhnya. Berdasarkan hasil tersebut penulis menyarankan untuk dilakukannya analisis unit cost terkait pelayanan persalinan pervaginam normal dan ditingkatkannya pengawasan oleh BPJS Kesehatan dan semua pihak yang terkait untuk menjamin fasilitas pelayanan kesehatan sebagai mitra kerja BPJS Kesehatan memberikan pelayanan yang bermutu dan sesuai dengan peraturan yang telah ditetapkan.
The pattern of a normal vaginal delivery service payments paid by BPJS is by nonkapitasi which amounted to 600,000. Health Facility as partners BPJS required to provide appropriate health services cooperation agreement and without cost-sharing. Cost-sharing withdrawals carried out by health care facilities BPJS partners is one act of fraud (fraud). This research was conducted using qualitative method. The research found that the factor of financial needs become the driving force for the clinic BPJS partners to attract participants BPJS cost sharing on health. Supervision conducted by BPJS Health, Health Office, and the Ministry of Health is not optimal and the use of sanctions as stipulated in the Regulation of Healt Minister No. 36 2015 has not been done completely. Based on these results the authors suggest to do the analysis of the unit cost of service related to normal delivery and increased supervision by BPJS Health and all parties concerned to ensure the health care facility as a partner BPJS provide quality services and in accordance with the prescribed rules.
Sexual and reproductive health rights include efforts to eliminate preventable maternal mortality and morbidity. The maternal mortality rate in Indonesia is 305 per 100,000 live births. The cause of maternal death in Indonesia is still caused by 4 too which is too young. Teenage pregnancies are high risk, namely the risk of illness and death. Teenage pregnancy can be prevented through the family. Family structure can influence the incidence of teenage pregnancy. This study is a quantitative study with a cross-sectional design and uses multivariate multivariate analysis in the analysis process, namely risk factor logistic regression. Data was collected through secondary data from the 2017 IDHS. The results show that family structure affects adolescent pregnancy, namely family structure with single fathers, adolescents living with single fathers are 1.97 times at risk of teenage pregnancy (p value = 0.006). The results of risk factor analysis showed that single family structure influenced adolescent pregnancy differently according to the education of the head of the household, economic status, and smoking status of adolescents. Increasing the role of fathers in child care, the target of the family development program needs to be expanded not only to focus on mothers but also to focus on fathers, home visits, meeting hours for adolescent family development in single families need to be carried out in particular, including smoking problems separately as a major reproductive health problem. youth (KRR) in addition to the existing KRR triad, namely free sex, HIV/AIDS and drugs.
