Abstrak: Abstrak

Tesis ini bertujuan untuk melakukan analisis implementasi administrasi klaim Jamkesmas di rumah sakit vertikal tahun 2012. Latar belakang permasalahan dalam penelitian ini adalah banyaknya permasalahan di rumah sakit daerah akibat keterlambatan klaim seperti cash flow rumah sakit, pembayaran insentif yang terlambat, dan pembelian obat terhambat. Di rumah sakit vertikal, efek dari keterlambatan pengajuan klaim Jamkesmas belum diketahui, karena belum pernah ada laporan tertulis mengenai implementasi administrasi klaim Jamkesmas sementara data dari Rekapnas menunjukkan adanya keterlambatan klaim di rumah sakit vertikal. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam dari informan terpilih.

Hasil penelitian menunjukkan dari berdasarkan kepada teori implementasi kebijakan Edward III faktor komunikasi, sumber daya, disposisi dan birokrasi, serta kendala yang menyebabkan keterlambatan klaim.

Kesimpulannya,implementasi administrasi klaim Jamkesmas di rumah sakit vertikal telah berjalan baik meskipun ada kendala,yaituhambatan faktor komunikasi, sumber daya, dan komitmen. Kedua, belum ada pengawasan langsung terhadap jalannya proses administrasi klaim Jamkesmas di RS vertikal baik oleh Kemenkes ataupun rumah sakit. Saran peneliti bagi Kemenkes adalah membentuk tim casemix di setiap rumah sakit, dan menyusun format pengawasan sistem klaim.

This thesis aims to undertake an analysis of the implementation of the administrative claims Jamkesmas at hospital owned by Ministry of Health (MoH) in 2012. Background problem in this research is the large number of problems in the hospital area due to the delay in the claim such as cash flow, the incentive payment is late, and the purchase of drugs inhibited. At the hospital, the vertical effects of the delay in filing claim Jamkesmas unknown, because there has never been a written report regarding the implementation of the administrative claims data from temporary Jamkesmas national data claims showed a delay in hospital owned by MoH claims. This study used a qualitative approach by doing in-depth interviews of the selected informant.

The results showed of policy implementation based on the theory of Edward III communication factors, resources, disposition and bureaucracy, as well as the obstacles that cause delays in claims.

In conclusion, the implementation of administration claims Jamkesmas vertical hospital was going well despite the constraints, obstacles to communication factors, resources, and commitment. Second, there has been no direct supervision over the course of the administrative proceedings at hospital owned by MoH Jamkesmas claims either by Ministry of Health or the hospital itself. Advice for Ministry of Healthare forming teams of casemix at every hospital, and composing format of supervision claims.

Abstrak: Obesitas sentral merupakan salah satu faktor risiko terjadinya berbagai masalah kesehatan seperti penyakit kardiovaskular. Penelitian ini dilakukan untuk mengetahui faktor- faktor yang berhubungan dengan obesitas sentral. Penelitian ini menggunakan desain studi cross-sectional pada 83 orang karyawan laki- laki bagian produksi di PT. Semen Padang Sumatera Barat pada bulan April- Mei 2017. Pengambilan data dilakukan dengan pengukuran berat badan, tinggi badan, persen lemak tubuh, lingkar perut, dan pengisian kuesioner. Hasil penelitian menunjukkan 50,6% responden mengalami obesitas sentral. Berdasarkan analisis bivariat diketahui bahwa terdapat hubungan bermakna antara IMT, persen lemak tubuh, aktivitas fisik, asupan energi, asupan protein, asupan lemak, dan asupan serat dengan obesitas sentral. Kata Kunci: Obesitas sentral, IMT, persen lemak tubuh, aktivitas fisik, asupan energi dan zat gizi Abdominal obesity is one of the risk factors for various health problems such as cardiovascular disease. This study was conducted to assess the association of risk factors for abdominal obesity. This study used cross-sectional study design on 83 male employees at PT. Semen Padang Sumatera Barat in April-May 2017. Data collection was done by measuring body weight, height, percent body fat, abdominal circumference, and filling questionnaire. The results showed 50.6% of respondents had abdominal obesity. Based on bivariate analysis known that there were a significant relationship between BMI, percent body fat, physical activity, energy intake, protein intake, fat intake, and fiber intake with abdominal obesity. Key words: Abdominal obesity, BMI, percent body fat, physical activity, energy and nutrient intake

Abstrak:

---