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Journal : Jurnal Ekonomi Kesehatan Indonesia

Evaluasi Capaian Peta Jalan JKN di Provinsi Bengkulu Studi Kasus Sectio Caesarea Tahun 2014 Sampai 2019 Wulan, Susilo
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

Bengkulu is one of the provinces in Indonesia where SC rate has increased significantly over the last five years after the implementation of JKN. Previous studies into SC trend in Indonesia indicate that both overutilization and underutilization of SC exist reflected inequality. SC is a public health concern since it absorbs a huge amount of JKN funds and is indicated to contribute to the BPJS deficit. This study evaluates the achievement of the SC case equity target in Bengkulu Province based on the 2014- 2019 JKN roadmap. Combining qualitative and quantitative approaches, analyzing secondary data from the BPJS routine data and government survey (SUSENAS) as well as interview with Local government and BPJS staff. This study found that despite the increase in coverage of JKN memberships, gap exists in the provision of health professionals, doctors and obstetrician distribution likely affected the utilization of SC. Currently, SC is enjoyed mostly by women residing in Bengkulu city and dominated by PPU and PBPU segment, which are 39 and 45% respectively. Improved monitoring and realization of compensation policy to provide equal distribution of doctors and obstetricians either by BPJS or local government.
Penghitungan Biaya Satuan pada Instalasi Rawat Jalan di Rumah Sakit X Jambi menggunakan Metode Step Down Wulan, Susilo; Direja, Ade Herman Surya; Reflisiani, Dian
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
Publisher : UI Scholars Hub

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Abstract

Hospital has a responsibility to provide quality and affordable health care to the community. Therefore, determining tariffs by calcu lating the actual cost is very important, especially for internal stakeholders in undergoing cost analysis, performance evaluation and decision making, including tariff negotiation with external stakeholders. This research objective is to calculate unit costs and compar atively analyzing costs between units in an outpatient installation using the step-down method. This research used a partial economic evaluation which only portrays the description of cost object without comparing the output from the analyzed unit. The stages of data analysis include identifying the resource of cost center by firstly determining the final cost, intermediate cost and indirect cost, the second stage is identifying and calculating investment cost, operational cost, and maintenance costs, the third stage is determining the allocation basis, and the fourth stage is calculating the total cost. The highest unit cost occurs in dental poly at Rp.621.100,99/visit, while the lowest unit cost is in internal medicine which is Rp.241.307,51/visit. It is hoped that the results of this study can be taken into consideration in the changes made by service rates and making evaluation materials on outpatient care so that they are more efficient in their management.