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Penggunaan Finger Print Sebagai Upaya Pencegahan Fraud Dalam Penjaminan Pasien Pengguna JKN : Studi Kasus Di RSIA X Kota Kupang Maria Sumiati Amabi; Wahyuni Arumsari; Dwi Nur Siti Marchamah
Indonesian Journal of Health Community Vol 5 No 2 (2024): Volume 5 No 2 Tahun 2024
Publisher : Universitas Ivet

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31331/ijheco.v5i2.3437

Abstract

Fraud in health insurance significantly burdens the financing of health services. One of the fraud prevention innovations that has been developed and implemented by health service providers is the use of fingerprints. This research uses a qualitative method with a case study approach, aiming to explore the use of finger prints in legalizing BPJS Kesehatan patient guarantee letters as an effort to prevent fraud. The research was conducted at RSIA X Kupang City. Researchers carry out assessments, determine diagnosis, plan actions and initiate actions that have been taken. The case with the initials Mrs. I came with a referral from FKTP to carry out a pregnancy check, but it was indicated that She has used another participant's JKN-KIS card. Results of the evaluation, it was found that fraud was able to be prevented by RSIA. The actions taken by officers in the outpatient registration section at RSIA based on SOP, which is a derivative of the cooperation agreement between RSIA and BPJS Kesehatan. However, participants who do not meet these requirements have received services at FKTP as proven by the reference letter. This is indeed a challenge for BPJS Health and FKTP to innovate to overcome this problem.
Evaluasi Penggunaan Fingerprint Sebagai Upaya Pencegahan Fraud Pada Peserta BPJS Rawat Jalan Di RSIA X Kupang Maria Sumiati Amabi; Dwi Nur Siti Marchamah; Wahyuni Arumsari
Indonesian Journal of Health Community Vol 6 No 2 (2025): Volume 6 Nomor 2 Tahun 2025
Publisher : Universitas Ivet

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31331/ijheco.v6i2.3788

Abstract

Since the National Health Insurance program was launched, BPJS Kesehatan has faced many challenges, one of which is the potential for fraud. BPJS has collaborated to develop fingerprint innovations by implementing a digitalization process for eligibility assurance. The purpose of this study was to review the effectiveness of fingerprint use as a fraud prevention effort in outpatient BPJS participant services at RSIA X Kupang. The research method was qualitative with interviews, observation, and documentation. The study was conducted from October to December 2024. A review of the implementation of fingerprint use in outpatient BPJS patient services at RSIA X showed a significant decrease in potential fraud cases compared to the previous year, when fingerprints were not implemented. The percentage of potential fraud patients who came for outpatient treatment using another participant's BPJS participant card in 2024 experienced a significant decrease, where out of a total of 14,817 outpatients in 2024, there were 2 patients, or equal to 0.01% who had the potential for fraud. The evaluation process must be carried out correctly and precisely to maximize the quality of service in the use of fingerprints.
Correlation study of drug abuse knowledge and infectious disease prevention in adolescent health policy Dwi Nur Siti Marchamah; Wahyuni Arumsari; Revalina Alya Syaharani
MEDIA ILMU KESEHATAN Vol 15 No 1 (2026): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v15i1.2032

Abstract

Background: Drug abuse and the increasing risk of infectious diseases among adolescents are interrelated health issues that require serious attention.Objective: This study aims to analyze the relationship between knowledge about drug abuse and infectious disease prevention efforts among adolescents.Methods: The study used a quantitative analytical approach with a cross-sectional design and was conducted from February to April 2026 at Junior High School X Semarang. The study sample consisted of 188 respondents selected using a cluster random sampling technique. Data were collected through a Google Form-based questionnaire that had been tested for validity and reliability. Results: The study showed that the majority of respondents had a high level of knowledge (96.8%) and a high level of infectious disease prevention efforts (95.7%). However, statistical tests showed no significant relationship between the two variables (p-value = 0.126).Conclusion: These findings indicate that knowledge alone is not sufficient to influence preventive behavior, necessitating a more comprehensive approach to adolescent health interventions.
NAPZA, HIV & AIDS Dalam Perspektif Remaja: Rekomendasi Kebijakan Untuk Pengendalian Perilaku Beresiko Dwi Nur Siti Marchamah; Wahyuni Arumsari; Risas Dika Maulana
An-Nadaa : Jurnal Kesehatan Masyarakat (e-Journal) Vol 12 No 2 (2025): AN-NADAA JURNAL KESEHATAN MASYARAKAT (DESEMBER)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Adolescents are a group vulnerable to risky behaviors such as promiscuity, drug abuse, and HIV & AIDS infection, due to limited understanding and access to accurate information. Objective: This study aims to evaluate the level of adolescents' understanding of drugs, HIV & AIDS, and identify existing misconceptions as a basis for developing appropriate prevention education strategies. Method: This study used a mixed-methods approach with a sequential explanatory design. It was conducted in July-September 2025 at SMP Negeri X Semarang. The study population included all 355 adolescents at the school, with a sample of 188 adolescents determined using the Slovin Formula and cluster random sampling techniques. Quantitative data were collected through questionnaires, while qualitative data were obtained from interviews with 5 adolescents. Results: The analysis shows that the majority of adolescents have a good understanding of drugs, HIV & AIDS. However, there are misconceptions about how HIV is transmitted. This finding emphasizes the need for more in-depth educational interventions to correct these misunderstandings. Conclusion: Further education is needed so that adolescents are more selective in receiving information related to drugs, HIV & AIDS, and reduce risky behaviors. Schools are expected to strengthen supervision and provide more comprehensive education, including through mass media and social media platforms, to make prevention programs more effective.