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Journal : VISIKES

Implementasi Kebijakan Kendali Mutu dan Kendali Biaya Dalam Era Jaminan Kesehatan shelvy haria roza; Kamal Kasra; Annisa Rahmayona
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5494

Abstract

The coverage of the National Health Insurance (JKN) participation continues to increase but participant satisfaction with health services decreases. Quality control and cost control policies are efforts to improve the quality and satisfaction of JKN participants. This study aims to analyze the implementation of Quality Control and Cost Control (KMKB) policies in Padang City  This research was conducted at BPJS Health Offices, Hospitals and Health Centers in Padang City in 2019. This study used quantitative and qualitative methods. Quantitative data in the form of secondary data from participant satisfaction index reports and health facilities were analyzed with descriptive statistics. Qualitative research is carried out with a systems approach, namely the components of input, process, and output. . Collecting qualitative data with in-depth interviews and document review. Research informants were determined by purposive sampling with a total of 9 informants. Qualitative data analysis by triangulation of sources and methods. The results showed that the satisfaction index of participants and health service providers in 2016-2019 had increased. although it has not yet reached the target according to the JKN target map. The average satisfaction of JKN-KIS participants reached 80.1% and the satisfaction rate of JKN-KIS providers was 79.15%. Quality and cost control has been implemented at the advanced referral health facility (FKRTL) level in Padang City. The input components found that not all hospitals have a KMKB team but have carried out and carried out quality and cost control activities. The output component has been executed but the work achievement cannot be known because it cannot be measured. Quality and cost control efforts have been carried out and implemented, although not all Padang City FKRTLs have formed TKMKB. There is an increase in participant and provider satisfaction after the KMKB policy is implemented.  
Co-Authors Abdi Setia Putra Ade Betasril Ade Suzana Eka Putri Adilla Kasni Astiena Agustina, Sarah Aisyah Putri Rezeki Ambia, Elvaricha Annisa Rahmayona Aria Gusti Arifni Arifin Arinil Haq Asha  Firnandia Asha  Firnandia Astiena, Adila Kasni Aufa, Salma Winda Augia, Trisfa Aurora, Bunga Putri Ayulia Fardila Sari ZA Ayulia Fardila Sari ZA Azmi, Fadilla Basuki Arioseno Batubara, Diandra Aurelia Betasril, Ade BP, Mardhiah Cahyani Cahyani, Mardhiah BP Deca, Fathiya Zarine Defriman Djafri Delviana, Adelia Dicki Kurnia Pratama Dicki Kurnia Pratama Dini Nur Annisa Dini Nur Annisa Diva, Azzahra Dyki Gymnasdian Dyki Gymnasdian Efendi, Melati Putria Elda, Edita Elda, Frima Eprilla Maharani Devisa Fadilla Azmi Faisal, Debri Rizky Fajrul Khairi Fajrul Khairi Fathan, Syauqi Fatrima Surya, Rezi Fritiara Fritiara Fritiara Fritiara Geofani, Riri Fitria Hamzah, Prima Kurniati Hanifa Eka Putri Hanifa Eka Putri Hardisman Helmadi, Bunga Herri Husna Yetti Husna, Nadiyatul Ilmaskal, Radian Khairunnisa, Mutia Markolinda, Yessy Markolinda, Yessy Markolinda Marzuki, Mardhatillah Masrul Meyi Yanti Mimi Dahyanti Muhamad Farhan Muhamad Farhan Mutia Khairunnisa Nadifah Khairini Fahdi Nadifah Khairini Fahdi Nisura, Egi Novriani, Bella Nugraha, Fathan Iman Nurul Aulia Putri Nurul Aulia Putri Pebridila, Luthfi Putri, Diva Annisa Putri, Hanifa Eka Qowiy, Abdul R. Firwandri Marza Rahma Wahyuni Ramadani, Mery Randy Novirsa Rezi Fatrima Surya Riyadi, Evan Rizanda Machmud Rohim, Muhamad Fatchur Rosfita Rasyid Shelvy Haria Roza Sinta Oktafiani Sinta Oktafiani Sitompul, Sahran Azhari Widyastuti, Adinda Wira Iqbal Yantri Maputra Yudi Pradipta Yuniar Lestari Yusda Prima Putra, Ikhsan Zura, Irhamni Mardhatillah