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Faktor-Faktor yang Berpengaruh terhadap Komunikasi antara Dokter Gigi dan Pasien dalam Pelayanan Perawatan Kesehatan Gigi Factors That Influence Communication between Dentist and Patient in Dental Health Care Service Ratna Astuti, Novitasari; Hendrartini, Julita; Widyanti Sriyono, Niken
Insisiva Dental Journal Vol 3, No 1 (2014)
Publisher : Insisiva Dental Journal

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Komunikasi dokter gigi dan pasien memainkan peranan penting bahkan menentukan dalamkeberhasilan perawatan serta meningkatkan efektifitas pelayanan dan kepuasan pasien. Keberhasilan perawatankesehatan gigi pada pasien, selain dituntut keahlian teknis profesional seorang dokter gigi juga dituntutkemampuan non teknis berupa keahlian berkomunikasi dalam menghadapi berbagai perilaku pasien, dandipengaruhi beberapa faktor-faktor lain. Tujuan: mengetahui faktor-faktor yang berpengaruh terhadapkomunikasi antara dokter gigi dan pasien dalam pelayanan perawatan kesehatan gigi di Rumah Sakit BethesdaDIY. Metode: Jenis penelitian adalah observasional dengan rancangan cross sectional. Subyek penelitian adalahpasien di poliklinik gigi Rumah Sakit Bethesda DIY sebanyak 100 pasien gigi yang diambil dengan simplerandom sampling. Adapun kriteria sampel, pasien berusia 12-55 tahun dan dapat berkomunikasi dengan baik dipoli gigi RS Bethesda DIY. Variabel pengaruh yakni frekuensi kunjungan, pendampingan kunjungan, tingkatpendidikan, jenis kelamin, usia. Variabel terpengaruh yakni komunikasi antara dokter gigi dan pasien. Alat ukurmenggunakan kuesioner dengan skala likert. Uji coba kuesioner dilakukan terhadap 30 responden .Penelitian inimenggunakan teknik korelasi product moment dengan r berkisar antara 0,416-0,698 dan p < 0,05, hasilreliabilitas dengan teknik alpha cronbach r tt = 0,876 dan p < 0,05. Data hasil penelitian dianalisis dengananalisis regresi berganda dengan tingkat kemaknaan 0,05. Hasil: menunjukkan adanya pengaruh yang bermaknaantara faktor usia (r=0,236 dan p=0,017), pendidikan (r=0,393 dan p=0,000),frekuensi kunjungan pasien kedokter gigi (r=0,291 dan p=0,004), pendampingan kunjungan pasien saat masuk ruang praktek dokter gigi(r=0,259 dan p=0,009) terhadap komunikasi antara dokter gigi dan pasien. Sedangkan jenis kelamin (r=0,166 danp=0,095) tidak terdapat pengaruh terhadap komunikasi antara dokter gigi dan pasien. Kesimpulan: Faktor usia,frekuensi kunjungan, pendidikan dan pendampingan kunjungan berpengaruh terhadap komunikasi dokter gigidan pasien sedangkan jenis kelamin tidak berpengaruh. Faktor yang memberikan bobot sumbangan terbesarterhadap komunikasi antara dokter gigi dan pasien adalah faktor tingkat pendidikan.

Potret Masyarakat Sektor Informal di Indonesia: Mengenal Determinan Probabilitas Keikutsertaan Jaminan Kesehatan sebagai Upaya Perluasan Kepesertaan pada Skema Non PBI Mandiri Intiasari, Arih Diyaning; Trisnantoro, Laksono; Hendrartini, Julita
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 4 (2015)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.v4i4.36122

Latar Belakang: Perluasan kepesertaan jaminan kesehatan pada masyarakat sektor informal masih merupakan permasa- lahan nyata di berbagai negara. Karakteristik spesifik yang dimiliki oleh masyarakat sektor informal mempunyai potensi negatif dan positif yang harus bisa dikenali oleh pembuat kebijakan dalam rangka memberikan rekomendasi kebijakan yang paling tepat. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik masyarakat sektor informal terhadap kepemilikan jaminan kesehatan. Hasil penelitian ini diharapkan dapat memberikan kontribusi dalam upaya perluasan cakupan kepesertaan Non PBI Mandiri dimasa yang akan datang. Metode Penelitian : Penelitian ini merupakan studi observasio- nal analitik dengan rancangan Cross sectional dengan pende- katan data kuantitatif yang digunakan berhasil mendapatkan sebanyak 349.491 responden masyarakat sektor informal di Indonesia. Untuk memberikan gambaran karakteristik masyara- kat sektor informal dalam kepemilikan Jaminan kesehatan digu- nakan analisis data univariat dan bivariat. Hasil : Berdasarkan hasil analisis diketahui bahwa faktor yang berhubungan dengan kepemilikian asuransi sukarela adalah umur (p<0,001), pendidikan (p<0,001), pekerjaan (p<0,001), status perkawinan (p=0,002), status dalam keluarga (p=0,035), tempat tinggal (p<0,001), status ekonomi (p<0,001), status tempat tinggal (p<0,001), kepemilikan obat tradisional (p<0,001) dan kepemilikan riwayat penyakit kronis (p<0,013). Sebanyak 95,4% responden tidak memiliki akses terhadap pelayanan kesehatan Kesimpulan: Upaya perluasan cakupan kepesertaan Non PBI mandiri tidak hanya membutuhkan promosi kesehatan yang baik, akan tetapi juga harus diimbangi dengan kebijakan peme- rataan akses dan peningkatan kuantitas serta kualitas pelayan- an kesehatan. Upaya untuk mengkaji potensi pembiayaan kesehatan, utamanya melalui identifikasi revenue collection dan metode pengumpulan premi yang tepat bagi masyarakat sektor informal harus terus dilakukan.Background: The effort of extending of health insurance enrollment to the informal sector has risen to become an agenda in Man countries. The informal sector has a specific characteristic with positive and negative potential that should be recognized by all of the decision-makers in order to make appropriate policy. This research aims to analyze the informal sector characteris- tic regarding health insurance enrollment. The Renault may contribute to extending universal coverage in the enrollment of Non-PBI (voluntary scheme) on JKN in the coming years. Method: This study was observational analytic with a cross-sectional design. A quantitative approach was used to analyze 349.492 respondents from informal sector community in Indonesia. Univariate and bivariate data analysis was used to give information about the correlation between informal sector charac- teristic and health insurance enrollment. Result: Data analysis showed the variables correlate into health insurance enrollment are : Age (p<0,001), Education (p<0,001), jobs(p<0,001), marital status (p=0,002), role on family (p=0,035), place of resident (p<0,001), economic status (p<0,001), home status (p<0,001), traditional medication stock (p<0,001) and history of chronic illness (p<0,013). Many re- spondents ( 95,4% ) have no access to health care provider Conclusion: Effort on extending of non PBI (voluntary scheme) enrollment not only need a good health promotion but also balancing with policies in order to ensure many factors such as equity on health care access and increasing the quantity and quality of health care. There must be a policy analysis to explore health financing potential on informal sector communi- ty, especially to identify the appropriate and adequate me- thods on revenue collection and premium collection.

RISK FACTORS OF NEW CARIES BASED ON CHILD DENTAL CARIES PREDICTOR APPROACH: FAKTOR RESIKO KARIES BARU BERDASARKAN PENDEKATAN PREDIKTOR KARIES GIGI ANAK Quroti A’yun; Julita Hendrartini; Supartinah Santoso; Diyah Fatmasari
Dentika: Dental Journal Vol. 18 No. 2 (2014): Dentika Dental Journal
Publisher : TALENTA

Caries risk factors are factors relate to caries occurrence in individual or population. Caries risk factors vary in everyindividual. A new method to discover the relation between risk factors and caries in children is a software named childdental caries predictor This research aimed to know the general overview of the order of caries risk factor in elementaryschool students in the province of Daerah Istimewa Yogyakarta. This was an observational research with cross-sectionaldesign. The subjects were 430 children, ranging from 10 to 12 years of age. Caries risk factors that were assessed throughchild dental caries predictor were oral and dental condition, mothers and children’s behavior in maintaining dental health,and school environment. The research result showed that the percentage for each risk factor was 39.74% for oral anddental condition, 35.77% for children’s behavior in maintaining dental health, 15.90% for mothers’ behavior inmaintaining child’s dental health, and 7.95% for school environment. In conclusion, the order of children caries riskfactors through measurement using child dental caries predictor are oral and dental condition, children’s behavior inmaintaining dental health, mothers’ behavior maintaining child’s dental health,, and school environment.

STRATEGI SWITCHING PREMI DALAM PENGUMPULAN DANA MASYARAKAT SEKTOR INFORMAL SEBAGAI UPAYA PENCEGAHAN KETERLAMBATAN PEMBAYARAN PREMI JAMINAN KESEHATAN NASIONAL Intiasari, Arih Diyaning; Trisnantoro, Laksono; Hendrartini, Julita
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 1 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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The increase in the budget deficit BPJS in the first 3 years of implementation JKN require special attention. One of the problems in the implementation of JKN is high late payment of premiums by the participants of the Non PBI Mandiri. The purpose of this study was to determine the participants' perceptions of Non PBI Mandiri to the recommendations transition strategy JKN premium payer. This study is a policy with qualitative descriptive approach. The study design used policy aims to draw up a recommendation is the Case Study on the phenomenon of late payment of premiums. Depth interviews with 11 informants participants Independent Non PBI done with purposive sampling quota system. The result showed that the presence of positive consequences as the public response to the concept of a transitional strategy premium payer. Participants claimed to be greatly assisted if the program was held because it can ease the burden of their medical expenses when his advanced age and does not have income again, providing peace in the certainty of change of insurer premiums in non-productive age. Conclusion of the study were breakthrough made in a transitional strategy premium payer has received positive responses from the public policy goals.

STRATEGI SWITCHING PREMI DALAM PENGUMPULAN DANA MASYARAKAT SEKTOR INFORMAL SEBAGAI UPAYA PENCEGAHAN KETERLAMBATAN PEMBAYARAN PREMI JAMINAN KESEHATAN NASIONAL Arih Diyaning Intiasari; Laksono Trisnantoro; Julita Hendrartini
Kesmas Indonesia Vol 9 No 1 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.816 KB)

The increase in the budget deficit BPJS in the first 3 years of implementation JKN require special attention. One of the problems in the implementation of JKN is high late payment of premiums by the participants of the Non PBI Mandiri. The purpose of this study was to determine the participants' perceptions of Non PBI Mandiri to the recommendations transition strategy JKN premium payer. This study is a policy with qualitative descriptive approach. The study design used policy aims to draw up a recommendation is the Case Study on the phenomenon of late payment of premiums. Depth interviews with 11 informants participants Independent Non PBI done with purposive sampling quota system. The result showed that the presence of positive consequences as the public response to the concept of a transitional strategy premium payer. Participants claimed to be greatly assisted if the program was held because it can ease the burden of their medical expenses when his advanced age and does not have income again, providing peace in the certainty of change of insurer premiums in non-productive age. Conclusion of the study were breakthrough made in a transitional strategy premium payer has received positive responses from the public policy goals.

Perangkat Lunak Prediktor Karies Anak Berdasarkan Faktor Anak, Perilaku Ibu, dan UKGS Quroti A'yun; Diyah Fatmasari; Julita Hendrartini
Majalah Kedokteran Gigi Indonesia Vol 1, No 1 (2015): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Karies adalah penyakit yang disebabkan oleh faktor langsung dan tidak langsung. Saat ini baru ada alat yang dipakai untuk mengukur risiko karies secara langsung. Berdasarkan faktor penyebab tersebut maka perlu disusun alat prediksi karies baru, yang mengukur faktor langsung dan tidak langsung. Tujuan penelitian ini adalah untuk menyusun alatPrediktor Karies Anak (PKA) dan melakukan uji validitas. Jenis penelitian ini adalah cross-sectional analitic. Penelitian dilakukan melalui empat tahap, yakni: definisi persyaratan, perancangan sistem dan perangkat lunak, dan implementasi serta pengujian unit. Penyusunan perangkat lunak berdasarkan risiko karies pada 430 anak SD usia 10 - 12 danorangtuanya. Uji validitas perangkat lunak dilakukan dengan membandingkan 42 hasil pengukuran antara PKA denganMicrosoft Excel. Pada tahap definisi persyaratan, diperoleh faktor risiko karies yang meliputi pH saliva, banyaknya plak, pengalaman karies, pemanfatan pelayanan kesehatan gigi, perilaku ibu dalam memilih makanan, pengetahuan anak tentang kesehatan gigi dan mulut, perilaku anak dalam memelihara kesehatan gigi, perilaku anak dalam kebiasaanmakan, dan pelaksanaan UKGS oleh guru. Tahap perancangan sistem dan perangkat lunak, menggunakan bobot faktor risiko sehingga diperoleh persamaan risiko terjadinya karies baru: P=1/[1+2.7 (-2,335 + 0,658X1 + 0,868X2 + 1,398X3 + 0,629X4 + 0,516X5 + 0,745X6 + 0,743X7 + 1,199X8 + 0,613x9)]. Hasil uji menunjukkan tidak ada perbedaan antara hasil pengukuran risiko karies antara PKA danpenghitungan dengan Microsoft Excel (p > 0,05). Penelitian ini telah menghasilkan perangkat lunak PKA dan hasil uji telah valid. Software of Prediktor Karies Anak Based on Child Factor, Mother’s Behavior, and Environment. Caries is caused by direct and indirect factors. Recently, there is only a tool to measure direct factor of caries risk on school age children. Therefore, a new tool for caries prediction needs to be developed, which involves measurement for both direct and indirect factors. The study objective is to develop Prediktor Karies Anak (PDA) and to determine its validity. The research design was cross-sectional analytic. This study was conducted in four stages: pre-requirement definitions, design of system and software, implementation and unit test. The software was developed based on caries risk factors of 430 students aged 10 - 12 years and their parents. The validity of the Software was tested by comparing 42 outputs of Prediktor Karies Anak with Microsoft Excel. On the Pre-requirement definitions stage, caries risk factors were determined as pH saliva, plaque quantity, caries experiences, utilization of dental health care, mother’s behaviour in food selection, children’s knowledge on dental health, children’s behaviour on dental health maintenance, children’s behaviour on food habit, and UKGS implementation by teachers. The weighting factor formula to predict the risk of new caries in the design of systems and software was: P=1/[1+2.7(-2,335 + 0,658X1 + 0,868X2 + 1,398X3 + 0,629X4 + 0,516X5 + 0,745X6 + 0,743X7 + 1,199X8 + 0,613x9)]]. There were no differences on risk caries between Prediktor Karies Anak and MicrosoftExcel (p > 0,05). This study had produced the software of Prediktor Karies Anak and the test result was valid.

Pengaruh keadaan rongga mulut, perilaku ibu, dan lingkungan terhadap risiko karies pada anak Quroti A'yun; Julita Hendrartini; Al Supartinah
Majalah Kedokteran Gigi Indonesia Vol 2, No 2 (2016): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

The effect of oral cavity condition, mothers’ behaviour and environment on the carries risk on children. Carries risk factors in children consist of direct risk factor, which includes the condition of oral cavity, and indirect risk factor including mother’s behaviour and environment. The study was to identify factors that influence the occurrence of caries in children. This is an observational research with a cross-sectional design. The samples were 430 children between the ages of 10-12 years. The evaluated caries risk factors included pH level of saliva, the amount of plaque, caries experience, the mother’s behaviour in child’s utilization of dental health service, the mother’s behaviour on the child’s health care, and the mother’s behaviour on child’s food selection. The environment factors were UKGS implementation by teacher and friend’s influences. The data were analysed using multiple logistic regression. The result of multiple logistic regression analysis indicated that the pH level of saliva (POR=1.923), the amount of plaque (POR=2.382), caries experience (POR=4.048), mother’s behaviour in child’s utilization of dental health service (POR= 2.107), mother’s behaviour on child’s food selection (POR= 1.676), and the UKGS implementation by teacher (POR=1,846) significantly influenced the occurrence of caries (p<0,05). The mother’s behaviour on the child’s health care and friend’s influences did not significantly influenced the occurrence of caries (p>0,05). The study showed that pH level of saliva, the amount of plaque, caries experience, the mother’s behaviour in utilization of dental health service, mother’s behaviour on child’s food selection, and the UKGS implementation by teacher influenced the risk of caries in children.ABSTRAKFaktor risiko karies pada anak terdiri atas faktor risiko langsung, yaitu keadaan rongga mulut anak, dan faktor tidak langsung, yaitu perilaku ibu dan lingkungan. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berpengaruh terhadap risiko terjadinya karies. Jenis penelitian ini adalah observasional dengan rancangan cross-sectional. Sampel sebanyak 430 anak berumur 10-12 tahun, faktor risiko karies yang diukur adalah pH saliva, banyaknya plak, dan pengalaman karies, perilaku ibu dalam pemanfaatan pelayanan kesehatan gigi anak, perilaku ibu dalam pemeliharaan kesehatan gigi, dan perilaku ibu dalam pemilihan makanan anak. Faktor lingkungan terdiri atas pelaksanaan UKGS oleh guru dan pengaruh teman sebaya. Analisis data dilakukan dengan multiple logistic regression. Hasil analisis menunjukkan pH saliva (POR=1,923), banyaknya plak (POR 2,382), dan pengalaman karies (POR= 4,048), perilaku ibu dalam pemanfatan pelayanan kesehatan gigi anak (POR=1,876), perilaku ibu dalam pemilihan makanan anak (POR=1,676) dan pelaksanaan UKGS oleh guru (POR=1,847) berpengaruh secara signifikan dengan risiko karies pada anak (p<0,05). Perilaku ibu dalam pemeliharaan kesehatan gigi anak dan teman sebaya tidak berpengaruh terhadap risiko karies pada anak (p>0,05). Dapat disimpulkan bahwa faktor-faktor yang berpengaruh terhadap risiko karies pada anak adalah pengalaman karies, banyaknya plak, pH saliva, perilaku ibu dalam pemanfaatan pelayanan kesehatan gigi anak, perilaku ibu dalam pemilihan makanan anak, dan pelaksanaan UKGS oleh guru.

UTILIZATION OF JKN DENTAL PROSTHETIC SERVICES AT FIRST LEVEL DENTAL HEALTH FACILITIES IN BALI Gusti Ayu Yohanna Lily; Widowati Siswomihardjo; Julita Hendrartini; Haryo Mustiko Dipoyono; Dewa Made Wedagama
ODONTO : Dental Journal Vol 8, No 2 (2021): December 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.2.126-130

ABSTRACTBackground: The utilization of dental prosthesis services in Indonesia is rare, compared to other dental and oral health services. The use of prosthesis services in Bali is still relatively low compared to other parts of Western Indonesia. Based on data from BPJS Kesehatan Denpasar Branch Office, the demand for dental prostheses services by participants in the three working areas of BPJS Kesehatan Denpasar Branch Office is still low. Method: This research was conducted using quantitative research. The population were all participants providers of FKTP BPJS Kesehatan Badung Regency, and samples were taken through purposive sampling. Quantitative data were analyzed using binary logistic regression.Result: The results that the predisposing factors for JKN program participants (income, knowledge of dental prostheses, knowledge of JKN dental prosthesis services, perceptions of service quality, and perceptions of cost); enabling factor (access), and the need factor (the perception of pain when losing a tooth) contributions have a significant positive effect on the utilization rate of JKN dental prostheses. The predisposing factors (age and education) and enabling factor (social support) do not have a significant effect on the utilization rate of JKN dental prostheses. Conclusion: The results that the predisposing factors for JKN program participants contributions have a significant positive effect on the utilization rate of JKN dental prostheses.

Faktor-Faktor yang Mempengaruhi Rawat Inap Ulang Pasien Skizofrenia pada Era Jaminan Kesehatan Nasional di Rumah Sakit Jiwa Grhasia Pemda DIY Suri Herlina Pratiwi; Carla Raymondalexas Marchira; Julita Hendrartini
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 1 (2017)
Publisher : Center for Health Policy and Management

ABSTRACTBackground: The implementation of National Health Insurance (JKN) applies a quality and cost control system services aimed at improving the efficacy and effectivity of health insurance with managed care principle. Readmission is used as an indicator for effectivity and technical competence of a hospital. The increasing cases of readmission, specifically in schizophrenia patients, leads to an increase in health care costs in the hospital. The aim of this study is to know the determinant factors of readmission of schizophrenia patients.Methods: This study was a non-experimental research using a case control study plan. The study was conducted in Grhasia Mental Hospital. The samples were 53 groups of readmission and 53 group of non-readmission. The respondents were the schizophrenia patients and their caregivers. The data collecting used questionnaire and in-depth interview.Result: Bivariate analysis showed the incidence of readmission of schizophrenia patients to some risk factors as follows: (1) Marriage OR 2.822; CI95% 1.082 – 7.630; p-value 0.018; (2) Work OR 2.709; CI95% 1.063 – 7.106; p-value 0.021; (3) Medication Adherence OR 14.692; CI95% 5.245 – 42.221; p-value <0.001; (4) Caregiver Level of Knowledge OR 8.571; CI95% 2.213 – 47.927; p-value 0.0003. Multivariate analysis showed that risk factors affecting incidence of readmission of schizophrenic patients are medication adherence (OR13.556, CI95% 5.037 - 36.480; p-value <0.001) and caregiver level of knowledge (OR 7.175; CI95% 1.628 – 31.605; p-value 0.009).Conclusion: Determinant factors of the readmission of schizophrenia patients are the lack of medication adherence of the patients and caregiver’s lack of knowledge. Demographic factors (age, gender, marital status, education, and job) and ownership of health insurance are not statistically significant to the readmission of schizophrenia patients. Keywords: schizophrenia, readmission, medication adherence, caregiver level of knowledge, national health insurance ABSTRAKLatar Belakang: Implementasi Jaminan Kesehatan Nasional (JKN) menerapkan sistem kendali mutu dan biaya pelayanan bertujuan untuk meningkatkan efisiensi dan efektifitas jaminan kesehatan dengan prinsip managed care. Readmission sebagai dimensi mutu efektivitas dan kompetensi teknis rumah sakit. Meningkatnya kasus readmission pasien skizofrenia di rumah sakit meningkatkan biaya pelayanan kesehatan. Tujuan penelitian ini adalah mengetahui faktor-faktor yang mempengaruhi rawat inap ulang (readmission) pada pasien skizofrenia.Metode: Penelitian ini merupkan studi non eksperimental menggunakan rancangan case control study. Penelitian dilakukan di RSj Grhasia. Jumlah sampel 53 pasien kelompok readmission dan 53 pasien pada kelompok non readmission. Responden penelitian ini adalah pasien skizofrenia dan caregiver. Pengumpulan data dengan kuesioner dan wawancara mendalam.Hasil: Analisis bivariat menunjukkan kejadian readmission terhadap faktor resiko perkawinan diperoleh nilai OR 2,822, CI 95% 1,082-7,630, p-value 0,018; pekerjaan diperoleh nilai OR 2,709, CI 95% 1,063-7,106, p-value 0,021; kepatuhan minim obat diperoleh nilai OR 14,692, CI 95% 5,247-42,221, p-value <0,001; tingkat pengetahuan caregiver diperoleh nilai OR 8,571, CI 95% 2,213-47,927, p-value 0,0003. Hasil analisis multivariat menunjukkan bahwa faktor resiko yang berpengaruh terhadap kejadian readmission pasien skizofrenia adalah kepatuhan minum obat (OR 13,556, CI 95% 5,037-36,480, p-value <0,001) dan tingkat pengetahuan caregiver (OR 7,175, CI 95% 1,628- 31,605, p-value 0,009).Kesimpulan: Faktor-faktor yang mempengaruhi readmission pasien skizofrenia adalah kepatuhan minum obat dan tingkat pengetahuan caregiver. Faktor demografi (usia, jenis kelamin, status perkawinan, pendidikan dan pekerjaan) tidak bermakna secara statistik terhadap readmission pasien skizofrenia. Kata Kunci: skizofrenia, readmission, kepatuhan minum obat, pengetahuan caregiver, jaminan kesehatan.

Analisis Pola Pemanfaatan Jaminan Pembiayaan Kesehatan Era Jaminan Kesehatan Nasional Pada Peserta Non PBI Mandiri Di Wilayah Perdesaan Kabupaten Banyumas Arih Diyaning Intiasari; Julita Hendrartini; Laksono Trisnantoro
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 3 (2016)
Publisher : Center for Health Policy and Management

ABSTRACTBackground : There is a suspected tendency of adverse selection during the implementation of JKN typically among Non PBI members (voluntary member) impact on the high rate of claims for services, especially in the outpatient claims level in hospital. It is necessary to study the patterns of utilization of health financing among Non PBI participants to describe determinants that influence it. Policy recommendations for the improvement of public health financing for non-poor informal sector are expected to support the efforts toward the expansion of the universal health coverageMethod: This study design was cross-sectional in the period from June to December 2015. Data collection is using qualitative approach with in-depth interview guide. Informants are some 24 people comprising 12 Non PBI informant participants, 3 the registrar at the health center, 2 nurses in health centers, 3 the registrar at the private hospital and 4 people registrar in General HospitalResult: There are four patterns of usage by the participants of the Non PBI (Mandiri). The utilization pattern consists of: Utilization of health services appropriate tiered referral system, utilization of health insurance by their own preference of referral system, utilization of health insurance only for health care outpatient and inpatient hospital and utilization of health insurance only for inpatient health services in hospital Conclusion : There is a tendency for adverse selection and moral hazard on utilization of health financing by Non PBI members. Some referral practices are not in accordance with the procedure of tiered referral system due to several identified reasons either from the demand side and the supply side. Keyword : social health insurance, Adverse Selection ABSTRAKLatar Belakang: Adanya kecenderungan terhadap fenomena adverse selection pada skema Non PBI Mandiri berdampak kepada tingginya rasio klaim pelayanan terutama pada klaim rawat jalan tingkat lanjutan di FKTL. Perlu dilakukan kajian terhadap pola pemanfaatan jaminan pembiayaan kesehatan era JKN pada peserta Non PBI Mandiri untuk mengetahui gambaran determinan yang mempengaruhinya. Rekomendasi terhadap perbaikan kebijakan pembiayaan kesehatan masyarakat sektor informal non miskin diharapkan dapat mendukung upaya perluasan kepesertaan menuju kesehatan masyarakat semestaMetode: Penelitian ini menggunakan rancangan potong lintang pada periode Bulan Juni-Desember 2015. Pengambilan data menggunakan pendekatan kualitatif dengan panduan wawancara mendalam. Informan yang terlibat sejumlah 24 orang yang terdiri dari 12 informan peserta Non PBI Mandiri, 3 orang petugas pendaftaran di Puskesmas, 2 orang perawat di Puskesmas, 3 orang petugas pendaftaran di RS Swasta dan 4 orang petugas pendaftaran di RS UmumHasil : Identifikasi pada informan menemukan adanya 4 pola penggunaan jaminan pembiayaan kesehatan oleh peserta Non PBI Mandiri. Pola pemanfaatan tersebut terdiri dari : Pemanfaatan pelayanan kesehatan sesuai sistem rujukan berjenjang, Pemanfaatan jaminan kesehatan dengan sistem rujukan APS, Pemanfaatan jaminan kesehatan hanya untuk pelayanan kesehatan rawat jalan dan rawat inap di FKTL dan pemanfaatan jaminan kesehatan hanya untuk pelayanan kesehatan rawat inap di FKTLKesimpulan: Adanya kecenderungan adverse selection dan moral hazard teridentifikasi pada peserta skema Non PBI Mandiri. Pola pemanfaatan jaminan pembiayaan kesehatan yang tidak sesuai dengan prosedur sistem rujukan berjenjang disebabkan adanya beberapa hal yang dapat teridentifikasi baik dari sisi demand maupun sisi supply. Keyword : BPJS Non PBI Mandiri, Adverse Selection

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