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All Journal Jurnal Kebijakan Kesehatan Indonesia Dentika Dental Journal Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva Dental Journal (Majalah Kedokteran Gigi) Public Health of Indonesia Padjadjaran Journal of Dentistry Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Kesehatan Vokasional Open Access Jakarta Journal of Health Sciences (OAJJHS) Jurnal Teknologi Kesehatan Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Praeparandi : Jurnal Farmasi dan Sains Odonto dental journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

Julita Hendrartini

Departemen Ilmu Kesehatan Gigi Pencegahan Dan Ilmu Kesehatan Gigi Masyarakat, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta

Author-ID : 279367

Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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STATUS SOSIAL EKONOMI TERHADAP UTILISASI DAN OUT OF POCKET PESERTA ASURANSI KESEHATAN (ANALISIS DATA INDONESIAN FAMILY LIFE SURVEY 2007 DAN 2014) Endra Dwi Mulyanto; Julita Hendrartini; Firdaus Hafidz As Shidieq
Journal of Health Service Management Vol 23 No 01 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The government has guaranteed equal rights for each individual to access health services. It is mandated in the Law Number 40 of 2004 on National Social Security System (SJSN) which emphasizing social insurance program. The social insurance is expected to improve the access and utilization of health services and to minimize the risk of out of pocket. Objective: To provide empirical evidence related to the impact of health insurance ownership toward the outpatient utilization and out of pocket based on socioeconomic status. It also examines the factors influencing outpatient utilization and out of pocket. Methods: The study used 2007 and 2014 Indonesian Family Life Survey (IFLS) data. The representative data were collected from individuals aged more than 15 years in 13 provinces in Indonesia through questionnaire with cross-sectional design. The data were analyzed step by step covering univariable, bivariable, and multivariable through Fixed Effect Model (FE). Results: The outpatient utilization indicated that: 1) The socioeconomic status influences the level of outpatient visit, specifically quantile 2 (OR=1,6), quantile 4 (OR=2,0), and quantile 5 (OR=1,8); 2) The outpatient utilization reached OR=1,8 for individual aged ≥60 years; 3) OR=3,6 for individuals completing junior high school and above; 4) OR= 2,7 for individual who was sick in the past one week; 5) OR= 1,4 for married individuals; and 6) OR= 1,9 for individuals suffering from heart disease. However, the individuals with socioeconomic status in quantile 4 spent higher Out of Pocket (54%); individuals in quartile 5 spent 46%; and individual with hypertension spent 48%. Conclusion: Changes in socioeconomic status affect the increase in outpatient utilization and out of pocket cost. In addition to socioeconomic status, outpatient utilization and out of pocket are affected by hypertension.

EVALUASI PERENCANAAN DAN PENGANGGARAN PROGRAM PROMOTIF DAN PREVENTIF DINAS KESEHATAN KABUPATEN TANA TIDUNG, KALIMANTAN UTARA Ranik Diastuti; Julita Hendrartini
Journal of Health Service Management Vol 23 No 02 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Planning and budgeting are important components of community health efforts. Budget allocation for health in Tana Tidung was small. Budget absorption in health office was also low. Achievement of some Minimum Service Standard (SPM) indicators still below 60%. This indicates the possibility of problems regarding the quality of planning, budgeting, or implementation of promotive and preventive programs. Research needs to be done to evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office. Objective: To evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office to be known the obstacles of SPM indicators achievement. Methods: The type of research is case study research with single case design. Data collected by documentation document review, observation and in-depth interview with 17 employees in health of fice and primary healthcare centers during the period of March-April Data were analyzed with qualitative method. Results: Achievement of promotive and preventive program indicators in Tana Tidung district health office influenced by planning, either from human resources, data and information also guidelines for planning. Budgedting of promotive and preventive programs was ineffective and inefficient to improve achievement of SPM indicators. Constraints encountered are human resources have not been sufficient in quantity and quality, less communication, lack monitoring and evaluation functions, weak commitment of the programs holders in targets achievement, as well as the commitment of local authorities to promotive and preventive programs that are also weak. Conclusion: Planning and budgeting of promotive and preventive program had not been able to increase achievement of SPM indicators. Improvement is needed, especially on human resources, data management, policy components and also need a strong commitment to improve the achievement of promotive and preventive program indicators.

ANALISIS TARIF PELAYANAN POLI PENYAKIT DALAM DI RUMAH SAKIT UMUM DAERAH DALAM ERA JAMINAN KESEHATAN NASIONAL Sri Wusono; Julita Hendrartini; Dwi Handono Sulistyo
Journal of Health Service Management Vol 23 No 03 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The Hospital as an advanced health facility has an essential role in implementing the National Health Insurance (JKN).Reimbursement mechanism of health services using INA-CBGs package tariff, which the objectives for controlling healthcare costsand improving service standards. However, this has not been implemented well. Therefore INA-CBGs has a disadvantage potentialto Hospital.Objective: To determine the difference between Hospital tariff and INA-CBGs for JKN patients.Methods: This study was descriptive with a qualitative approach and case study design. Review documents and in-depth interviewswith Hospital structural and functional management were used for data collection. Data analyzed used descriptive analysis for secondarydata and qualitative analysis to explore hospital policies and strategies to the tariff difference to deepen this study result. Theresearch was conducted from April to June 2018.Results: Healthcare cost of JKN patients in Internal Disease Poly has negative difference during January–June 2017 with an averageof 20,3%. The main factor causing the difference was pharmaceutical 63%. This tariff difference occurred due to several factorssuch as related with the most morbidity diseases: 61,7% chronic diseases, policies implemented for capacity building of human resourcesin JKN patient services, improvement of a referral program for stable patients, cross-subsidizing of other income and government,specific strategies in JKN services that listed in the strategic plan. Furthermore, for service output was planned to reach hospitalaccreditation and conduct excellent heart disease service.Conclusion: Healthcare cost in Internal Disease Poly had deficit due to hefty deviation tariff between hospital tariff and INA-CBGs.However, potential losses could be anticipated with policies and strategies that support cost control and improve service standards.

PENGEMBALIAN BERKAS KLAIM PASIEN PESERTA JAMINAN KESEHATAN NASIONAL (JKN) DI RSUD SULTAN SYARIF MOHAMAD ALKADRIE KOTA PONTIANAK Andi Sulaimana; Andreasta Meliala; Julita Hendrartini
Journal of Health Service Management Vol 22 No 1 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Approach of managed care in the National Health Insurance Program (JKN) puts hospitals as a health facility referral with the prospective payment system. Treatment of patients should be done and handled in primary health facilities. Although the number of patient referral to hospitals in JKN era remains high. The impact of the hospital is faced with an increase in claims bills to BPJS Kesehatan. By 2016 in RSUD Pontianak it was noted that 6.98% of the income came from JKN hospital patients which had not been paid by BPJS Kesehatan, so some were returned. A research needs to be conducted on the cause of the returned claim file from BPJS Kesehatan verifier to RSUD Pontianak. Objective: To find out the cause of the claims pending in RSUD Pontianak. Methods: The research is an exploratory case study with a single case study design approach. Results: The claim process at RSUD Pontianak is still not as good as never completed every month. Most of the causes of returned claims are administrative errors and medical reasons. Maladmin istration in the form of typing errors, dates, but a sign from the doctor. Medical reasons include coding disagreements, differences in perceptions about specific inspection directions, lack of support, differences in perceptions about secondary diagnostic inputs. Performance coding is limited to differences in perceptions between Coder and BPJS Kesehatan Verifier, positive physician response to file claims reversed, BPJS Kesehatan Verifier perceptions are constrained in capacity, differences in educational background, differences in understanding with Coder on Reselected Coding, and differences in regulatory implementation in the claims process. Conclusion: Technical error of claims administration process, difference of perception of coding, difference of comprehension about complementary examination, special treatment and secondary diagnosis input, and difference of perception to JKN regulation on verifier of cause of claim file of JKN patients return to RSUD Pontianak.

KINERJA TIM KENDALI MUTU KENDALI BIAYA CABANG SURAKARTA DALAM PENGENDALIAN MUTU DAN BIAYA PADA PROGRAM JAMINAN KESEHATAN NASIONAL Sholahuddin Sanjaya; Dwi Handono Sulistyo; Julita Hendrartini
Journal of Health Service Management Vol 22 No 1 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Indonesia in 2014 implemented the National Health Insurance (JKN) program. The implementation of the comparison between contribution and health insurance expenditure in the Surakarta Branch Office is not optimal. The Coordinating Team in TKMKB plays an important role in JKN quality and cost control. Hence, we need to evaluate the performance with the TKMKB Surakarta Branch coordination team. Objective: To evaluate the performance of TKMKB Surakarta Branch Coordination Team in quality and cost control of JKN program and to identify performance inhibiting factors. Methods: The research was descriptive with case study design using qualitative approach focusing on developing the description and depth analysis about Coordination Team performance on national health insurance program at Surakarta Branch Office. Performance was assessed based on the implementation of the job description. Data were collected using interviews and document review. Results: The utilisation review task was not standardised yet because it was only implemented once and there was no monitoring and follow-up of utilisation review indicators, the discussion of the problem and the evaluation of the policy has not been in accordance with the standards because the recommendation issues have not been in accordance with the issues raised. The socialisation of authority, ethical guidance and professional discipline of health personnel have not been up to standard because they are not conveyed to all members of professional organisations. Factors that hamper performance were limited time, lack of data access, and facilitation. Conclusion: The performance of the Coordination Team on the task of utilisation review has not been optimal yet, the task of discussing the problem and the evaluation of the policy has not been optimal, and in the task of authority socialisation, ethics coaching and health professional discipline has not been optimal. Factors that hinder performance were limited time, lack of data access, and facilitation of TKMKB.

PEMANFAATAN PROGRAM JAMINAN KESEHATAN NASIONAL DI PUSKESMAS DAERAH TERPENCIL KABUPATEN SUMBA TIMUR Damaris Pura Tanya; Julita Hendrartini; Dwi Handono Sulistyo
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: National Health Insurance has been performed since The implementation aims of performing National Health Insurance to facilitate access and utilization of health care. Public Health Center (PHC) as the forefront of health care and has major role to facilitate utilization of health care for members of National health Insurance. Nowadays, utilization of National Health Insurance in PHC has not reached national target amounts 15%. Objective: To explore determinant factors on utilization of national health insurance in remote PHC, East Sumba. Methods: The study type is qualitative with case study design. Variable included access of health care, health resources, medical needs and other factors. Amounts 20 informant involved this study. The informant included patient as members of National health Insurance, provider and head of district health office. Collecting data by indepth interview. Data analysis was conducted systematically by transcript, coding and analysis. Results: The higher utilization of national health insurance when traditional market was opened (market day). Limitation on access affected patient prefer to got services in outside. Limitation of health resources such as, unavailability of medicine and always exhausted, no lighting, and unavailability of water so utilization of PHC by patient was low. Most of patient need medical care in PHC such as need injection and unavailability of medicine so patient sought care out of PHC. Cultural factors still retained by society that diseases just be cured by a shaman. The pregnant women giving birth at home was high due to unavailability of waiting home (Rumah Tunggu) and village regulation has not examined about punishment of birth at home. Conclusion: Utilization of nasional health care in PHC remote area is less than optimal. It is not supported by adequate transportation facilities, the availability of drugs, and cultural changes.

EVALUASI IMPLEMENTASI DANA BOK DI PUSKESMAS WILAYAH KERJA DINAS KESEHATAN KOTA BIMA TAHUN 2015 Aris Iwansyah; Julita Hendrartini; Muhamad Faozi Kurniawan
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Health Operational Cost (Bantuan Operasional Kesehatan/BOK) is government aids for local government to accelerating achievement of national priority programs, especially health aspect in Millennium Development Goal’s (MDG), through improvement performances of Public Health Centers (PHC) and the networks. Funding of Health Operational Cost to support PHC on providing promotive and preventive programs to community due to PHC services in district are likely to be directed on curative measures. Funding allocation of Health Operational Cost has been decreasing in Bima from IDR.1.412.500.000 on 2014 became IDR.521.464.000 on 2015. Therefore, evaluation of program implemetation by funding of Health Operational Cost on 2015 in Bima are needed to be examined. Objective: To find out the achievement implemetation of Health Operational Cost program in Public Health Center under District Health Office in Bima at 2015. Methods: The study design was qualitative and quantitative using descriptive case study. Tehnique of sample selection by using purposive sampling. Data analysis was conducted by descriptive qualitative. Results: Decreasing allocation funding of Health Operational Cost affected to planning and implementation of program, while Health Operational Cost became main sources of fund to external program in PHC due to lack of financial support from Regional government budget. Health Operational Cost have not been able to support achievement of Minimas Services Standar in Bima. Many head of PHC still less understanding to technical guide of Health Operational Cost so affected on decision-making of program and lack of monitoring and evaluation by District Health Department. Conclusion: The implementation of BOK program in Bima City is not the best enough especially in supporting SPM target in 2015.

PERBANDINGAN HAMBATAN FINANSIAL PADA SEBELUM DAN SETELAH JAMINAN KESEHATAN DI INDONESIA Putri Listiani; Julita Hendrartini; Dibyo Pramono
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Healthcare spending in Indonesia is still dominatedby out-of-pocket (OOP) system (45.1% in 2014). The high number of OOP in Indonesia is feared to cause financial burden tosociety and result in the failure of the financial protection functionof a health system, whereby Indonesia is in a scheme to achieveUniversal Health Coverage through the Universal Health Coverageprogram.Objective: This study aimed to compare the financial burden dueto OOP on before and after JKN and its determinants.Methods: This was a quantitative study that examines secondarydata, including Social Economic National Survey (Susenas) data in2013 and 2015 with cross sectional design. The unit of analysisin this study was households. Analysis conducted in this researchwas univariable, bivariable, and multivariable analysis. Multivariabletest using Logistic Regression Test was conducted to find out therelationship between the financial burden due to OOP with its determinants.Results: There was a decrease in the proportion of householdsexperiencing catastrophic health care expenditure was 0,59% in 2015. Households on before implementation of JKN period tend to face catastrophic health expenditure than households on afterimplementation of JKN period (OR= 2,29). Determinants affectingcatastrophic health expenditure in Indonesia were the number ofhousehold member, educational status of the head of household,the presence of toddler, the presence of elderly in the household,the location of the household residence, the economic status of thehousehold, the ownership of the health insurance, and the utilizationof health services.Conclusion: Utilization of inpatient health care services was themost contributing factor to catastrophic health expenditure. House-holds that use inpatient care had a catastrophic health care spend-ing risk of 26,78 times greater than non-accessed households

Co-Authors Agustinus Winarno Al Supartinah Al Supartinah Al. Supartinah Santoso Andi Sulaimana Andreasta Meliala Arif Budiarto Arih Diyaning Intiasari Arih Diyaning Intiasari Arih Diyaning Intiasari Arih Diyaning Intiasari Aris Iwansyah Bambang Udji Djoko Rianto Benidiktus Tulung Prayoga Carla Raymondalexas Marchira Damaris Pura Tanya Dewa Made Wedagama Dewi Agustina Dian Permata Sari Dibyo Pramono Dibyo Pramono Diyah Fatmasari Dwi Budi Santoso Dwi Handono Sulistyo Dwi Handono Sulistyo Endra Dwi Mulyanto Esfandyari, Eldo Fadhillah, Sri Firdaus Hafidz As Shidieq Gesti Bening Aulia Ghea Tri Khusnul Khotimah Gusti Ayu Yohanna Lily Haryo Mustiko Dipoyono Heribertus Dedy Kusuma Yulianto Irianto, Sugeng Kusuma Arbianti Laksono Trisnantoro Laksono Trisnantoro Lelyana, Shelly Lestari, I Gusti Agung Ayu Pradipta Lisdrianto Hanindriyo Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lukito Edi Nugroho M.Arief Budiarto Margareta Rinastiti Mas’ud Mas’ud Muhamad Faozi Kurniawan Mustaqim Hariyadi Niken Widyanti Sriyono Novitasari Ratna Astuti Pasaribu, Karl Frizts Prihastutik, Yuli Putri Listiani Quroti A'yun Quroti A'yun Quroti Aâ€™yun Quroti A’yun Quroti A’yun Ranik Diastuti Ratna Astuti, Novitasari Rosa Amalia Selviasari, Chyca Sholahuddin Sanjaya Sri Widiati, Sri Sri Wusono Sundari, Retno Tresno Supartinah Santoso Suri Herlina Pratiwi Tjahjono Kuntjoro Widowati Siswomihardjo Widyanti Sriyono, Niken Yuniantika

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Found 8 Documents Search Journal : Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)

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Journal : Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)