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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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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

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

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.

SYSTEM FOR DETECTION OF NATIONAL HEALTHCARE INSURANCE FRAUD BASED ON COMPUTER APPLICATION Santoso, Budi; Hendrartini, Julita; Djoko Rianto, Bambang Udji; Trisnantoro, Laksono
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Background: The national healthcare insurance (JKN) has been in deficit since 2014-2016; one of the causes is fraud inpatient hospital service. Objective: This study aimed to analyze the validity, reliability and effectiveness of detection system of national healthcare insurance fraud based on computer application in hospital.Methods: Cross-sectional method was used. Fraud data were collected at one episode in the inpatient JKN participant service.Results: Validity was assessed by Fischer exact test. The interpretation was done by hospital internal verification officer and BPJS Kesehatan verification officer. There were only 2 out of 1.106 services claims were different, resulted in p-value < 0.01. Reliability was assessed using Human Organization Technology Benefit questionnaire filled by admission administrator officer, BPJS Kesehatan officer and hospital internal verification officer; and then analyzed using Stata® software resulting in Cronbach's alpha value of > 0.8. Effectiveness was assessed by reducing potential fraud, conducted by RSUP dr. Soeradji Tirtonegoro from May until July 2017, which on May 2018 there were 8 findings, June 1 finding, and on July 2018 had no finding.Conclusion: System for detection of national healthcare insurance fraud based on computer application is valid, reliable and effective to be implemented in inpatient service in hospital.

Efektivitas Alat Extraoral Suction Unit pada Layanan Kesehatan Gigi dan Mulut Benidiktus Tulung Prayoga; Agustinus Winarno; Margareta Rinastiti; Dian Permata Sari; Heribertus Dedy Kusuma Yulianto; Julita Hendrartini
Jurnal Kesehatan Vokasional Vol 8, No 4 (2023): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.86573

Latar Belakang: Petugas layanan kesehatan gigi dan mulut rentan terpapar infeksi berbagai penyakit dari pasien. Rongga mulut penuh dengan bakteri. Droplets dan aerosol dari cairan mulut pasien dapat menjadi media penularan penyakit. Extraoral suction unit (EOSU) dibutuhkan untuk membantu mengendalikan sebaran aerosol selama layanan kesehatan gigi.Tujuan: Penelitian ini bertujuan untuk membandingkan unjuk kerja extra oral suction unit lokal dengan produk komersial sebagai pembanding.Metode: Desain penelitian ini menggunakan metode deskriptif observasional dengan rancangan cross sectional. Sampel penelitian berupa alat penyedot aerosol hasil rancangan tim peneliti Universitas Gadjah Mada Merk D yang dibandingkan dengan dua produk komersial dari luar negeri Merk A dan B, satu alat produk dalam negeri Merk C. EOSU diuji di klinik gigi dengan prosedur serupa layanan sesungguhnya. Pengujian yang dilakukan adalah mengukur kapasitas hisap, tingkat kebisingan, sebaran aerosol dan angka kuman.Hasil: Extraoral suction unit produk buatan luar negeri (Merk A) menunjukkan unjuk kerja yang paling baik karena sebaran aerosol di sekitar lokasi kerja paling sedikit. Produk Merk D mempunyai unjuk kerja di bawah produk Merk A namun masih lebih baik dibanding produk buatan luar negeri lainnya (Merk B) dan produk dalam negeri lain (Merk C)Kesimpulan: Extraoral suction unit lokal mempunyai kapasitas serupa dengan produk komersial dan menjanjikan untuk diproduksi massal.

Patient Safety Culture Analysis at Sultan Agung Islamic Dental Hospital to Improve Patient Safety Kusuma Arbianti; Rosa Amalia; Julita Hendrartini; Tjahjono Kuntjoro; Gesti Bening Aulia; Ghea Tri Khusnul Khotimah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.65

A culture of patient safety can improve hospital patient safety. Patient safety is the foundation of quality health services, an indicator of assessment in healthcare facilities, and a mechanism by which health services protect patients from harm. The purpose of this study is to examine the patient safety culture at Sultan Agung Islamic Dental Teaching Hospital Semarang in order to identify ways to improve patient safety. A cross-sectional research of 124 participants was conducted at Sultan Agung Dental Teaching Hospital, Semarang, Indonesia. Distributing questionnaires to collect data, the Dental Office Survey on Patient Safety Culture (DOSOPSC) includes 58 items and 10 dimensions. Out of a total of 124 respondents, the average positive response value exceeded the dependability criterion on four dimensions: teamwork (93.7%), the highest, and work pressure and speed (56.2%), the lowest. There are four areas in which the average positive response value exceeds the dependability threshold, including teamwork, staff training, hospital systems and standards, work pressure, and speed.

Outpatient service tariff determination based on unit cost analysis mixed with community ability and willingness to pay Yuniantika; Julita Hendrartini; Arif Budiarto
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.6584

Purpose: The study aims to calculate the rational outpatient tariff based on unit cost analysis, ability and willingness to pay. Method: The research is an observational study with a qualitative approach. Secondary data are obtained retrospectively to calculate unit costs and tariffs. Primary data is collected through questionnaires to see the ability and willingness to pay (WTP). Result: The calculation using the step-down method obtained the unit cost for general practice IDR 79,337, dental care IDR 151,635, psychologist consultation IDR 115,283, and fitness center IDR 236,555. The respondent's ATP value is IDR 138,808, with an average examination fee of IDR 56,093. When coupled with an improvement in service and facility quality, 58.1% of respondents agreed to a 10% rate increase. With a 20% rate increase, the willingness to pay decreases to 40.6%. In the bivariate analysis using the chi-square test, the variables significantly affecting WTP are patient perceptions of the suitability of service costs (p = 0.000). In contrast, age, gender, occupation, education, income, number of family members, and insurance ownership do not significantly influence WTP. Conclusion: The service rate is lower than the unit cost calculation. By looking at the ability and willingness to pay, it is possible to evaluate the tariff.

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 A’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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