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<![CDATA[KINERJA TIM KENDALI MUTU KENDALI BIAYA CABANG SURAKARTA DALAM PENGENDALIAN MUTU DAN BIAYA PADA PROGRAM JAMINAN KESEHATAN NASIONAL ]]>
<![CDATA[Sholahuddin Sanjaya]]>;
<![CDATA[Dwi Handono Sulistyo]]>;
<![CDATA[Julita Hendrartini]]>
<![CDATA[ Journal of Health Service Management Vol 22 No 1 (2019) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v22i1.4472
<![CDATA[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.]]>
<![CDATA[PEMANFAATAN PROGRAM JAMINAN KESEHATAN NASIONAL DI PUSKESMAS DAERAH TERPENCIL KABUPATEN SUMBA TIMUR ]]>
<![CDATA[Damaris Pura Tanya]]>;
<![CDATA[Julita Hendrartini]]>;
<![CDATA[Dwi Handono Sulistyo]]>
<![CDATA[ Journal of Health Service Management Vol 22 No 2 (2019) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v22i2.4476
<![CDATA[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.]]>
<![CDATA[EVALUASI IMPLEMENTASI DANA BOK DI PUSKESMAS WILAYAH KERJA DINAS KESEHATAN KOTA BIMA TAHUN 2015 ]]>
<![CDATA[Aris Iwansyah]]>;
<![CDATA[Julita Hendrartini]]>;
<![CDATA[Muhamad Faozi Kurniawan]]>
<![CDATA[ Journal of Health Service Management Vol 22 No 2 (2019) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v22i2.4477
<![CDATA[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.]]>
<![CDATA[PERBANDINGAN HAMBATAN FINANSIAL PADA SEBELUM DAN SETELAH JAMINAN KESEHATAN DI INDONESIA ]]>
<![CDATA[Putri Listiani]]>;
<![CDATA[Julita Hendrartini]]>;
<![CDATA[Dibyo Pramono]]>
<![CDATA[ Journal of Health Service Management Vol 22 No 2 (2019) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v22i2.4479
<![CDATA[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]]>
<![CDATA[SYSTEM FOR DETECTION OF NATIONAL HEALTHCARE INSURANCE FRAUD BASED ON COMPUTER APPLICATION ]]>
<![CDATA[Santoso, Budi]]>;
<![CDATA[Hendrartini, Julita]]>;
<![CDATA[Djoko Rianto, Bambang Udji]]>;
<![CDATA[Trisnantoro, Laksono]]>
<![CDATA[ Public Health of Indonesia Vol. 4 No. 2 (2018): April - June ]]>
Publisher : <![CDATA[YCAB Publisher & IAKMI SULTRA ]]>
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DOI: 10.36685/phi.v4i2.199
<![CDATA[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.]]>
<![CDATA[Efektivitas Alat Extraoral Suction Unit pada Layanan Kesehatan Gigi dan Mulut ]]>
<![CDATA[Benidiktus Tulung Prayoga]]>;
<![CDATA[Agustinus Winarno]]>;
<![CDATA[Margareta Rinastiti]]>;
<![CDATA[Dian Permata Sari]]>;
<![CDATA[Heribertus Dedy Kusuma Yulianto]]>;
<![CDATA[Julita Hendrartini]]>
<![CDATA[ Jurnal Kesehatan Vokasional Vol 8, No 4 (2023): November ]]>
Publisher : <![CDATA[Sekolah Vokasi Universitas Gadjah Mada ]]>
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DOI: 10.22146/jkesvo.86573
<![CDATA[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.]]>
<![CDATA[Patient Safety Culture Analysis at Sultan Agung Islamic Dental Hospital to Improve Patient Safety ]]>
<![CDATA[Kusuma Arbianti]]>;
<![CDATA[Rosa Amalia]]>;
<![CDATA[Julita Hendrartini]]>;
<![CDATA[Tjahjono Kuntjoro]]>;
<![CDATA[Gesti Bening Aulia]]>;
<![CDATA[Ghea Tri Khusnul Khotimah]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v13i1.65
<![CDATA[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.]]>
<![CDATA[The effect of motivation and work environment on the performance of dental and oral therapists in dental hospitals in Yogyakarta ]]>
<![CDATA[Selviasari, Chyca]]>;
<![CDATA[Hendrartini, Julita]]>;
<![CDATA[Hanindriyo, Lisdrianto]]>
<![CDATA[ Majalah Kedokteran Gigi Indonesia Vol 9, No 3 (2023): December ]]>
Publisher : <![CDATA[Faculty of Dentistry, Universitas Gadjah Mada ]]>
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DOI: 10.22146/majkedgiind.83270
<![CDATA[Dental and oral therapists are medical workers who work in dental hospitals and play an important role in improving dental and oral health with members of work teams, such as dentists and other medical workers. Factors which influence their performance include motivation and work environment. The present study aims to determine the relation between motivation and work environment of dental and oral therapists working in dental hospitals. The present study was mix method research with explanatory sequential design and used total sampling method. The research subjects were 30 dental and oral therapist respondents who worked in 2 dental hospitals. A total of 19 participants worked at Prof. Soedomo Dental Hospital of Universitas Gadjah Mada, while eleven participants worked at Muhammadiyah Yogyakarta University Dental Hospital. The independent variables were motivation and physical and non-physical work environments. The dependent variable was performance of dental and oral therapist. The measurement was a questionnaire about motivation, and physical and non-physical work environments. Data analysis was conducted using a quantitative parametric measure of Pearson’s correlation test because the data was normally distributed, while qualitative analysis used interview. We found that there was no relation between motivation and performance (p > 0.05), no relation between non-physical work environment and performance (p > 0.05), and no relation between physical work environment and performance (p > 0.05). Qualitative results based on interviews with the dental and oral therapists showed that they had high motivation because they were proud, and they had good perception of the non-physical work environment due to solid work team. They also had good perception of the physical work environment because it was comfortable and had good facilities. Overall, motivation and work environment do not affect the performance of dental and oral therapists working in dental hospitals.]]>
<![CDATA[Hubungan antara Pendidikan, Pengalaman dan Unit Kerja dengan Persepsi Budaya Keselamatan Pasien di RS Panti Rahayu: Relationship between Education, Experience and Work Unit with Perceptions of Patient Safety Culture at Panti Rahayu Hospital ]]>
<![CDATA[Lestari, I Gusti Agung Ayu Pradipta]]>;
<![CDATA[Widiati, Sri]]>;
<![CDATA[Hendrartini, Julita]]>
<![CDATA[ Open Access Jakarta Journal of Health Sciences Vol 3 No 3 (2024): Open Access Jakarta Journal of Health Sciences ]]>
Publisher : <![CDATA[Sagamedia Indo Press ]]>
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DOI: 10.53801/oajjhs.v3i3.344
<![CDATA[Latar Belakang: Budaya keselamatan pasien merupakan faktor penting untuk meningkatkan kualitas pelayanan pasien dari segi keselamatan. Tujuan: Untuk mengetahui hubungan antara pendidikan, pengalaman dan unit kerja dengan persepsi budaya keselamatan pasien pada staf di rumah sakit. Metode: Jenis penelitian ini adalah studi kasus dengan rancangan cross-sectional. Subjek penelitian adalah staf di RS Panti Rahayu yang diambil secara acak lalu dibagi ke dalam empat unit kerja dengan jumlah 150 orang. Variabel bebas dalam penelitian ini, yaitu pendidikan, pengalaman kerja, dan unit kerja, sedangkan variabel terikat, yaitu persepsi budaya keselamatan pasien. Alat ukur menggunakan Hospital Survey on Patient Safety Culture. Analisis statistik menggunakan uji Rank Spearman dan regresi ordinal. Hasil: Persepsi budaya keselamatan pasien di rumah sakit mayoritas termasuk kategori sedang (67,3%) dan dimensi supervisor, manajer atau pemimpin klinis dinilai paling baik (64%). Analisis bivariat menunjukkan hubungan antara pendidikan dan unit kerja dengan persepsi budaya keselamatan pasien (p < 0,05) dan pengalaman kerja (p > 0,05). Analisis multivariat menunjukkan pengaruh pendidikan terhadap persepsi budaya keselamatan pasien (p < 0,05 dan R² = 0,181). Kesimpulan: Terdapat hubungan antara pendidikan dan unit kerja dengan persepsi budaya keselamatan pasien. Tidak terdapat hubungan antara pengalaman kerja dengan persepsi budaya keselamatan pasien.]]>
<![CDATA[PERSEPSI STAKEHOLDER TERHADAP KEBUTUHAN ANGGARAN BERBASIS PREMI PADA PROGRAM JAMINAN KESEHATAN DAERAH DI KOTA CIREBON ]]>
<![CDATA[Sundari, Retno Tresno]]>;
<![CDATA[Hendrartini, Julita]]>;
<![CDATA[Irianto, Sugeng]]>
<![CDATA[ Praeparandi : Jurnal Farmasi dan Sains Vol 3 No 2 (2020): Praeparandi : Jurnal Farmasi dan Sains ]]>
Publisher : <![CDATA[Praeparandi : Jurnal Farmasi dan Sains ]]>
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<![CDATA[Alokasi anggaran asuransi kesehatan daerah di Kota Cirebon secara konsisten menurun dibandingkan dengan anggaran pemerintah daerah. Pemanfaatan anggaran adalah utang kepada penyedia layanan kesehatan meningkat. Penelitian ini dilakukan untuk menggambarkan persepsi pemangku kepentingan terhadap kebutuhan anggaran berbasis premi dalam program asuransi kesehatan lokal di Kota Cirebon dalam pembayaran paket layanan kesehatan dan mengevaluasi kebutuhan anggaran dan pemanfaatannya. Penelitian ini menggunakan desain studi kasus holistik tunggal. Unit penelitian adalah Dinas Kesehatan Kota Cirebon. Subjek terdiri dari 12 responden dari parlemen lokal (dewan anggaran), Dewan Perencanaan Daerah dan Dinas Kesehatan dipilih melalui purposive sampling dan didukung dengan informasi kuantitatif dan kualitatif yang diperoleh melalui perhitungan premi dan wawancara mendalam dengan para pemangku kepentingan tentang kebutuhan untuk anggaran berbasis premi dari program asuransi kesehatan lokal di Kotamadya Cirebon. Klaim biaya layanan terjadi di tiga fasilitas kesehatan. Biaya operasional asuransi kesehatan lokal di Kota Cirebon pada tahun 2011 kurang dari 5% dari kapitasi per anggota per bulan (PMPM) dengan pola tarif INA CBG 2.0 memperoleh IDR 8.031, tarif INA CBG 2.1 IDR 8.340 dan tarif INA CBG3.0 IDR 9.185. Pola tarif premi INA CBG yang diperoleh dari perhitungan adalah Rp8.433 dari versi 2.0 dan Rp8.757 dari versi 2.1 dan Rp9.644 dari versi 3.0 sedangkan berdasarkan peraturan lokal, tarif pada tahun 2012 adalah Rp9.065. Kebutuhan anggaran berdasarkan pola tarif INA CBG versi 3.0 premium adalah Rp 9.292.081.356 dan berdasarkan peraturan daerah tarifnya adalah Rp8.732.936.375. Persepsi pemangku kepentingan tentang kebutuhan anggaran adalah bahwa pemangku kepentingan akan menyediakan anggaran tanpa batasan layanan. Jadi mereka siap dengan implementasi program asuransi sosial. Kesimpulan dari penelitian ini yaitu para pemangku kepentingan menganggap keberadaan program asuransi kesehatan lokal di Kota Cirebon harus dipertahankan dan dimajukan di masa depan seperti yang ditunjukkan dari pemberian kontribusi pemerintah daerah melalui alokasi anggaran hingga 15 miliar rupiah dalam pendapatan daerah dan anggaran belanja 2013.]]>
