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All Journal BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Reproduksi Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Proceedings of the International Conference on Applied Science and Health JISIP: Jurnal Ilmu Sosial dan Pendidikan PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Social Research Journal of Economics Research and Policy Studies Berita Kedokteran Masyarakat Innovative: Journal Of Social Science Research Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Budi Hidayat
Departemen Administrasi Dan Kebijakan Kesehatan FKM Universitas Indonesia
Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Determinan Sosial Demografi Kepemilikan Jaminan Kesehatan di Provinsi Banten: Analisis Data Susenas Tahun 2019 Darwati Darwati; Budi Hidayat
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (445.206 KB) | DOI: 10.36418/syntax-literate.v8i5.11911

Abstract

Sejak adanya program JKN, jumlah masyarakat Banten yang memiliki jaminan kesehatan masih dibawah target yang ditetapkan Dinas Kesehatan Provinsi Banten. Penelitian ini bertujuan untuk mengetahui faktor-faktor sosial demografi yang mempengaruhi kepemilikan jaminan kesehatan di Provinsi Banten. Penelitian ini menggunakan desain studi cross sectional dengan pendekatan model ekonometri metode estimasi maximum likelihood. Data yang digunakan adalah data Susenas tahun 2019 diolah dengan menggunakan stata dengan uji regresi logit/ logistic. Variabel bebas yang diteliti adalah usia, pendidikan, pekerjaan, status pernikahan dan wilayah tinggal. Hasil penelitian menunjukkan adanya hubungan yang signifikan dan positif antara usia (p-value=0,000), tingkat pendidikan (p-value=0,000), status pernikahan (p-value=0,000) dan wilayah tinggal (p-value=0,000) dengan kepemilikan jaminan kesehatan, sedangkan pekerjaan menunjukkan hubungan yang tidak signifikaan (p-value=0,118) dan negative. Berdasarkan nilai odds rasio didapatkan bahwa tingkat pendidikan tinggi (OR=4,740) dan wilayah tinggal perkotaan (OR=2,597) merupakan variabel yang sangat berpengaruh terhadap kepemilikan jaminan kesehatan.
Dampak Penguatan Layanan Kesehatan Primer Negara Thailand: Literatur Review Wulansari Wulansari; Budi Hidayat
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.698 KB) | DOI: 10.36418/syntax-literate.v7i11.12324

Abstract

Tujuan penelitian ini untuk memberikan gambaran aspek penguatan layanan kesehatan primer di negara Thailand serta menganalisis implikasi penguatan jangka pendek dan jangka panjang. Penelitian ini menggunakan metode literature review dengan mengumpulkan berbagai jurnal dan artikel terkait penguatan layanan kesehatan primer pada mesin pencarian PubMed, ProQuest, dan Google Scholar dari rentang waktu tahun 2012-2022. Kata kunci yang digunakan adalah “Penguatan Layanan Kesehatan Primer, Dampak dan Thailand”. Hasil penelitian ini adalah Strategi penguatan layanan kesehatan primer di Thailand dilakukan melalui aspek pemberian layanan yang berkualitas, pengembangan sumber daya manusia, pembiayaan, intervensi yang melibatkan masyarakat, serta pemanfaatan inovasi berbasis teknologi. Negara dengan struktur layanan kesehatan primer yang kuat memiliki pengeluaran kesehatan yang lebih tinggi di awal dan peningkatan umur harapan hidup serta penurunan angka kematian bayi dan balita. Upaya penguatan layanan kesehatan primer berdampak terhadap peningkatan pengeluaran kesehatan serta perbaikan indikator kinerja pembangunan kesehatan.
Policy Implementation of Health Coverage for Indonesian Migrant Workers Hartono, Risky Kusuma; Hidayat, Budi; Pujiyanto, Pujiyanto
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

The purpose of this research is to analyze the policy implementation of health coverage for TKI. This research uses a qualitative method with in-depth interview. The framework of this research consists of the aspect of the advisable policy, the implementation factors, and the schematic representation of the problem by using SWOT. The result of this research is the health insurance owned by TKI comes from TKI insurance, the membership of JKN, and insurance during their employment abroad. TKI insurance policy is the instruction of Law No. 39 of 2004 which regulates the obligation of the ownership of the social security and or insurance policy for TKI. However, TKI insurance has not been involved with the social aspect because the agency commercializes the coverage of TKI and it is not included a social security. The change of consortium may have decreased the ratio of claim’s values to the annual premium which is attributable to the decreasing complaint cases from TKI. In the implementation, TKI insurance has been assisted by a lot of agencies. However, the bilateral cooperation related to the coordination of health coverage among countries has not been maximized. This research concludes that the coverage of health insurance for TKI is still lower (curative) and the government's attempt to integrate the social security for TKI is important. The researcher suggests the government should comprehensively implement the health coverage for TKI by incorporating the principle of promotion and prevention.
Pengembangan Sistem Penyiapan Dokumen Klaim Dalam Menghadapi Era Verifikasi Digital Klaim (Vedika) Mayangsari, Addinda Intan; Hidayat, Budi
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 7, No 1 (2023): JISIP (Jurnal Ilmu Sosial dan Pendidikan) (Januari)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v7i1.4242

Abstract

Jaminan Kesehatan Nasional (JKN) adalah bagian dari Sistem Jaminan Sosial Nasional (SJSN) dengan penyelenggarannya menggunakan mekanisme asuransi kesehatan sosial yang bersifat wajib berdasarkan Undang-undang (UU) tentang SJSN yang memiliki tujuan untuk memenuhi kebutuhan dasar kesehatan masyarakat yang layak diberikan kepada setiap orang yang telah membayar iuran atau iuran dibayarkan oleh Pemerintah melalui Badan Penyelenggara Kesehatan Sosial (BPJS) Kesehatan. Dalam sistem pembayaran ini memerlukan rekam medis berisikan ringkasan rekam medis dari Fasilitas kesehatan (Faskes), ringkasan rekam medis ini dapat berisikan identitas pasien, diagnosis, serta riwayat pemeriksaan dan pengobatan yang akan ditagihkan biayanya. Tujuan: artikel ini dibuat agar memahami pengelolaan keuangan pada sistem penyiapan dokumen klaim yang dilakukan oleh beberapa petugas. Metode: Observasi, pengumpulan data, dan analisa data dengan menggunakan pendekatan design thinking. Hasil: Didapatkan masih kurang patuhnya dokter Verifikator Internal Medis (VIM) dalam penggunaan sistem penyiapan dokumen klaim. Kesimpulan: Diperlukan pemantauan dan evaluasi terkait kepatuhan petugas dalam menggunakan sistem penyiapan dokumen klaim.
FAKTOR YANG BERHUBUNGAN PADA MOTIVASI PENGGUNA DAN IMPLEMENTASI REKAM MEDIS ELEKTRONIK DENGAN EFISIENSI PELAYANAN DI INSTALASI RAWAT JALAN RSUD KEBAYORAN LAMA Kassiuw, Jean Francis Melanny; Hidayat, Budi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Electronic Medical Records (EMR) have emerged as an innovative solution in healthcare because EMR offers several advantages and provides a comprehensive solution to improve health information management in today’s digital era. This study applies the Technology Acceptance Model (TAM) as its theoretical foundation, aiming to evaluate the relationship between user perceptions of key factors influencing EMR implementation and service efficiency in the Kebayoran Lama Regional Hospital outpatient unit. The research design is non-experimental with a quantitative approach, utilizing numerical data analyzed through Structural Equation Modeling (SEM). The study collected data on user perceptions regarding EMR implementation and service efficiency through questionnaires filled out by 72 users as respondents, interviews with four stakeholders, and document reviews related to EMR implementation. Findings indicated significant relationships between the perceived usefulness of EMR and motivation, motivation and EMR implementation, and EMR implementation and service efficiency. These findings offer valuable insights for developing more effective EMR implementation strategies. Management can apply a fair reward and punishment mechanism, offering incentives for users consistently utilizing EMR and sanctions, such as reduced honoraria, for non-compliant users. Additionally, regular training tailored to individual needs, particularly for specialists, can improve comfort and proficiency in EMR use. Direct, responsive management support for user challenges can further boost motivation. Routine evaluations and active user involvement in feedback processes strengthen their sense of ownership toward the system, increasing motivation and commitment to EMR use.
Terapi Sistemik Defisit JKN: Bahan Refleksi Bagi Semua Pihak Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

The deficit deserves to be considered a chronic JKN disease. Indications of the deficit are revealed from the claims ratio figures. In 2014 and 2015, the claims ratio was consistently above 100%. This figure results from dividing claim costs (or participant health costs) by contribution income. Thus, the claims ratio describes the absorption of contribution funds for health costs only. However, contribution income must also be allocated for operational expenses and reserves. The JKN deficit will continue to grow if systemic therapy is nil. For 2016, the author's estimation results by referring to the assumed contribution amounts by Presidential Regulation No. 28/2016 (Cabinet Secretariat, 2016) and service rates in Minister of Health Regulation 59/2014 (Minister of Law and Human Rights, 2014) found a claim ratio of 101%. This means that contribution income still needs to be increased, even if only to fund health services. Where do the funds come from to fund operational costs? Does JKN only rely on government funding injections? The label of chronic deficit disease deserves to be carried by JKN. What is the cure?
Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko di Berbagai Negara Agustina, Aulia; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

Capitation is a payment method to primary health care providers. The application of capitation without considering risk adjustment could have a negative impact. There are several models of risk adjustment capitation payments. This study aims to review the development of the capitation payment system with risk adjustment for primary care in several countries. This study used the PRISMA method and got the articles from three online databases, namely Pubmed, EBSCOhost Medline, and Scopus. A total of 212 articles were collected, and 7 articles meet the criteria for further review. The review focuses on the risk-adjusted capitation payment system model. The results obtained that the risk-adjusted capitation payment system model is vary from simple to complex. The most frequently used risk factors were age and gender. The risk-adjusted capitation payment system model continues to develop, it is important to carry out periodic updates and adjustments. Various benefit from the implementation of the risk-adjusted capitation payment system model can be a reference for countries to get an appropriate risk-adjusted capitation policy formulation to be applied which proper to the conditions of each country
Analisis Praktik Koordinasi Manfaat (Coordination of Benefit) Layanan Rawat Inap di Indonesia Dewi, Fera Mutiara; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Nowadays, some people may have double insurance. Besides having compulsory insurance that regulated by government, they also have additional health insurance which is not mandatory. This condition has opened up opportunities for Coordination of Benefit (COB) in Indonesia, especially in JKN era. Unfortunately, in practice COB still not executed according to the principle of general rules of insurance. This research seeks to analyze the practice of the COB and COB fee scale in Indonesia. The method used is the observational study with cross sectional design. The modeling uses an econometric approach that is a two-part model which separates the process between the COB practice and the COB funds. The result of the research states that age covariate, LOS, and circulatory system diseases show significant effects in statistical testing. Lack of coordination between providers and assurer or between assurer and assurer, causes increasing potential moral hazard by both participants and providers so that participants may get double coverage. The suggestions of this research are first the need to create an independent organization that manages COB and second the need to made regulation of COB.
KEMAMPUAN MEMBAYAR IURAN JAMINAN KESEHATAN NASIONAL PESERTA PENERIMA BANTUAN IURAN (JKN PBI) KOTA TANGERANG TAHUN 2023 Darwati, Darwati; Pujiyanto, Pujiyanto; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

The number of National Health Insurance (JKN) participants receiving Contribution Assistance (PBI) in Tangerang City from regional funding continues to increase by around 8.85% per year. On the other hand, the number of JKN participants who are non-wage earners (PBPU) and non-workers (BP) who pay contributions independently has decreased by around 0.7% per year from 2017-2022. One of the implications of this phenomenon is that the regional budget to finance JKN contributions for PBI participants is much larger than the budget for other programs. In 2020, JKN contribution payments for Tangerang City APBD PBI participants amounted to 57.81%, in 2021 it amounted to 75.32%, and in 2022 it amounted to 77.09% of the total Tangerang City Health Service budget excluding personnel expenditure and government governance. The research aims to analyze the ability to pay JKN contributions for the people of Tangerang City in 2023 and the influencing variables. The research used a cross-sectional design with a sample of 400 JKN PBI segment participants who had been selected by accident. Data was collected at two hospitals in the Tangerang City area in June 2023 using a questionnaire instrument. The average ability to pay JKN contributions is IDR 54,904/person/month. As many as 61.25% of respondents have the ability to pay JKN contributions of IDR 35,000/person/month. There is potential for savings in Tangerang City APBD expenditure of IDR 92.7 billion/year if 61.25% of JKN PBI APBD participants who have the ability to pay IDR 35,000/person/month are excluded from PBI membership. The results of the multivariate analysis found that the dominant variable influencing the ability to pay JKN contributions was non-food expenditure.
PERBANDINGAN SISTEM INSENTIF UNTUK KADER KESEHATAN DI INDONESIA DAN NEGARA SERUPA: LITERATURE REVIEW Rachim, Reisa; Hidayat, Budi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.45210

Abstract

Sistem insentif memainkan peran penting dalam memotivasi dan mempertahankan kader kesehatan di Indonesia dan negara serupa. Memahami lanskap perbandingan penyaluran insentif di antara kader kesehatan menjadi salah satu kunci untuk meningkatkan kinerja dan mengatasi tantangan kesehatan. Tinjauan literatur ini bertujuan untuk membandingkan sistem insentif untuk kader kesehatan di Indonesia dan negara serupa. Metode penelitian dilakukan dengan systematic review dengan panduan PRISMA untuk mengidentifikasi studi relevan tentang sistem insentif untuk kader kesehatan. Pencarian artikel dilakukan dengan metode PICO di database online seperti Google Scholar, PubMed, ProQuest, dan Scopus. Hasil penelitian menunjukkan terdapat perbandingan variasi preferensi insentif di antara kader kesehatan di Indonesia dan negara serupa. Sementara insentif finansial menjadi prioritas di Indonesia, insentif non-finansial juga memiliki peran penting. Model insentif yang berhasil, seperti sistem berbasis kinerja, diidentifikasi sebagai solusi potensial. Memahami nuansa penyaluran insentif di antara kader kesehatan di Indonesia dan negara serupa penting untuk meningkatkan kinerja mereka dan mengatasi tantangan kesehatan. Penelitian dan intervensi kebijakan lebih lanjut diperlukan untuk meningkatkan efektivitas dan keberlanjutan sistem insentif bagi kader kesehatan.
Co-Authors Andi Sari Bunga Anggi Srimurdianti Sukamto, Anggi Srimurdianti Aulia Agustina Aulia Agustina, Aulia Ayu Indah Lestari Besral . Darwati Darwati Darwati Darwati Dewi, Fera Mutiara Eniraisa, Fidela Era Renjana Diskamara Fitriah Fitriah Fitriah Fitriah Hartono, Risky Kusuma Hasbullah Thabrany Hasbullah Thabrany Hasbullah Thabrany Hendratno Tuhiman Hendratno Tuhiman Junadi, Purnawan Junaidi, Edi Kassiuw, Jean Francis Melanny Khairun Nisa’il Hulwah Kurnia Sari Kurnia Sari Lena Elfrida Situmeang Mayangsari, Addinda Intan Michael Ong Michael Ong Misnaniarti Misnaniarti Nadjib, Mardiati Nadjib, Mardiati Pandujiwo Noormanadi Pujianto Pujianto Pujianto Pujianto Pujiyanto Pujiyanto Pujiyanto Pujiyanto Pujiyanto Pujiyanto Pujiyanto, Pujiyanto Pungky Sumadi Pungky Sumadi Purwoko, Bambang Putri, Yustika Mahayu Rachim, Reisa Rini Hariyati Rini Hariyati Rudy Dwi Nyoto, Rudy Dwi Rudy Prawiradinata Rudy Prawiradinata Sjaaf, Amal Chalik Thabrany, Hasbullah Trihono, Trihono Wafda Ramadhan, Jihan Wahyu Pudji Nugraheni Wulansari Wulansari Yulaswati, Vivi Yuni Fitriani