Article Per Year (5 Year)
p-Index From 2021 - 2026
3.313
P-Index
This Author published in this journals
All Journal Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat (IKESMA) Jurnal Pendidikan dan Pemberdayaan Masyarakat Indonesian Journal of Disability Studies Jurnal Keperawatan Muhammadiyah Jurnal Informasi Kesehatan Indonesia (JIKI) Journal of Maternal and Child Health JURNAL PENDIDIKAN TAMBUSAI JURNAL HERITAGE Hearty : Jurnal Kesehatan Masyarakat Jurnal Ilmiah Kesehatan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Jurnal Jaminan Kesehatan Nasional Prosiding University Research Colloquium Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior Varians Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Hadi Pratomo
Departemen Pendidikan Kesehatan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Indonesia
Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

Published : 32 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 32 Documents
Search

 1   2   3   4 
Managing Potential Fraud in Palembang Hospitals’ Health Insurance Implementation: A Qualitative Study in Indonesia Emilya, Melda; Misnaniarti, Misnaniarti; Syakurah, Rizma Adlia; Pratomo, Hadi
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.387

Abstract

Fraud poses a major threat to the integrity of Indonesia’s National Health Insurance–Healthy Indonesia Card (JKN-KIS) program, affecting health financing, hospital quality, and institutional reputation. Despite continuous efforts to combat fraud, allegations persist, particularly in hospitals in Palembang. This study aimed to identify potential fraud in hospitals in Palembang and analyze management countermeasures. Using a descriptive qualitative design with a phenomenological approach, the study was conducted from March to July 2022 and involved three hospitals in Palembang, the City Health Office, and the local branch of the Social Security Administrative Body for Health (BPJS Kesehatan). Data were collected through in-depth interviews with 16 informants representing hospitals, BPJS Kesehatan, and anti-fraud teams, supported by observations and document reviews. Thematic analysis revealed several fraud risks, including diagnosis manipulation, unnecessary treatment, and overcharging. Weak internal and external monitoring mechanisms fostered opportunities for fraud, often driven by financial pressure, revenue targets, and personal motives, and influenced by tenure and position within the organization. Fraud countermeasures remain suboptimal, although BPJS Kesehatan’s management shows potential that requires further improvement. Applying the Hexagon Vousina theory, this study emphasizes the need for a more comprehensive and integrated approach to fraud risk management. Strengthening oversight, professional ethics, inter-agency coordination, and policy enforcement is crucial to maintain the sustainability and effectiveness of the JKN-KIS program.
The Analysis of Kangaroo Mother Care Implementation at Public Health Center in Indonesia Paradillah, Indri; Martha, Evi; Ramadhan, Farandi Agesti; Tenriana, Irene; Syahbana, Lutfi Rinaldi; Lubis, Izmi Arisa Putri; Pratomo, Hadi
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 10, No 3 (2022): Special Issue
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v10i3.58384

Abstract

Background: Infant mortality is one of the sensitive indicators to know the degree of health of a country and even to measure the level of progress of a nation. The Low Birth Weight Babies (LBW) are the highest cause of infant mortality in Depok until it reaches 81 cases in 2019. One of the efforts made by public health office to reduce the infant mortality rate is to use Kangaroo Mother Care. This research aims to analyze the implementation of Kangaroo Mother Care Program in public health center in Depok, Indonesia. Methods: The method of study is qualitative with purposive sampling approach.Result: The results showed that the informants were not aware of the existence of Mayor Regulation Number 89 year 2020 regarding Kangaroo Method Care. Health workers do not yet have sufficient knowledge about the implementation of the Kangaroo Method of Care. The implementation of the Kangaroo Method of Care is still not supported by complete facilities. Human Resources is also still inadequate.Conclusion: The conclusion of this research is the Kangaroo Method Care program has not run optimally. There needs to be an effort to improve the implementation of the Kangaroo Method Care program at the public health center.
Co-Authors Adang Bachtiar Ade Iva Murty Ahmad Syafiq ANGGUN RACHMAWATI, ANGGUN Arinda, Yosi Duwita Arriawan, Iwan Asri Masitha Arsyati Ayu Khoirotul Umaroh Azraliani, Tasyafiki Bandur, Paskalinda Besral . Budisusilowati, Bernadeth Novita Chalada, Sri Dara, Pundra Darmawan, Roy Dela Riadi Dwijayani, Lidya Eddy Harianto eka rahmawati Elfiyani, Nur Khotimah Elisabet, Belinda Meliana Emilya, Melda Evi Martha Fadliyah, Hilyatul Fitria, Febby Zuriani Fitrianingrum, Nisaatul Maharanita Friadita, Karina Giang Hoang Ginting, Ina Rahayu Ginting, Jessica Goenawan, Goalbertus Gustanela, Oktrina H Herawati Hanifah, Awalia Harianja, Ristina Rosaulli Hasanah, Indah Jamiatun Hermawan, Lukas C Hilda Amalia Indriyani, Sri Ingan Ukur Tarigan Irawati Ismail, Irawati Irawaty, Dian Kristiani Izmi Arisa Putri Lubis Karina Samaria Labetubun, Julia Christy Latipatul Ashor, Fitri Maharanita, Nisaatul Maryam Said Maulida, Fathia Maya Lova, Shelly Meilani, Dwi Misnaniarti Misnaniarti Mona Lisa Mona Lisa, Mona Mudiyah, Siti Muhtar, Manendra Mukaromah, Yayu Mukti, Ghifari Andini Mulyana, Ela Munih, Munih Mustikawati, Intan Silviana Novianita, Shelvi Nurhanifah Nurhanifah Paradillah, Indri prastika, cindy Pratiwi, Riri Amanda Puspitasari, Dewi Ayu Putri, Safitri Widayanti Rachmadiah, Yudith Ramadhan, Farandi Agesti Ramdani, Famelasari Fitria Risgiantini, Sylviasari Rita Damayanti Rizma Adlia Syakurah Ronaldo, Ronaldo Rosta Rosalina Rungreangkulkij, Somporn Rusman, Kharisma Nurul Fazrianti Sabarinah Prasetyo Sabarinah Sabarinah, Sabarinah Sakti, Dea Allan Karunia Selvianita, Devi Setiadi, Muhammad David Siti Jumhati Sri Utami Sulastri, Nur Eulis Syahbana, Lutfi Rinaldi Tenriana, Irene Trini Sudiarti Ukik Kusuma Kurniawan Ulfah, Ita Ainy Wahyuni, Rizki Dhahifa Wahyuni, Rizky Dhahifa Wati, Risa Laras Winny Kirana Hasanah Wulandary, Weny Yasin, Suziana Mat Yulia, Rizki