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Journal : International Journal of Public Health Science (IJPHS)

Potential fraud and its’ prevention in the implementation of national health insurance at Dadi Regional Hospita Saru, Amaliah Amriani Amran; Arifin, Muhammad Alwy; Darmawansyah, Darmawansyah; Razak, Amran; Syafar, Muhammad; Rahmatia, Rahmatia
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22952

Abstract

The National Health Insurance program started running in Indonesia on January 1, 2014. Along with the increasing number of National Health Insurance participants and health facilities, more criticism has emerged from various parties, including from National Health Insurance providers regarding the alleged fraud. Fraud can have a negative effect on finances, the standard of medical care, and the perpetrator's reputation. This study's goal was to assess the likelihood that fraud may occur at Dadi Regional Hospital in Makassar, Indonesia. The study also explored the procedures and policies in place for preventing the fraud. This qualitative study employed phenomenological design. The results of the study show that there is a fraud prevention system at Dadi Regional Hospital in the form of policy and guideline formulation, a culture of prevention, implementation of quality control, and cost control. Even though they already have a prevention system in place, there is still some lack of information being disseminated about the fraud prevention team established. There are still frequent discrepancies between the diagnosis code input in the National Health Insurance system and the patient's diagnosis Hence, the Internal Monitoring Unit is still in the process of establishing a fraud prevention system
Instilling trash throwing behavior through play in early childhood: a review Lagu, Abdul Majid HR; Syafar, Muhammad; Thaha, Ridwan Mochtar; Razak, Amran
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24676

Abstract

The waste problem is a serious problem that affects the environment and human health. Involving young children in waste management is very important because they are the future generation. One effective method for instilling waste disposal behavior in young children is by providing educational games. This literature review aims to find out how to instill waste disposal behavior through games in early childhood. The method used is systematic review and meta-analysis (PRISMA). Based data obtained from Google Scholar, PubMed/NCBI, UpToDate, Springer, Wiley on Library, ScienceDirect, MedRxiv, DOAJ, MDPI, and JAMA Network. A total of 3,728 journals were found which were then filtered based on related titles and 1,400 journal titles were obtained. Next, selection was carried out based on research variables, where there were 764 journals that were excluded because there were no suitable variables, namely those related to instilling trash throwing behavior in children through games, so that the remaining 636 journals were then filtered based on the research method used. It was found that 444 journals did not use the method cross sectional study, cohort, experimental study, quasi experiment, and field research so that the remaining 192 journals were then filtered again based on journal access and journal indexes to obtain 14 journals.