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All Journal PROSIDING SEMINAR NASIONAL Jurnal Dinamika Hukum Jurnal Privat Law Jurnal Hukum dan Pembangunan Ekonomi Privat Law Jurnal Repertorium Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Maternal and Child Health Kosmik Hukum JURNAL HUKUM dan KENOTARIATAN Jurnal Ilmu Kepolisian Pena Justisia: Media Komunikasi dan Kajian Hukum Jurnal Cahaya Mandalika International Journal of Educational Research and Social Sciences (IJERSC) Jurnal Locus Penelitian dan Pengabdian Jurnal Ilmu Hukum, Humaniora dan Politik (JIHHP) International Journal of Sustainability in Research (IJSR) Hukum Inovatif : Jurnal Ilmu Hukum Sosial dan Humaniora Jurnal Medika: Medika Journal of Law and Legal Reform Amandemen: Jurnal Ilmu Pertahanan, Politik dan Hukum Indonesia Demokrasi: Jurnal Riset Ilmu Hukum, Sosial dan Politik Aliansi: Jurnal Hukum, Pendidikan dan Sosial Humaniora
Arief Suryono
Universitas Sebelas Maret
Aerospace Engineering Humanities Automotive Engineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Journal of Health Policy and Management

 1 
Evaluation on the Implementation of Regional Mapping Referal System in the National Health Insurance Primary Care Services in Boyolali, Central Java Widyaningrum, Linda; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan finance preventive, promo­tive, curative, rehabilitative services. The referal system is needed to enhance services and to assure patient safety. The purpose of this study is to evaluate the implementation of regional mapping referal system of the national health insurance, at the primary care level.Subjects and Method: This was a qualitative study with fenomenology approach. This study was conducted at Wonosegoro I and Karanggede Community Health Centers, type C Boyolali Pandanarang district hospital, type D Boyolali Simo hospital, and Boyolali District Health Office. Data were collected by in-depth interview, direct observation, and document review.Results: Regional mapping referal system in Boyolali district was implemented under the head of the District Health Office regulation no 440/4214/15 /2014. The number of personal in charge of referal system in Wonosegoro I and Karanggede Community Health Centers, which provided inpatient care was lacking. The infrastructure and equipment were insufficient to address common diseases that consist of 155 diagnoses. The information and communication system has not connected to the referal system facilities. Telephone was used to check about the hospital bed of availability. Therefore, patient information could not be sent to the hospital beforehand.Conclusion: The current infrastructure and equipment at Community Health Centers in Boyolali, Central Java are insufficient to support the regional mapping referal system.Keywords: mapping, referal system, BPJS Kesehatan, primary care.Correspondence: Linda Widyaningrum. School of Medical Records, APIKES Citra Medika, Surakarta, Central Java. Email: linda.ningrum@ymail.comJournal of Health Policy and Management 1(2): 95-101https://doi.org/10.26911/thejhpm.2016.01.02.04
Social Economic Equity in the Utilization of Hemodialysis among Patients with Chronic Renal Failure under National Health Insurance Plan at Dr. Moewardi Hospital, Surakarta Ardian, Kukuh; Sulaeman, Endang Sutisna; Suryono, Arief
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The health care reform promulgated by World Health Organization (WHO), namely Universal Health Coverage (UHC), aims to ensure that every citizen has access to affordable and equitable health care they need with good quality. The Indonesian National Health Insurance Plan has been implemented since January 1, 2014. However, anecdotal evidence indicates that there are some inequity concerns on the use of expensive medical care, such as renal hemodialysis.  This study aimed to examine social economic equity in the utilization of hemodialysis among patients with chronic renal failure under the National Health Insurance (NHI, JKN) plan.Subjects and Method: This study was analytic observational using cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from  March to April 2017. A sample of 120 patients with chronic renal failure was selected for this study by simple random sampling.  The dependent variable was frequency of hemodialysis use. The independent variables were educational status, location of residence, family income, employment status (formal vs. informal), and membership status (beneficiary vs. non-beneficiary of government subsidy). The data were collected by questionnaire and were analyzed by path analysis.Results: Higher frequency of hemodialysis use was directly associated with higher family income (b=5.04; SE=2.36; p=0.033), distance < 20 km (b=-1.10; SE=2.15; p=0.610), working in informal sector (b=3.84; SE=3.05; p=0.305), beneficiary of government subsidy (b=-3.68; SE=2.81; p=0.190), longer duration of hemodialysis (b=0.39; SE=0.08; p<0.001), severe condition of illness (b=46.11; SE=2.42; p<0.001), and living in urban area (b=3.34; SE=0.31; p= 0.147).Conclusion: Higher frequency of hemodialysis use is directly affected by higher family income, distance < 20 km, working in informal sector, beneficiary of government subsidy, longer duration of hemodialysis, severe condition of illness, and living in urban area.Keywords: National Health Insurance, membership, hemodialysis, inequityCorrespondence: Kukuh Ardian. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: kukuh.ardph@gmail.com. Mobile: 082298148101.Journal of Health Policy and Management (2017), 1(1):28-41https://doi.org/10.26911/thejhpm.2017.02.01.03 
Evaluation of the Management Information System at the Primary Health Care in the National Health Insurance Program in Surakarta Wariyanti, Astri Sri; Suryono, Arief; Indarto, Dono Indarto
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Management information system are intended to facilitate National Health Insurance (BPJS Kesehatan). This study aimed to evaluate the evaluation of the management information system so-called Primary Care (PCare) at the primary health care in the national health insurance program in Surakarta, Central Java.Subjects and Methods: This was a descriptive-qualitative study. This was carried out in four selected community health center in Surakarta in August-November 2016. The data was collected with observation and in-depth interviews, documentation and triangulation. The data was analyzed by data reduction,data presentation, and conclusion.Results: The application of PCare in Surakarta facilitated patient service. But there were some obstacle and error in the implementation of Pcare.Conclusion: Pcare in Surakarta does not run optimally. But PCare facilitate service to patients and reporting system at BPJS Surakarta.Keywords: information systems, community health centers, primary care social and health care security in community health center.Correspondence:Astri Sri Wariyanti. School of Health and Sciences, STIKes Mitra Husada, Karanganyar, Surakarta. Email: astri_new89@yahoo.comJournal of Health Policy and Management (2016), 1(1): 53-60https://doi.org/10.26911/thejhpm.2016.01.01.08 
Comparison Between Hospital Inpatient Cost and INA-CBGs Tariff of Inpatient Care in the National Health Insurance Scheme in Solo, Boyolali and Karanganyar Districts, Central Java Rahayuningrum, Indriyati Oktaviano; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hospital has an important referral system role in the implementation on the National Health Insurance (NHI) Scheme. BPJS Kesehatan (NHI Implementing Agency) pays hospitals by Indonesian Case Based Groups (INA-CBGs) method. This payment method may potentially cause loss or profit to the hospital, when there is discrepancy between hospital inpatient cost and INA-CBGs tariff of inpatient care. This study aimed at investigating the discrepancy between hospital inpatient cost and INA-CBGs tarif of inpatient care and the determinants of hospital inpatient cost.Subjectsand Method: This was an analytic and observational study cross sectional approach. This study was conducted in 2 publichospitals and 2 private hospitals, from October to December 2016.  A total sample of 100 inpatients was selected at random for this study. The dependent variables were hospital inpatient cost and INA-CBGs tariff. The independent variables included hospital type, inpatients class, disease severity, use of ICU, and length of stay. The data were analyzed by a multiple linear regression model.Results:Averagehospital inpatient cost (mean= Rp. 2,280,000; SD=1,690,000) was lower than average INA-CBGs (mean=Rp. 3,060,000). There were negative relationships between hospital type, inpatient class, disease severity, and hospital inpatient cost. Private hospital inpatient cost(b=-5.66;95% CI= -1.20 to 0.06; p= 0.078) was lower than public hospital inpatient cost. Class 2 inpatient care (b= -0.34; 95% CI=-1.09 to 0.41, p =0.371), class 3 inpatient care (b =-0.50; 95% CI =-1.23 to 0.23, p=0.177), had lower hospital inpatient cost than class 1 inpatient care.Severe disease (b=-0.12; 95% CI= -1.95 to 1.71; p= 0.894) had lower hospital inpatient cost than mild disease, although it was not statistically significant. There were positive relationships between use of ICU, disease severity, length of stay, and hospital inpatient cost. Using ICU (b= 1.58; 95% CI= 0.76 to 2.4; p= <0.001) had higher hospital inpatient cost than not using ICU. Moderate disease severity (b= 0.55; 95% CI = -0.20 to 1.30; p= 0.150) had higher hospital inpatient cost than mild disease. Longer stay (b= 0.27; 95% CI= 0.08 to 0.45; p= 0.005) had higher hospital inpatient cost than shorter stay. Conclusion:Average hospital inpatient cost was lower than average INA-CBGs tariff. Hospital type, use of ICU, and length of stay, are important determinants of hospital inpatient cost.Keywords: hospital inpatient cost, INA-CBGs tariff, determinantCorrespondence: Indriyati Oktaviano Rahayuningrum. Faculty of Medicine, Muhammadiyah University Surakarta. Email: indriyatioktaviano@yahoo.comJournal of Health Policy and Management 1(2): 102-112https://doi.org/10.26911/thejhpm.2016.01.02.05
Informed Consent Reformulation by Health Personnel in Health Services Sari, Dian Lukita; Suryono, Arief; Isharyanto, Isharyanto
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Informed consent is an approval given after receiving information. The arrangement of informed consent is more emphasized on the medical act, namely the Minister of Health Regulation no. 290 of 2008 on Approval of Medical Measures, whereas in addition to doctors / dentists including health personnel must also obtain the consent of the patient. Article 68 paragraph (6) of Law no. 36 of 2014 on Health Manpower explaines that the procedures for approval of the Health Manpower Act are regulated by Ministerial Regulation, but until now none of it existed. Therefore, it is necessary to reformulate informed consent to provide legal certainty for all health personnel.Subjects and Methods: Normative type study with statute approach that is legislation and conceptual approach, technique of collecting law material with literature study. Technical analysis of legal materials was done by formulating legal principles, formulating legal understanding and formation of legal standards.Results: Urgency of reformed informed consent in health service action for health personnel viewed from the perspective of legislation that is Law no. 36 Year 2009 on Health, Law no. 44 Year 200 on Hospital, Law no. 36 of 2014 on Health Manpower and Regulation of the Minister of Health RI No. 69 of 2014 on Hospital Obligations and Patient Obligations explained that informed consent is provided by health personnel. Urgency due to social interests in the matter of public security as well as social interests concerning the lives of individuals. Urgency of legal certainty that the law can be implemented properly if there is adequate regulation and equal treatment before the law. Ideal informed consent reform as the implementation of Article 68 paragraph (6) of the Law on Health Manpower needs to re-regulate Regulation of the Minister of Health Number 290 Year 2008 regarding Approval of Medical Measures. Reformulation of preliminary consideration and consideration considering the adjusted development of science as well as legal subjects informed consent uniformed into health personnel.Conclusions: The urgency of reformulating informed consent is because in the therapeutic agreement, it is the fulfillment of the principle of consensualism in the agreement; for the social interest in public security matters and concerning the lives of individuals and need the latest regulation for legal certainty for all health personnel. Ideal informed consent reform is the needs to reorganize the Approval of Health Personnel Act by substituting Regulation of the Minister of Health No. 290 Year 2008 on Approval of Medical Measures, by changing the subjects for "Health Personnel".Keywords: informed consent, health service, health personnel.Correspondence:Dian Lukita Sari. Masters Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java Email: dtiar02@gmail.com. Mobile: +6285648127557Journal of Health Policy and Management (2018), 3(1): 47-55https://doi.org/10.26911/thejhpm.2018.03.01.07
Legal Construction of Nursing Accountability in Circumcision Practice Sediyo, Panggih; Isharyanto, Isharyanto; Suryono, Arief
Journal of Health Policy and Management Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Circumcision is one of the surgical practices often performed by nurses in rural and urban areas. Minister of Health Decree No. 1239 of 2001 on the registration and practice of nurses has not provided clarity on the limits of authority and legal protection for certain nurses. Many nurses provide services in the community that are not in accordance with the rules and authority.Subjects and Method: This was a normative study with statute, case study, and conceptual approach. Legal materials were collected using document review. Legal materials were analyzed by describing the problem under study.Results: Article 65 of Law Number 36 the Year 2014 on Health Personnel provides delegation of authority from the doctor to the nurse if the doctor cannot perform a medical service, provided that the physician is obliged to provide clear written authority delegation to perform the medical service. Regulation of the Minister of Health of the Republic of Indonesia No. 17 of 2013 on Amendment to Regulation of the Minister of Health No. Hk.02.02/Menkes/148/I/2010 Concerning Permits and Implementation of Nurse Practices states that medical service can only be delivered based on written request from the doctor. Regulation of the Minister of Health of the Republic of Indonesia Number 17 the Year 2013 Concerning Amendment to Regulation of the Minister of Health No. Hk.02.02/Menkes/148/I/2010 Concerning Permission and Implementation of Nurse Practice Article 3a authorize Nurses to undertake nursing practice in health-care facilities outside of the solo practice.Conclusion: Legal construction for nurses who practice circumcision provides legal certainty in the rules relating to solo practice so that there is a law protection. Ministerial Regulation does not have binding power. The researcher suggests that a more binding legal regulation of circumcision by nurses be developed, for example by adding to the provisions of Law No. 36 of 2014.Keywords: circumcision, health service, nursing accountability, legal protection, nurse authorityCorrespondence:Panggih Sediyo. Masters Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: panggihsediyo@gmail.com. Mobile: +6285726509884.Journal of Health Policy and Management (2018), 3(2): 92-100https://doi.org/10.26911/thejhpm.2018.03.02.05
Application of Health Belief Model on Factors Affecting Participation in the National Health Insurance Scheme among Informal Sector Workers in Kudus, Central Java Prakoso, Anom Dwi; Sulaeman, Endang Sutisna; Suryono, Arief
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Universal Health Coverage is the mandate of the Pancasila and 1945 Constitution. UHC's target on January 1st, 2019 is that all Indonesians are covered by the National Health In­su­ran­ce (JKN). Meanwhile, the participation of informal workers as of May 1, 2019 only reached 57%. The cross subsidy system is not optimal and the budget deficit will continue to be experienced because the­re are still many citizens who have not joined JKN. This study aimed to analyze the de­ter­mi­nants of the participation of informal workers in the national health insurance program in Kudus using the Health Belief Model.Subjects and Method: This was case control study,conducted in 5 sub-districts in Kudus Re­gen­cy, Cen­tral Java from September to October 2019. Total of 200 informal workers were selected by pur­posive sampling, it were devided into two groups including 100 in case group and a 100 in con­trol group. The dependent variable was the participation of informal workers in the JKN program. The independent variables were perception of vulnerability, perception of seriousness, perspective of be­nefits, family support, self-efficacy, and social environment. The data collection was per­for­med using a questionnaire and data analysis with logistic regression using stata 13.Results: The participation of informal workers in the JKN program increased with knowledge of ≥Senior high school (b = 5.09; 95% CI = 0.32 to 9.87; p = 0.036), high perception of vulnerability (b = 3.01; 95% CI = 0.26 to 5.75; p = 0.031), high perceived seriousness (b= 5.38; 95% CI = 2.14 to 8.61; p= 0.001), high perceived benefit (b= 3.86; 95% CI= 0.39 to 7.34; p= 0.029), strong family support (b= 7.26; 95% CI= 2.69 to 11.82; p= 0.002), strong self-efficacy (b = 3.98; 95% CI = 0.98 to 6.98; p= 0.009) and a supportive social environment (b = 4.51; 95% CI= 1.61 to 7.40; p= 0.002).Conclusion:Knowledge, perception of vulnerability, perception of seriousness, perceived use­ful­ness, family support and social environment influence the participation of informal workers in the JKN program.Keywords: universal health coverage, national health insurance, health belief modelCorrespondence: Anom Dwi Prakoso, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anomdwiprakoso@gmail.com. Mobile: +62­895363­054­393.Journal of Health Policy and Management (2020), 5(1): 61-73https://doi.org/10.26911/thejhpm.2020.05.01.06
Co-Authors Ade Izdihar, Raihan Adi Sulistiyono Adisty Ananda Putri Afrianarko, Fairuz Ahmad Jaeni Albertus Sentot Sudarwanto, Albertus Sentot Alya Para Mestri Amalia, Putri Nur Anom Dwi Prakoso Ardian, Kukuh Asna Zamharira Asya, Jasran Aulia Rahma, Anisa Ayu Sholihah, Zuliana Burhanudin Harahap Citra Amira Zolecha Citra Hafshah Maharani Dian Lukita Sari Diana Tantri Cahyaningsih Didik Gunawan Tamtomo Didik Tamtomo, Didik Dina Fiddaniah Dinda Bertha Ivana Dona Budi Kharisma, Dona Budi Endang Sutisna Sulaeman Faizal T.A., Muhammad Fernandes, Acacio Fitia Maulidia Rahma Fitriandi, Fitriandi Gusti Ayu Utami Hanifah Romadhoni Hanifah Romadhoni, Hanifah Hari Purwadi Hari Purwadi, Hari Hartono Putri, Earline Gracella Haryanto, Nanda Dwi Himawan, Hartani Hutama P, M. Bagas Indarto, Dono Indarto Indriyati Oktaviano Rahayuningrum Isharyanto Isharyanto ITOK DWI KURNIAWAN Ivana, Dinda Bertha Jamal Wiwoho Laksono Trisnantoro Linda Widyaningrum, Linda LINDAWATI Makbul, A. Makbul, Ahmad Monicha, Defi Muliani, Candra Wiwit Mulyoto mulyoto Mustika Larasati Nanda Dwi Haryanto Oky Tiara Putri Pratiwi, Arinda Dyah Pratiwi, Danies Tunjung Putra, Bayu Setiawan Hendri Putri Hasan, Naomi Adinda Putri, Adisty Ananda Rahayuningrum, Indriyati Oktaviano Ridho, M Ghusni Rizkina, Silfi Robby Saprilla Manu Pratama Putra Salsabila, Erdhyna‘Afifah Saptanti, Noor Sari, Silvi Triadita Sediyo, Panggih Sezia Nur Aini, Mutia Siallagan, Sahat Poltak Siti Aminah Siti Marfuah, Siti Siti Muslimah Suhadi Suhadi suraji suraji Susilo, Lukman Endro suwadi, pujiyono Tsania Nurul Azkia Tuhana Tuhana Vania Syane Gunawan, Irish Vita Dyah Mandasari Wahyu Fitria, Nabila Wanda Yunitha Purba, Agata Wariyanti, Astri Sri Yatmi Nengsih Yelina Rachma Pranamawati Yudho Taruno Muryanto Zamharira, Asna