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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Dunia Kesmas
Mardiati Nadjib
Fakultas Kesehatan Masyarakat, Universitas Indonesia
Humanities Education Environmental Science Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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Dampak Implementasi Pembayaran Berbasis Kinerja (Pay-For-Performance) Pada Fasilitas Kesehatan Tingkat Pertama (FKTP) Terhadap Kualitas Layanan Kesehatan Di Berbagai Negara Uswatun Khasanah; Mardiati Nadjib
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.621 KB) | DOI: 10.36418/syntax-literate.v8i5.12035

Abstract

The pay-for-performance (P4P) mechanism is a strategy in the health sector to increase the availability, quality and utilization of health services. In P4P, incentives are given after achieving a series of agreed outcomes by improving the performance of health workers in health facilities. This literature review was conducted with the aim of knowing the impact of implementing pay-for-performance at primary care (FKTP) on the quality of health services in various countries. The method is carried out by searching several databases, namely Pubmed, Embase, and Proquest with the main intervention being the implementation of pay-for-performance. The results of the review focused on the impact of implementing pay-for-performance at First Level Health Facilities on the quality of health services in various countries. From this study it can be concluded that pay-for-performance has been used in various countries with different numbers and areas (domains) of indicators adapted to the characteristics of primary care in a country. Some of the benefits of implementing pay-for-performance are that it can stimulate quality improvement in clinical care and improve patient experience of the role of general practitioners and the system of care. P4P can improve the process and outcome of cardiovascular treatment. Providing incentives can have an effect on improving the quality of performance in clinical practice. Providing P4P incentives can meet the quality measures of hypertension care recommended by the guidelines. In the United States, the provision of P4P incentives can increase physician compliance to provide hypertension drugs according to guidelines. Providing incentives can also have an impact on improving blood pressure control in hypertensive patients.
Analisis Cost-Effectiveness Antara Telepsychiatry Dan Perawatan Tatap Muka Pada Layanan Kesehatan Mental: Tinjauan Sistematis Jenal Mutakin Sambas; Mardiati Nadjib
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.23999

Abstract

Gangguan kesehatan mental merupakan masalah global dengan prevalensi yang terus meningkat, sementara akses terhadap layanan psikiatri masih terbatas akibat kendala geografis, kekurangan tenaga ahli, dan tingginya biaya layanan. Telepsychiatry dan intervensi digital berbasis telemedicine muncul sebagai pendekatan untuk memperluas jangkauan layanan kesehatan mental. Tinjauan sistematis ini bertujuan menganalisis efektivitas klinis dan cost-effectiveness telepsychiatry dibandingkan layanan tatap muka. Pencarian literatur dilakukan pada PubMed/MEDLINE, Scopus, dan ScienceDirect untuk periode 2021–2025 dan dilaporkan sesuai dengan PRISMA 2020. Dari 172 artikel yang diidentifikasi, delapan studi memenuhi kriteria inklusi, terdiri atas randomized controlled trials dan evaluasi ekonomi yang membandingkan telepsychiatry atau intervensi digital (iCBT, blended CBT, eHealth, dan iSMI) dengan layanan tatap muka. Hasil kajian menunjukkan bahwa intervensi digital berbasis telepsychiatry umumnya menghasilkan efektivitas klinis yang sebanding dengan layanan tatap muka. Dari perspektif ekonomi, sebagian besar studi melaporkan biaya total yang lebih rendah atau probabilitas cost-effective yang lebih tinggi, dengan variasi hasil yang dipengaruhi oleh karakteristik populasi, tingkat dukungan profesional, dan perspektif analisis yang digunakan.
Co-Authors Jenal Mutakin Sambas Uswatun Khasanah Widha Dianasari