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All Journal Jurnal Jaminan Kesehatan Nasional Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)

Diah Ayu Puspandari

Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada

Author-ID : 5830838

Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Public Health

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ANALISIS PEMBIAYAAN PENANGGULANGAN GIZI BURUK PADA BALITA DI KABUPATEN LOMBOK TENGAH PROVINSI NUSA TENGGARA BARAT Irna Agustina; Toto Sudargo; Diah Ayu Puspandari
Journal of Health Service Management Vol 19 No 3 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: According to WHO more than 50% of infant andchild mortality is related to malnutrition, a nutritional problemthat needs to be solved quickly and appropriately. Based on theresults of PSG Kadarzi years 2012-2015 the prevalence ofemaciation according to indices of BB /TB or BB/PB was 7,43%,7,32%, 9,81%, and 7,6%. Those number fluctuate but if thisnutritional problem is ignored it will cause problems ofdevelopment in the future. Consider this phenomenon we canfind out how the financing of prevention of malnutrition in CentralLombok regency issued by government and society. Objective: Identify financing countermeasures of malnutritionamong children under five years old in the district of Central Lombok, West Nusa Tenggara (NTB) Methods: This research is a descriptive study and crosssectionalresearch design with quantitative dates. This researchwas conducted in Central Lombok regency, West NusaTenggara Province. The subjects of this study were the motheror malnourished children keeper as many as 30 people. Thedata analysis was conducted by descriptive the financingcountermeasures of malnutrition in Central Lombok regency. Results: From the search results and interviews it showed thatthe malnutrition countermeasures costs spent by thegovernment was IDR2.816.913,00/person/year and the amountof public expenses was IDR7.874.100,00/person/year. Thelarge proportion of the cost of government was 26,35% and bythe public was 73,65%.Conclusion: The society expenses were 2,79 times as high asgovernment expenses on malnutrition countermeasures onchildren under five in Central Lombok regency.

ANALISIS PENGHITUNGAN BIAYA SATUAN (UNIT COST) TINDAKAN POLI GIGI KLINIK PRATAMA X MENGGUNAKAN METODE TIME DRIVEN ACTIVITY BASED COSTING Erfandi Ahmad; Diah Ayu Puspandari; Anastasia Susty Ambarriani
Journal of Health Service Management Vol 24 No 01 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The high demand for dental and oral care in the community has led to an increase in Dental Poly visits to the PratamaX clinic. Determining the unit cost of polydental procedures is an important factor in clinic financing and increasing clinic revenue.Until now, the clinic owner has never evaluated the cost of dental poly surgery correctly and has not referred to the cost analysis ofthe service unit.Objective: To analyse the unit cost per Dental Poly procedure at Pratama X Clinic by using the Time Driven Activity Based Costing(TDABC) method.Methods: Descriptive observational study, using primary and secondary data from the clinic with the aim of obtaining a unit costcalculation of dental poly procedures. The design of this research was cross sectional and the type of data used was quantitative data.The results of the calculation and cost analysis to determine the unit costs of dental poly procedures in the form of tartar cleaning, dentalfillings with composite resin materials, tooth extraction and dental braces treatment (fixed orthodontics) by tracing costs related to thecost center of the procedure and other parts. that supports action. Results: Based on the unit cost calculation per procedure at thedental clinic, the Time Driven Activity Based Costing cost system imposed indirect costs in calculating unit costs at the Pratama XClinic. Because the Pratama X Clinic did not accurately classify direct and indirect costs, Pratama X Clinic was not accurate in allocating the costs, number and working hours of ineffective PratamaX Clinic employees.Conclusion: According to the data obtained, the application of Time Driven Activity Based Costing resulted in higher levels of dental care compared to the Pratama X Clinic, except for dental fillingswith small composite resin and dental orthodontics.

SUPERVISI VIRTUAL PROGRAM PENGENDALIAN TUBERKULOSIS PARU ERA PANDEMI COVID-19 DI KABUPATEN OKU TIMUR Siti Patria Hutami; Yodi Mahendrahata; Diah Ayu Puspandari
Journal of Health Service Management Vol 24 No 03 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: COVID-19 requires all parties to adapt to an unprecedented situation. Meanwhile, the implementation of the Pulmonary TB Control Program activities must continue to support the success of the Pulmonary TB Control Program in East OKU Regency. Coaching which is usually done face-to-face but is now very difficult to do because the COVID-19 has not subsided. Modern technology that reaches all aspects of life, including supervision activities. Objective: To describe the virtual supervision mechanism carried out by the Regional Health Department to the primary health care during the Covid-19 pandemic in the Pulmonary TB Control Program in East OKU Regency. Methods: A descriptive case study approach through a single case holistic design. Qualitative information was obtained through in depth interviews and documentation studies on April-Mei 2021. The research subjects were taken by the purposive sampling method. The subjects were 16 people. Results: The implementation of virtual-based supervision activities was carried out via WhatsApp and telephone from the Regional Health Department to the primary healthcare. Virtual supervision made it easier to access communication between the Health District Office and the TB Program Manager at the puskesmas because there are no restrictions on funds, distance and time. The Health District Office were able to monitor MSS achievements through the SITB report and monitor the availability of drug stocks virtually through coordination with the TB Program Manager at the puskesmas. However, the Health District Office was unable to monitor the use of logistics and reports related to slide numbering at the puskesmas in addition to the limited guidance provided during the COVID-19 pandemic. Conclusion: Social media is used as a means of exchanging data and information. Virtual monitoring of activities and coaching has not been carried out optimally. Coaching needs to be done virtually to improve the ability and skills of a TB Programmer in terms of recording and reporting TB programs during the pandemic of COVID-19.

FAKTOR-FAKTOR PENGGUNAAN OUT-OF-POCKET PADA PESERTA BPJS PBI DI KLINIK “ASIH SASAMA” Azizah Boenjamin; Diah Ayu Puspandari
Journal of Health Service Management Vol 25 No 01 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The Social Security Administering Body (Badan Penyelenggara Jaminan Sosial, BPJS) established a health system based on Social Health Insurance called the National Health Insurance (Jaminan Kesehatan Nasional, JKN). The current implementation still does not meet one of the Universal Health Coverage (UHC) indicators, namely protection against financial risks due to the high use of Out-of Pocket (OOP). Many JKN participants still choose to seek treatment at the Primary Healthcare (FKTP) they are not registered in, resultingin OOP use.Objective: This study aims to explore the factors that cause the use of OOP in BPJS subsidized scheme participants who seek treatment in Outpatient Primary Clinic "Asih Sasama".Methods: This study uses a qualitative research design by using an analytical method, namely Framework Analysis. This research was conducted at the Outpatient Primary Clinic “Asih Sasama” locatedin Saptosari subdistrict, Gunung Kidul regency, Special Region of Yogyakarta. Researchers selected 15 respondents in this study. The theme of the discussion consists of 3 factors: knowledge, preferences,and roles of health workers.Results: Most of the respondents lack the knowledge and understanding regarding their rights and policies related to participation, especially the right to transfer FKTP. The closer distance from the place of residence, and the faster waiting time are the factors affecting the preferences of respondents to choose treatment using OOP. The role of health workers and village officials is still lacking in providing information to the community.Conclusion: It is necessary to strengthen regulations for implementing the JKN program, especially for PBI participants. There is a need for cooperation between stakeholders to hold outreach activities for the poor. There needs to be a solution to the problem of access in the community.

Strategi Pemerintah Desa dari Berbagai Tingkat Cakupan Peserta Menuju UHC di Kabupaten Karimun Endang Lestari; Diah Ayu Puspandari
Jurnal Jaminan Kesehatan Nasional Vol. 3 No. 2 (2023): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v3i2.165

The government issued Presidential Instruction No. 1 of 2022 concerning Optimizing the Implementation of the JKN Program. Coverage of JKN participants in Karimun Regency is 83.28%. This study aims to explore village government strategies with various levels of participant coverage in achieving UHC in Karimun Regency. The method used in this research is a qualitative approach based on thematic analysis. Data was collected through Focus Group Discussions, in-depth interviews, and literature reviews. The research subjects were village governments with the highest, medium, and lowest UHC achievements on Karimun Island in Karimun Regency. The village government's strategy in achieving UHC included data collection and identification of individuals whom JKN does not cover; actively involving the participation of cadres of Posyandu, Posbindu and village midwives; providing education and advice; proposing JKN for poor society to the local government, and collaborating with sub-district offices and the Health Office in submitting PBIs. Implementation of this strategy is constrained by the absence of regulations regarding using village funds for JKN registration, limited funds, and JKN budgeting requires significant funds. There is a gap between the highest and lowest UHC village government strategies, including the active involvement of community cadres in the highest UHC village government. It is recommended that the most subordinate UHC village government involve the active participation of cadres from the community. The BPJS Kesehatan are advised to socialize Presidential Instruction No. 1 of 2022 to the village government

Co-Authors Anastasia Susty Ambarriani Azizah Boenjamin Endang Lestari Erfandi Ahmad Irna Agustina Siti Patria Hutami Toto Sudargo Yodi Mahendrahata

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