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DISPUTE ANALYSIS OF CLAIMS FOR PATIENTS WITH COVID-19: A CASE STUDY AT HOSPITAL X CLASS B IN BANTUL REGENCY Putri, Beby Antika; Hafidz, Firdaus; Hendrartini, Yulita
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

The Indonesian Government established referral hospitals for COVID-19 as an effort in combating the pandemic. Referral hospitals for COVID-19 submit their services’ claims to the Ministry of Health. Hospital X in Bantul experienced challenges in submitting COVID-19 claims and underwent claim disputes which caused delays in payment process. This research aimed to explore the factors that led to the disputes over the COVID-19 claims. This descriptive research was conducted with a qualitative approach, using in-depth interviews and observations. The additional descriptive analysis used secondary data COVID-19 claim dispute file reports from 2020. The results showed that the highest criteria of disputed claims at Hospital X were the criteria for non- compliant guaranteed participants, incomplete claim files, non-compliant comorbid diagnoses, and identities that did not comply with the provisions. The causes of the disputes over claims for patients with COVID-19 included inaccurate history taking, differences in regulation perceptions between the provider and payer, PCR results were not provided, and doctors had a lack of understanding regarding the technical guidelines for COVID-19 claims. In addition, there were technical problems faced by the hospital during the process of submitting claims, including regulations were changed frequently, errors in applications, incomplete medical resumes, and unreadable doctors’ writings. Disputed claims did not affect the hospital cash flow, yet delayed the payment process to health workers, which might harm the quality of services.
OPTIMIZATION OF HEALTHCARE WORKERS AVAILABILITY: INCREASING PRIMARY HEALTHCARE EFFICIENCY IN INDONESIA Niedar, Anedya; Hafidz, Firdaus; Hort, Krishna
Jurnal Ekonomi Kesehatan Indonesia Vol. 7, No. 1
Publisher : UI Scholars Hub

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Policy has focused on the unequal distribution of health workers, while the potential for improvements in efficiency to address this problem has been neglected. This study aims to measure and compare the level of efficiency in the use of the available health workforce for the delivery of selected primary healthcare services among districts/cities in Indonesia, and to identify factors influencing that efficiency. The Data Envelopment Analysis method with output orientation to measure efficiency and Tobit regression analysis was performed to determine the effect of contextual factors. The average score for the technical efficiency of primary health care service delivery throughout Indonesia was 1.29, indicating the potential to achieve on average 29% higher coverage of the selected primary health services if all were as efficient as the most efficient. The average efficiency score in the Eastern Indonesia region was 1.62 and the average in the Java-Bali region was 1.05, indicating higher potential efficiency gains in the Eastern Indonesia region. Access to health care facilities was a consistently significant factor influencing the efficiency of primary health care in almost all regions. This study has demonstrated the potential for significant gains in coverage of key primary care services through improvements in the efficiency of use of the existing health workforce.
Programmatic management of drug-resistant tuberculosis financing in Lampung Province Utomo, Siti Syamsiyyah Nurmalisa; Hafidz, Firdaus; Dewi, Christa
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.5086

Abstract

Purpose: This research aims to get an overview of Programmatic Management of Drug-Resistant Tuberculosis (PMDT) Financing in Lampung in 2021. Methods: This is a mixed-methods research study aimed at determining the amount of financing for PMDT from a payer perspective and assessing the local government's commitment. Financing calculation using Lampung Provincial Health Office, Global Fund, and BPJS Kesehatan financial data. The local government's commitment was evaluated by a focus group discussion with the Lampung Provincial Health Office officer. Results: The total financing for the PMDT in 2021 was Rp 6,072,456,520, with 92.12% of funding sources coming from donors, 6.17% from APBN, 1.71% from JKN, and 0% from the APBD. The activities with the highest costs are the provision of anti-tuberculosis drugs at 35% and additional logistics at 34%. Conclusion: The main challenge in financing PMDT is the high-cost requirement, which the local fiscal capacity doesn't support. It should be an essential concern for local governments to ensure the program's sustainability after the termination of Global Fund funding. The government must enhance local fiscal capacity in the post-pandemic era and promptly develop and implement a national health insurance scheme to finance PMDT.
EFFECTIVENESS OF MINDFULNESS COGNITIVE BASED THERAPY INTERVENTION ON POSTPARTUM DEPRESSION: A SYSTEMATIC REVIEW Putri, Rachma Octarinaprawastya; Nisa, Ananda Fadila; Sartika, Dea Ayu; Yasmin, Yasmin; Hafidz, Firdaus; Sulistyaningsih, Sulistyaningsih
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3106

Abstract

Depresi pasca persalinan (DPP) merupakan isu kesehatan penting yang berdampak pada kesejahteraan ibu, perkembangan anak, dan dinamika keluarga. Berbagai intervensi psikologis non-farmakologis, termasuk Terapi Perilaku Kognitif (CBT), Terapi Kognitif Berbasis Mindfulness (MBCT), serta intervensi berbasis mindfulness, telah diteliti sebagai pendekatan alternatif. Meskipun menunjukkan potensi manfaat, masih terdapat perbedaan dalam desain penelitian, karakteristik responden, serta metode intervensi yang memengaruhi hasil efektivitas. Penelitian ini bertujuan menilai kelayakan dan efektivitas CBT, MBCT, dan mindfulness pada ibu dengan DPP melalui tinjauan sistematis menggunakan daftar PRISMA-SR dan kerangka PICOs. Literatur ditelusuri dari PubMed, ScienceDirect, EBSCO, dan Research Rabbit dengan rentang tahun 2014 2024. Dari 576 artikel, 12 studi kuasi-eksperimental dan uji coba terkontrol acak memenuhi kriteria inklusi, meliputi penelitian di negara maju maupun berkembang. Hasil menunjukkan intervensi CBT, MBCT, dan mindfulness efektif menurunkan gejala DPP, dengan Edinburgh Postnatal Depression Scale (EPDS) sebagai instrumen utama. CBT lebih efektif pada tahap awal, sedangkan MBCT berfungsi sebagai terapi lanjutan dan pemeliharaan. Secara keseluruhan, intervensi psikologis individu lebih hemat biaya dibanding perawatan standar. CBT dan MBCT terbukti sama-sama layak sebagai pilihan terapi, namun diperlukan penelitian lanjutan untuk menilai efektivitas jangka panjang serta integrasinya dalam layanan kesehatan ibu.