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All Journal Jurnal Keterapian Fisik Public Health of Indonesia Jurnal Manajemen Pelayanan Publik Darmabakti Cendekia: Journal of Community Service and Engagements Mitra Mahajana: Jurnal Pengabdian Masyarakat Narra J Jurnal Jaminan Kesehatan Nasional Berita Kedokteran Masyarakat Jurnal Fisioterapi dan Kesehatan Indonesia Jurnal Kesehatan Reproduksi Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Jurnal Ilmu Kesehatan Masyarakat Academia Open
Syarif Rahman Hasibuan
Faculty Of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Transportation

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN JKN DI DESA CITARINGGUL Yudha Asy'ari; Diah Rohmatullailah; Dwi Agustina; Fariz Rahmansyah; Nadia Trisna K; Rifa Fauziyyah; Syarif Rahman Hasibuan; Ulfi Hida Zainita; Novia Anasta; Rinka Citra Awinda; Budi Hartono
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 2 No 1 (2022): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

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Abstract

Masalah kesehatan perlu digali dengan analisis situasi, kemudian diselesaikan berdasarkan prioritasnya. Kepesertaan JKN di Desa Citaringgul masih rendah yakni 41,7%. Perlu dilakukan intervensi untuk meningkatkan pengetahuan masyarakat Desa Citaringgul mengenai program JKN. Studi ini bertujuan mengetahui gambaran geografi Desa Citaringgul, melakukan studi pendahuluan serta intervensi. Studi pendahuluan mengenai faktor yang berhubungan dengan kepesertaan JKN dilakukan dengan pengisian kuesioner secara langsung dan jumlah sampel 30 warga. Intervensi edukasi program JKN dilakukan kepada 13 kader Desa Citaringgul. Desa Citaringgul memiliki jumlah penduduk 8.691 jiwa. Studi pendahuluan menunjukkan adanya hubungan faktor pengetahuan dan faktor pelayanan kesehatan dengan keikutsertaan JKN. Namun tidak ada hubungan antara faktor lingkungan dengan keikutsertaan JKN. Intervensi edukasi program menunjukkan adanya peningkatan pengetahuan dan kader melakukan penyebarluasan materi edukasi kepada warganya. Terdapat hubungan faktor pengetahuan dan faktor pelayanan kesehatan dengan keikutsertaan JKN. Intervensi edukasi program JKN dapat meningkatkan pengetahuan kader dan dilakukan penggalangan komitmen untuk keberlanjutan edukasi kepada warga.
Cost of Illness: Stroke Patients with Medical Rehabilitation Santoso, Mahar; Adisasmito, Wiku BB; Hasibuan, Syarif Rahman
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 9 Issue 1 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v9i1.422

Abstract

Background: Cerebrovascular disease (ICD 10: I60–I69), is a medical condition that leads to limitations such as limited mobility and cognitive impairment. It is the most fatal disease in Indonesia. Medical rehabilitation has been clinically proven to be an effective strategy to minimize disability in stroke patients. Methods: This research is a quantitative study with a cross-sectional design. The data source was obtained from BPJS Kesehatan sample data for 2022. The sample units for this study were all patients with a diagnosis of cerebrovascular disease. This study examined 3,528 patients, representative of a larger population of 339,707 patients. Results: In 2022, healthcare costs for stroke patients in Indonesia, covered by BPJS Kesehatan, varied widely from Rp 1,937,400 to Rp 207,675,700, averaging Rp 8,487,531 per person. BPJS Kesehatan's total spending on stroke treatment and rehab in 2022 was Rp 2,883,269,825,972. The productive age group constitutes the majority of stroke cases, comprising 68.9% of the total, with males representing the predominant gender at 54.5%. The biggest group benefiting from this were those receiving Beneficiary Contribution Assistance (PBI), making up 46.5% of all National Health Insurance participants. Conclusion: This study indicates that providing medical rehabilitation during the golden period yields greater efficiency compared to its absence. This recommendation extends beyond cost-saving measures, emphasizing a strategic investment in national welfare through the enhancement of individuals' quality of life. Therefore, policymakers, BPJS Kesehatan, hospitals, and healthcare professionals are encouraged to factor this insight into their decision-making processes.
KORELASI FAKTOR RISIKO USIA PASIEN DENGAN KASUS DAN BIAYA RAWAT INAP PENYAKIT JANTUNG DI INDONESIA (ANALISIS SERIAL WAKTU PROGRAM JAMINAN KESEHATAN NASIONAL 2015-2021) Hasibuan, Syarif Rahman; Prasetyo, Sabarinah; Darmawan, Ede Surya
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

This study analyzes the correlation between patient age with hospitalization cases and cost in Indonesia. The design of this study was cross-sectional quantitative using open sources data from Indonesia National Health Insurance Agency (BPJS Kesehatan). The sample units in this study were hospitalization cases from 2015-2021 of National Health Insurance program member. Sample size of this study are 43,921 that weighted to get 3,901,373 hospitalization cases. This study show an uptrend in cases and the total cost of cardiovascular disease hospitalization in 2015-2019, while it show downtrend during the Covid-19 pandemic. The average cost of cardiovascular disease hospitalization per case is 7.5 million rupiah (495.15 USD) per year. The highest average cost per case is 185.47 million rupiah (12,244.62 USD) per year; the lowest is 1.5million rupiah (99.03 USD) per year; and the average total cost is 3.99 trillion rupiah (263,417.41 USD) per year. The accumulated costs for 2015-2021 is 27.94 trillion rupiah (1,844,582.04 USD). Spearman's test shows there is a correlation between age and cases, average and total costs of cardiovascular disease hospitalization. Only correlation between age and average cost that show a negative pattern, which means that the higher the age, the lower the hospitalization average cost.
Gambaran Klaim Pelayanan Dialisis di Rumah Sakit dan Rekomendasi Kebijakan di Level Daerah: Studi Kasus Kota Pematangsiantar Hasibuan, Syarif Rahman; Prasetyo, Chandra Istanti; Darmawan, Ede Surya; Permanasari, Vetty Yulianty
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Chronic kidney disease is a global health issue affecting more than 10% of the world's population and poses a significant disease burden, especially in developing countries. In Indonesia, the National Health Insurance program (JKN) has enabled access to dialysis care for patients with chronic kidney failure, but it also presents challenges in sustaining financing. This study aims to analyze the trends in dialysis service claims in Pematangsiantar City during the period from 2017 to 2022 and project the service needs until 2025. The research design is descriptive-analytic, using claim data from BPJS Health related to dialysis procedures. Analysis is conducted using polynomial trends to identify historical patterns and future projections. The results show that the average annual cost of dialysis service claims in Pematangsiantar City is 85 billion rupiah. There was an annual increase in visits and claims costs by 25.56% and 23.52%, respectively. In 2021, dialysis visits surged by 91.6%, with claim costs reaching Rp128.2 billion. Projections up to 2025 indicate a significant upward trend, with an estimated number of visits approaching 350,000 in that year. The study's conclusions emphasize the importance of maintaining sustainable health financing through the JKN program and adjusting dialysis service capacity according to demand to prevent over- or undersupply. Additionally, primary prevention efforts through health education and early detection of kidney disease should be prioritized to reduce the number of new patients requiring dialysis.
Navigating the aftermath: Risk factors of recurrence following coronary bypass surgery in Indonesia Bachtiar, Adang; Candi, Cicilya; Hasibuan, Syarif R.; Widyasanti, Nisrina; Kusuma, Dian
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.969

Abstract

Coronary heart disease (CHD) remains a leading cause of mortality in Indonesia, and coronary artery bypass graft (CABG) surgery is frequently employed to manage arterial blockages. Despite its efficacy, the recurrence of heart disease post-surgery is a significant concern, highlighting the need for a deeper understanding of its influencing factors. The aim of this study was to examine the factors associated with the incidence of heart disease recurrence after coronary bypass surgery. This study employed a prospective observational design, analyzing hospital claim data from Indonesia's Social Security Agency for Health, known as Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, from 2017 to 2022. The analysis included 5,947 patients who survived CABG surgery. Multivariable logistic regression was utilized to assess the relationship between patient demographics, comorbidities, socioeconomic status, and compliance with follow-up visits, as well as their impact on the recurrence of cardiovascular disease. The study found that 24.1% of patients experienced hospitalization recurrence. Patients with irregular follow-ups were less likely to experience recurrence (adjusted odds ratio (AOR): 0.63; 95%CI: 0.51–0.78). Other significant risk factors for recurrence included being self-employed (AOR: 2.09; 95%CI: 1.72–2.55), having comorbid conditions such as disorders of fluid, electrolyte, and acid-base balance (AOR: 3.55; 95%CI: 2.97–4.24), and experiencing cerebral infarction or stroke (AOR: 10.85; 95%CI: 8.24–14.29). In contrast, older age (AOR: 0.89; 95%CI: 0.88–0.91) and the presence of non-insulin-dependent diabetes mellitus (AOR: 0.35; 95%CI: 0.29–0.42) were associated with a lower risk of recurrence. Sex did not significantly influence the risk of recurrence (AOR: 1.18; 95%CI: 0.86–1.62). In conclusion, the study indicates a considerable rate of cardiovascular disease recurrence post-CABG in Indonesia, highlighting several key risk factors. Tailored postoperative management and strict adherence to follow-up protocols are essential for mitigating recurrence. These findings offer crucial insights for improving post-CABG health management strategies in Indonesia.
Determinants of Gynecological Ultrasound Utilization Among Pregnant Women: Evidence from Indonesia’s National Health Insurance Claims Mahwati , Yeni; Hasibuan, Syarif Rahman; Nurrika, Dieta
JURNAL KESEHATAN REPRODUKSI Vol 16 No 1 (2025): JURNAL KESEHATAN REPRODUKSI VOLUME 16 NOMOR 1 TAHUN 2025
Publisher : IAKMI South Tangerang Branch

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Abstract

Background: Equitable access to prenatal ultrasound (USG) is critical for improving maternal health outcomes in Indonesia. Although hospital-based USG is covered under the national health insurance scheme (JKN), utilization may vary across demographic and socioeconomic groups. Objective: To examine how maternal age, place of residence, geographic region, and insurance membership segment are associated with hospital-based USG use among pregnant women covered by JKN. Methods: This cross-sectional study analyzed the 2023 maternal health dataset from BPJS Kesehatan (Healthcare). Of 468,922 pregnant women, 13,787 with at least one hospital-based ultrasound visit (INA-CBG code Z-3-25-0) were included. Descriptive statistics and negative binomial regression assessed associations with age, domicile, region, insurance segment, and ward class. Results: Among 13,787 women with hospital-based ultrasound visits, the average utilization was two scans per year. In Model 1, regency residents had lower utilization than city residents (IRR = 0.90, 95% CI: −0.11 to −0.10), while women in Java–Bali showed slightly higher use (IRR = 1.06, 95% CI: 0.04–0.07). Utilization was lower in Sumatra (IRR = 0.89), Sulawesi (IRR = 0.84), and Kalimantan (IRR = 0.97). Compared with formal workers, lower rates were observed among subsidized groups such as PBI-APBN (IRR = 0.89), PBI-APBD (IRR = 0.90), and non-workers (IRR = 0.84). Age was positively associated with higher use (IRR = 1.01 per year). In Model 2, interaction terms revealed regional variations: for instance, disparities by insurance segment were most pronounced in Java, Sulawesi, and Kalimantan, with IRRs ranging from 0.60 to 1.09. Overall, while statistically significant, the effect sizes remained modest. Conclusion: Although in-hospital USG services under JKN are guided by clinical indications, geographic and insurance-related disparities persist. These patterns suggest the influence of structural and access-related factors, highlighting the need to strengthen equitable referral and service delivery across regions.
Utilization of Preventive Care Visits in Primary Healthcare: Evidence from Indonesia’s National Health Insurance Hasibuan, Syarif Rahman
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.374

Abstract

Visiting primary health care providers for preventive care services is vital for early disease detection and overall population health improvement. In Indonesia, various barriers such as financial, systemic, and social, contribute to the underutilization of preventive health visits. This analytic cross-sectional study analyzed secondary data from a 1% representative sample of Indonesia’s National Health Insurance (JKN) participants in 2023, including 608,572 individuals who had accessed at least one healthy visit at a primary care facility between 2017 and 2023. Descriptive statistics and a Generalized Linear Model assessed associations between healthy visit utilization and sex, generation, residence, and JKN membership segment. Utilization was higher among participants living in urban areas, government-subsidized members, non-workers, and older generations (particularly Baby Boomers), whereas the lowest rates were observed among informal workers, post-millennials, males, and participants residing in rural regencies. All associations were statistically significant (p < 0.01). These findings highlight significant disparities in healthy visit utilization across demographic and insurance groups in Indonesia’s National Health Insurance program. Targeted interventions to increase preventive care uptake among underrepresented populations are critical to achieving equitable health outcomes.
Choosing Primary Dental Care Facility: Preference of Indonesian National Health Insurance Participants M Ikhsan; Syarif Rahman Hasibuan; Nisrina Widyasanti; Ede Surya Darmawan
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 3 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.3.328-341

Abstract

The expansion of Indonesia’s National Health Insurance program (Jaminan Kesehatan Nasional, JKN) has improved access to primary dental care services. However, factors influencing participants’ selection of dental care facilities, whether community health centers (pusat kesehatan masyarakat or puskesmas), private clinics, or private dental practices, remain underexplored. This study aimed to identify the determinants of facility preference among JKN participants seeking primary oral health services. The study employed a retrospective cross-sectional design, utilizing secondary data from the 1% Sample Data of Indonesia National Health Insurance (2017–2023). The population consisted of 140,395 adult JKN participants (aged 18 years or older) who received dental care and were alive as of December 31, 2023. Multinomial logistic regression was used to examine the associations between facility choice and sociodemographic variables, including age, sex, premium class, membership segmentation, and residential area. Community health centers were the most accessed (41.1%), followed by private clinics (37.2%). Participants in the government-subsidized segmentation were far more likely to use community health centers (RRR = 16.38; 95% CI: 15.54–17.27). Those in the highest premium class favored private clinics (RRR = 1.29; 95% CI: 1.23–1.35). Residents of Regency had lower odds of visiting community health centers than city residents (RRR = 0.46; 95% CI: 0.44–0.47). These findings indicate that administrative and demographic characteristics have a significant impact on dental care utilization under JKN. Healthcare providers, particularly private clinics and dental practices, should develop value-based strategies centered on service quality and long-term patient relationships. Policymakers may consider capitation adjustments to support quality improvements.
Dominant Factors of Recurrent Tuberculosis Treatment Visits in Jakarta: Faktor Dominan Kunjungan Berulang Pengobatan Tuberkulosis di DKI Jakarta Della Dwi Ayu; Syarif Rahman Hasibuan; Putu Erma Pradnyani
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.12985

Abstract

General Background: Tuberculosis remains a major public health challenge in Indonesia, with DKI Jakarta designated as a priority province for tuberculosis control. Specific Background: Despite high treatment coverage, the treatment success rate in Jakarta declined from 81% in 2023 to 63.7% in 2025, far below the national target of 90%, indicating persistent problems in treatment adherence and continuity of care. Knowledge Gap: Although recurrent tuberculosis treatment visits are recognized as indicators of treatment failure and potential progression to drug-resistant tuberculosis, evidence regarding the dominant sociodemographic determinants of these visits in Jakarta remains limited. Aims: This study aims to analyze the association between sociodemographic factors—age, sex, and marital status—and recurrent tuberculosis treatment visits in DKI Jakarta. Results: A quantitative cross-sectional study using secondary BPJS Health data involving 46,064 tuberculosis patients was analyzed using logistic regression. The results show that marital status is the dominant factor associated with recurrent visits (p=0.000; OR=5.320). Age is also significantly associated, where individuals under 60 years have lower risk compared with those above 60 years, while sex shows no significant relationship (p=0.510). Novelty: This study identifies marital status as the main sociodemographic determinant of recurrent tuberculosis treatment visits using large-scale national health insurance data. Implications: The findings indicate that tuberculosis control strategies in DKI Jakarta should integrate family-based approaches by involving spouses as treatment supporters and utilizing educational tools such as the LEKAT leaflet to strengthen adherence monitoring and reduce recurrent treatment visits. Highlights • Marital status emerges as the strongest predictor of repeated tuberculosis treatment attendance.• Individuals aged under sixty years demonstrate lower probability of repeated therapy visits compared with elderly patients.• BPJS Health data analysis reveals demographic determinants supporting family-oriented tuberculosis control strategies. Keywords Tuberculosis; Recurrent Tuberculosis; Marital Status; Treatment Adherence; Public Health Surveillance
Behavioral determinants of retention in Indonesia’s national health insurance: a retrospective cohort study of informal workers Syarif Rahman Hasibuan
Berita Kedokteran Masyarakat Vol 42 No 03 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i03.28542

Abstract

Purpose: This study aimed to examine factors influencing enrollment continuity among self-enrolled members of Indonesia’s National Health Insurance (JKN) from 2018 to 2023. Methods: This study used data from BPJS Kesehatan, a longitudinal cohort of 124,486 active members in 2018, and followed up to assess participation status in 2023. Results: About 38.1% of participants became inactive, and those who had never used primary or hospital care were over four times as likely to drop out (OR 4.27; 95% CI 4.25–4.28). Inactivity was also more common among rural residents and members living outside the Java–Bali region. Conclusion: These findings suggest a risk of adverse selection, where low-utilizers exit while high-need members remain. Retention depends not only on affordability but also on perceived value, highlighting the need for preventive outreach, service quality improvements, and simplified administrative processes.
Co-Authors Adang Bachtiar Adisasmito, Wiku Bakti Bawono Ambo Sakka Candi, Cicilya Damayanti, Elok Dela Riadi Della Dwi Ayu Dewi Gayatri Diah Rohmatullailah Dian Kusuma Dieta Nurrika Dumilah Ayuningtyas Dwi Agustina Dwi Arwandi Yogi Saputra Ede Surya Darmawan Ede Surya Darmawan Ede Surya Darmawan Erma Pradnyani, Putu Fariz Rahmansyah Gede Wirabuana Putra Gita Aprilicia Ima Maria M Ikhsan M Ikhsan Melly Kristanti Nadia Trisna K Natasha, Melrose Holy Nisrina Widyasanti Novia Anasta Permanasari, Vetty Yulianty Prasetyo, Chandra Istanti Ramadan, Fatih Jihadi Rifa Fauziyyah Rinka Citra Awinda Sabarinah Prasetyo Sabarinah Sabarinah Santoso, Mahar Sri Wahyuningsih Taufik Akbar Ulfi Hida Zainita Utomo, Wahyudi Widyasanti, Nisrina Yanti Harjono Yanti Harjono Hadiwiardjo Yeni Mahwati Yudha Asy'ari