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Faktor-Faktor Yang Mempengaruhi Penundaan Proses Klaim JHT BPJS Ketenagakerjaan Cabang Medan Oktapianti, Wanda Aulia; Dwi Melisa Putri; Nabila Wulandari; Restu Amalia Mazid; Sri Hajijah Purba
Journal of Educational Innovation and Public Health Vol. 2 No. 3 (2024): Juli : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i3.3026

Abstract

This study aims to identify the factors influencing delays in the claim process of theRetirement Savings Scheme (JHT) at the BPJS Employment Branch Office in Medan. Aqualitative approach was employed through in-depth interviews with BPJS employees,rticipants,andbranch managers.The findingsrevealthatinternalfactorssuch asincomplete documentation, human resource limitations, and technological system disruptionsplay a significant role in causing claim delays. Additionally, external factors includingsuddengovernmentregulatorychangesand inadequateparticipantinformation alsocontribute to these delays. The impact of claim delays on participant satisfaction is profound,necessitating improvements in claim management administration. Based on these findings, itis recommended to enhanceparticipant education and awareness, strengthen humanresources, improve technological system reliability, and develop adaptive mechanisms forregulatory changes to enhance efficiency and participant satisfaction in the JHT claimprocessattheBPJS EmploymentBranchOfficein Medan
Analysis Of The Management And Utilization Of The National Health Insurance Capitation Fund (JKN) Puskesmas In Deli Serdang Regency Oktapianti, Wanda Aulia; Dwi Melisa Putri; Indah Doanita Hasibuan; Restu Malia Mazid; Nabila Wulandari
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Abstract

This study discusses the analysis of the management and utilization of the National Health Insurance (JKN) capitation fund at the Puskesmas in Deli Serdang Regency. The research method used was an in-depth interview and qualitative approach at 3 puskesmas in Deli Serdang Regency, namely Gunung Tinggi Health Center, Kutalimbaru Health Center and Bandar Baru Health Center. The results show the effectiveness and efficiency of capitation fund management practices at the puskesmas, with strict supervision in accordance with applicable regulations. Capitation funds are used to pay for health care services and operational costs. The Puskesmas studied has also used JKN capitation funds in accordance with the specified percentage, but several aspects need to be considered to ensure better compliance. Suggestions for improving the effectiveness of the use of capitation funds include capacity building and training related to capitation fund management.
Health Behavior Of Coastal Communities In Percut Sei Tuan Sub-Distric Agustina, Dewi; Ainy Kusuma, Nabilla Tawaqal; Wulandari, Nabila; Oktapianti, Wanda Aulia; Khairani, Khovifah; Syahadah, Rahmah Fadillatu; Ujung, Sofia Rahma
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Abstract

Public health is an important part of maintaining local health. This study was conducted to describe public health behavior in Percut Village, Percut Sei Tuan District, Deli Serdang Regency. The research method used is a descriptive research method using observational data collection methods, questionnaires and in-depth interviews. Research shows that access to health and hygiene services is poor in coastal communities, but awareness of the importance of health is increasing. Socioeconomic factors also influence people's perception of health, including better eating habits, adequate physical activity, and adequate rest are also seen. This study provides an in-depth picture of the health condition of the coastal communities of Percut Village and provides a basis for the development of better health programs in the region.
Factors Affecting Community Participation in the Use of Health Services in Primary Care Oktapianti, Wanda Aulia; Tanjung, Nadya Ulfa; Hasibuan, Rapotan
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 3 (2025): JULY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i3.1823

Abstract

The main problem in this study is the low participation of the community in utilizing health services at the Bandar Baru Health Center, Deli Serdang Regency, even though facilities and programs are available. Barriers such as difficult access to transportation, low ownership of health insurance, and inappropriate perceptions of the disease are the main inhibiting factors. The purpose of this research is to examine the various factors that impact the involvement of the community in utilizing health services at the health center. Utilizing a quantitative approach with a cross-sectional framework, the study gathered a sample of 96 participants using accidental sampling methods. The collected data underwent analysis through the chi-square test to determine the association between independent and dependent variables. The findings indicated a notable correlation between accessibility (p=0.001), ownership of health insurance (p=0.031), and perception of diseases (p=0.014) with the utilization of health services. Conversely, factors such as age, gender, education, occupation, and the presence of health professionals did not display a significant relationship (p>0.05). The implications of this study indicate the importance of community-based interventions to improve physical and financial access to health services and public health education. These interventions need to involve cross-sectors and consider local cultural factors so that the use of health services becomes more equitable and sustainable.