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Puspitaloka Mahadewi, Erlina
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Development of BPJS from Participation, Government Policy, and Technological Aspects After Pandemic Basirah Mulya, Ainur; Liska Suspenny , Nurmiati; Wayamah , Cucu; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.391

Abstract

The pandemic hits all sectors, not only public health but also economic, financial and social aspects. The pandemic in the past makes health development in Indonesia necessary, especially because of its impact on the development of health insurance. Health insurance exists in the form of health protection guarantees, so that participants receive health care benefits, and basic health needs protection is provided to anyone who has paid the insurance premium. The package offered by the National Health Insurance Scheme (JKN) Indonesia goverment is very comprehensive, and includes promotional, preventive, curative and rehabilitative services, all of which are covered and free of charge. Limit costs if they comply with procedures. The JKN program is organized by the Social Health Security Administration (BPJS). Many changes have been made to BPJS in the wake of the Covid-19 pandemic, both in terms of BPSJ membership, government regulations and the technology sector in Indonesia. The methodology of this study is a literature review using international and domestic publications through various databases of research articles, reports and research documents to explain the transition of health insurance to Indonesia after the Covid-19 pandemic. The purpose of this study is to highlight the changes that have occurred in national health insurance, especially BPJS, due to the Covid-19 pandemic. This may add new knowledge that the history of health insurance development in Indonesia was caused by the pandemic disaster and after pandemic.
The Implementation of National Health Insurance Policy At Puri Medika Tanjung Priok Hospital, Jakarta Indonesia Novita Savitri, Elfrida; Dormaida Silaban, Sondang; Baransano, Karolina; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.392

Abstract

The present study reports the comprehensive study on BPJS health recently, as a form of change from PT. Askes in Indonesia, which previously became the organizer of health insurance for all Indonesian people. The JKN program organized by BPJS health aims to improve the social welfare of the community by providing convenience in public services, especially in the health sector. This study aims to examine how the implementation of the national health insurance policy and what are the obstacles in implementing the National Health Insurance policy through the Health Social Security Administering Agency (BPJS) at Puri Medika Hospital, Tanjung Priok, Jakarta, Indonesia. The researcher used a descriptive qualitative research method. The data used in the study were primary and secondary data. Data collection used interview, documentation and observation techniques. The data were analyzed using the Milles and Huberman data analysis model and presented in the form of a TOWS analysis diagram. The implementation of National Health Insurance at Puri Medika Hospital, Tanjung Priok, Jakarta, Indonesia is in the good category. The inhibiting factors for implementation are the limited number of registration officers, lack of public knowledge, and waiting times for health services that still need to be improved.
The Impact of Economic And Social Factors on Demand For Health Insurance: Case Study of Metropolitan Cities Handayani, Rani; Nurmiati, Nurmiati; Susanti, Susanti; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.393

Abstract

The present study reports the comprehensive study on socioeconomic aspects of health refer to social and economic factors that influence the living conditions of a person, family, or society. Health insurance is a health financing guarantee that needs to be chosen to face health risks and increasingly expensive medical costs. Socioeconomic status is related to the level of ability a person has in purchasing health services. This research aims to determine the influence of socio-economic factors on the demand for health insurance in metropolitan cities. This research uses a literature review research method which is part of qualitative research, which is related to the research subject. The results of this study show that the impact of economic and social factors or socio-economic factors can influence the demand for health insurance in metropolitan cities. The health insurance has a positive impact, there are still challenges related to the low penetration of health insurance among Indonesian people, especially in remote and rural areas. Apart from that, inadequate health insurance protection and a lack of understanding of the benefits of health insurance itself are also things that need attention. The role of the government, financial institutions and the insurance industry in increasing awareness, accessibility and reliability of health insurance products in the future will be key in strengthening the positive social and economic impact of health insurance in Indonesia.
Analysis of the Possibility of Fraud in the National Health Insurance Program in Indonesia Agustini, Purwanti; Veranica, Romauli; Dickson, Dickson; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.394

Abstract

The study focused on the purpose of finding out the effect and covering fraud in the National Health Insurance. Fraud is an act carried out intentionally to gain financial gain from the JKN program in the National Social Security System, through fraudulent acts that are not in accordance with the provisions of laws and regulations. Health fraud is a serious threat to the world, causing financial misuse of scarce resources and negative impacts on access to health, infrastructure, and social determinants of health. In Indonesia, cases of fraud continue to increase from year to year. The purpose of this study is to find out the latest studies related to the analysis of the opportunities for fraud in health insurance, and how the mechanism for effective prevention and mitigation efforts can be implemented in the implementation of the Health Insurance program in Indonesia. The method used in this journal uses qualitative descriptive through a literature study approach. Opportunities for fraud practices in JKN can be identity falsification, collusion to make false claims, unnecessary health care, excessive invoices, deviations or upcoding of diagnosis codes, document discrepancies, and duplicate claims. The reasons for fraud that usually occur are known as the fraud triangle, namely motivation, opportunity, and rationalization. Result of this study suggested systematic prevention efforts are needed together by health service providers, BPJS, and the Government by implementing the principles of a fraud prevention system, and the formation of a fraud prevention team that is adjusted to the needs for scale of the organization and national, in the future to reduce the negative impacts that occur.
Analysis of BPJS Based National Health Insurance Program Financing For Sectio Caesarea Birth In Indonesia Ewi, Yulidar; Hermawati, Siska; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.395

Abstract

The study focused on the purpose of finding out about caesarean section delivery is the last alternative to save the mother and fetus when normal delivery is not possible. The increase in caesarean sections worldwide has become a major public health problem, so there needs to be supervision to reduce the number of caesarean sections that are considered unnecessary, one of which is through the classification. The existence of health insurance for the Indonesian people, including BPJS which covers the cost of caesarean operations, allows for an increase in the incidence of caesarean sections. The purpose of the study was to analyze the financing status of the BPJS based National Health Insurance (JKN) program for caesarean section deliveries. This study used quantitative research with a cross sectional, the research sample was mothers who gave birth by caesarean section who used the BPJS National Health Insurance (JKN). This study discusses reporting for one year in 2023, participants who used BPJS national health insurance for caesarean section deliveries were 1117 participants. With the income of BPJS caesarean section services with hospital rates in UHC (Universal Health Care) 2019, will be implemented, while BPJS health according to Indonesia Law number 24 of 2011 is appointed by the government as a health insurance management agency. Data results show that the incidence of caesarean section using National Health Insurance (JKN) is still very high in hospitals. The management of hospitals needs to calculate service costs using unit costs so as not to experience a deficit and anticipate future management.
Inequality of Thought (IOT) on HIV-Aids and LGBT Through Social Media: A Case Study Gen Z in JPC Foundation Puspitaloka Mahadewi, Erlina; Reza Hilmy, Mohamad; Chairun Nisa, Puspita; Pamungkas, Ario; Purnama, Suryari; Ozays , Mehmet; Pantja Djati, Sundring
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.401

Abstract

The study focused on the purpose of finding out the effect and covering the views and acceptance of LGBT. Jakarta Indonesia is beginning to be seen clearly, especially the large amount of LGBT content both on television stations and on social media at home and abroad. This is very worrying because shows that LGBT is a risk factor for sexually transmitted infections (STIs) including HIV/AIDS. Unsafe sex, drugs, and many sexual partners, make LGBT people more susceptible to STIs. This study aims to determine the description of knowledge about STIs and attitudes towards the LGBT phenomenon in society, especially among young Gen Z people who still have the impact of inequality of thinking in social media. This study is a qualitative descriptive study conducted from October to December 2024. Data collection used a google form questionnaire. The sample consisted of 75 respondents who were members of the community fostered by the "Jakarta Plus Center (JPC)" Foundation. The sampling technique used was purposive sampling. The data is presented in a frequency table. The results of this study showed that most respondents had good general knowledge about STIs but lacked in more specific knowledge questions in medicine. The acceptance and views of the community in this community towards the LGBT phenomenon are quite low. People in the community consider LGBT to have a negative impact on life, although respondents agree that the human rights of LGBT people as humans must still be protected and respected, as they see on social media.
Empowering JPC Volunteers with Education and Assistance on Behavioral Factors to Prevent HIV/AIDS Transmission in Bandung, West Java Indonesia Puspitaloka Mahadewi, Erlina; Reza Hilmy, Mohamad; Silviana Mustikawati, Intan; Sukardi, Sukardi; Panigoro, Erwin; Heryana, Ade
International Journal Of Community Service Vol. 2 No. 4 (2022): November 2022 (Indonesia - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v2i4.150

Abstract

The present study reports the newest comprehensive study on pandemic era for the Infectious Disease acquired Immunodeficiency Syndrome (AIDS), caused by the Human Immunodeficiency Virus (HIV) the number of people living with HIV/AIDS (ODHA) continues to grow, this needs to be balanced with efforts to prevent the transmission of HIV/AIDS. The JPC Foundation (Jakarta Plus Center) is one of the important entry points for the community to reach out and educate on the treatment and prevention of HIV/AIDS transmission in Bandung, West Java Indonesia. This study aims to determine the factors associated with HIV/AIDS transmission prevention behavior in HIV/AIDS sufferers in Bandung and Cirebon, West Java Indonesia who are within the reach of the JPC Foundation in 2022. This type of research was quantitative, with cross sectional, the study population was visitors to VCT clinics at shelters with a sample size of 85 respondents. The sampling technique uses accidental sampling. The research was conducted from May to November 2022 with univariate (average) and bivariate (chi-square) data analysis. Univariate results showed that HIV/AIDS prevention behavior was not good 78%, adult age> 25-49 (57.5%), secondary education 50.5%, risky work 69%, good knowledge 57%, negative motivation 62%, positive attitude 69%, negative family support 63%. Bivariate results show that there is a relationship between education (p=0.024), employment (p=0.002), OR=6.057, motivation (p=0.001), OR=7.221, family support (p=0.00) OR=7.778 with behavior prevention of HIV/AIDS transmission at the JPC Foundation shelter in Bandung. For VCT clinics to further improve counseling and education services, for volunteers and cadres who reach out to patients or families of people living with HIV/AIDS (ODHA) to provide more support and assistance, also for the community not to discriminate against ODHA because they have HIV/AIDS.
Family Communication Literacy Education and Social Marketing in Health Center West Java Indonesia Puspitaloka Mahadewi, Erlina; Purnama, Suryari; Tamzil, Fachmi; Silviana Mustikawati, Intan; Reza Hilmy, Mohamad; Nurmawaty, Dwi
International Journal Of Community Service Vol. 3 No. 3 (2023): August 2023 (Indonesia - Malaysia - Philippines - South Korea )
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v3i3.204

Abstract

The present study reports study after pandemic era for family communication literacy and social marketing activities carried out by cadres in promoting the Kenanga Depok posyandu program, in West Java, Indonesia. Posyandu which is a form of Community-Based Health Efforts is managed and organized by, for, and with the community. In the context of carrying out health development, by empowering the community and providing opportunities for the community to receive basic health services. It has a goal to reduce maternal and child mortality. Becomes interesting to describe the social marketing activities of posyandu cadres as the spearhead of the national health program. This study uses a qualitative approach with a case study method and data collection techniques in the form of in-depth interviews. Theories used in this study include health communication theory and social marketing. Meanwhile, secondary data was obtained from posyandu documents and research notes during field observations. The results of this study indicate that posyandu cadres use health promotion strategies that are persuasive, educative, and innovative. This persuasive effort is shown through the intensive mentoring strategies and direct socialization styles according to the target context. Posyandu cadres also involve experts from the puskesmas and the community to play an active role in improving the quality of the posyandu program in their environment. As for the educational aspect, it is shown by the efforts of posyandu cadres which lead to the empowerment of posyandu participants in paying attention to the growth and development of children. The conclusion is that the posyandu program carried out by the cadres is in accordance with real conditions to create changes in the behavior of the posyandu participating community through communication literacy education activities in the family and social marketing that are persuasive, educative, and innovative.  
Education And Strengthening of Al Chasanah Students In Preventing Hiv/Aids Among Youth Puspitaloka Mahadewi, Erlina; Silviana Mustikawati, Intan; Reza Hilmy, Mohamad; Zairil, Zairil; Sukardi, Sukardi; Harahap, Arman
International Journal Of Community Service Vol. 3 No. 3 (2023): August 2023 (Indonesia - Malaysia - Philippines - South Korea )
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v3i3.211

Abstract

The present study reports the newest comprehensive study after pandemic era for the Infectious Disease acquired Immunodeficiency Syndrome (AIDS), caused by the Human Immunodeficiency Virus (HIV) the number of people living with HIV/AIDS (ODHA) continues to grow, this needs to be balanced with efforts to prevent the transmission of HIV/AIDS. The present study reports the comprehensive study after pandemic era for the prevention and education of Infectious Disease acquired Immunodeficiency Syndrome (AIDS) among youth in Al-Chasanah high school, Jakarta Indonesia, caused by the Human Immunodeficiency Virus (HIV) the number of people living with HIV/AIDS (ODHA) continues to grow, this needs to be balanced with efforts to prevent the transmission of HIV/AIDS since earlier. This type of research was quantitative with educational preventive counseling. The characteristics of adolescents who are unstable so that they are easily influenced by the environment, it is necessary to instill various positive information to support adolescent cognitive development. It is hoped that adolescents will have positive (cognitive) knowledge which will continue in other aspects of attitudes, namely positive (affective) feelings that arise in adolescents, so that they also influence the tendency of adolescents to behave positively (conatively). In conclusion, that every student can understand and experience progress after the distribution of material. This can be compared with the pre-test and post-test diagrams where the average student can answer the test with the same questions before and after the distribution of material education.
AI Ethics Implementation In Indonesia Hospitals: Challenges Or Opportunities Iswara Sanantagraha, Arnastya; Leslie Hendric Spits Warnars, Harco; Prabowo, Harjanto; Sfenrianto, Sfenrianto; Puspitaloka Mahadewi, Erlina
International Journal of Science, Technology & Management Vol. 6 No. 3 (2025): May 2025
Publisher : Publisher Cv. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v6i3.1217

Abstract

In the last five years, the technology adoption in Indonesia has begun to use advances in artificial intelligence (AI) ethics to improve healthcare services. This change has had a significant impact on several institutions, especially the hospital industry. This paper provides an overview of hospital institutions in Indonesia that are implementing AI ethics. AI ethics comprehensive review of 54 papers from the Scopus, PubMed and Google Scholar database was used to develop our methodology. The existing literatures, which includes studies from various disciplines such as education, healthcare, information communication technology (ICT), licensing, law, hospitality, and economic services, demonstrated the widespread implementation of AI in these fields. We have found potentiality benefit of AI implementation in Indonesian hospital which focusing on increasing patient outcomes and also equalizing of healthcare service. This output can be done with find out the strategy to maximizing its benefit and paralely to decrease and minimizing the rise of ethic risk. This review concludes that AI implementation in Indonesian Hospital come with significantly opportunity for increasing patient healthcare outcome and equality of healthcare services. We provide a new view for organizing governance research, that identifies gaps in the existing literature speciality in healthcare and suggests future directions, for research utilizing technology in AI ethics.
Co-Authors Agus Firmansyah Agustina, Ariska Agustini, Purwanti Amnurokhim Malahade, Mohammad Anindhita Sekarsari, Ayu Arnastya Iswara Sanantagraha, Arnastya Iswara Sanantagraha Asri Baharsyah, Nurul Aura Prizi, Jeane Baransano, Karolina Basirah Mulya, Ainur Benny Aurixon, Tumpak Chairun Nisa, Puspita Christine Saragih, Runggu Christine, Grace Daru Asih Darwono, Darwono Destya Arini, Kartika Dickson, Dickson Dita Rahadian, Dhimas Dormaida Silaban, Sondang Dudi Permana Dwi Muthashani, Femy Esther, Sonya Evehulisa Pinem, Sri Ewi, Yulidar Fachmi Tamzil Farkhanah, Anah Green Nego, Ingrid Handayani, Rani Harahap, Arman Harjanto Prabowo Hermawati, Siska Heryana, Ade Irawan, Budy Iswara Sanantagraha, Arnastya Jumarno, Jumarno Kusumastuti Setianingrum, Evi Leslie Hendric Spits Warnars, Harco Liska Suspenny , Nurmiati Mandala Putra, Juniawan Maratis, Jerry Meilindawaty Situmorang, Clara Mohamad Reza Hilmy Muchtadin, Muchtadin Muhamad Ikhsan Mulyo Wiharto Muniroh, Muniroh Mustajab, Fuad Novia Laras, Dewi Novita Novita Novita Savitri, Elfrida Nurhasanah, Imas Nurlestari, Astri Nurlianti, Ice Nurmawaty, Dwi Nurmiati Nurmiati Oktaviani Yustedjo, Dika Ozays , Mehmet Pamungkas, Ario Panigoro, Erwin Pantja Djati, Sundring Paramita Putri, Prima Parlindungan, Hotmada Prayitno, Lukman Probo Astuti, Dewi Putri Iskandar, Olivia Putri Kencana, Yunita Rizqi Yanuar Setyowati, Monica Sfenrianto, Sfenrianto Silviana Mustikawati, Intan Sopian, Arip Sriwahyuni Batubara, Wiwik Sujatmiko, Putih Sukardi Sukardi Sulatriningsih, Sri Sunardi, Didin Suryari Purnama Susanti Susanti Trinarsih, Trinarsih Veranica, Romauli Wayamah , Cucu Widia Hadi, Ilma Widyadhari, Elysia Winarti, Syari Yulita, Hanna Yunita, Fina Zairil, Zairil