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Journal : Journal of Health Science and Prevention

Optimization of Fraud Potential Prevention in Implementation of National Health Insurance at Puskesmas Abeli Sartini Risky MS; Asbath Said
Journal of Health Science and Prevention Vol. 3 No. 3S (2019): Spesial Issue
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.879 KB) | DOI: 10.29080/jhsp.v3i3S.287

Abstract

Fraud actions at institutions can catapult health costs. Globally, the potential loss due to fraud is estimated at 7,29% every year. Increasing the number of referrals in advanced health facilities FKTL is an indication of fraud behavior. In Southeast Sulawesi, the referral rate is high, reaching 17% with the maximum ideal standard for the average referral rate of first level health facilities(FKTP) to advanced health facilities(FKTL), not more than 5%. While in Kendari City in 2015, the referral rate from Puskesmas to Abunawas General Hospital was also still high at around 9.5% in 2015 and an increase of 15.3% in 2016. One of the puskesmas that provided referrals was Abeli ​​Community Health Center. This study aims to analyze the potential for fraud prevention in the implementation of National health insurance(JKN) at Abeli ​​Health Center. This study using observational analytic using one group pre test and post test design. Research was conducted at Abeli ​​Health Center and technique used was cluster random sampling with 28 respondents. From the statatistic test results obtained, there were differences in knowledge before and after the intervention with a mean gap value of 0, 21429 with a lower limit of 0.05226 and an upper limit of 37631 and a p value<α (0.011 <0.05). The suggestion in this study is to the health centers and hospitals to increase more understanding of fraud in the implementation of the JKN program by having socialization.
Co-Authors Abdurrahman Abdurrahman Abrizal Hasyim Abrizal Hasyim Aisyiah Rizal, Nurul Alida Palilati Amalia, Yulnaningsih Aminatul Juhriya Amir Syam Amy Hestyaningsih Tasrim Andi Mauliyana Anisa Purnamasari Anry Hariadhin Depu Anry Hariadhin Depu Anry Hariadhin Depu Ardi Naufal Fauzan Ari Nofitasari Ari Nofitasari Asbath Said Asbath Said Asri, Andi Azis Harun Chivansa, Firsta Wahyuni Darmiati Darmiati Desriatin Desriatin Dewi Sari Pratiwi Dewi Sari Pratiwi Dian Rahmaniar, Dian Dwi Ayu Hartati Eka Dharma Putra Eka Dharma Putra Marhanto Erwin Azizi Jayadipraja Erwin Azizi Jayadipraja Erwin Azizi Jayadipraja Erwin Azizi Jayadipraja, Erwin Azizi Eviyanti Jambilu Faridah Moh Said Febrina Nineti, Ilfen Ferlita Eferlin Filhayah, Wa Ode Firmansyah Firmansyah Fitri Narcahyani Alam Fortanita, Wa Ode Hadafiah Hadafiah Halid, Nur Hatidjah Awaliyah Halim Harifuddin Harifuddin, Harifuddin Harmin Hartati , Dwi Ayu Hasrul Tonapa Hellty Heltty Heltty Heriyanto Heriyanto Herniawati Tomalili Hijrana, Hijrana Himaniarwati, Himaniarwati Irawati Irawati Islaeli Islaeli Islaeli Islaeli Islamiyah Juliansyah, Risky Juslan Jusmina Jusmina Kaharuddin Kamalia, La Ode Kamalia, Laode La Ode Muhammad Kiflan Prayoga La Ode Saafi Laode Kamalia Laode Sahlan Laxmi Adriatik Lisnawati Lisnawati Lodes Hadju Lodes Hadju Lolok, Nikeherpianti Makmur, Heny Marhanto, Eka Dharma Putra Michael Rahul mimi yati Mimi Yati Moh. Alief Widyanto Kasim MUHAMMAD AMIR Muhammad Idrus Muhammad Idrus Muhammad Ikhsan Akbar Muhammad Ikhsan Akbar Muhammad Ridwan Mulyadi Prasetyo Musdalifah Musdalifah Nani Yuniar Nasir, Nur Helina Nazaruddin Nazaruddin Nedila, Asri nikeherpianti lolok Nikeherpianti Lolok Nurhaliba, Amelia Putri Nurmi, Wati Nurshavira, Nurshavira Nurul Aisyiah Rizal Pusmarani, Jastria Putri Mega Wijayanti Putri, Risky Juliansyah Putu Suri Saraswati Rahmadania Rahmawati, Rahmawati Ramadan, Muhamad Fitrah Rasmiani Rasmiani Rasyid, Sri Anggarini Ratna Umi Nurlila Rigato, Wa Ode Muniati Ririn Teguh Ardiansyah risky juliansyah Risky Juliansyah Rusdianto Rusdianto, Rusdianto S, Helty Saafi, La Ode Sanihu Munir Sarnian Sarnian Sarnian, Sarnian Satri Waslyanti Satri Waslyanti Sirma SRI RAHAYU Sulaeman Sulaeman Sunarsih Sunarsih Sunarsih Sunarsih Syahril Fitrah, Muhammad Tasnim Tasnim Tasnim Tasnim Tekaka, Uung Umertum Titi Saparina.L Tomalili, Herniawati Tonapa, Hasrul Umro Umro Umro, Umro Wa Ode Nova Noviyanti Rachman Yati, Mimi Yusuf Useng Yusuf Useng