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All Journal JHeS (Journal of Health Studies) Journal of Public Health and Pharmacy
Handojo, Pradono
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Humanities Education Health Professions Medicine & Pharmacology Nursing Public Health

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A study on the impact of the Standard Inpatient Class (KRIS) policy on private hospitals in Central Jakarta Handojo, Pradono; Hawadi, Lydia Freyani; Lestari, Haifa Mayang
JHeS (Journal of Health Studies) Vol. 9 No. 1 (2025): Maret
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3901

Abstract

Presidential Regulation No. 59 of 2024 on the National Health Insurance (JKN), Article 103B, the government mandated the full implementation of the Standard Inpatient Class (KRIS) policy by 2025. This regulation is expected to impact the public broadly and has generated a range of perceptions. Existing research remains fragmented, lacks focus on private hospitals, and is qualitative in nature. This study aims to evaluate the readiness and vulnerabilities of private hospitals in Central Jakarta in implementing the KRIS policy. A mixed-methods approach was used to analyse the policy's impact on bed capacity, hospital revenue, and the challenges hospitals faced in meeting the 12 KRIS criteria. The findings indicated that the KRIS policy could lead to a 21% reduction in the number of beds in private hospitals, potentially worsening the issue of healthcare access, recorded as the main complaint by Health Security Administering Body (Badan Penyelenggara Jaminan Sosial Kesehatan, abbreviated as BPJS) participants in 2021. An estimated budget of IDR 16 billion is required for KRIS compliance in private hospitals across Central Jakarta, with a projected monthly revenue loss of approximately IDR 10.8 billion. Criteria 8, 9, and 11 pertain to room density, partitions, and bathroom facilities. This study recommends adjusting the KRIS policy to account for the unique characteristics of private hospitals, which do not receive financial assistance from the government. Specifically, it suggests aligning the implementation timeline with each hospital’s capacity and readiness. In addition, the government must ensure equitable access to healthcare for all BPJS participants.
Public Reactions to Indonesia's KRIS Policy: A Textual Network Analysis of Digital Legitimacy Handojo, Pradono; Sudarsono Hardjosoekarto; Lydia Freyani Hayadi; Luayya, Lora; Lestari, Haifa Mayang; Amalia, Rianca
Journal of Public Health and Pharmacy Vol. 6 No. 1: MARCH 2026
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.7401

Abstract

ntroduction: Through the Presidential Regulation No. 59 of 2024 issued on May 8, 2024, the Government of Indonesia announced the elimination of the three-class inpatient service (Class 1, Class 2, and Class 3) in Indonesia. The regulation introduces a single standard inpatient service class (KRIS), effective July 1, 2025. This study analyzes the KRIS nursing policy by exploring comments on YouTube news reports during two distinct periods: before and after the policy announcement. It also evaluates the impact of public communication efforts by relevant institutions on public support for the policy. Methodologically, this study introduces a novel approach by integrating Textual Network Analysis (TNA) with digital legitimacy theory, offering a fresh lens to examine the construction of policy legitimacy in digital environments (YouTube). Methods: To address the first research question, TNA was conducted on comments on YouTube, capturing and analyzing public responses to KRIS policy-related news during both pre- and post-policy announcement periods. Data were collected using Communalityc and APIFY and analyzed using Gephi to visualize and generate word networks. To address the second research question, the authors quantified KRIS policy socialization videos and compared them with COVID-19 vaccination campaign videos, followed by a qualitative analysis. Results: The authors discover that public discourse and sentiment remained consistently negative both pre- and post-announcement. However, the focus of the discussion shifted from complaints about service quality and contribution burdens to more direct concerns over increased contributions and reduced benefits. Regarding the second research question, the authors conclude that compared to the COVID-19 vaccination campaign, efforts to promote the benefits of the KRIS policy have been relatively limited, with minimal engagement from the four government institutions involved. Conclusion: This study provides valuable insights into public discourse and sentiment regarding the Standard Inpatient Class (KRIS) policy, which is scheduled to take effect on July 1, 2025. The findings suggest that the government should strengthen its public engagement by adopting a more intensive, structured, and coordinated communication strategy—similar to that employed during the COVID-19 vaccination campaign—to boost public acceptance and enhance policy legitimacy.
Co-Authors Amalia, Rianca Lestari, Haifa Mayang Luayya, Lora Lydia Freyani Hawadi Lydia Freyani Hayadi Sudarsono Hardjosoekarto