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All Journal Indonesian Research Journal on Education Innovative: Journal Of Social Science Research
Rista, Indriana
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Perbandingan Kinerja Pelayanan Sebelum Dan Sesudah Penerapan Simrs Di Rumah Sakit Tipe B Irma, Eka; Rista, Indriana; Hartono, Budi; Daud, Alfani Ghutsa
Innovative: Journal Of Social Science Research Vol. 5 No. 4 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i4.20535

Abstract

The improvement of healthcare service quality demands hospitalsto adopt modern management systems, one of which is through theimplementation of the Hospital Management Information System (SIMRS). This study aims to analyze the comparison of serviceperformance before and after the implementation of SIMRS in a type B hospital, focusing on service time efficiency, the quality ofmedical record documentation, inter-unit coordination, and usersatisfaction. This research uses a descriptive qualitative approachwith a case study method conducted at a type B hospital in Pekanbaru City that has implemented SIMRS for more than oneyear. Data were collected through observation, in-depthinterviews, and documentation. The results show that theimplementation of SIMRS has had a positive impact on improvingservice efficiency, accelerating the registration and medicationretrieval processes, and enhancing the accuracy of medicalrecords and inter-unit coordination. However, the success ofSIMRS implementation is strongly influenced by infrastructurereadiness, staff training, and management support. SIMRS has a positive impact on enhancing service efficiency. This study recommends periodic evaluation of system performance andstrengthening of human resource capacity to optimize the benefitsof SIMRS in supporting fast, accurate, and high-qualityhealthcare services.
Manajemen Sistem Informasi Kesehatan di Dinas Kesehatan: Suatu Tinjauan Literatur Tentang Tantangan Dan Strategi Implementasi Rista, Indriana; Irma, Eka; Sari, Dea; Hartono, Budi; Daud, Alfani Ghutsa
Innovative: Journal Of Social Science Research Vol. 5 No. 4 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i4.20578

Abstract

Introduction: The Indonesian Health One Data Application (ASIK) is a government initiative aimed at achieving national health data integration. However, at the District Health Office level, the implementation of ASIK faces significant challenges such as limited human resources, inadequate ICT infrastructure, and budget efficiency constraints. Methods: This journal uses a literature review method, with data obtained from the Google Scholar database covering publications from 2020 to 2025, resulting in seven selected references. Results and Discussion: The study reveals that the implementation of the Health Information System at District Health Offices faces challenges related to inconsistent data quality, limited human resource skills, inadequate ICT infrastructure, and fragmented, non-integrated systems. Other issues include low motivation and weak supervision of data managers, poor user-friendly system design, and unequal internet access in remote areas. Recommended strategies include online training, coordination through Zoom meetings, the development of lightweight web-based systems, planned infrastructure funding, and ongoing technical assistance from central authorities. Conclusion and Recommendations: This study concludes that the implementation of Health Information Systems at District Health Offices is still hindered by issues of data quality, limited human resources, lack of system integration, and uneven infrastructure. Suggested strategies include online training, virtual coordination, user-friendly system development, and supportive national policies. Health Offices are encouraged to develop standardized data management SOPs, strengthen HR training, and optimize the use of digital technologies to improve efficiency and data integration toward achieving Indonesia's Health One Data vision.
Strategi Pengendalian Defisit BPJS Kesehatan dalam Kerangka Pembiayaan Kesehatan: Tinjauan Sistematis Best Practices dari Berbagai Negara Yurez, Nanda Argaswari; Irma, Eka; Rista, Indriana; Ghutsa, Alfani
Indonesian Research Journal on Education Vol. 5 No. 6 (2025): Irje 2025
Publisher : Fakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/irje.v5i6.3793

Abstract

Program Jaminan Kesehatan Nasional (JKN) menghadapi krisis finansial serius dengan perubahan drastis dari surplus Rp45,31 triliun pada 2020 menjadi defisit Rp7,14 triliun pada 2024. Rasio Klaim mencapai 106,76% dengan Ketahanan Dana hanya 2,85 bulan, jauh di bawah standar enam bulan. Berbagai strategi pengendalian seperti kenaikan iuran dan reaktivasi peserta terbukti belum berkelanjutan karena hanya bersifat incremental dan tidak menyentuh akar persoalan struktural. Penelitian ini bertujuan merumuskan strategi pemulihan defisit JKN secara komprehensif dengan kerangka Health Financing Functions, mengadaptasi praktik global yang efektif namun belum diadopsi secara sistematis di Indonesia. Melalui metode mixed methods, penelitian memadukan analisis data keuangan BPJS 2020–2024 dengan tinjauan literatur dan komparasi tujuh negara yang memiliki best practices dalam pengendalian biaya, pengawasan independen, diversifikasi fiskal, benchmarking pertumbuhan biaya, value-based purchasing, HTA mandatory, serta integrasi pencegahan jangka panjang. Hasil penelitian mengungkap tiga kegagalan struktural utama: fundraising gap dengan 55,42 juta peserta tidak aktif, pooling failure akibat tumpang tindih fungsi BPJS, dan purchasing inefficiency karena ketiadaan pengendalian biaya makro. Untuk itu, dirumuskan strategi pemulihan multipilar, termasuk diversifikasi fiskal melalui cukai rokok dan kajian health levy pada PPN, pembentukan badan asesmen independen, integrasi kepesertaan dengan layanan publik esensial, penerapan bertahap Global Budgeting di RS tersier, mandatory gatekeeping, strategic purchasing obat berbasis HTA, serta penyesuaian tarif INA CBG berbasis costing riil dengan hard budget constraint.
Penggunaan Threshold Cost-Effectiveness dalam Pengambilan Keputusan Pembiayaan Kesehatan: Literature Review Irma, Eka; Rista, Indriana; Yurez, Nanda Argaswari; Hartono , Budi
Indonesian Research Journal on Education Vol. 6 No. 1 (2026): Irje 2026
Publisher : Fakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/irje.v6i1.4062

Abstract

Pengambilan keputusan pembiayaan kesehatan publik dihadapkan pada keterbatasan sumber daya dan meningkatnya kebutuhan untuk memprioritaskan intervensi yang memberikan manfaat kesehatan optimal. Dalam konteks tersebut, cost-effectiveness analysis (CEA) dengan cost-effectiveness threshold berperan sebagai tolok ukur operasional untuk menilai kelayakan pendanaan suatu intervensi kesehatan. Penelitian ini bertujuan untuk menelaah secara sistematis penggunaan cost-effectiveness threshold dalam pengambilan keputusan pembiayaan kesehatan melalui pendekatan literature review. Metode yang digunakan adalah literature review dengan pendekatan deskriptif analitik terhadap publikasi ilmiah dan dokumen kebijakan yang membahas CEA, cost-effectiveness threshold, health opportunity cost, serta implementasinya dalam sistem pembiayaan kesehatan. Penelusuran literatur dilakukan pada jurnal internasional bereputasi dan sumber kebijakan kesehatan yang relevan, dengan fokus pada perkembangan metodologi dan praktik kebijakan dalam satu dekade terakhir. Hasil kajian menunjukkan bahwa pendekatan threshold tradisional berbasis 1–3 kali produk domestik bruto (PDB) per kapita masih banyak digunakan, khususnya di negara berpenghasilan rendah dan menengah, namun mendapat kritik karena tidak merefleksikan health opportunity cost yang sesungguhnya. Literatur terkini menyoroti pergeseran paradigma menuju threshold berbasis opportunity cost yang dinilai lebih relevan dengan keterbatasan anggaran dan produktivitas marginal sistem kesehatan. Selain itu, penggunaan threshold yang bersifat teknokratis tanpa mempertimbangkan aspek ekuitas, tata kelola, dan nilai sosial berpotensi menghasilkan keputusan pembiayaan yang kurang adil. Disimpulkan bahwa cost-effectiveness threshold merupakan instrumen strategis dalam penetapan prioritas pembiayaan kesehatan, namun penggunaannya harus bersifat kontekstual, transparan, dan dipadukan dengan pendekatan multi-kriteria. Integrasi threshold berbasis health opportunity cost dengan pertimbangan kebijakan dan ekuitas dinilai penting untuk mendukung alokasi sumber daya kesehatan yang efisien, adil, dan berkelanjutan.  
Co-Authors Budi Hartono Daud, Alfani Ghutsa Ghutsa, Alfani Hartono , Budi Irma, Eka Sari, Dea Yurez, Nanda Argaswari