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Lutfan Lazuardi
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Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
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INDONESIA
Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Published by Universitas Gadjah Mada
ISSN : 14106515     EISSN : 28286774     DOI : https://doi.org/10.22146/jmpk.v25i03.5186
Core Subject : Health,
Health Professions Public Health
Misi JMPK adalah menerbitkan, menyebarluaskan dan mendiskusikan berbagai tulisan ilmiah mengenai manajemen pelayanan kesehatan yang membantu manajer pelayanan kesehatan, peneliti, dan praktisi agar lebih efektif. Jurnal ini ditujukan sebagai media komunikasi bagi kalangan yang mempunyai perhatian terhadap ilmu manajemen pelayanan kesehatan antara lain para manajer, pengambil kebijakan manajerial di organisasi-organisasi pelayanan kesehatan seperti rumah sakit, dinas kesehatan, Kementerian Kesehatan, pusat-pusat pelayanan kesehatan masyarakat, BKKBN, pengelola industri obat, dan asuransi kesehatan, serta institusi pendidikan penelitian.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 5 Documents
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Search results for , issue "Vol 22 No 2 (2019)" : 5 Documents clear
PEMANFAATAN PROGRAM JAMINAN KESEHATAN NASIONAL DI PUSKESMAS DAERAH TERPENCIL KABUPATEN SUMBA TIMUR Damaris Pura Tanya; Julita Hendrartini; Dwi Handono Sulistyo
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.182 KB) | DOI: 10.22146/jmpk.v22i2.4476

Abstract

Background: National Health Insurance has been performed since The implementation aims of performing National Health Insurance to facilitate access and utilization of health care. Public Health Center (PHC) as the forefront of health care and has major role to facilitate utilization of health care for members of National health Insurance. Nowadays, utilization of National Health Insurance in PHC has not reached national target amounts 15%. Objective: To explore determinant factors on utilization of national health insurance in remote PHC, East Sumba. Methods: The study type is qualitative with case study design. Variable included access of health care, health resources, medical needs and other factors. Amounts 20 informant involved this study. The informant included patient as members of National health Insurance, provider and head of district health office. Collecting data by indepth interview. Data analysis was conducted systematically by transcript, coding and analysis. Results: The higher utilization of national health insurance when traditional market was opened (market day). Limitation on access affected patient prefer to got services in outside. Limitation of health resources such as, unavailability of medicine and always exhausted, no lighting, and unavailability of water so utilization of PHC by patient was low. Most of patient need medical care in PHC such as need injection and unavailability of medicine so patient sought care out of PHC. Cultural factors still retained by society that diseases just be cured by a shaman. The pregnant women giving birth at home was high due to unavailability of waiting home (Rumah Tunggu) and village regulation has not examined about punishment of birth at home. Conclusion: Utilization of nasional health care in PHC remote area is less than optimal. It is not supported by adequate transportation facilities, the availability of drugs, and cultural changes.
EVALUASI IMPLEMENTASI DANA BOK DI PUSKESMAS WILAYAH KERJA DINAS KESEHATAN KOTA BIMA TAHUN 2015 Aris Iwansyah; Julita Hendrartini; Muhamad Faozi Kurniawan
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.988 KB) | DOI: 10.22146/jmpk.v22i2.4477

Abstract

Background: Health Operational Cost (Bantuan Operasional Kesehatan/BOK) is government aids for local government to accelerating achievement of national priority programs, especially health aspect in Millennium Development Goal’s (MDG), through improvement performances of Public Health Centers (PHC) and the networks. Funding of Health Operational Cost to support PHC on providing promotive and preventive programs to community due to PHC services in district are likely to be directed on curative measures. Funding allocation of Health Operational Cost has been decreasing in Bima from IDR.1.412.500.000 on 2014 became IDR.521.464.000 on 2015. Therefore, evaluation of program implemetation by funding of Health Operational Cost on 2015 in Bima are needed to be examined. Objective: To find out the achievement implemetation of Health Operational Cost program in Public Health Center under District Health Office in Bima at 2015. Methods: The study design was qualitative and quantitative using descriptive case study. Tehnique of sample selection by using purposive sampling. Data analysis was conducted by descriptive qualitative. Results: Decreasing allocation funding of Health Operational Cost affected to planning and implementation of program, while Health Operational Cost became main sources of fund to external program in PHC due to lack of financial support from Regional government budget. Health Operational Cost have not been able to support achievement of Minimas Services Standar in Bima. Many head of PHC still less understanding to technical guide of Health Operational Cost so affected on decision-making of program and lack of monitoring and evaluation by District Health Department. Conclusion: The implementation of BOK program in Bima City is not the best enough especially in supporting SPM target in 2015.
IMPLEMENTASI PERATURAN WALIKOTA NO.41 TAHUN 2015 TENTANG PENCEGAHAN DAN PENANGGULANGAN HIV AIDS DI KOTA SINGKAWANG TAHUN 2016 Yulia Farahdini; Laksono Trisnantoro; Yodi Mahendradhata
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.518 KB) | DOI: 10.22146/jmpk.v22i2.4478

Abstract

Background: Singkawang is a city in West Kalimantan with the second highest number of HIV in West Kalimantan in 2012. To cope with this, then in November 2015, was issued on Mayor Regulation No. 41 Year 2015 on Prevention and Control of HIV AIDS. Objective: To determine the implementation of Singkawang Mayor Regulation No. 41 Year 2015 on Prevention and Control of HIV AIDS in Singkawang. Methods: The study was a descriptive study with a qualitative method by using a single case study design. The way of data collection is done by observation, interview and document study. Analysis techniques used were the analysis of the content (content analysis). Results: In the aspect of the implementation process, in terms of planning, has been carried out properly. However, not all relevant agencies involved in the planning. In terms of acceptability and appropriateness, Mayor Regulation No. 41 Year 2015 has been quite good. However, the constraints of the implementation is the problem of lack of funds and lack of training for agencies outside the health sector. Conclusion: In the Mayor’s efforts to implement Regulation Singkawang Singkawang Goverment expected to develop aspects of equitable funding and training for all agencies to carry out prevention and control of HIV according to Singkawang Mayor Regulation No. 41 2015.
PERBANDINGAN HAMBATAN FINANSIAL PADA SEBELUM DAN SETELAH JAMINAN KESEHATAN DI INDONESIA Putri Listiani; Julita Hendrartini; Dibyo Pramono
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.832 KB) | DOI: 10.22146/jmpk.v22i2.4479

Abstract

Background: Healthcare spending in Indonesia is still dominatedby out-of-pocket (OOP) system (45.1% in 2014). The high number of OOP in Indonesia is feared to cause financial burden tosociety and result in the failure of the financial protection functionof a health system, whereby Indonesia is in a scheme to achieveUniversal Health Coverage through the Universal Health Coverageprogram.Objective: This study aimed to compare the financial burden dueto OOP on before and after JKN and its determinants.Methods: This was a quantitative study that examines secondarydata, including Social Economic National Survey (Susenas) data in2013 and 2015 with cross sectional design. The unit of analysisin this study was households. Analysis conducted in this researchwas univariable, bivariable, and multivariable analysis. Multivariabletest using Logistic Regression Test was conducted to find out therelationship between the financial burden due to OOP with its determinants.Results: There was a decrease in the proportion of householdsexperiencing catastrophic health care expenditure was 0,59% in 2015. Households on before implementation of JKN period tend to face catastrophic health expenditure than households on afterimplementation of JKN period (OR= 2,29). Determinants affectingcatastrophic health expenditure in Indonesia were the number ofhousehold member, educational status of the head of household,the presence of toddler, the presence of elderly in the household,the location of the household residence, the economic status of thehousehold, the ownership of the health insurance, and the utilizationof health services.Conclusion: Utilization of inpatient health care services was themost contributing factor to catastrophic health expenditure. House-holds that use inpatient care had a catastrophic health care spend-ing risk of 26,78 times greater than non-accessed households
ANALISIS PENGGUNAAN DAN BIAYA LANGSUNG OBAT ANTIDIABETIKUM PADA PASIEN RUJUK BALIK DIABETES MELLITUS TIPE 2 DI KLINIK MITRA SEHAT Ade Triana Hapsari; Erna Kristin
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (177.325 KB) | DOI: 10.22146/jmpk.v22i2.4480

Abstract

Background: An increase in the number of type 2 Diabetes Melli tus (DM) patients at Mitra Sehat Clinic in 2018 as much as 200% compared to 2014. This has resulted in an increase in laboratory and drug claims to BPJS as the insurance agency. Analysis of drug use in patients with type 2 DM provides useful information regarding the management of antidiabetic drug use to determine the direction of management policy in efforts to control quality and costs. Objective: To analyse drug use and direct cost description of antidiabetic drugs at Mitra Sehat clinic using Prescribing Quality Indicator (PQI), for evaluation of the management of the patient referral program (PRB – PROLANIS) Type 2 Diabetes Mellitus. Methods: This study used a cross-sectional method with purposive sampling as a sampling technique. Subject inclusion criteria were PRB-PROLANIS patients with a single diagnosis of type 2 DM at Mitra Sehat Clinic aged 18 – 78 years who had an HbA1C examination, with a sample of 54 respondents. Results: The results of the statistical correlation test showed that there was a relationship between the use of antidiabetic drugs using the four PQI indicators with HbA1C (p value<0.05). There is the effectiveness of using antidiabetic drugs on the first, second, and fourth PQI indicators. Meanwhile, the use of antidiabetic drugs with the third indicator showed ineffectiveness. The use of antidiabetic drugs that has the highest direct cost is the use of the biguanide group, which is 43 respondents as much as Rp. 72,870,020, while the average total direct cost is the most expensive class of insulin. Conclusion: The use of antidiabetic drugs with PQI indicators can reduce HbA1C. Patients who received either insulin alone or insulin in combination did not achieve the target of therapy. The average total direct cost of the most expensive patients is those who use insulin drugs or a combination of insulin with other oral drugs.

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