cover
Contact Name
Lutfan Lazuardi
Contact Email
lutfan.lazuardi@ugm.ac.id
Phone
+62274547490
Journal Mail Official
jmpkfk@ugm.ac.id
Editorial Address
Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
Location
Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
ISSN : 14106515     EISSN : 28286774     DOI : https://doi.org/10.22146/jmpk.v25i03.5186
Core Subject : 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.
Articles 135 Documents
RESPONSIVENESS SISI KESEHATAN DALAM MEMBERIKAN PELAYANAN KESEHATAN Wa Ode Siti Orianti; Mubasysyir Hasanbasri; Adi Utarini
Journal of Health Service Management Vol 23 No 03 (2020)
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 (135.152 KB) | DOI: 10.22146/jmpk.v23i03.4248

Abstract

Background: Responsiveness according to WHO is the result that can be achieved when an institution designed so that they areaware of and respond appropriately to the expectations of a legitimate, based on measurements through eight domains are: dignity,attention immediately, autonomy, choice of health care providers, clear communication, confidentiality, quality of basic amenities, andaccess to social support networks.Objective: To analyze the responsiveness of the hospitals and health centers in providing health services.Methods: A descriptive study with qualitative methods. This research uses descriptive type so that the researcher will analyze howresponsiveness in terms of health in providing health services to the community. This research was conducted in Buru Regency with 22 respondents.Results: The experience of respondents to the responsiveness in hospitals that view based on variable dignity officers have notprovided services to the fullest and less maintain patient privacy. Variable attention in hospitals and health center patients are stillwaiting long in getting service especially in emergency situations because the doctor was not in place. The variable access to thenetwork for the distance from home to health facilities is still very far away and unreached by the public outside the city as well as a drugthat is not yet complete. The variable quality of amenities in hospitals on quality very bad environment that makes the patient feelnot comfortable and safe. Variable trust in hospitals and community health centers are still not so sure about health care because theybelieve in the healing traditions.Conclusion: Responsiveness of the health in Hospitals Buru and Air Buaya Health Centers not responsive that in view based on variablesdignity, attention, access to the network, quality of amenities and trust.
KAPASITAS SUSTAINABILITY PROGRAM KEBUN GIZI MANDIRI MELALUI PEMBERDAYAAN MASYARAKAT BERSAMA CITA SEHAT FOUNDATION Kurnia Widyastuti; Yodi Mahendradhata; Retna Siwi Padmawati
Journal of Health Service Management Vol 23 No 03 (2020)
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 (145.348 KB) | DOI: 10.22146/jmpk.v23i03.4249

Abstract

Background: The success of health programs to provide long-term benefits remains a challenge. Similarly, the study of sustainability capacity in health programs in Indonesia is still limited. Cita Sehat Foundation strives to support SDG achievement by ensuring thatthe program has sustainable capacity so that it can run and be beneficial in the long periods. One of the programs delivered by the foundation is the implementation of Kebun Gizi Mandiri in Bantul,Yogyakarta, for five years with and provide benefits and pride through several awards.Objective: The aim of the research is to assess the sustainability capacity of Kebun Gizi Mandiri.Methods: This research uses mixed-methods approach with convergent parallel strategy, where qualitative and quantitative data are collected, analyzed separately, and then compared to see the findings. Quantitative data was obtained from PSAT (Program Sustainability Assessment Tool). Qualitative data were obtained through in depth-interviews and focus group discussions from selected informants involving beneficiaries, program managers and development program NGOs with maximum total variation sampling.Results: The sustainability of the program is well supported by the availability of support from the cadre team as the main manager, community and local stakeholders. The availability of information and involvement of cross- stakeholder support the sustainability of program. Strengthening cadre team capacity, innovation in program development, availability of evaluation forms capable of recording program progress and becoming the basis for improvement, as well as availability of allocations from various funding sources to ensure program sustainability are components of sustainability capacity that still needs improvement.Conclusion: There are several domains of sustainability capacity that still need improvement. Therefore, the formulation of a sustainability action plan can be undertaken to follow-up the result based on a sustainability domain review that still needs special attention for improvement.
ANALISIS KESIAPSIAGAAN, RESPONS, DAN PEMULIHAN DALAM PENANGANAN KASUS CORONA VIRUS DISEASE-19 (COVID-19) Nursuciyati; Laksono Trisnantoro; Puti Aulia Rahma
Journal of Health Service Management Vol 23 No 03 (2020)
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 (137.972 KB) | DOI: 10.22146/jmpk.v23i03.4250

Abstract

Background: The number of global COVIF-19 cases was 191,148,056 million confirmed cases, 4,109,303 cases died, 204countries were infected, and 151 countries experienced local transmission. The outbreak of CoronaVirus Disease-19 (COVIF-19) inIndonesia is increasing. To date, 3,033,339 confirmed cases and 79,032 cases died. This situation causes COVID-19 cases to be stillthe main agenda in handling health in Indonesia and even globally.Objective: This study aims to identify and explain the analysis of preparedness, response, and recovery activities in handling Covid-19 cases in the Bima Regency.Methods: This type of research is qualitative research using a descriptive analysis approach that will describe an event based on theresults that have been analyzed. The research subjects were eight stakeholders who handled Covid-19 in Bima Regency. Researchdata will be collected using a checklist sheet from 2020 WHO guidelines.Data analysis is carried out using the Miles and Huberman model, namely: data collection, data reduction, data descriptionpresentation, conclusions.Results: Based on the percentage of activities that only developed by 21.43%, the preparedness and readiness phase, it canbe concluded that the handling of Covid-19 by stakeholders is not optimal due to several internal factors as well as from the community.Stakeholders have not conducted training and education for health workers regarding the handling of Covid-19 because no budgetplanning has been carried out. This has resulted in many health workers being exposed to Covid-19 in referral hospitals. Meanwhile,recovery by vaccinating the community is facilitated by all the primary health care in all areas of Bima Regency.Conclusion: In general, the Covid-19 Task Force in Bima Regency has not optimally carried out handling based on preparedness, response, and recovery aspects. The condition of handling Covid-19 cases has obstacles, namely the lack of health infrastructure, for example, health logistics and lack of public awareness in handling Covid-19 cases.
PERBANDINGAN BEBAN KERJA LAMA WAKTU PELAYANAN MAHASISWA PPDS 1 DAN DPJP DALAM PELAYANAN PASIEN DI RUMAH SAKIT Guntur Surya Alam; Laksono Trisnantoro; Darwinto
Journal of Health Service Management Vol 23 No 03 (2020)
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 (146.532 KB) | DOI: 10.22146/jmpk.v23i03.4251

Abstract

Background: RSUP dr Sardjito, as the primary teaching hospital of FK UGM received many PPDS1. PPDS 1 makes a significant contributionto patient care. PPDS1 at work has not been considered a hospital worker. Meanwhile, PPDS1 has the right as a temporaryofficial hospital worker while taking specialization education.Objective: This study aims to determine differences in the workload.Methods: This is observational research with direct observation of the length of time for DPJP and PPDS1 service activities accordingto the type of activity. The research subjects were PPDS1 from KSM General, KSM Pediatric Surgery, KSM Urology, KSM Pediatrics atvarious levels. Data analysis was carried out by compiling and calculating the group average of invasive and non-invasive medicalprocedures and the average of all.Results: The extended workload of PPDS1 and DPJP student services in pediatric surgery services carried out by red pin residentsis approximately 35%, yellow pin residents and 25%, green pin residents 25, and DPJP about 15%. In general surgery services,about 28% red residents, 24% yellow pin residents, 25% green pin residents, and 23% DPJP. In urology services, about 28% red pin residents, 25% yellow pin residents, 28% green pin residents, and 19% DPJP. UPA residents with red pins are 8%, yellow pin residentsare 23%, green pin residents are 59%, and DPJP is 10%. During the pandemic, the proportion of service time, in general, was 82% held by residents.Conclusion: The workload for red pin residents is 24%, yellow pin residents 24%, green pin residents 34%, and DPJP 18%. Duringthe pandemic, the proportion of surgical service time, in general, was carried out by residents. Service responsibility remains with DPJP even though the length of direct service to patients is only 18% on average.
PENANGANAN KOMPLAIN DI RUMAH SAKIT Irene Waine; Andreasta Meliala; Valentina Dwi Yuli Siswianti
Journal of Health Service Management Vol 23 No 04 (2020)
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 (149.999 KB) | DOI: 10.22146/jmpk.v23i04.4253

Abstract

Background: Complaint management is a strategy used by agencies in dealing with consumer complaints. Seeing consumer complaintsis an opportunity for agencies to retain consumers. Through an effective complaint handling process, information from customerswill be obtained as input in improving and developing agency service activities. Complaints are a form of dissatisfaction with informationor services received. Thus, complaints can solve customer dissatisfaction problems in hospital services to improve hospital quality.Objective: This study aims to evaluate the effectiveness of handling complaints at the Panti Rapih Hospital.Methods: This research is qualitative. Subjects in the study were ten officers who often handled complaints. The study was conductedin May-June 2019 at Panti Rapih Hospital.Results: The availability of supporting facilities is adequate, including complaint channels via SMS, email, via telephone, suggestionbox, complaint sheet. All staff have received training in effective communication. The flow and procedures for handling complaintshave been maximized. However, their many complaints are still repeated. The process of monitoring and evaluating complaint handlingreporting documentation has been running optimally. The response time for handling complaints is perfect because all casesare handled on average 1x24 hours, the response time reaches 95%.Conclusion: The handling of complaints at the Panti Rapih Hospital has been maximized but ineffective. The handling is not yet effectivebecause the information system process does not support the complaint handling process, for example, the delivery of information topatients who have not been able to in real-time. The mechanism for handling complaints is carried out by submitting complaints verballyand in writing to the maximum extent.
DAMPAK KAPITASI KHUSUS TERHADAP CAPAIAN KINERJA FASILITAS KESEHATAN TINGKAT PERTAMA DI KABUPATEN Muhammad Syukran; Firdaus Hafidz As Shidieq
Journal of Health Service Management Vol 23 No 04 (2020)
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 (126.894 KB) | DOI: 10.22146/jmpk.v23i04.4254

Abstract

Background: Payment patterns at health facilities are an important component of the National Social Security System. Payment systemapplied by BPJS Kesehatan to primary health care is the capitation payment system and the establishment of special capitation paymentsfor primary health care in remote areas. The effort was made with the aim of improving the quality of service and primary healthcare performance. One of the districts receiving special capitation is Donggala, it is necessary to conduct research on the impact of thespecial capitation policy on the performance of primary health care in Donggala.Objective: This study aims to evaluate the impact of the special capitation policy on the performance of primary health care in Donggala.Methods: This study uses a quantitative observational study with a cross-sectional design. This study uses secondary data from theBPJS Kesehatan Palu branch and primary health care located in Donggala. Primary health care that are the subject of researchare 16 with a month as research unit for one year so that the total observations are 192 observations. Data analysis was carried outin stages, univariate, bivariate with chi square, and multivariate with logistic regression analysis.Results: Primary health care with special capitation have better performance outcomes compared to regular capitation in a certainperiod of time (OR = 3.67). Factors of human resource availability, namely general practitioners, dentists, and nurses will increase theprobability of achieving performance targets (OR = 5.32).Conclusion: The performance achievements of primary health care with special capitation is better than the regular capitation, the availabilityof human resources (i.e availability of general practitioners, dentists and nurses) have contributed to the performance improvementsof primary health care.
EVALUASI PELAKSANAAN PROGRAM KELUARGA BERENCANA DAN KESEHATAN REPRODUKSI DI KAMPUNG KB KABUPATEN: STUDI KASUS KECAMATAN Syahra Sonia Andhiki; Laksono Trisnantoro; Dwi Handono Sulistyo
Journal of Health Service Management Vol 23 No 04 (2020)
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 (140.598 KB) | DOI: 10.22146/jmpk.v23i04.4256

Abstract

Background: The Kampung KB program since 2016 has made families take the initiative to invite the surrounding environment to participate in fulfilling family planning needs independently. The village KB program builds cross-sectoral collaboration, one of which is fulfilling aspects of family planning with the achievement of longterm contraceptives (MKJP).Objective: This study aims to explore the extent which is the effectiveness of Kampung KB Program was implemented and has an impact on MKJP achievements in Desa Sumberjaya Kecamatan Gondanglegi, Kabupaten Malang.Methods: The approach is a case study using quantitative and qualitative data that will provide information about the context, input, process, and product of family planning targets. Quantitative data were collected from documented secondary data reports. Subjects totalling 22 people are stakeholders involved in implementing family planning policies and program activities. Data were analyzed using content analysis.Results: The implementation of Kampung KB Program in Desa Sumberjaya, Kecamatan Gondanglegi, has been going well in termsof the implementation of POKJA activities, the activity of field line officers, and the availability of contraceptives. In addition, the obstaclesthat need to be addressed are the insufficient distribution of PLKB/Sub PPKBD/cadres in the field, low financial support coupledwith the absence of a strong policy and other challenges that are difficult to penetrate public trust related to MKJP.Conclusion: Aspects that caused MKJP’s achievement have not reached the target in Desa Sumberjaya Kecamatan GondanglegiKabupaten Malang, including the lack of field line officers, minimal operational funding support, less operational policies, and theexistence of a pandemic that caused many activities to be limited and even stopped as well as factors such as the socio-cultural complaints that are complained of difficult for field line officers to penetrate.
FAKTOR YANG MEMPENGARUHI KEPESERTAAN JAMINAN KESEHATAN NASIONAL DI KABUPATEN Yosalli; Firdaus Hafidz As Shidieq
Journal of Health Service Management Vol 23 No 04 (2020)
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 (183.443 KB) | DOI: 10.22146/jmpk.v23i04.4257

Abstract

Background: Health insurance membership is one of three aspects of WHO’s Universal Health Coverage (UHC). Indonesia is oneof the countries in Asia that has not yet reached the UHC target.For example, DI Yogyakarta (DIY) has reached its JKN insurance membership target. However, one of the districts, namely Sleman,has not yet reached the target of membership. Thus, analysis is needed to determine the factors that influence.Objective: Knowing the characteristics of the community protected by JKN, getting an overview of membership trends and knowing thefactors that influence membership.Methods: This study uses quantitative research with a longitudinal research design. The analysis conducted in this study wasunivariate, chi-square test for bivariate and logistic regression for multivariate analysis. Respondents were selected by two-stagestratified sampling. The research was conducted in Sleman Regency in January-March 2020.Results: The trend of health insurance membership in the district tends to increase from each cycle. Factors affecting participationin the first cycle are age, education, type of work, marital status, population status and location of residence. In the second cycle areage, education, type of employment, marital status, population status, type of residence location and health status. In the third cycleare age, type of work, marital status, population status and health status. While for the fourth cycle are age, occupation, marital status,population status, religion, health status, and household income.Conclusion: Based on the analysis that has been done, every stakeholder have to strengthen the team work across sectoral. TheJKN membership should be a pre requirements for the people that had a plan to stay in Sleman Regency for study or working. The religion organization should be involved to spread the information that how important health insurance is.
PENGEMBALIAN BERKAS KLAIM PASIEN PESERTA JAMINAN KESEHATAN NASIONAL (JKN) DI RSUD SULTAN SYARIF MOHAMAD ALKADRIE KOTA PONTIANAK Andi Sulaimana; Andreasta Meliala; Julita Hendrartini
Journal of Health Service Management Vol 22 No 1 (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 (225.228 KB) | DOI: 10.22146/jmpk.v22i1.4471

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Background: Approach of managed care in the National Health Insurance Program (JKN) puts hospitals as a health facility referral with the prospective payment system. Treatment of patients should be done and handled in primary health facilities. Although the number of patient referral to hospitals in JKN era remains high. The impact of the hospital is faced with an increase in claims bills to BPJS Kesehatan. By 2016 in RSUD Pontianak it was noted that 6.98% of the income came from JKN hospital patients which had not been paid by BPJS Kesehatan, so some were returned. A research needs to be conducted on the cause of the returned claim file from BPJS Kesehatan verifier to RSUD Pontianak. Objective: To find out the cause of the claims pending in RSUD Pontianak. Methods: The research is an exploratory case study with a single case study design approach. Results: The claim process at RSUD Pontianak is still not as good as never completed every month. Most of the causes of returned claims are administrative errors and medical reasons. Maladmin istration in the form of typing errors, dates, but a sign from the doctor. Medical reasons include coding disagreements, differences in perceptions about specific inspection directions, lack of support, differences in perceptions about secondary diagnostic inputs. Performance coding is limited to differences in perceptions between Coder and BPJS Kesehatan Verifier, positive physician response to file claims reversed, BPJS Kesehatan Verifier perceptions are constrained in capacity, differences in educational background, differences in understanding with Coder on Reselected Coding, and differences in regulatory implementation in the claims process. Conclusion: Technical error of claims administration process, difference of perception of coding, difference of comprehension about complementary examination, special treatment and secondary diagnosis input, and difference of perception to JKN regulation on verifier of cause of claim file of JKN patients return to RSUD Pontianak.
KINERJA TIM KENDALI MUTU KENDALI BIAYA CABANG SURAKARTA DALAM PENGENDALIAN MUTU DAN BIAYA PADA PROGRAM JAMINAN KESEHATAN NASIONAL Sholahuddin Sanjaya; Dwi Handono Sulistyo; Julita Hendrartini
Journal of Health Service Management Vol 22 No 1 (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 (141.653 KB) | DOI: 10.22146/jmpk.v22i1.4472

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Background: Indonesia in 2014 implemented the National Health Insurance (JKN) program. The implementation of the comparison between contribution and health insurance expenditure in the Surakarta Branch Office is not optimal. The Coordinating Team in TKMKB plays an important role in JKN quality and cost control. Hence, we need to evaluate the performance with the TKMKB Surakarta Branch coordination team. Objective: To evaluate the performance of TKMKB Surakarta Branch Coordination Team in quality and cost control of JKN program and to identify performance inhibiting factors. Methods: The research was descriptive with case study design using qualitative approach focusing on developing the description and depth analysis about Coordination Team performance on national health insurance program at Surakarta Branch Office. Performance was assessed based on the implementation of the job description. Data were collected using interviews and document review. Results: The utilisation review task was not standardised yet because it was only implemented once and there was no monitoring and follow-up of utilisation review indicators, the discussion of the problem and the evaluation of the policy has not been in accordance with the standards because the recommendation issues have not been in accordance with the issues raised. The socialisation of authority, ethical guidance and professional discipline of health personnel have not been up to standard because they are not conveyed to all members of professional organisations. Factors that hamper performance were limited time, lack of data access, and facilitation. Conclusion: The performance of the Coordination Team on the task of utilisation review has not been optimal yet, the task of discussing the problem and the evaluation of the policy has not been optimal, and in the task of authority socialisation, ethics coaching and health professional discipline has not been optimal. Factors that hinder performance were limited time, lack of data access, and facilitation of TKMKB.

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