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Purnawan Junadi
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Journal of Indonesian Health Policy and Administration
Published by Universitas Indonesia
ISSN : 24601330     EISSN : 24773832     DOI : https://doi.org/10.7454/ihpa
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Public Health
Journal of Indonesian Health Policy and Administration is a journal that presents scientific articles mainly in the field of health policy, programs, and administration. This journal is intended to disseminate research from students, lecturers, or researchers in general who are concerned about improving health efforts through program evaluation and preparing policy recommendations. The articles or manuscripts contained in the Journal of Indonesian Health Policy and Administration include the realm of research, case studies, or conceptual, and limited to literature review. It is an online open-access, blindly peer-reviewed journal that is published every 4 (four) months or 3 (three) times a year, usually in January, May, and September. This journal is published by the Department of Health Administration and Policy, Faculty of Public Health, University Indonesia . Journal of Indonesian Health Policy and Administration is also supported by the Indonesian Public Health Association / Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI).
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 2, No. 2" : 5 Documents clear
Analysis of Policy Change Relating to Presidential Regulation No.19 year 2016 on Health Insurance became Presidential Regulation No.28 year 2016 on Health Insurance Simanjuntak, Julian; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

The rapid change from presidential regulation no.19 year 2016 on health insurance into presidential regulation no.28 year 2016 on health insurance get a big attention. This research was purposed to analyze about health insurance policy which changed very quickly. It changed from presidential regulation no.19 year 2016 into presidential regulation no.28 year 2016 on health insurance. The researcher used qualitative methods. The analysis from the input processing and output showed that the change of presidential regulation is a responsive form from president when he looked public rejection response for the increase of fee. The president extended it through the department of health affairs. In terms of inputs, the resources of this policy change are still very limited, while at the stage of the process there is still a lack of cross-sector coordination with related institutions and difficulties in getting the materials needed in the discussion. Presidential Regulation No.28 of 2016 on Health Insurance that became the output in this change is considered to be able to accommodate the demand of the people but the changes are not in accordance with the actuary calculations. This change of presidential regulation not yet affected to appropriate the fee adequacy on BPJS Implementation. The department of health affairs as a leader of health sector was recommended to increase the cross-sectoral coordination which can manifest the better product of health policy and to complete the policy instrument that yet to be determined. It also used to be concern from the department of health affairs, DJSN and BPJS which explained the increase of fee must be offset by a quality improvement rather than the implementation of national health insurance.
Level of Adherence and Its Determinants of Prolanis Attendance in Type 2 Diabetes Mellitus Participants at Five BPJS Primary Health Care in Bekasi 2016 Asfiani, Ledy Visna; Ilyas, Yaslis
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

The continuity of the participation in Prolanis is one of the primary health care services indicators of commitment, so finding out the level of adherence and the factors influencing it is very important. The aim of the study is to investigate the adherence level of Prolanis participanst and its determinants in type 2 diabetes patients at five BPJS primary health care in Bekasi. This is a cross sectional study, using questionnare to 220 participants with type 2 diabetes by simple random sampling method proportionally. Adherence level of the participants is 3.59 out of 6 times. Length of illness, perceived benefits, perceived barriers and the implementation of the program guidelines are correlated with the adherence level and the dominant factor is perceived barriers. Factors in individual and provider can be used as evaluation tools for the primary health care in facilitating the participants’ needs so that it would increase the level of adherence.
Analysis of Policy Making Factors on The Prohibition of Hormones and Antibiotics Use for Feed as a Public Health Protection Amalia, Zaima; Adisasmito, Wiku
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Food safety is one of the current international emerging issues. The danger of using antibiotics in animal husbandry is one of the contributors to human resistance. In Indonesia, antibiotics are commonly used as growth promoters in animal husbandry. Prohibition on the use of hormones and antibiotics mixed into animal feed written in Law No. 18 of 2009 on Animal Husbandry and Health which is then clarified by the Minister of Agriculture Regulation No. 14/Permentan/PK.350/5/2017 on the Classification of Animal Drugs. The purpose of this study is to determine the factors which influence the formation of policy on the prohibition of hormone and antibiotic use as feed additives, especially health, legal, political and economic factors. This research uses descriptive study by qualitative approach. Data were collected using in-depth interviews and literature studies. The result shows that legal factors have a stronger influence than health, economic and political factors. The study recommends that the government should develop monitoring programs, conduct surveillance in feed and breeder entrepreneurs, establish good coordination with local governments, conduct further residue studies on animal source food, and further review the economic impact of the policy. Breeders also need to improve the cleanliness of the cage and try natural feed. While feed entrepreneurs need to find a replacement of antibiotic/hormone mixed feed safely.
Inpatient Readmission Insidence of National Health Insurance Patients at Partner Hospitals of BPJS-Health in Sukabumi 2015 Atmiroseva, Atmiroseva; Nurwahyuni, Atik
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

The INA-CBG payment system in the JKN program allegedly increasing the incidence of readmission. This study aims to map the incidence of readmission in JKN participants admitted to thirteen partner hospitals of BPJS-Health in Sukabumi. The research design is a descriptive study with the unit of analysis is patient. The study used secondary data from inpatient claims in thirteen partner hospitals BPJS-Health Sukabumi which has been verified during 2015. The study found that the number of readmission is 8.81% with the most readmission incidence occurs in the equal CMG category and at the least in the equal severity level category. The cost of inpatient readmission services is more expensive 104-113% of the initial care cost. Moreover, about 15- 16% cases of severity level readmission is increasing and 12-13% of its severity level is decreased. Less than 3% cases of readmission ended not good because they died, were referred, or had to come home forcibly.
Effectiveness of Failure Modes Effect Analysis (FMEA) to Reduce Medical Error Setiasih, Putri Ingen; Junadi, Purnawan
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

One of the prevention efforts of medical errors that occur in health services is by identifying the potential failure of the service before the failure occurs. FMEA is one way to identify the risks of failure. Therefore, the authors wanted to find out whether FMEA was effective for reducing medical error based on previous studies. This article was a literature review using references in an online database such as EBSCOhost. The author found 280 articles while searching by using the keyword “FMEA”. After filtered by publication period from 2012 to 2017, full text and language, finally got 7 articles. Finally, the author used the three most relevant literature. FMEA was proven to decrease the potential failure rate after follow-up to failure was done in service process, so medical error can be prevented. In the application of FMEA, bias can occur during the determination of potential failure and determination of scoring on RPN. Therefore, it is expected that the team involved in making FMEA experts in the process of service to be designed. FMEA could prevent medical errors by determining potential failures before failure occurs

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