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INDONESIA
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 132 Documents
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ANALYSIS OF THE NEED FOR LEGAL PROTECTION FOR DOCTORS IN TELECONSULTATION SERVICES TOWARDS THE COVID-19 ENDEMIC IN INDONESIA Fitriana, Mila; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Teleconsultation is a form of telemedicine that has developed rapidly during the COVID-19 pandemic. Clinical teleconsultation provides remote clinical consultation services to assist in establishing a diagnosis, and/or providing treatment considerations/advice. There are several issues in telemedicine, including ethical and legal issues. This study aims to find ethical and legal issues related to teleconsultation services after the COVID-19 pandemic. This research uses normative legal research methods. The laws and regulations that are reviewed by the researcher are those that are still valid in the Republic of Indonesia until June 2022. Researchers compare teleconsultation regulations and laws that were in effect during the pre-pandemic COVID-19 period with those that were in effect during the pandemic. Moreover, researchers examine ethical and legal issues that will arise during the COVID-19 endemic period. In conclusion, if the regulations during the pre-pandemic period are reimplemented during the endemic period, ethical and legal issues will arise. The issues vary from teleconsultation can only be provided by medical facilities like hospitals instead of direct consultation between doctor and patients. Furthermore, the applications must be legally issued and registered by the government, particularly from the ministry of health. Diagnosis enforcement does not follow professional standards in terms of physical examinations is also an issue. Besides, there are more issues such as electronic prescription is not allowed and doctors must be able to prove that there are no intentional factors in the cases of patients’ data leakage and medical record hacking. In this way, the government is expected to make basic changes in the existing teleconsultation laws and regulations or to make specific teleconsultation laws and regulations with the purpose of providing legal protections for doctors.
ANALYSIS OF FACTORS RELATED TO INTENTION-TO-USE TELEMEDICINE SERVICES (TELECONSULTATION) IN JABODETABEK RESIDENTS DURING THE COVID-19 PANDEMIC IN 2021 Salsabila, Isna Mutiara; Sari, Kurnia
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

The emergence of COVID-19 pandemic has made it difficult for people to access health services. According to JKN statistics, FKTP visits was decreased from 337.69 million (2019) to 193.03 (2021). Teleconsultation, a type of telemedicine, could be the right solution so that people can still access the health services they need and protect themselves from the spread of COVID-19. There was an increase in the use of several teleconsultation applications in Indonesia during pandemic, from 4 million to more than 15 million people. However, this rate is only 7.63% of the internet users and 5.6% of the total population of Indonesia, so increasing access to health services through telemedicine is still challenging to achieve. Therefore, this study aims to determine the description and factors related to the intention to use health teleconsultation services during COVID-19 pandemic among Jabodetabek residents aged 19-49. This quantitative study used a cross-sectional design and PLS-SEM data analysis method. The results showed a significant relationship between social influence, perceived usefulness, trust in providers, and trust in the internet on the intention to use teleconsultation services. Intention-to-use was also significantly related to the use of teleconsultation services. In addition, a significant relationship was found between perceived need with trust in the provider, and perceived health risk and perceived ease of use with perceived usefulness.
SERVICE OF PEOPLE WITH PSYCHIATRIC PROBLEMS (ODMK) AT THE PASAR BARU HEALTH CENTER AND PABUARAN TUMPENG HEALTH CENTER IN TANGERANG CITY IN 2022: A COMPARATIVE STUDY Firdaus, Mentari Kirana; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Mental health is one of the global health issues with cases that continue to increase every year. In 2019, psychiatric problems were the second leading cause of disability worldwide with a total of 970 million cases. This research is a comparative study that aims to determine the difference between ODMK services at Pasar Baru Health Center and Pabuaran Tumpeng Health Center. This research uses a qualitative approach with a case study method, data collection is done through in-depth interviews and document review. The variables analyzed include input, process, and output. The results of the study found that in the input variable, health human resources at Pabuaran Tumpeng Health Center had a higher workload than health human resources at Pasar Baru Health Center. In the process variable, Pasar Baru Health Center is able to carry out innovative activities to improve ODMK services during the pandemic. In the output variable, it was found that the quality of service at the Pasar Baru Health Center was better than the Pabuaran Tumpeng Health Center, besides that the coverage of ODMK services at the Pasar Baru Health Center in 2021 reached 128% while at the Pabuaran Tumpeng Health Center it only reached 77%. This study concludes that the health center that have adequate human resources and able to carry out services according to the existing situation, can produce higher quality services and achieve service coverage targets.
ANALYSIS OF PROLANIS POLICY IMPLEMENTATION DURING THE COVID-19 PANDEMIC IN 2021 Firdaus, D.Fitria Sari; Nadjib, Mardiati
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Data from Basic Health Research (Riskesdas) in 2018 shows that Diabetes and Hypertension dominate chronic diseases. The Director of BPJS Kesehatan has issued Circular No. 14 of 2020 concerning health services for national health insurance participants during the COVID-19 prevention period, especially Prolanis. The policy contains an appeal to postpone the provision of services in the form of mass gathering activities such as Prolanis Gymnastics, Club Education, and and other activities. Hence, this research is needed to describe the implementation of Prolanis policies during the COVID-19 Pandemic. The study used a descriptive research design with qualitative methods and George C. Edward III's theory of policy implementation model. The number of informants is 11 people. The data collection is done using observation, in-depth interviews, and document review. The study was conducted in May-June 2022 at the Krui Health Center, Pesisir Barat Regency, Lampung Province. The findings show that Prolanis activities, which were stopped during the COVID-19 Pandemic, resulted in uncontrolled hypertension and diabetes in the participants. There are also many Prolanis implementing officers and supervisors who are not aware of Circular 14 of 2020. This transmission failure resulted in implementing the policy not fully running correctly.
DESCRIPTION STUDY OF PANDEGLANG COMMUNITY KNOWLEDGE ON NATURAL DISASTERS AND GOVERNMENT POLICIES RELATED TO NATURAL DISASTER PREPAREDNESS IN 2022 Ginting, Novi Anggraini; Adisasmito, Wiku Bakti Bawono
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Pandeglang Regency, which is a disaster-prone area, requires people who have sufficient knowledge to create community preparedness in dealing with disasters and can assist in the disaster mitigation process. This study aims to find out how the community's knowledge and community preparedness related to natural disasters and what efforts have been made by the government to improve the readiness of the people of Pandeglang Regency. This research method is descriptive and quantitative with 451 respondents. The results of the study showed that the people of Pandeglang Regency still did not know correctly the different types of threats or types of disasters that occurred, 59% of respondents were on standby to prepare their emergency items, but there were still many people who did not keep essential telephone numbers needed in an emergency, the community Pandeglang Regency prefers information sources through electronic media, this is supported by the demographic factor of the Pandeglang Regency population, the majority of which are aged 30 to 49 years or generation X, who are still not familiar with the development of internet technology.
ROLE OF ACCREDITATION TO THE PERFORMANCE OF NON COMMUNICABLE DISEASES (NCD’S) CONTROL PROGRAM AND CONTROL IN ACCREDITED AND NON ACCREDITED PRIMARY HEALTH CARE IN CIMAHI DISTRICT Azni, Nurkarti; Darmawan, Ede Surya
Journal of Indonesian Health Policy and Administration Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

The Non-Communicable Disease (NCD’s) Prevention and Control Program is one of the essential Community Health Efforts implemented by the Puskesmas. Puskesmas accreditation is a form of program to maintain the quality and form of standardization to Puskesmas services in order to provide quality services. This research uses qualitative method, conducted in April-May 2018, aim to see improvement of performance at puskesmas especially at NCD’s Prevention and Control Program. Result of research, in general Output of program of implementation of NCD’s at Puskesmas accredited better than Puskesmas not yet accredited. Community-based partnership and funding activities have not been implemented, Iva test and CBE screening and DM screening are still around 5%, indicating the community and the lack of effective community empowerment. Input components of human resources, facilities, funds, screening instruction implementation are not adequated. Components of Planning Process (P1), Organizing and Moving (P2) at Accredited Puskesmas better than Puskesmas not yet accredited, P3 has been run even though not optimal in some Puskesmas. Need to improve community empowerment to support NCD’s Prevention and Control Program .. It is necessary to encourage the Puskesmas to improve the implementation of Puskesmas Management and conduct Continuous Improvement of Quality to achieve quality improvement as the main basis of Puskesmas Accreditation.
TELEMEDICINE AND ELECTRONIC HEALTH RECORD IMPLEMENTATION IN RURAL AREA: A LITERATURE REVIEW Alfiyyah, Arifah; Ayuningtyas, Dumilah; Rahmanto, Agus
Journal of Indonesian Health Policy and Administration Vol. 7, No. 2
Publisher : UI Scholars Hub

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Abstract

The Indonesian Minister of Health 2019 issued regulations regarding the implementation of telemedicine services between health service facilities. Telemedicine is aimed primarily at rural areas. This research aims to look at the quality of telemedicine-based services, which are documented in an electronic health record (EHR) with complete information. This research uses the narrative literature review method: Garuda journal channels, Google Scholar, IEEE Explorer, ProQuest, PubMed, Science Direct, and Scopus. With the input-output process approach, eight scientific articles were published on countries with telemedicine/telehealth policies in rural areas. The implementation of telemedicine has advantages and disadvantages depending on the things supported and the target users. It must have policies, infrastructure, financial resources, and human resources to use, maintain and develop telemedicine. Telemedicine will help the health service process by increasing the degree of public health in rural areas if it is used on a large scale. The completeness of the EHR seems to be lacking in terms of informed consent. Still, a quality EHR can make it easier for health workers to enforce the history, establish the diagnosis, and provide patient healthcare.
POTRAIT OF PUBLIC PRIVATE PARTNERSHIP POLICY SUBSTANCES IN REGIONAL HOSPITALS IN INDONESIA Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting document analysis related to the operational cooperation policies of regional hospitals and reviewing the substance of operational cooperation policies at the national and regional levels. Study found that there are no articles governing service level agreements; no performance indicators of cooperation in monitoring and evaluation, limited autonomy; several regional head regulations are not accompanied by technical guidelines; and there are variations in the substance of the regional head regulations. This study concludes that the KSO policy framework for regional hospitals is inadequate, incomplete, and limits the autonomy of regional hospitals.
DETERMINANT OF LOYALTY OF EXECUTIVE CLASS PATIENTS AT AMBULATORY SERVICES AT SILOAM HOSPITALS TB SIMATUPANG DURING COVID-19 PANDEMICS Sembiring, Dian Agnesa; Nurwahyuni, Atik
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Business competition in the health industry is getting tighter, especially since the COVID-19 pandemic has significantly decreased patient visits. This study aims to determine the determinants of executive patient loyalty at the Siloam Hospitals TB Simatupang outpatient installation during the COVID-19 pandemic era. This research is quantitative research with an observational research design. The study population consisted of 520 patients with a sample of 84 patients with research instruments using a questionnaire. The results of the study stated that most respondents were loyal to services at the executive clinic, with an NPS of 50%. Customer satisfaction, service quality, perceived value, trust, hospital brand image, and commitment significantly and positively affect executive patient loyalty. Specifically, the commitment variable has a direct influence on loyalty. Customer satisfaction, service quality, trust, hospital brand image, and OCB indirectly affect loyalty. Commitment (0.865) is the most influential variable on patient loyalty. Furthermore, the variables customer satisfaction (0.541), trust (0.484), service quality (0.425), OCB (0.249), hospital brand image (0.107) respectively also have a degree of influence on patient loyalty.
DISPUTE ANALYSIS OF CLAIMS FOR PATIENTS WITH COVID-19: A CASE STUDY AT HOSPITAL X CLASS B IN BANTUL REGENCY Putri, Beby Antika; Hafidz, Firdaus; Hendrartini, Yulita
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

The Indonesian Government established referral hospitals for COVID-19 as an effort in combating the pandemic. Referral hospitals for COVID-19 submit their services’ claims to the Ministry of Health. Hospital X in Bantul experienced challenges in submitting COVID-19 claims and underwent claim disputes which caused delays in payment process. This research aimed to explore the factors that led to the disputes over the COVID-19 claims. This descriptive research was conducted with a qualitative approach, using in-depth interviews and observations. The additional descriptive analysis used secondary data COVID-19 claim dispute file reports from 2020. The results showed that the highest criteria of disputed claims at Hospital X were the criteria for non- compliant guaranteed participants, incomplete claim files, non-compliant comorbid diagnoses, and identities that did not comply with the provisions. The causes of the disputes over claims for patients with COVID-19 included inaccurate history taking, differences in regulation perceptions between the provider and payer, PCR results were not provided, and doctors had a lack of understanding regarding the technical guidelines for COVID-19 claims. In addition, there were technical problems faced by the hospital during the process of submitting claims, including regulations were changed frequently, errors in applications, incomplete medical resumes, and unreadable doctors’ writings. Disputed claims did not affect the hospital cash flow, yet delayed the payment process to health workers, which might harm the quality of services.

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