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Jurnal Kebijakan Kesehatan Indonesia

jkki
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Published by Universitas Gadjah Mada

ISSN : 2089 2624 EISSN : 2620 4703 DOI : -

Core Subject : Health,

Public Health

Arjuna Subject : -

Articles 7 Documents

Search results for , issue "Vol 6, No 4 (2017)" : 7 Documents clear

Implementasi Program Pengelolaan Penyakit Kronis (Prolanis) di Puskesmas Poasia Kota Kendari Ulfayani Ramsar; Laksono Trisnantoro; Likke Prawidya Putri
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Background: The Chronic Disease Management Program (Prolanis) is a system of health services and proactive approach, implemented in an integrated manner involving participants, health facilities and BPJS Health in order to maintain health for BPJS Health participants who suffer from chronic diseases to achieve optimal quality of life With the cost of effective and efficient health services. Prolanis program is to improve the quality of life of BPJS participants who suffer from chronic diseases, especially diabetes mellitus (DM) type II and hypertension. This prolanis is implemented by a government-owned first-level health facility (FKTP). Aims: to describe the influence of external factors, internal and individual character to the scope of implementation of prolanis program in kendari city. Method: The research type is descriptive research with qualitative method by using single case study design. Informants in this study are stakeholders who play a role in the Implementation of Chronic Disease Management Program (Prolanis) at Poasia Health Center of Kendari City which consists of 12 informants. The way data collection is done is by observation, in-depth interviews, and document review. This research was conducted in April-May 2017. It was analyzed with qualitative abalisa. Result: From the result of the research, it is obtained from the external influences in this case the health service fully supports the prolanis activity. On the internal factors obtained puskesmas poasia is good enough to carry out prolanis. And on the character factor of the invidu still the lack of knowledge and understanding of the health personnel involved in the implementation of prolanis. Conclusion: improving the knowledge and understanding of health personnel involved in the prolanis program.

Mempertimbangkan Kembali Program Eliminasi Malaria 2030 dalam Konteks Indonesia Kristian Wongso Giamto
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Background: Malaria is one of high burden infectious diseases for tropical-subtropical areas worldwide, such as Indonesia, especially in the eastern Indonesia. Malaria eradication once failed in late 1960s, now re-emerge after a commitment statement of Bill Gates in 2007. Now, Indonesia also targeting malaria elimination in 2030. Objective: To determine the feasibility of Malaria Elimination Program 2030, especially in Indonesia with existing modalities to combat malaria. Methods: This paper uses data, ranging 2000-2016, which selected from MEDLINE journal portal and other sources, which found to be relevant with topics, yet reliable. Results and Discussion: Malaria eradication can not be equalized to smallpox's, which has characteristics those very supportive in putting it to be eradicated (such as no subclinical infection and do not involve vector). Until now, issues of fake antimalarial drugs, forest malaria, financing commitment and healthcare service in rural parts of Indonesia remain unanswered and managed optimally. It also appears that medical advances can not contribute optimally without being supported by strategic policies. Conclusion and Suggestions: With existing modalities and situation, malaria control still difficult to be achieved in Indonesia. This will cause malaria eradication program in 2030 as less realistic target. Malaria eradication as a target may be worth to be reconsidered. Malaria control as target may be a more realistic alternative. More advanced studies regarding obstacles in managing malaria in Indonesia and its solutions are mandatory.

Analisis Besaran dan Pembayaran Kapitasi Berbasis Komitmen Pelayanan terhadap Pengendalian Rujukan di Puskesmas Kota Bengkulu Henni Febriawati; Yandrizal Yandrizal; Yulia Afriza; Bintang Agustina Pratiwi; Riska Yanuarti; Desri Suryani
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Background: Puskesmas as primary health care center where the role of Puskesmas is interpreted as gate keeper or first contact and referral agent in accordance with standard of medical service. BPJS Kesehatan always strives to increase efficiency and effectiveness by developing quality control system of service and payment system of health service through capitation payment pattern to first level health facility. Problem formulation, how the implementation of Kapuas basaran policy based on fulfillment of service commitment to control at Public Health Center of Bengkulu City. Research Objective, knowing the role of policy of capitation scale based on fulfillment of service commitment to referral control at public health center Bengkulu City. Research methods: This research uses quantitative and qualitative method with exploratory research design, unit of Puskesmas analysis in Bengkulu City. The type of this research is descriptive research to describe the implementation of capitation policy based on fulfillment of service commitment to referral number in public health center Bengkulu City. Results and discussion:Referral from public health center in Bengkulu City decreased from 2014 as many as 113,075 visits and 25,183 (22.27%) referrals, by 2015 149,483 visits and 26,963 (18.04%) referrals, 2016 226,313 visitation and 23,545 referrals (10 , 40%) In 2016 the number of participants in Bengkulu City was 156,854 inhabitants and the number of contact rate was 15.726 (10.06%). Visits were 13,068 (8.33%) and healthy visits 2,658 (1.69%). All informants understand about the activities undertaken to achieve the safe zone target ratio. Conclusions and recommendations:The implementation of a service commitment-based capitation policy can control the referral of the public health center. Informants have a common perception in achieving contact numbers to achieve the target of safe zones and achievement zones by optimizing public health efforts and individual health efforts to make healthy visits and sick visits to the community. Policy implementation can be developed by maximizing existing community health efforts in Puskesmas, improving the achievement of contact rates indicator, non-specialist referral ratios, and proline visits routinely.

Pengorganisasian Chronic Care Model dalam Pengelolaan Keteraturan Kontrol Pasien Pasca Stroke RSUD Sultan Syarif Mohamad Alkadrie Kota Pontianak Ade Muhammad Cahyadi; Lely Lusmilasari
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Background: Recurrent strokes are alarming because they can aggravate the situation and increase maintenance costs. With the prevalence of cases that continue to increase from year to year, the potential for lost follow-up in the regularity of post-stroke patient control. The organization of chronic care model-based services is able to maintain and bridge the regularity of post-stroke patient control whose service concept focuses on the patient's active participation and health system. This study aims to explore the organization of Chronic Care Model in the management of post-stroke patient control regularity. Methods: Qualitative research with case study design. Participants in this study is the administration consisting of elements of leadership and implementer that have met the criteria taken by way of purposive sampling time research February-April 2017 Research instruments in the form of interview guidelines, qualitative analysis. Results: Decision support refers to clinical practice guidelines, shared information through multiprofession coordination in education, service integration is still passive which has more emphasis on curative and rehabilitative. The design of the service system in the service policy on the implementation of using service standards and imposing a classless service, on the design elements of the lack of human resources health, as well as facilities and infrastructure, on the chronic service model refers to the structure and hierarchy of organizations that emphasize the responsibility of the service to the physician in charge of medical. Clinical information systems are not available for group support and information technology-based coordination to support high quality health services. Conclusion: Management of post-stroke patient control regularity can not be separated from the support and ability of the implementer as well. Service upgrades can be improved through the implementation of the Chronic Maintenance Model in which there are several important elements such as systematic configuration, updating in service system design, modern clinical information systems.

Refleksi Implementasi Jaminan Kesehatan Nasional pada Pelayanan Kedokteran Gigi di Fasilitas Kesehatan Tingkat Pertama Kota Tangerang Tahun 2017 Indra Rachmad Dharmawan
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

This study aims to find out how the reflection of the implementation of national health insurance (JKN) in dentistry services at first-rate health facilities (FKTP) Tangerang City in 2017. The condition of awareness of Indonesian people for oral health is still not good, thus requiring process improvement, and The concept of better service. Such improvements can be implemented in the form of dental services in FKTP. This research uses qualitative method that aims to know the implementation of dental services in health insurance, in accordance with the rules, conditions and regulations that apply. The research was conducted in FKTP of Tangerang City Health Office, 15 Puskesmas and 15 pratama clinics in collaboration with BPJS health. The results showed the presence of dentists in each FKTP has been fulfilled as well as the condition of dental infrastructure facilities is sufficient. In terms of utilization of dentistry services, JKN participants in Puskesmas are very low. There are still differences in the number of JKN participants in each FKTP. Dentistry services in JKN are still many kinds of service in serving JKN participants, the highest number of dental disease cases in the community in JKN not all can be served in primary service so there are still many references.

Strategi Peningkatan Daya Saing Industri Obat Tradisional (IOT) di Jawa Tengah Tahun 2017 Isnaeni Diniarti; Sandi Iljanto
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Background: The growth of Indonesian traditional medicine exports during 2009-2013 period increased by 6.49% per year. In Indonesia, the Traditional Medicine Industry (IOT) is one of the means that play a role in producing and developing traditional medicines are safe, quality and useful. IOT as an industry is driving the national economy. Objective: Analyze the description of the factors that affect the competitiveness of IOT, providing an alternative strategy in improving the competitiveness of IOT. Method: This research is a descriptive study with qualitative analysis method to conduct in-depth interviews, Focus Group Discussion (FGD), tracking documents. Results: factor conditions; demand conditions; related and supporting industries; firm and strategy rivalry, government roles and opportunity factors are linked and mutually supportive. SWOT identification to develop alternative strategies to enhance IOT competitiveness. Conclusion: The competitiveness of IOT is still lacking, lack of support of factor conditions (capital), related and supporting industries, government roles, firm and strategy rivalry. The role of government affects all components. Enhanced coordination of academia, entrepreneurs, government, and society is needed.

Kebijakan atau Implementasi Kebijakan? Shita Dewi
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

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Shita Dewi

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jkki.fk@ugm.ac.id

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Kab. sleman,

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INDONESIA