Analisis Pemenuhan Indikator Pembayaran Kapitasi pada Fasilitas Kesehatan Tingkat Pertama di Surabaya
Downloads
Lack of patient visits to FKTP causes capitation not being optimally utilized. The purpose of this research is to analyze the causes of the unfullfilled capitation payment indicators based on fulfillment of service commitment atFKTP. The type of research used is observational with cross sectional design. Approach in the research is quantitative and qualitative. The research used total sampling, where population is secondary data covering result of indicator achievement from 62 Puskesmas, 31 DPP, and 97Klinik Pratama in Surabaya.This research concluded that indicator of AK and RPPB at FKTP still not fulfill target of safe zone. AK can be caused by the lack of participants' knowledge of FKTP services, limited resources, and BPJS Kesehatan online application that sometimes have interruptions. FKTP needs to provide promotions and education to participants', add resources and provide training to staff, advocate with health offices, and cooperation with other parties to help provide facilities. Whereas the target indicator of RPPB has not been achieved due to lack of socialization of Prolanic. FKTP expected to be able to run activities that are promotive and preventive in groups.
Keywords: capitation, capitation payment indicators based on fulfillment of service commitment, FKTP
Badan Penyelenggara Jaminan Sosial Kesehatan, 2015. Panduan Klinis Prolanis Diabetes Mellitus Tipe 2 dan Hipertensi. Jakarta.
Badan Penyelenggara Jaminan Sosial Kesehatan, 2015. Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 2 Tahun 2015 tentang Norma Penetapan Besaran Kapitasi dan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan pada Fasilitas Kesehatan Tingkat Pertama. Jakarta.
Badan Penyelenggara Jaminan Sosial Kesehatan, 2016. Peraturan Bersama Sekretaris Jenderal Kemenkes RI dan Direktur Utama BPJS Kesehatan Nomor 3 Tahun 2016 tentang Petunjuk Teknis Pelaksanaan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan pada FKTP. Jakarta.
BPJS Kesehatan, 2014. Penguatan Faskes Primer sebagai Ujung Tombak Pelayanan Kesehatan Peserta BPJS Kesehatan. Jakarta: BPJS Kesehatan BPJS Kesehatan.
BPJS Kesehatan, 2016. Kapitasi Berbasis Komitmen Pelayanan Dorong FKTP Tingkatkan Mutu Pelayanan. Info BPJS Kesehatan Media Eksternal. Jakarta: BPJS Kesehatan BPJS Kesehatan.
Kementerian Kesehatan Republik Indonesia, 2014. Peraturan Menteri Kesehatan Republik Indonesia Nomor 19 Tahun 2014 tentang Penggunaan Dana Kapitasi Jaminan Kesehatan Nasional untuk Jasa Pelayanan Kesehatan dan Dukungan Biaya Operasional pada Fasilitas Kesehatan Tingkat Pertama Milik Pemerintah Daerah. Jakarta.
Malik, A.H., 2015. Analisis Peran Dokter Layanan Primer sebagai Gatekeeper di Era Jaminan Kesehatan Nasional. Kongres InaHEA II. Jakarta: Perhimpunan Dokter Umum Indonesia.
Sabrina, Q., 2015. Pelaksanaan Program Jaminan Kesehatan Nasional (JKN) dalam Peningkatan Kualitas Pelayanan Kesehatan di RSU Haji Surabaya. Kebijakan dan Manajemen Publik, 3(2).
Saut, B., 2015. Peran Strategis BPJS Kesehatan dalam Peningkatan Cakupan dan Kualitas Jaminan Kesehatan - BPJS Kesehatan. Rakerda Provinsi Riau. Pekanbaru: BPJS Kesehatan.
Suprianto, A. & Mutiarin, D., 2017. Studi tentang Hubungan Stakeholder, Model Pembiayaan, dan Outcome JKN di Kabupaten Bantul Provinsi Daerah Istimewa Yogyakarta. Journal of Governance and Public Policy, 4(1).
Utami, D.S., Murti, B. & Suryani, N., 2016. Kajian Implementasi Kapitasi Berbasis Komitmen Pelayanan Jaminan Kesehatan Nasional di Kota Surakarta. Jurnal UNS.
Widyastuti, K., 2016. Pelaksanaan Ujicoba Kapitasi Berbasis Pemenuhan Komitmen Pelayanan. BPJS Kesehatan.
1. As an author you (or your employer or institution) may do the following:
- make copies (print or electronic) of the article for your own personal use, including for your own classroom teaching use;
- make copies and distribute such copies (including through e-mail) of the article to research colleagues, for the personal use by such colleagues (but not commercially or systematically, e.g. via an e-mail list or list server);
- present the article at a meeting or conference and to distribute copies of the article to the delegates attending such meeting;
- for your employer, if the article is a ‘work for hire', made within the scope of your employment, your employer may use all or part of the information in the article for other intra-company use (e.g. training);
- retain patent and trademark rights and rights to any process, procedure, or article of manufacture described in the article;
- include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially);
- use the article or any part thereof in a printed compilation of your works, such as collected writings or lecture notes (subsequent to publication of the article in the journal); and prepare other derivative works, to extend the article into book-length form, or to otherwise re-use portions or excerpts in other works, with full acknowledgement of its original publication in the journal;
- may reproduce or authorize others to reproduce the article, material extracted from the article, or derivative works for the author's personal use or for company use, provided that the source and the copyright notice are indicated.
All copies, print or electronic, or other use of the paper or article must include the appropriate bibliographic citation for the article's publication in the journal.
2. Requests from third parties
Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use.
3. Author Online Use
- Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from JAKI;
- Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author's personal web site or the servers of the author's institution or company in connection with the author's teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;