Persaingan di industri perumahsakitan Indonesia semakin ketat, hal ini menuntut pihak manajemen rumah sakit bekerja lebih giat lagi, termasuk Rumah Sakit Islam Faisal Makassar. Segmentasi pasar perlu dilakukan agar rumah sakit dapat memfokuskan pelayanan kesehatan terhadap pasar tertentu sehingga terciptanya loyalitas pasien. Tujuan dari penelitian ini adalah untuk mengetahui segmentasi pasar berdasarkan karakteristik pengguna jasa pelayanan kesehatan di ruang rawat inap Rumah Sakit Islam Faisal Makassar. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan survei deskriptif. Total sampel sebanyak 99 orang di ruang rawat inap RS Islam Faisal Makassar. Data dikumpulkan dengan melakukan wawancara dengan responden. Pengolahan data dilakukan dengan analisis distribusi frekuensi dan analisis cluster. Berdasarkan hasil penelitian, diperoleh bahwa karakteristik demografi pasar Rumah Sakit berada pada kategori umur dewasa (26-45 tahun), perempuan, memiliki ukuran keluarga sedang, tingkat pendidikan tinggi, tidak bekerja/ IRT dengan pendapatan keluarga kurang. Berdasarkan karakteristik geografi, memiliki lokasi tempat tinggal dalam Kota Makassar dan status tempat tinggal merupakan rumah milik sendiri. Berdasarkan karakteristik psikografi memiliki motivasi dan persepsi tinggi. Berdasarkan karakteristik perilaku, pola pencarian pengobatan ketika sakit sedang dan berat memanfaatkan pelayanan kesehatan sedangkan ketika sakit ringan cenderung untuk membeli obat di warung/ apotek, frekuensi pemanfaatan rumah sakit tinggi. Berdasarkan karakteristik yang didapatkan, segmentasi pasar di Rumah Sakit Islam Faisal Makassar terbagi atas tiga segmen yaitu Hospital Aversion (34,3%), Hospital Care Minimizer (2,0%), dan Hospital Care Maximizer (64,6%).
The National Health Insurance program started running in Indonesia on January 1, 2014. Along with the increasing number of National Health Insurance participants and health facilities, more criticism has emerged from various parties, including from National Health Insurance providers regarding the alleged fraud. Fraud can have a negative effect on finances, the standard of medical care, and the perpetrator's reputation. This study's goal was to assess the likelihood that fraud may occur at Dadi Regional Hospital in Makassar, Indonesia. The study also explored the procedures and policies in place for preventing the fraud. This qualitative study employed phenomenological design. The results of the study show that there is a fraud prevention system at Dadi Regional Hospital in the form of policy and guideline formulation, a culture of prevention, implementation of quality control, and cost control. Even though they already have a prevention system in place, there is still some lack of information being disseminated about the fraud prevention team established. There are still frequent discrepancies between the diagnosis code input in the National Health Insurance system and the patient's diagnosis Hence, the Internal Monitoring Unit is still in the process of establishing a fraud prevention system
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