Efficiency of Thai provincial public hospitals during the introduction of universal health coverage using capitation

Puenpatom, R. Amy; Rosenman, Robert

doi:10.1007/s10729-008-9057-8

Cited by 34 publications

(32 citation statements)

References 46 publications

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“…This could be because INA-CBG payment is lower than the hospital costs, and the capitation received from the UC scheme might not be enough to replace these revenues [7]. One aim of using capitation is to provide a financial incentive for increased efficiency in public hospitals [12]. Furthermore, the hospital's tariffs may be higher than the amount received from INA-CBG payments.…”

Section: Resultsmentioning

confidence: 99%

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Strategic Efforts of X Hospital Towards Universal Health Coverage in 2019

Haniputra¹,

Ayuningtyas²,

Aljauza³

2018

KLS

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With the change in payment system from retrospective to prospective for National Health Insurance (NHI) patients, X Hospital must perform strategic efforts for managing the acceptance of service cost (46%) and facility cost (54%) for every Indonesia Case-Based Group (INA-CBG) payment. This study aimed to describe the difference in service cost and facility cost acceptance based on the hospital's billing and INA-CBG payment plus additional costs for patients with wards of an upgraded class, and it also describes X Hospital's strategic efforts toward universal health coverage (UHC).This study has an observational-descriptive design, and it collects quantitative and qualitative data. For this purpose, a total of 432 hospital bills and INA-CBG payments for NHI inpatients in January-February 2016 are collected, and in-depth interviews with several participants from the management, service providers, and administration are conducted. The results show that the total payment acceptance of INA-CBG plus additional costs is lower than the hospital's billing. The total service cost acceptance increased by IDR 99,034,017.00. The highest increase came from the internist ward and the highest decrease, from the obstetric ward. The total facility cost acceptance decreased by IDR 279,521,491.00. All wards showed a decrease, with the highest decrease coming from the internist ward. The proportion of service and facility costs must be balanced with behavior management of healthcare providers, arrangement of clinical pathways, optimization of various costs without reducing the quality of care, providing the hospital's formulary and ensuring usage of drugs and medical devices, and using the hospital management and information system to improve efficiency.By doing so, X Hospital will become ready to provide high-quality healthcare services under UHC.

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Section: Resultsmentioning

confidence: 99%

“…Longer lengths of stay seem to reduce the level of efficiency [12]. X Hospital also provides its formulary, ensures standard usage of drugs and medical devices, and uses its hospital management and information system to improve efficiency.…”

Section: Resultsmentioning

confidence: 99%

Strategic Efforts of X Hospital Towards Universal Health Coverage in 2019

Haniputra¹,

Ayuningtyas²,

Aljauza³

2018

KLS

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“…The results of the research with structured in-depth interview approach and triangulation of data, can be explained the deficit was caused by a communicatiTabel 4. (Ikegami et al, 2011;Puenpatom & Rosenman, 2008;Evans & Boerma, 2013).…”

Section: Critical Point Discussionmentioning

confidence: 99%

SWOT Analysis on JKN Implementation in Ngaliyan Health Center Semarang in 2016

Melani¹,

Santjaka²,

Latif³

2018

UJPH

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The position of Health Center (Puskesmas) as a first level health facility becomes the spearhead in good implementation of JKN (Jaminan Kesehatan Nasional or National Health Insurance). By using SWOT Analysis in 6M dimension (Men, Money, Method, Material, Machine, Market), it is expected to be an alternative for Ngaliyan Health Center to improve the work performance and become a reliable health facility for Ngaliyan citizens. And it can support the realization of totally covered insurance in 2019. This study aims to explore the strengths, weaknesses, opportunities, and threats to the Ngaliyan Health Center in organizing JKN service in 6M dimension (Men, Money, Method, Material, Market, Machine), to find the critical point and make KSF (Key Success Factor). The research is qualitative descriptive with structured in-depth interview approach. Using 15 informants selected by purposive sampling. The results of this study obtained a critical point that is on the dimension of money. There was a deficit between capitation and expenditure funds of the Health Center in the implementation of JKN. (Men, Money, Method, Material, Machine, Market) Abstrak Kedudukan puskesmas sebagai fasilitas kesehatan tingkat pertama menjadi ujung tombak pelaksanaan JKN yang baik. Dengan menggunakan Analisa SWOT dalam dimensi 6M

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“…Novel applications and extensions of efficiency measurement in two stages includes DEA with Tobit (Fareed et al, 2012;Kirigia & Asbu, 2013;Nayar et al, 2013), multiple (Bates et al, 2006;Gok & Sezen, 2013), logistic (Chustz, 2012;Lobo et al, 2014) and truncated regression analysis (Araujo et al, 2014;Halkos & Tzeremes, 2011;Kounetas & Papathanassopoulos, 2013;Mitropoulos et al, 2013), etc. Furthermore, a considerable extended DEA models have been developed in international studies, including bootstrap-DEA (Halkos & Tzeremes, 2011;Puenpatom & Rosenman, 2008;Simões & Marques, 2011;Varabyova & Schreyogg, 2013), congestion-DEA (Ferrier et al, 2006;Masiye, 2007;Valdmanis et al, 2004;Valdmanis et al, 2008), DEA-R (Wei et al, 2011), post DEA cross-evaluation and cluster analysis (Flokou et al, 2011), and multi-criteria DEA models (Ajlouni et al, 2013;Zaim et al, 2007), etc.…”

Section: Groupmentioning

confidence: 99%