Revenue and financing of patients with national health insurance by the social security organizing agency to improve health services

Yusuf, Syarifuddin; Achmar, Nuzul; Haniarti,; Hasdiana,; Madjid, Mahkrajani; Aswad, Muhammad; Esa, Tenri

doi:10.1016/j.enfcli.2020.06.063

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…as well as BPJS Health employees to be more competent in serving the community and BPJS Health participants. Basically the government has tried to develop health development because health development is seen as an investment to improve the quality of human resources (S. Yusuf et al, 2020), (Mukti et al, 2022).…”

Section: Resultsmentioning

confidence: 99%

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Utilization of The Mobile Application of National Health Insurance (JKN) To Increase The Effectiveness of Services BPJS Insurance In Sibolga

Situmorang¹

2022

midwifery

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Currently, the government has developed several mobile applications for the National Health Insurance (JKN) to facilitate services for patients. The development of some of these applications aims to help consumers and support patient-centered decisions in choosing which benefits to choose (Bundorf et al., 2019). The digital transformation of the Badan Penyelenggara Jaminan Sosial (BPJS) is to provide convenience for BPJS users or the public, such as paying BPJS contributions, changing membership data, knowing family participant data, etc (Kipo-Sunyehzi, 2021). The aims of this study is to determine the use of the national health insurance application (JKN) to increase the effectiveness of BPJS health services in the city of Sibolga. The type of research taken is descriptive research with a qualitative approach. This study took as many as four resource persons. While the data collection technique is using the technique of observation, interviews and documentation. The results showed that through the national health insurance (JKN) mobile application, all administrative services at the Sibolga City BPJS office for patients became more effective and efficient. This shows that the benefits of the JKN mobile application have proven to be very helpful in accessing BPJS health services.

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Section: Resultsmentioning

confidence: 99%

“…The second source of funds used to pay BPJS Health claims comes from contributions given by the government, participants, and employers. Third, in health services for BPJS patients in hospitals, discrimination is still found in the provision of services (S. Yusuf et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Utilization of The Mobile Application of National Health Insurance (JKN) To Increase The Effectiveness of Services BPJS Insurance In Sibolga

Situmorang¹

2022

midwifery

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“…In this study, evaluating the length of treatment for patients until death, there was a decrease in the number of patients who died in less than 3 hours after the patient arrived at the hospital. [6][7][8] The number of deliveries at Prof. Dr. Aloei Saboe before the start of BPJS health services (2011-2013) totalled 7906 and after BPJS health services (2014-2016) totalled 6493. The number of deliveries decreased due to BPJS health services being implemented in a structured and tiered manner, where obstetric cases should be served level I health facilities such as primary health care, while the number of maternal deaths in 2011-2013 was 34 people and in 2014-2016 there were 42 people.…”

Section: Discussionmentioning

confidence: 99%

“…With this tiered referral system, it has an impact on service quality and public health. 5,6 To compare maternal mortality in Prof. Dr. Aloei Saboe before BPJS health services (2011-2013) and after BPJS health services (2014)(2015)(2016).…”

Section: Introductionmentioning

confidence: 99%

Maternal Mortality Rate before and after BPJS Health services Era

Tendean

Lumentut

Ihsan³

2021

Indones J Obstet Gynecol

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Abstract Objective: To compare maternal death in RSUD dr. Aloei Saboe Gorontalo before BPJS (in 2011-2013) and after BPJS (2014-2016)Methods: Descriptive Retrospective. Data in this study obtained from the secondary data. This data obtained by the researcher from medical records in RSUD Prof. Dr. Aloei Saboe Gorontalo.Results: In this study, the number of delivery in hospitals Prof. Dr. Aloei Saboe before BPJS (2011-2013) of 7906 deliveries of live births after 7735 and health services BPJS (years 2014-2016) of 6493 deliveries of live births BPJS 6333. Maternal mortality before and after as many as 34 cases BPJS many as 42 cases, so we get the MMR before BPJS 4.39 ‰ and 6.63 ‰ after BPJS.Conclusion: There is a significant increase in maternal mortality rate in Prof. Dr. Aloei Saboe Gorontalo (p = 0.036), after BPJS maternal mortality (years 2014-2016) was 42 cases, compared with a prior health services BPJS (2011-2013) was 34 cases. This increase occurred because of a referral system BPJS make the decreasing number of births was in the hospital decreased, and hospitals Prof. Dr. Aloei Saboe a referral centre in Gorontalo province and surrounding areas.Keywords: death, BPJS, maternal, mortality. Abstrak Tujuan: Untuk membandingkan kematian maternal di RSUD Prof. Dr. Aloei Saboe sebelum BPJS (2011-2013) dan sesudah layanan kesehatan BPJS (2014-2016).Metode: Deskriptif Retrospektif. Jenis data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari rekam medik di RSUD Prof. Dr. Aloei Saboe Gorontalo.Hasil: Pada penelitian ini didapatkan jumlah persalinan di RSUD Prof. Dr. Aloei Saboe sebelum BPJS (2011-2013) sebanyak 7906 persalinan dengan kelahiran hidup 7735 dan sesudah layanan kesehatan BPJS (2014-2016) sebanyak 6493 persalinan dengan kelahiran hidup 6333. Kematian maternal sebelum BPJS sebanyak 34 kasus dan sesudah BPJS sebanyak 42 kasus, sehingga didapatkan AKI sebelum BPJS 4.39 ‰ dan sesudah BPJS 6.63 ‰.Kesimpulan: Ternyata terdapat peningkatan yang bermakna (p=0,036) kematian maternal sesudah BPJS (2014-2016) sebanyak 42 kasus, bila dibandingkan dengan sebelum layanan kesehatan BPJS (2011-2013) sebanyak 34 kasus. Peningkatan ini terjadi karena sistem rujukan BPJS membuat menurunnya jumlah persalinan yang ada dirumah sakit menurun, dan RSUD Prof. Dr. Aloei Saboe merupakan pusat rujukan di propinsi Gorontalo dan sekitarnya.Kata Kunci: BPJS, kematian, maternal,mortalitas

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“…Peran skema pembayaran seperti bantuan pemerintah, potongan gaji, dan subsidi dari pemberi kerja merupakan sumber pembiayaan utama (Kwon, 2011). Oleh karena itu perlu strategi khusus untuk menghadapi permasalahan belum maksimalnya penerimaan iuran terutama dari segmen PPU PN, seperti perhitungan gaji belum sesuai take-home pay (THP) dan rendahnya kesadaran menganggarkan iuran JKN oleh pemerintah daerah (Yusuf et al, 2020). "Ability to pay" (ATP) dan "willingnese to pay" (WTP) adalah salah satu konsep ekonomi yang digunakan untuk menghitung valuasi keberhasilan jaminan kesehatan (Muttaqien et al, 2021).…”

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Analisis Take-Home Pay dan Perencanaan Anggaran terhadap Sustainabilitas Program Jaminan Kesehatan Nasional

Ridwan¹,

Siregar

2021

jjkn

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Dynamic regulation changes in JKN Program are made by the government to maintain the program’s financial health and sustainability by increasing the contributions, but the local government budget weakening during the Covid-19 pandemic is resulting in contribution receivable increasing. This study aims to compare the contributions from the collection of Civil Servant salaries and local government subsidies based on take-home pay compared to the previous calculation and the effect on the civil servants to analyze the compliance of local government budget planning and the obstacles on the budget insufficiency. This study uses a case study through the qualitative method with a descriptive analysis approach, this research uses secondary data in the form of documents and primary data in the form of interviews. The samples are conducted by purposive sampling as many as 127,341 civil servants in Aceh Province. The results showed the potential for an increase in income of 140.81 billion rupiahs, which was an increase of 47.52%. In total, the payment of contributions by deductions from the salaries of civil servants decreased by 281%. On the other hand, the contribution paid by the local government increased by 203%. In terms of budget, 5 of the 24 local governments have provided their budget availability for a 4% contribution. The regulation changes have positive impacts on the sustainability of the JKN program by increasing the program’s income and realizing mutual cooperation with equitable contribution and the involvement of local governments through a larger portion of the contribution budget. Coordination and guidance improvement between the central government and local government to monitor the implementation of Presidential Regulation Number 75 of 2019 as a national priority program and sanction enforcement for local governments which are in contribution arrears and insufficient budget. Keywords: take-home pay; budgeting; sustainability; JKN Program

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Revenue and financing of patients with national health insurance by the social security organizing agency to improve health services

Cited by 4 publications

References 6 publications

Utilization of The Mobile Application of National Health Insurance (JKN) To Increase The Effectiveness of Services BPJS Insurance In Sibolga

Utilization of The Mobile Application of National Health Insurance (JKN) To Increase The Effectiveness of Services BPJS Insurance In Sibolga

Maternal Mortality Rate before and after BPJS Health services Era

Analisis Take-Home Pay dan Perencanaan Anggaran terhadap Sustainabilitas Program Jaminan Kesehatan Nasional

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