Indonesia Conference Directory

Corresponding Author
Rosalyne Rosalyne

Institutions
*Ketua Komite PMKP Rumah Sakit Panti Wilasa “Dr.Cipto”, **Staf Pengajar Program Magister Kesehatan Masyarakat Universitas Diponegoro

Abstract
Background: National Health Insurance has changed the healthcare system in Indonesia and has given impact not only to patients and healthcare facilities but also doctors. Panti Wilasa “Dr. Cipto” Hospital predominantly serve patients with National Health Insurance, so they need to manage doctor-s satisfaction which can affect the quality of service, service effectiveness, patient-s satisfaction and compliance. Clinical autonomy, medical service cost, relationship between nurses and daily practice administration are relevant variables which relate to doctor-s satisfaction at the hospital. Aim: This study aimed to identify doctor specialist-s satisfaction at Outpatient Unit of Panti Wilasa “Dr. Cipto” Hospital in the era of National Health Insurance and its relationship with clinical autonomy, medical service cost, relationship between nurses and daily practice administration. Method: This study was observasional using a cross-sectional design. Data were collected by using questionnaires given to doctors at Outpatient Unit of Panti Wilasa “Dr. Cipto” Hospital. The data were analyzed using Chi square test. Results: The majority of doctors felt unsatisfied (56.6%), and others (43.4%) were satisfied. Daily practice administration (p=0.033) has a significant relationship with doctor-s satisfaction at Outpatient Unit of the hospital. Implication : Identifying doctor-s satisfaction and affecting variables will increase the collaboration between doctors and management, and hopefully medical service will be more effective. Manager-s roles in communicating and doctor-s involvement in formulating hospitals regulation are kind of job enrichment which can develop responsibility, accountability, and belongingness, so doctor-s satisfaction increases.

Keywords
Job satisfaction, doctor, Outpatient Unit, National Health Insurance

Topic
Social Health Insurance

Link: https://ifory.id/abstract/7T9CynF8ZjEV

Corresponding Author
Rini Anggraeni

Institutions
Doctoral Program Student, Public Health Science, Faculty of Public Health Hasanuddin University, Makassar, Indonesia

Abstract
Background/Objective: Good governance principles used to arrange the management of the health insurance system in the NHI era. To ensure the sustainability of this program, an evaluation of the implementation policies of NHI is needed. The research aimed to measured implementation of good governance of NHI in Makassar. Methods: This was qualitative research with phenomenology design study. The research was conducted in the health service system in Makassar (Hospital, PHC, General Clinic, and Public Health Office). This study collected data using an in-depth interview from each leader and manager. Results: BPJS as a health insurance manager was not effective in managing health services on transparence, efficient and accountable manner in easy access to data used in the preparation of health planning and budgeting programs. In the context of regulatory quality variables, BPJS had not been maximized in several policies made, the coordination and collaboration functions had not been carried out properly. The resulting policy will be difficult to implement because of differences between policies and local conditions so that implementation is not optimal in some policies that were made centralized Conclusions: Policies relating to governance should be made transparently by involving local governments and communities to accommodate every need of each party to support health care programs for improving the quality of health services.

Keywords
health insurance, good governance

Topic
Social Health Insurance

Link: https://ifory.id/abstract/JFnkNTGKjWZ9

Corresponding Author
Rini Anggraeni

Institutions
Public Health Faculty
Hasanuddin University

Abstract
Introduction The problem of the amount of arrears BPJS claims in number of Makassar City hospitals were considered to be detrimental and reduce the quality of public health services. This problem was followed by a lack of coordination in several policies between the Regional Government and BPJS. This research aim was conducted of evaluating the governance of JKN implementation for five years specifically the aspects of management in the JKN road map. Methode: This research is a qualitative study using a realist evaluation approach. This approach is used to explore the process and achievements of the Health BPJS in implementing the JKN program in an open, efficient and accountable manner (target-1, target-5, and target-8 of the JKN Road Map). The principle of good governance becomes a theory hypothesized and tested in a context-mechanism-outcome configuration. Realist Evaluation was chosen because it can present the causality of the situation and interaction between institutions that contribute to the achievement of JKN program governance. Result: There are various contexts in implementing JKN policy. The JKN policy context in South Sulawesi is uniform and has a robust centralistic nature. The internal framework is the HR in the South Sulawesi Provincial Health Office and Regency-cities that are complete and have active participation. However, the mechanism that occurs in the implementation of the JKN program, the South Sulawesi Health Service cannot access data owned by the Health BPJS from 2014 - 2018. The BPJS Health Makassar region has to wait for the authority of the Central Health BPJS in opening the data. Makassar region Health BPJS feels it does not have an obligation to be open in implementing JKN, so the outcomes arising from this mechanism are various things that are not good in JKN governance. The local Health Office has not been able to access, and use JKN data such as contribution data, membership data, health service utilisation data for program preparation or health sector budgeting according to regional needs. Conclusion: The implementation of the JKN program has not been managed well, due to the non-transparency of some data and information in the management of the JKN program in Makassar. A centralised system that is solid in the use of data in BPJS Health organs results in local governments not having access to use BPJS Health data in health policy planning according to local needs (local responsiveness).

Keywords
National Health Insurance, Decentralization and Centralization, Good Governance, Realist Evaluation.

Topic
Social Health Insurance

Link: https://ifory.id/abstract/RHVudWLzP3vJ

Corresponding Author
Morich Kristoper

Institutions
Fakultas Kedokteran, Universitas Tanjungpura

Abstract
Latar Belakang: Badan Penyelenggara Jaminan Sosial (BPJS) adalah badan hukum publik untuk menyelenggarakan program jaminan sosial. BPJS Kesehatan mengacu pada pelayanan kesehatan prima. Mutu pelayanan ditujukan untuk memuaskan pelanggan atau masyarakat melalui tingkat kepuasan pelanggan atau masyarakat yang dapat dinilai dengan 5 dimensi metode penilaian Servqual. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan tingkat kepuasan pasien rawat inap terhadap mutu pelyanan BPJS dengan metose servqual di RSUD Sambas. Metodologi: Penelitian ini menggunakan metode analitik observasional dengan rancangan potong lintang (cross sectional). Sampel penelitian ini berjumlah 60 responden. Data diperoleh dari kuisioner yang diisi oleh responden. Analisis statistik yang digunakan adalah uji Chi Square. Hasil: Hasil analisis statistik menggunakan uji Chi Square menunjukan tidak terdapat pengaruh terhadap 5 dimensi metode penilaian Servqual (p > 0,05). Kesimpulan: Tidak ada hubungan antara kepuasan pasien terhadap mutu pelayanan BPJS dengan metode Servqual di RSUD Sambas. Background: Social Security Administration (BPJS) is a public legal entity for organizing social security programs. social security administrations of healthy refers to prime health services Service quality is intended to satisfy customers or the community through the level of customer or community satisfaction that can be assessed with 5 dimensions of servqual valuation methods. Objective: This study aims to determine the relationship of inpatients satisfaction level to the service quality of BPJS with the Servqual method in regional public hospital of Sambas. Methods: This study used an observational analytic method with a cross sectional design. The sample of this study amounted to 60 respondents. The data obtained from questionnaires answered by respondents. The statistical analysis used is Chi Square Test. Result: The results of the statistical analysis using the Chi Square test were no effect on the 5 dimensions of the Servqual assessment method (p > 0,05). Conclusion: There is no relationship between patient satisfaction with the quality of BPJS services with servqual methods in Resgional Public Hospital of Sambas.

Keywords
Kepuasan pasien, mutu pelayanan BPJS, metode penilaian Servqual

Topic
Social Health Insurance

Link: https://ifory.id/abstract/KdJxDecmWhMz

Corresponding Author
Amran Razak

Institutions
a) Department of Administration and Health Policy, Faculty of Public Health, University Hasanuddin, Makassar, South Sulawesi, Indonesia
b) Faculty of Public Health, Mulawarman University, Samarinda, West Kalimantan, Indonesia
c) Postgraduate Magister Program, Postgraduate School of Hasanuddin University, Makasssar, South Sulawesi, Indonesia

Abstract
Introduction: Since January 1, 2019, Indonesia has entered into an ongoing era of Universal Health Coverage. This success is considered an innovation in coverage, almost all people can now access available health services. In several districts/cities JKN/KIS membership has included 100 percent, as well as the Selayar Islands Regency which has received the 2018 Universal Health Coverage (UHC) Award for successfully covering 100% of the populations health insurance. The coverage of 100% of the population in the JKN/KIS membership is an encouraging thing. However, it cannot be interpreted that the basic rights of the population have been fulfilled in accessing quality health services, and financially protected. There are three dimensions of UHC that must be fulfilled; population coverage; service coverage; and financial protection. This means that the UHC award only meets one dimension, namely population coverage. Objectics : To study the prospective implementation of Universal Health Coverage, especially coastal communities in the Selayar Islands Regency to support the achievement of SDGs 2025. Mehtods: There are two focus groups (FGD) each of 12 participants, based on the geographical categories of their villages, namely coastal villages and island villages. FGD participants are generally fishermen or fishermens wives. In addition, in-depth interviews included 4 key informants and 10 other informants. Content analysis was used to analyze the phenomena found in this study. Findings: Demands for special transportation for emergency patients from island villages are the main issue to get adequate health care facilities. The availability of marine ambulances in the form of medium capacity boats, managed by the community, and easy to use is expected to increase access to quality health services. The complexity of the utilization and claims of ambulance services for patients who are less capable referrals, creates its own economic difficulties. The efforts to prevent disease at the district level have been in line with the goals of SDGs 2025. Likewise with promotive efforts such as Non-Smoking Areas (KTR), car-free days, mass sports, and morning gymnastics in schools, have been running well. The development of disease prevention efforts and village-based health promotion has not been initiated. Conclusions: Marine ambulance with moderate capacity and managed by local communities will make it easier to access health services, especially emergency patients. There has not yet been the development of innovative creative efforts in village-based prevention and health promotion.

Keywords
universal health coverage dimension, selayar islands regency, marine ambulance.

Topic
Social Health Insurance

Link: https://ifory.id/abstract/QrJPLg9MqE68

Corresponding Author
Hari Dwi Suharsono

Institutions
Master of Hospital Management Program, Faculty of Medicine, Universitas Brawijaya, Malang

Abstract
Government regulations are made to provide equal distribution of peoples welfare. The law on National Health Insurance and health regulations give the people the right to get good health services. The existence of Perdirjampelkes Number 4 of 2018 concerning the Implementation of Competency-Based Tiered Systems through Information System Integration (Online Referral) has an impact on type C hospitals and their services. The BPJS online referral system was actually made to facilitate and improve the quality of services in hospitals, but it turned out to cause many problems in its implementation. This study focuses on exploring the fulfillment of the human service rights of patients in obtaining hospital services in the BPJS era. The purpose of this study is to explore the fulfillment of the human service rights of patients in obtaining hospital services in the BPJS era. This study uses qualitative research methods with a case study approach. Data was collected by interviewing 8 informants. The researcher found that RS Karya had taken proactive actions against sudden changes due to a tiered online referral system by increasing human resources and facilities to provide human service rights. BPJS applies tiered online referral rules that have an impact on not fulfilling human service rights. The new BPJS regulation can be a threat if the hospital does not change to improve quality and anticipate it with crisis management. Human services are carried out to provide patient rights without violating regulations made by BPJS. Suggestions for research are that hospitals need to form a crisis management team and prepare crisis management strategies to fulfill patient rights.

Keywords
Human service rights of patients, hospitals, BPJS, qualitative, case studies

Topic
Social Health Insurance

Link: https://ifory.id/abstract/wyxWpV8Q9jaT