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"Provision of social security system in Indonesia has begun since 1947 through Law No.33 Year 1947 on Work-Related Accident. In the following years, social insurance continued to be developed by establishing administering body that covering death, accident, retirement and health insurances. This administering body is now called PT. Jamsostek (Persero), a state national enterprise taking care of social security system in Indonesia. Jamsostek is abbreviation of social security system in Indonesian language.

Law No.3 of 1992 on Workers Social Security System arranges economical protection for workers to cover social risks in dealing with illness, death and retirement age. It also protects workers' rights on health service, not only for themselves but also for their family. Membership of PT. Jamsostek (Persero) is obligatory for employers having more than 10 (ten) employees, or minimum salary of its employees is Rp.1.000.000,- (One million rupiah).

Protection for members is in the form of mandatory programs (Employment Accident Benefit/JKK, Death-Benefit Contribution/JKM, Old-Age BenefidJHT). Along with these protections, employers are also obligated to give health,_protection. Health Care Benefit Program/JPK provided by PT. Jamsostek (Persero) is not compulsory as long as companies can provide better health care protection from other health insurance companies. In this regard, author may call JPK as optional program.

Globalization occurred has brought a lot of impacts on business activities in Indonesia. It forces companies to adapt to fast changes on rapid technology, higher customers' demand, and tighter competition between national, multinational and transnational companies, including national state enterprises, which several years ago were monopolists in their field. Act on the scene as monopolists, their performance were signed by unclear performance, cost inefficiency, and profit disoriented.

These state national enterprises, including PT. Jamsostek (Persero), unavoidably, must improve their performance. If not, they could get bankrupt, while their existence is aimed to serve a lot of people. Meanwhile, they also compete with private enterprises, multinational companies, or transnational companies that offer better service in order to survive.

PT. Jamsostek (Persero) has now more than 20 million of workers for mandatory programs and more than 1 million of workers for health care benefit (JPK) program. The fact that gap between mandatory and optional is wide, may bring hypothesis that PT. Jamsostek (Persero) is still lack of the will and competence to compete with other health care insurances and does not really concern with its service quality. This results in reluctance of companies to become its members.

As a service company, one of the strategies can be applied by PT. Jamsostek (Persero) is to improve service value through service quality to meet expectations of their customers. In this regard, author views meeting expectations of customers through optional program can be the source to improve its profitability and to gain its competitive advantage.

Author tries to see how customers perceived service quality by research to customers that' are members of JPK program, and what they expected through this program. Research is done in both levels of service distribution, which are in Public Service Center (Puskesmas) and General Hospitals. All questions proposed in questionnaires are based on SERVQUAL model, to see if there is the gap between customers' expectations and perceptions of service quality delivered by seeing 5 important dimensions: tangible, reliability, responsiveness, assurance, empathy.

There were 79 respondents, with 3 of questionnaires considered as invalid. Research is also done by interviewing internal sources of JPK program, to see how procedure of service is delivered. This research has limitations in time limits, hectic times of sources, and reluctance of field respondents to fill out the questionnaires.

From research field, author finds out that all variables in performance - importance matrix are underperformed, which means that performance of PT. Jamsostek (Persero) has not been able to fill out expectations of its clients. In this regard, PT. Jamsostek (Persero) requires improving these variables in order to gain its competitive advantage.

What author underlines from the research is the fact that customers perceive service quality of JPK still low, mostly in the service procedural and communications with its customers. From this point of view, author proposes application of Customer Relationship Management (CRM) method in PT. Jamsostek (Persero).

Author also has seen that PT. Jamsostek (Persero) is eager to apply this strategy, as it is stated in its corporate values. Thus, CRM method will be useful as application of customer centric strategy, as it has three cornerstones that are relevant with its existence: how to create Customer Value Analysis (CVA), how to view the product as a process, and it is related to provider?s responsibilities.

With this method, it is expected that PT. Jamsostek (Persero) will create new paradigms in its organizational behavior to deliver its service and-rill-gain these four benefits:

1. Premium price paid by customers who expect superior customer value creation

2. Cost effective way by leveraging its existing strengths

3. Impact of Word of mouth is an effective and the cheapest media to grow market share

4. Superior value is worth with protection from losing market share, while nowadays it faces a lot of health insurance companies, mostly foreign insurance companies that offer higher benefits."

"JPK merupakan suatu program yang diselenggarakan oleh badan penyelenggara asuransi sosial yaitu PT Jamsostek (Persero) dan diselenggarakan secara terstruktur dan komprehensif. Program JPK Jamsostek menggunakan prinsip managed care. Program ini harus dilaksanakan sesuai dengan prosedur pelayanan kesehatan. Oleh karena itu, peserta program ini harus memahami dan mengikuti prosedur pelayanan kesehatan yang sudah ditetapkan oleh PT Jamsostek (Persero). Pada tahun 2012, PT Jamsostek (Persero) Kantor Cabang Gambir membayarkan klaim perorangan rata-rata 75 klaim/bulan. Hal ini menandakan bahwa masih rendahnya pemahaman peserta JPK Jamsostek tentang prosedur pelayanan kesehatan PT Jamsostek (Persero). Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi pemahaman peserta JPK Jamsostek tentang prosedur pelayanan kesehatan PT Jamsostek (Persero) Kantor Cabang Gambir Tahun 2012.Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain studi cross-sectional dan dilakukan dengan cara pengisian kuesioner. Kuesioner dibagikan kepada 97 responden di PT Matahari Department Store Tbk. Atrium Plaza dan Kopposindo Jakarta Pusat.Hasil penelitian ini menunjukkan bahwa adanya hubungan yang signifikan antara umur, tingkat pendidikan, pengalaman menggunakan JPK, sosialisasi SDM perusahaan, dan sosialisasi JPK Jamsostek dengan pemahaman peserta JPK Jamsostek tentang prosedur pelayanan kesehatan PT Jamsostek (Persero).

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JPK is a program organized by the social insurance administrators, PT Jamsostek (Persero) and organized in a structured and comprehensive. JPK Jamsostek using managed care principles. This program shall be implemented in accordance with the procedures of health care. Therefore, participants should understand and follow health care procedures that have been established by PT Jamsostek (Persero). In 2012, PT Jamsostek (Persero) Gambir Branch paying individual claims an average of 75 claims/month. This indicates that there is still lack of understanding of JPK Jamsostek participants about health care procedures of PT Jamsostek (Persero). This study aims is to determine the factors that influencing the JPK Jamsostek participant?s comprehension about health care procedure in PT Jamsostek (Persero) Gambir branch office in 2012.This research is a quantitative study with cross-sectional design and carried out by filling out the questionnaires. Questionnaires were distributed to 97 respondents at PT Matahari Department Store Tbk. Atrium Plaza and Kopposindo Jakarta Pusat.The results of this study indicate that a significant relationship between age, educational level, experience of using JPK, corporate HR socialization, and JPK Jamsostek socialization with the JPK Jamsostek participant?s comprehension about health care procedure in PT Jamsostek (Persero)."

"ABSTRAKSistem pembiayaan pemeliharaan kesehatan pegawai PT. PLN (Persero) adalah dengan penggantian biaya, dimana sampai saat ini masih mengacu pada Surat Edaran No. 002/PST/1975. Selama berjalan 20 tahun tidak pernah ada evaluasi biaya dan monitoring; sehingga mengakibatkan lonjakan biaya.Pada era Persero dimana perusahaan tidak dapat bergantung lagi dari dana pemerintah dan harus mancari laba, maka berbagai langkah efisiensi dilakukan.Di dalam melakukan langkah efisiensi biaya daiam pemeliharaan kesehatan perlu dipertimbangkan alternatif sistem pembiayaan lain dan menilai kembali sistem yang ada.Studi ini dilakukan dengan mengumpulkan data sekunder dan menganalisa, juga wawancara terhadap para pemegang keputusan yang terlibat dalam masalah ini.Di dalam pemilihan alternatif diajukan sistem asuransi, kapitasi dan sistem penggantian biaya itu sendiri.Adapun pemilhan sistem bukan dari sudut biaya saja dimana akan timbul biaya efektif tapi juga dari sudut kepuasan pegawai. Karena pegawai merupakan asset perusahaan yang perlu diberikan kesejahteraan yang memadai. Jangan sampai adanya pembatasan dalam jangka panjang akan berakibat terhadap pegawai dan merugikan perusahaan dalam bentuk menurunnya produktivitas.Dari hasil analisa data, wawancara kemudian dibandingkan dengan teori dan pengalaman empiris; disimpulkan bahwa sistem pemeliharaan saat ini tetap memakai sistem penggantian biaya tetapi harus ditunjang dengan peraturan yang lebih jelas yang mencakup prosedur untuk mendapatkan pelayanan kesehatan.Diharapkan dengan cara ini efisiensi secara bertahap dapat dilakukan tanpa banyak mengurangi kepuasan pegawai.Untuk jangka panjang internalisasi juga secara bertahap dapat dilakukan, dimana dapat mengurangi subsidi biaya perusahaan, bahkan diharapkan dapat memberikan keuntungan sebagai strategi bisnis unit.

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ABSTRACT

Financial Alternatives of Employee Health Care System in PT PLN (Persero)Regulation no. 0021PST/1975 states that the reimbursement is the way to pay for the employee health expenses. Since there is no serious evaluation and monitoring during the last 20 years, the result is a big increase in the health care cost.

In the privatization era (Persero), PLN should be more efficient due to the finance limitation. It means that PLN needs to look for other financial alternatives of health care system and make evaluation to pick up the best one for PLN.

This study is based on primary data (interview of decision maker) and secondary data from PLN data base, followed by data analysis.

The possible alternative system includes insurance, capitation and reimbursement system.

In the making of the analysis, the employee satisfaction in medical service is an important factor beside the effective cost factor. This is so since the employee is a determining factor in the Company productivity.

Fallowing theoretical background, empirical experience and data analysis, we come to the conclusion that the best alternative in the short run is a combination of reimbursement system with a clear defined regulation of medical service procedure. In the long run internalization can both reduce health care cost along and at the same time become a profit-making unit."

"Menurut WHO remaja adalah kelompok usia I0-19 tabun. Kelompok ini merupakan populasi yang besar yaitu sekitar 20% dari jumlah penduduk. Kelompok ini memberikan kontribusi bermakna dalam pencapaian MDG's 2015, yaitu AKP 5011.000 K.H, AKB 5611.000 K.H dan Prevalensi BBLR tertinggi (>8%) terjadi pada kelompok ibu < 20 tabun. (SDKl 2007). Juga ditemukan kontribusi tidak langsung pada kelompok remaja yang memberi kontribusi pada risiko kematian bayi antara lain 8,3% hipertensi mulai dijumpai pada usia muda (15-17 tabun), 16,3% anemia (15-24 tabua), dan masalah perilaku seperti kebiasaan merokok (33%} teljadi pada umur < 20 tabun, serta persentasi kumulatif tertinggi (54,76%) kasus AIDS terjadi pada kelompok umur 20-29 tabun. Kebanyakan lrelompok ini ada di sekolah formal, Informal dan non formal. Menjadi penting untuk mendidik merelre agar menjadi lebih baik dl masa datang. Departemen Kesehatan mengembangkan puskesmas sehagai Pelayanan Kesehatan Peduli Remaja (PKPR) sebagai upaya strategik untuk menjangkau kelompok ini. Pada tabun 2008, di Kota Sukabumi ditemukan 0,78% siswa anemia, 8,2% gizi lebih dan 32% Hb < 12 gr%. Sedangkan berdasarkan pelaporan PKPR tabun 2008 di kota Bogor ditemukan 1.009 kasus gizi, 570 gangguan belajar dan 329 kasus gangguan haid. Kota Sukabumi dl kenai sebagai kola juara dalam perlomhaan lJKS dan Bogor pada tabun 2003 implementasi PKPR, pada tabun 2006 semua puskesmas sudah PKPR. Tujuan penelitian ini untuk membuktikan mana yang lebih efisien. Disain penelitian dengan cross sectional dan analisis biaya minimisasi. Perhitungan biaya menggunakan ABC (Aetivity Based Costing). Hasil studi ini adatab PKPR lebih efisien.

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Adolescent according to WHO is a group of teenager between 10 to 19 years old. This group is a large population (20%) of the total population in Indonesia.. This group contributes a significant influence to reach the MDG's 2015 goals, where Perinatal Mortality Rate (PMR) is 50/I ,000 KH, Infaot Mortality Rate (IMR) is 56/1,000 and the high Low Birth Weight Rate (>80%) in a group of mothers age below 20 years (IDHS 2007). It was also found indirect contribution to the risk of infant death. For example 8.3% hypertension cases were found in young ages (15 to 17 years), as well as 16.3% of anemia (IS to 24 years), and behavior problems such as smoking habit (33%). The highest cumulative percentage (54.76%) of AIDS' cases is also found in a group of adolescent ages between 20 to 29 years. Most of them are attending formal school, informal as well as non formal education. It is important educate this group for a better future. The Ministry of Health (MOH) uses the Health Centre as Pelayanan Kesehatan Peduli Remaja (PKPR) or Adolescent Friendly health services (AFHS) as a strategic approach to reach the adolescent group by health workers. In 2008, it was found that in Sukabumi 0.78% student was having anemia, 8.2% with obesity and 32% was having Hb < 12 gr %. On the other hand, based on AFHS analysis year 2008 in Bogor, it was found 1,009 cases with obesity, 570 cases with problems in study and 329 cases related with menstruation problems. Sukabumi is known as a champion city for variety of UKS national championship, and Bogor in the year of 2003 implemented a trial on AFHS aod since 2006 all Puskemas have been transformed to AFHS. The objective of this study is to describe which intervention is more efficient. We employed a cross sectional design and Cost Minimization Analysis (CMA). "

"Pada perkembangan zaman yang modern ini, kesehatan dan kebugaran tubuh telah menjadi bagian penting dari tren hidup orang-orang yang tinggal di kota-kota besar. Mahasiswa pun tidak lepas dari fenomena ini. Terlebih jika mahasiswa tersebut memiliki banyak kegiatan yang secara tidak langsung menuntutnya agar memiliki stamina yang kuat. Sebab, jika terjatuh sakit, maka akan banyak tugas dan kewajiban yang terbengkalai. Media merupakan alat penyampaian informasi kesehatan yang berperan dalam pengetahuan seseorang. Membaca buku atau majalah kesehatan, menonton acara kesehatan di TV, atau mencari informasi kesehatan di internet, adalah pilihan-pilihan yang dapat dilakukan. Pengetahuan yang diperoleh dari informasi merupakan salah satu bentuk respon terhadap stimulus atau kebutuhan kesehatan mereka. Penelitian ini menggunakan desain studi potong lintang dengan pendekatan kuantitatif dengan menyebarkan kuesioner pada responden yang merupakan pasukan marching band Madah Bahana Universitas Indonesia (MBUI) tahun 2014. Penelitian bertujuan untuk mengetahui tingkat kebutuhan dalam mencari informasi kesehatan. Penelitian ini menghasilkan kesimpulan bahwa mesin pencari Google paling banyak diakses oleh pasukan yaitu sebesar 68,5%, 69,7% anggota setuju mengakses informasi kesehatan untuk memulihkan kesehatan, 42,7% anggota setuju bahwa kegiatan yang dilakukan selama latihan membuat mereka rentan terkena penyakit, dan 46,1% anggota tidak setuju bahwa asupan makanan yang disediakan UKM MBUI cukup untuk memberikan energi pada pasukan.

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On these days, healthy body has been an important part of life for people living in big cities, including college students. It?s more important for college student with a lot of activities, that make them want to be more healthy than ever. If they feeling sick, then they will doing bad in all of their stuffs, tasks, and responsibilities.

Media is the tool for delivering health information that will influences their knowledge. Reading health books or magazines, watching television show about health, or searching for health information, are the options for get the information. Knowledge that they get from the information is one of the responses against stimulus or their health needs.

This study is using cross-sectional design with quantitative approach, and give the questionnares to the squad of marching band Madah Bahana University of Indonesia 2014. This study?s goal is to know needs level in health information search.

This study's conclusions are Google search engine is the most often media accessed by the squad (68,5%), 69,7% of the squad agreed that they accessed the health information for health recovery, 42,7% of the squad agreed that marching band activity is potential to make them sick, and 46,1% of the squad are not agreed that foods provided by Madah Bahana was enough for their energy."

"Skripsi ini membahas mengenai pelaksanaan rujukan rawat jalan pertama peserta askes yang berkunjung di Puskesmas, dan dilakukan pelayanan rujukan oleh petugas Dokter yang ada di Puskesmas Harapan Raya selaku Provider PT Askes (Persero) Cabang Utama Pekanbaru di Kota Pekanbaru tahun 2012. Penelitian ini untuk mengetahui gambaran pemahaman dokter puskesmas sebagai gatekeeper, pemahaman kapitasi, sistem rujuk balik dan aspek kebijakan terhadap rujukan rawat jalan tingkat pertama di Puskesmas. Penelitian ini merupakan penelitian deskriptif dengan desain kualitatif. Hasil yang ditemukan dalam penelitian ini menunjukkan Puskesmas Harapan Raya yang memiki rasio rujukan diatas 50% diatas standart PT Askes dimana dokter selaku penanggung jawab rujukan sudah melaksanakan rujukan dengan indikasi medis, tapi masih saja adanya tuntutan pasien dalam merujuk, rata-rata dokter yang merujuk tidak memahami dokter di Puskesmas sebagai gatekeeper atau penjaga pintu akses dari rujukan, sistem rujuk tidak berjalan dengan baik dan mempengaruhi pelaksanaan rujukan. Diharapkan PT. Akses (Persero) Kantor Cabang Utama Pekanbaru lebih meningkatkan pendekatan dan kordinasi dengan pihak Puskesmas dalam mengendalikan rujukan dapat terkendali.

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This Skrip discussed the implementation of a referral for outpatient first participants Askes visit in Primary Health Care, service a referral to and done by a physician who is in Puskesmas Harapan Raya as provider Pt Askes ( Persero ) of the Main Branch Pekanbaru in the City of Pekanbaru 2012. This research to know a sense of understanding doctor as gatekeeper, a capitation, understanding a system of rujuk balik and the aspect of policy terhadapat the referent of an ambulatory the first degree in PHC. This research is research descriptive with a design qualitative. A result that is found in the research indicated Puskesmas Harapan Raya have the ratio of the referent of the above 50 % and above standart Pt Askes where a doctor as caretaker a reference have been carried out the referent of the medical, with the indications but still, a patient in a reference to the demands the implementation of a referral . which of the average physician who refer don ' t understand a physicians in PHC as a gatekeeper or a door-keeper access from the reference, a system of reconcilement does not run."