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"Tesis ini membahas mengenai mutu pelayanan kesehatan gigi dan mulut pada tiga jenis pelayanan kesehatan primer di Kabupaten Serdang Bedagai Provinsi Sumatera Utara. Penelitian ini adalah penelitian mixed method  dengan desain sequential dimana penelitian kuantitatif dilakukan terlebih dahulu lalu diperdalam dengan penelitian kualitatif. Hasil penelitian menemukan ada perbedaan mutu pelayanan kesehatan gigi dan mulut pada tigas jenis pelayanan kesehatan primer di Kabupaten Serdang Bedagai dan menyarankan Puskesmas untuk meningkatkan kepuasan pasien (khususnya pada kelengkapan alat, ruangan yang nyaman dan bersih, kemudahan akses, kecepatan dan keramahan dalam memberikan pelayanan), Klinik Pratama untuk meningkatkan kepuasan pasien (khususnya pada ketanggapan petugas dalam memberikan pelayanan dan kesigapan petugas dalam menangani keluhan), Praktik Mandiri Dokter Gigi melengkapi dokumen akreditasi dan meningkatkan kepuasan pasien (khususnya pada ketanggapan petugas dalam memberikan layanan, ketepatan waktu kedatangan dokter gigi dan kejelasan informasi mengenai alur layanan) dan Dinas Kesehatan Kabupaten Serdang Bedagai agar berkomitmen untuk penyetaraan mutu dengan melibatkan ketiga jenis pelayanan kesehatan primer dalam setiap kegiatan peningkatan mutu pelayanan Kesehatan di Kabupaten Serdang Bedagai Provinsi Sumatera Utara.

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The focus of this study is the quality of dental and oral healthcare in three types of primary healthcare in Serdang Bedagai Regency, North Sumatra Province. This research is a mixed method research with a sequential design where quantitative research is carried out first and then deepened with qualitative research. The results of the research found that there were differences in the quality of dental and oral health services in three types of primary health services in Serdang Bedagai Regency and suggested that the Public Health Center increase patient satisfaction (especially equipment completeness, comfortable and clean rooms, ease of access, speed and friendliness in providing services), Pratama Clinics to increase patient satisfaction (especially the responsiveness of officers in providing services and the alertness of officers in handling complaints), Private Dentist Practices to complete the practice requirements documents and increase patient satisfaction (especially the responsiveness of officers in providing services, punctuality of the dentist's arrival and clarity of service flow ) and the Serdang Bedagai District Health Service to commit to equalizing quality by involving the three types of primary health services in every activity to improve the quality of Healthcare in Serdang Bedagai District, North Sumatra Province."

"Latar Belakang : Tujuan menganalisis kebijakan pemanfaatan dana kapitasi JKN pada FKTPPuskesmas di Kabupaten Bogor mengacu Permenkes 21 tahun 2016.Metode : Kualitatif denganRapid Assesment Procedure, wawancara mendalam pada 12 informan, sampel purposive, terkaittujuan penelitian.Hasil : Terdapat disparitas tinggi dana kapitasi puskesmas meliputi peserta,norma kapitasi, jumlah dokter dan rasio dokter antara berbagai puskesmas. Wawancaramendalam didapatkan sulitnya pemenuhan rasio dokter ideal, norma kapitasi rendahmenunjukkan kuantitas kualitas puskesmas rendah, belum semua puskesmas melakukan prosesperencanaan dengan benar, puskesmas kapitasi kecil sulit dalam operasional dan yang besarberlebih operasional dan berpotensi menumpuk, penentuan poin cukup jauh berbeda antar tenaga,pemenuhan obat-obatan terkendala oleh pengadaan, potensi overlapping kapitasi dengan BOKdan kualitas pelayanan dokter menurun pada rasio dokter per peserta besar.Kesimpulan dan saran : Rasio dokter dengan peserta masih dibawah standar 1:5000 peserta perlu upayapemerataan, porsi kapitasi 60 untuk Jasa dan 40 opersional lain, ketercukupannya berbedaperlu ada backup dana operasional untuk yang kurang, adanya disinsentif jasa pelayanan perludikaji ulang, kapitasi porsi 40 dapat komplementer dengan BOK, sisa anggaran menguntungkanbila alternatif kegiatan mampu efektif efisien sesuai kebutuhan masyarakat, perlu perbaikanmekanisme pengadaan obat, dalam fleksibilitas anggaran perlu didorong PPK-BLUD padapuskesmas.Background The purpose of analyzing the policy of utilization of JKN capitation fund at FKTPPuskesmas in Bogor Regency refers to Permenkes 21 year 2016.

Method Qualitative with RapidAssessment Procedure, in depth interview on 12 informant, purposive sample, related to researchobjectives.

Results There is a high disparity of capitation funds for puskesmas coveringparticipants, capitation norms, number of doctors and the ratio of doctors between variouspuskesmas. In depth interviews found the difficulty of fulfilling the ideal physician ratio, lowcapitation norms indicated the low quality of the puskesmas, not all the puskesmas did the properplanning process, the small capitation clinics were difficult in the operational and theoverwhelming operational and potentially piled up, Drug fulfillment is constrained byprocurement, the potential for overlapping capitation with BOK and the quality of physicianservices decreases in the ratio of physicians per large participant.

Conclusions and suggestions The ratio of physicians to participants is still below the standard of 1 5000 participants needequalization effort, 60 capitation portion for services and 40 other opersional, differentsufficiency there should be operational fund backups for the less, the disincentives of service needto be reviewed, Capitation of 40 portion can be complementary with BOK, the rest of the budgetis advantageous if the activity alternative can be effectively efficient according to societyrequirement, need improvement of drug procurement mechanism, budget flexibility need to bepushed PPK BLUD at puskesmas."