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[Pada 1 Januari 2014 Negara Indonesia berupaya untuk mensejahterakanrakyatnya melalui Jaminan Kesehatan Nasional (JKN). Jaminan Kesehatan berupaperlindungan kesehatan agar peserta memperoleh manfaat pemeliharaan kesehatandan perlindungan dalam memenuhi kebutuhan dasar kesehatan. Dalam pelaksanaanpenyelenggraan jaminan kesehatan pada prinsipnya menggunakan konsep managedcare, yaitu suatu teknik yang mengintegrasikan pembiayaan dan pelayanankesehatan melalui penerapan kendali biaya dan kendali mutu dengan tujuanmengurangi biaya pelayanan yang tidak perlu melalui cara meningkatkan kelayakandan efisiensi pelayanan kesehatan.Penelitian ini bertujuan untuk mengetahui dan menganalisa gambaran polapemanfaatan pelayanan kesehatan bersumber dana kapitasi dan non kapitasi padaFKTP milik Pemerintah di Kabupaten Pandeglang. Penelitian ini merupakan studianalitik dengan desain cross sectional. Sampel sebanyak 615 pasien, merupakanpasien yang berkunjung ke FKTP milik Pemerintah di tiga wilayah Puskesmasterpilih.Hasil penelitian menunjukkan bahwa Proporsi peserta JKN yangmemanfaatkan pelayanan kesehatan di FKTP milik Pemerintah di KabupatenPandeglang adalah 47,3%, sebesar 52,7% dari yang memanfaatkan pelayanankesehatan merupakan bukan peserta JKN (pasien umum). Pemanfaatan pelayanankesehatan pada peserta JKN sebanyak 66,7% memanfaatkan jenis pelayanankesehatan yang dapat didanai oleh kapitasi dan 33,3% memanfaatkan jenispelayanan kesehatan yang dapat didanai oleh non kapitasi. Pada peserta JKNpemanfaatan jenis pelayanan kesehatan yang dapat didanai oleh non kapitasi lebihtinggi dibandingkan dengan bukan peserta JKN. Faktor – faktor yang berhubungandengan pemanfaatan jenis pelayanan kesehatan yang didanai kapitasi dan nonkapitasi di FKTP adalah status kesehatan, kepesertaan JKN, dan kemampuanmembayar.Disarankan dalam perumusan pembuatan kebijakan tingkat daerahdiharapkan dapat lebih memperhatikan acuan pelaksanaan ditingkat pusat, sehinggamanfaat pelayanan kesehatan bagi masyarakat tidak menjadi bias. Dalammenunjang Universal Coverage pada tahun 2019, mekanisme pendaftaran pesertaJKN diharapkan dapat menjadi bahan pokok bahasan penting di tingkatKementerian Kesehatan maupun BPJS sebagai pelaksana;On 1st January 2014, Indonesia tried to welfare its people by National HealthInsurance (JKN). National Health Insurance in the form of health protection forparticipants to obtain health care benefits and protection to meet basic health needs.Principle of health insurance implementation is using managed care principle,technique that integrates the funding and health care trough the implementation ofcost control and quality control with the aim of reducing the cost of needlessservices by improve the viability and efficiency of health care.This research aims for knowing and analysing the models of health careutilization which funded capitation and non-capitation in government primaryhealth facility of Pandeglang Regency. This research is an analytical study withcross sectional design. Amount of samples are 615 patients, those are visited togovernment primary health facility at the three areas selected health centers.The result of research show that national health insurance proportion ofparticipants who use the health care in government primary health facility ofPandeglang is 47.3%, and 52.7% of using health care is not participant of nationalhealth insurance. In health care utilization of national health insurance participantthere are 66,7% who use health care model of capitation and 33,3% who use healthcare model of non-capitation. In national health insurance participant of health careutilization with non-capitation model is higher than non-participant of nationalhealth insurance. Factors that related to the utilization of health care with fundedcapitation and non-capitation in primary health facility are health status,membership of national health insurance, and ability to pay.It is suggested in the formulation of policy-making in regional level isexpected to be more concerned with the reference implementation at central level,so the benefits of health care for the people will not be refraction. In supporting theUniversal Coverage in 2019, the registration mechanism of national healthinsurance participant is expected to be an important discussion at the HealthMinistry level and BPJS as executor, On 1st January 2014, Indonesia tried to welfare its people by National HealthInsurance (JKN). National Health Insurance in the form of health protection forparticipants to obtain health care benefits and protection to meet basic health needs.Principle of health insurance implementation is using managed care principle,technique that integrates the funding and health care trough the implementation ofcost control and quality control with the aim of reducing the cost of needlessservices by improve the viability and efficiency of health care.This research aims for knowing and analysing the models of health careutilization which funded capitation and non-capitation in government primaryhealth facility of Pandeglang Regency. This research is an analytical study withcross sectional design. Amount of samples are 615 patients, those are visited togovernment primary health facility at the three areas selected health centers.The result of research show that national health insurance proportion ofparticipants who use the health care in government primary health facility ofPandeglang is 47.3%, and 52.7% of using health care is not participant of nationalhealth insurance. In health care utilization of national health insurance participantthere are 66,7% who use health care model of capitation and 33,3% who use healthcare model of non-capitation. In national health insurance participant of health careutilization with non-capitation model is higher than non-participant of nationalhealth insurance. Factors that related to the utilization of health care with fundedcapitation and non-capitation in primary health facility are health status,membership of national health insurance, and ability to pay.It is suggested in the formulation of policy-making in regional level isexpected to be more concerned with the reference implementation at central level,so the benefits of health care for the people will not be refraction. In supporting theUniversal Coverage in 2019, the registration mechanism of national healthinsurance participant is expected to be an important discussion at the HealthMinistry level and BPJS as executor] |
T43498-Arovian Yuliardi.pdf :: Unduh