Dampak Akibat Implementasi Program JKN Terhadap Biaya Kesehatan di Fasilitas Kesehatan Tingkat Lanjutan

Main Article Content

Annisa Nurul Arofah
Viva Maiga Mahliafa Noor
Febri Endra Budi Setyawan
Dafa Azmi Syauqi Shihab

Abstract

The current implementation of JKN brings major changes in the health care and financing system, especially in hospitals. The payment system in hospitals has changed, which previously used a fee-for-service system, was changed to a prospective payment system using the INA-CBGs rate and BPJS Kesehatan was appointed as the implementing institution for the program. The INA-CBG's payment system was chosen because it is possible to control health costs, encourage quality services according to standards, limit unnecessary or excessive health services and encourage providers to carry out cost containment. This study aims to determine the impact of the implementation of the JKN program on health costs in FKTL. This research is a literature review (narrative review) by conductinga literature review of 12 journals. Journals were obtained from Google Scholar and PubMed searches with the keywords Impact of JKN on Healthcare Costs in FKTL OR Hospitals which were selected with the criteria of national and international journals with good reputation and indexed by SINTA and SCOPUS which were published no later than 2016. the purpose of this study and passed the selection. The results of the analysis show that the impact of JKN, especially on health costs, has an effect on the pattern ofJKN utilization by the community, patient satisfaction, hospital efficiency, Gross Profit Margin and Net Profit Margin of hospitals, and has an effect on hospital income. It can be concluded that there has been an influence on FKTL since the JKN era entered Indonesia.

Downloads

Download data is not yet available.

Article Details

How to Cite
Arofah, A. N., Noor, V. M. M., Setyawan, F. E. B., & Shihab, D. A. S. (2022). Dampak Akibat Implementasi Program JKN Terhadap Biaya Kesehatan di Fasilitas Kesehatan Tingkat Lanjutan. CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal, 3(2), 64-72. https://doi.org/10.37148/comphijournal.v3i2.104
Section
Research Articles

References

Kadarisman M. Analisis tentang Pelaksanaan Sistem Jaminan Sosial Kesehatan Pasca Putusan Mahkamah Konstitusi. Jurnal Hukum IUS QUIA IUSTUM. 2015;22(07):467–488.

Wiguna A.S. Hubungan Mutu Pelayanan BPJS Kesehatan Dengan Kepuasan Pasien BPJS Di Instalasi Rawat Inap Kelas II Di RSU Imelda Medan. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda. 2017;2(Februari):207–218.

Mutiara H, et al. Hubungan Mutu Pelayanan dengan Kepuasan Pasien Peserta BPJS di Ruang Rawat Inap Penyakit Dalam RSUD Dr. H Abdul Moeloek. Jurnal Kedokteran Unila. 2018;2(1):31–36.

Anjani A.D., Nurul AD.L. Hubungan Pengetahuan Kepala Keluarga Tentang Badan Penyelenggara Jaminan Sosial (BPJS) dengan Keikutsertaan dalam Penggunaan Badan Penyelenggara Jaminan Sosial di Kelurahan Belian Kota Batam. Jurnal Kebidanan Malahayati, 2017;3(2):94–98.

Puspita R., Widodo A. Perbandingan Metode KNN, Decision Tree, dan Naïve Bayes Terhadap Analisis Sentimen Pengguna Layanan BPJS. 2021;5(4):646–654.

Listiyana I., Rustiana E.R. Analisis Kepuasan Jaminan Kesehatan Nasional Pada Pengguna BPJS Kesehatan Di Kota Semarang. Unnes Journal Public Health. 2017;6(1).

Fahriati A.R. National Health Insurance, Profitability, and Service Quality: Case Study at the Private Hospital in West Java. Etikonomi. 2018;17(1):153–160. doi: 10.15408/etk.v17i1.7064.

Gorman M. The Impact of National Health Insurance on Delivery Of Health Care. Public Health and Preventive Medicine Archive (PHPMA). 2021;61(5):962–971. doi: 10.2105/AJPH.61.5.962.

Rahayuningrum I.O., Tamtomo D., Suryono A. Comparison Between Hospital Inpatient Cost and INA-CBGs Tariff of Inpatient Care in the National Health Insurance Scheme in Solo, Boyolali and Karanganyar Districts, Central Java. Journal of Health Policy and Management, 2016;01(02):102–112. doi: 10.26911/thejhpm.2016.01.02.05.

Amalia R. Analisis Penerapan Indonesia Case Based Groups (INA-CBG’S) dalam Pelayanan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di Rumah Sakit Kabupaten Pelalawan. Pekbis Jurnal. 2020;12:106–116.

Nilawati N. Kode Klasifikasi Penyakit Standar Internasional untuk Dokter Gigi (The Codes of International Classification of Disease-10 (ICD-10) for Dentist). Stomatognatic (J.K.G Unej). 2021;18(1):25–29.

Intiasari A.D., Hendrartini J., Trisnantoro L. Analisis Pola Pemanfaatan Jaminan Pembiayaan Kesehatan Era Jaminan Kesehatan Nasional pada Peserta Non PBI Mandiri di Wilayah Perdesaan Kabupaten Banyumas. JKKI. 2016;5(3):101–109. Available at: https://jurnal.ugm.ac.id/jkki/article/view/30649/18521.

Trisna W., Pramusianto A., Lazuardi L. Peran Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan dan Implikasinya Terhadap Ketahanan Masyarakat (Studi di RSUD Hasanuddin Damrah Manna, Kabupaten Bengkulu) Berdasarkan Undang-Undang Sistem Jaminan Sosial Nasional dan program BPJS Kesehatan. Jurnal Ketahanan Nasional. 2017;23(2):199–216.

Putra G.W., Pujiyanto P. Evaluasi Dampak Program Keluarga Harapan Terhadap Pemanfaatan Fasilitas Pelayanan Kesehatan untuk Layanan Persalinan di Indonesia (Analisis Data SUSENAS tahun 2018). Jurnal Ekonomi Kesehatan Indonesia. 2020;5(1). doi: 10.7454/eki.v5i1.3898.

Suparmi M.I.B., Lestari H. Jaminan Kesehatan Sebagai Solusi Mengatasi Hambatan Akses dan Biaya dalam Pemanfaatan Pelayanan Kesehatan Ibu di Indonesia. Badan Litbangkes. 2019;1–6. Available at: http://www.healthpolicyplus.com/ns/pubs/17359-17648_PBHealthInsuranceInd.pdf.

Nugraheni W.P., Zahroh A.H., Hartono R.K. Best Practice of Hospital Management Strategy to Thrive in The National Health Insurance Era. Jurnal Administrasi Kesehatan Indonesia. 2021;9(1):9–22. doi: 10.20473/jaki.v9i1.2021.9-22.

Lasut R.F., Mandey S.L., Jan A.H. Analisis Pengaruh Kualitas Pelayanan dan Besaran Premi Terhadap Tingkat Kolektibilitas dan Kepuasan Peserta sebagai Variabel Intervening pada BPJS Kesehatan Cabang Manado. Aksara: Jurnal Ilmu Pendidikan Nonformal. 2021;7(2):633. doi: 10.37905/aksara.7.2.633-646.2021.

Arifin N.F., Pasinringi A.S., Palu B. Kepuasan Kerja Tenaga Medis pada Era Jaminan Kesehatan Nasional. Media Kesehatan Masyarakat Indonesia. 2018;14(2):190. doi: 10.30597/mkmi.v14i2.4531.

Wijayani R.W. Dampak Implementasi Program Jaminan Kesehatan Nasional (JKN) Terhadap Kinerja Keuangan Rumah Sakit Vertikal Kementerian Kesehatan. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 2018;7(3):134–139. doi: 10.22146/JKKI.12090.

Nurwahyuni A., Setiawan E. Kinerja Rumah Sakit Swasta dengan Pembayaran INA-CBGs di Era Jaminan Kesehatan Nasional: Casemix, Casemix Index, Hospital Base Rate. Jurnal Ekonomi Kesehatan Indonesia. 2020;4(2):1–10. doi: 10.7454/eki.v4i2.3822.

Prabowo R.B., Sunariman I., Aminda R.S. Strategi Bisnis Rumah Sakit Dalam Perspektif Universal Health Coverage (Studi Empiris Berbasis Bukti Pada Rumah Sakit Tipe B). Jurnal Manajemen. 2021;12(1):144. doi: 10.32832/jm-uika.v12i1.3719.

Irwandy,. Sjaaf A.C. Dampak Kebijakan Jaminan Kesehatan Nasional terhadap Efisiensi Rumah Sakit: Studi Kasus di Provinsi Sulawesi Selatan. Jurnal Media Kesehatan Masyarakat Indonesia. 2018;14(4):360. doi: 10.30597/mkmi.v14i4.5144.

Purwaningsih E., Trisnantoro L., Kurniawan F. Analisis Kebijakan Pembiayaan TB di Fasilitas Kesehatan Milik Pemerintah Era JKN di Kota Samarinda. Jurnal Kebijakan Kesehatan Indonesia: JKKI. 2018;07(02):74–78.

Most read articles by the same author(s)

<< < 1 2