Download fulltext HTML
Geodesi, M., & Wardani, R. (2022). Performance of Health Facilities in Relation to Capitation Payments. KnE Life Sciences, 7(2), 766–778. https://doi.org/10.18502/kls.v7i2.10377

https://doi.org/10.18502/kls.v7i2.10377

statistics

  • 249 Abstract Views
  • 227 PDF Views
  • 0 HTML Views

authors

  • Meridian Geodesi

    Meridian Geodesi

    Ploso Regional General Hospital, Jombang, East Java, Indonesia
  • Ratna Wardani

    Ratna Wardani

    Health management and service policy, Master of Health, Strada Institute of Health Sciences, Indonesia
    https://orcid.org/0000-0001-9508-1066

Published Date

  • Feb 7, 2022

Performance of Health Facilities in Relation to Capitation Payments

KnE Life Sciences / 5th International Conference in Nursing (IVCN) / Pages 766–778

Abstract

Health facilities, in collaboration with BPJS Kesehatan, must organize health care efforts that are promotive, preventative, curative and rehabilitative. BPJS Kesehatan must collaborate with health facilities to implement a service quality control system and payment system for the efficiency and effectiveness of health insurance. The purpose of this research was to evaluate the performance of Puskesmas services in Jombang Regency, and to evaluate patient contact numbers, the ratio of non-specialist outpatient referrals and the ratio of Prolanis participants at health center services in Jombang Regency. This was qualitative research with a case study design. There were nine informants, including the Head of BLUD Puskesmas. Puskesmas contact numbers in Jombang Regency did not reach the target (150 permil). The outpatient referral ratio of non-specialist cases reached the target (less than 1%). The ratio of regular Prolanis participants visiting FKTP reached the target (≥ 50%), but in January-March 2021 this ratio decreased. The home visit ratio has not been implemented due to inadequate means of transportation. This research can be used as a reference to find ways to improve the components of KBKP so that it can maximize capitation payments.


Keywords: BPJS Kesehatan, FKTP, capitation based on service commitment, community health center

References
[1] Badan Penyelenggara Jaminan Sosial. Badan penyelenggara jaminan sosial. 2015.

[2] Badan Penyelenggara Jaminan Sosial. Badan penyelenggara jaminan sosial. Jombang; 2020.

[3] Nursalam RS, Utami S. Asuhan keperawatan bayi dan anak (untuk perawat dan bidan). Jakarta: Salemba Medika.

[4] Meri L. Analisis faktor–faktor yang mempengaruhi pencapaian indikator kapitasi berbasis pemenuhan komitmen pelayanan pada puskesmas di kota padang tahun 2016.

[5] Putra RH, Khaidir A. Concept of George C. Edwards III on implementation of regional regulations No. 12 of 2017 concerning youth in granting youth service in West Sumatera. International Journal of Progressive Sciences and Technologies. 2019;15:236–242.

[6] Rahman AO, Ayu EI. Pengaruh terapi antituberkulosis terhadap pertumbuhan penderita tuberkulosis anak di kota jambi. JAMBI MEDICAL JOURNAL” Jurnal Kedokteran dan Kesehatan. 2.

[7] Rahma A, Arso SP, Suparwati A. Implementasi fungsi pokok pelayanan primer puskesmas sebagai gatekeeper dalam program JKN (Studi di puskesmas juwana kabupaten pati). Jurnal Kesehatan Masyarakat. 2017;3:1–11.

[8] Suharsimi A. Prosedur penelitian suatu pendekatan praktek. 6th ed. Jakarta: Rineka Cipta; 2006.

[9] Annisa F. Evaluasi penerapan kapitasi berbasis pemenuhan komitmen pelayanan dalam meningkatkan mutu pelayanan kesehatan di kota padang tahun 2019. 2019.

[10] Sitompul S, Suryawati C, Wigati PA. Analisis pelaksanaan program pengelolaan penyakit kronis (Prolanis) BPJS kesehatan pada dokter keluarga di kabupaten pekalongan tahun 2016. Jurnal Kesehatan Masyarakat. 2016;4:145–153.

[11] Rosdiana AI, Raharjo BB, Indarjo S. Implementasi program pengelolaan penyakit kronis (Prolanis). HIGEIA ( Journal of Public Health Research and Development). 2017;1:140–150.