Jurnal Manajemen Pelayanan Kesehatan
Not a member yet
438 research outputs found
Sort by
Pengaruh Umpan Balik Dampak Monitoring-Training-Planning (MTP) Dalam Pengobatan ISPA Di Puskesmas Kabupaten Sleman
No full textTERSEDIA DALAM FIL
Telaah Rekam Medis Pendidikan Dokter Spesialis Sebelum Dan Sesudah Pelatihan Di IRNA II RSUP Dr. Sardjito Yogyakarta
No full textTERSEDIA DALAM FIL
Manajemen Hiperkes dan Keselamatan Kerja di Rumah Sakit (Tinjauan Kegiatan Keselamatan dan Kesehatan Kerja di Institusi Sarana Kesehatan)
Full text linkTERSEDIA DALAM FIL
Ciri-Ciri Pengawas Minum Obat yang Diharapkan oleh Penderita Tuberkulosis Paru di Daerah Urban dan Rural di Yogyakarta
Full text linkTERSEDIA DALAM FIL
Analisis Pembiayaan Kesehatan Keluarga Miskin di Kabupaten Buton Provinsi Sulawesi Tenggara
Full text linkTERSEDIA DALAM FIL
KAJIAN KELAYAKAN BADAN LAYANAN UMUM DAN ALTERNATIF BENTUK PENYELENGGARAAN JAMSOSKES SUMATERA SELATAN SEMESTA SESUAI UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL
Full text linkBackground: Social Health Insurance Program (Jamsoskes)of South Sumatera is a system of health insurance for theentire population of South Sumatera, who does not have healthinsurance. The operational fund is shared between the provinceand district. To determine the feasibility of the Public ServiceEnterprise and other alternatives in the implementation ofJamsoskes program.Methods: The study was a qualitative method. The unit ofanalysis is Jamsoskes program. Data were obtained throughin-depth interviews and focus group discussion using theguidelines, and analyzed by content analysis and analysis forpolicy.Results: Based on the legal aspects, the implementation ofJamsoskes in the form of Public Service Enterprise is not contraryto the laws and regulations. In addition, based on theresults of judicial review by the Supreme Constitution in 2005,the National Social Security System Act does not face theopportunity for local government to establish and develop regionalprovider of social security within the framework of nationalsocial security system. Based on some aspects, thereare 3 alternatives for Jamsoskes Provider Agency in accordingto the National Social Security System Law: 1) Maintainingthe management system of Jamsoskes by Health Department,2) Determining an existing of a non-profit operating bodies, 3)Administering into the Public Service Enterprise (BLU / BLUD)Conclusion: Implementation of Jamsoskes in the form of PublicService Enterprise is not contrary to the National SocialSecurity System Law. Recommendation for the South Sumateraprovincial government in order to consider the Public ServiceBodies as an Operating Bodies of Jamsoskes in the futureunder the legal both national and regional level.Keywords: public service bodies, health insurance, administeringbodies, laws, legal aspects, not for profit
REVIEW KEBIJAKAN PADA INDIKATOR PENGEMBANGAN DESA SIAGA DI PROVINSI JAWA TIMUR
Full text linkThis article is a policy review that analyze the indicators indeveloping alert villages which was build by Province HealthOffice of East Java. Using normatif approach the core problemand its characteristics was identified. Fulfilment of the indicatorsin developing alert villages in East Java Province and estimatingthe scores to rank the development of an alert village was thecore problem. Analyzing it’s consequencies, resistance andtrade-off was done using predictive approach.Conclusion of the analysis is that using the indicators willfaced obstacles in deciding the development rank which wasreach by the alert villages. Suggestion of this analysis is touse the main steps in developing alert villages which wasstated in Kepmenkes 564/2006 as indicators. Usingpercentages in estimating indicators to fixed the rank of alertvillages was suggest also.Keywords: indicator, alert villages development, policy revie
KINERJA PENERAPAN SISTEM MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA PERUSAHAAN PESERTA PROGRAM JAMINAN KECELAKAAN KERJA PADA PT JAMSOSTEK CABANG MEDAN
Full text linkBackground: The high number of industrial accident is causedby management dysfunction in term of occupational healthand safety. The implementation of occupational health andmanagement system (OHSMS) established by the Regulationof The Minister of Manpower No. 05/1996, is a governmentpolicy that has to be implemented by the enterprises in theattempt to decrease industrial accident rate. The performanceof OHSMS implementation is assessed by OHSMS audit togather objective evidence from strength and weakness in theimplementation of occupational health and safety in work places.Method: The type of this research is survey research.Research sample was established based on the manpowernumber criteria of at least 100 people in each enterprise. Theperformance of OHSMS implementation based on 12 OHSMSaudit elements was known to be correlated with 5 OHSMSimplementation principles. One factor repeated observationvariance analysis was used to test the performance differenceof 12 OHSMS audit items and 5 OHSMS implementation principles.Result: A number of 53 (96.36%) enterprises fulfilled 0-60%criteria and 2 enterprises (3.64%) fulfilled 60-84% criteria from166 OHSMS audit criteria. The mean criteria fulfillment number(percentage) was highest achieved (scored 4) in 5th element(purchasing) that is 4 out from 7 criteria (57.14%) in 5th element.Mean score of 5th element was reached with the highestpercentage (74.87% from 5th element maximum score). F-testresult showed a significant difference (p < 0.01) in 12 OHSMSaudit elements performance and t-test showed variety betweeneach performance in 12 OHSMS audit elements. Mean criteriafulfillment number (percentage) was highest achieved (scored4) in 3rd principle that is 20 out of 67 criteria (29.85%) of 3rdprinciple. Principle 3 means score was reached with the highestpercentage (55.40% from 3rd principle maximum score). F-testresult showed a significant difference (p < 0.01) in 5 principlesof OHSMS implementation performance and t-test resulted invariety between each principle performance in 5 principles ofOHSMS implementation.Conclusion: Management should have a commitment andinvolve all workers in enhancing OHSMS implementationperformance to reduce industrial accident rate which lead toproductivity and work quality improvement.Keywords: industrial accident, registered enterprises in theemployment accident benefit program, the implementationperformance of occupational health and management syste
PERSEPSI STAKEHOLDERS TERHADAP LATAR BELAKANG SUBSIDI PREMI, SISTEM KAPITASI DAN PEMBAYARAN PREMI PROGRAM JAMINAN KESEHATAN JEMBRANA
Full text linkBackground: Premium subsidy of Jaminan KesehatanJembrana or Jembrana Health Insurance (JKJ) in JembranaDistrict has a rising trend since it began and needs toredistribute, it’s critical to apply the cost containment programsby introducing capitation system to primary health careproviders and premium payment to the member of JKJ.Purpose: To examine perceptions of policy makers towardbackground of premium subsidy, capitation system and premiumpayment of JKJ and perceptions of providers toward capitationsystem.Method: Research was using cross sectional design anddata was taken by qualitative method. The subject was policymakers and primary health care providers of JKJ. Instrumentbeing use was deep interview guidance.Result and Conclusion: Generally policy makers of JKJ hadmisinterpretation about the concept of basic needs and equityegaliter in health, that causing resistance on premium payment.Generally policy makers and providers of JKJ had badperception about capitation system.Keywords: health insurance, capitation, premium paymen
UNDANG-UNDANG SJSN PERLU UNTUK DIAMANDEMEN DAN DIIKUTI PENYUSUNAN UNDANG-UNDANG ASURANSI KESEHATAN
Full text linkIndonesia diharapkan mengikuti Konvensi ILONo 102/1952 yang mengatur (1) kecelakaan kerjapenyakitjabatan, (2) sakit-persalinan, (3) cacat totaltetap termasuk karena hal lain, (4) pemutusanhubungan kerja bagi yang bekerja, (5) sementarabelum bekerja (fresh graduate), (6) hari tua dan (7)potensi kemiskinan (tunjangan keluarga). Undang-Undang SJSN yang disahkan di tahun 2004 sebagaikebijakan nasional mengenai jaminan sosialdiperlukan untuk mengatur berbagai hal tersebut.Masalah kebijakan yang ada saat ini adalah UUSJSN yang diharapkan banyak pihak akan efektifuntuk mengatur asuransi/jaminan kesehatan diIndonesia ternyata gagal memenuhi harapan ini.Undang-Undang SJSN sudah lebih dari 5 tahun tidakefektif, dan mempunyai prospek yang sulit dijalankansecara teknis. Mengapa hal ini terjadi? Dipandangdari tujuannya, isi UU SJSN bersifat tanggung.Apakah sebagai UU yang bertujuan mengaturberbagai jaminan sosial seperti amanah Konvesi ILOsecara garis besar, ataukah bertujuan mengatursampai ke urusan operasional pelaksanaan.Salahsatu ketidak jelasan UU SJSN sebagaiUU yang bertujuan untuk mengatur Social Securityadalah mengenai fungsi pemerintah. Di dalam UUSJSN juga tidak jelas peran pemerintah propinsi dankabupaten. Hanya disebut sebagai Pemerintah.Konotasi adalah pemerintah pusat (APBN).Sementara itu de-facto saat ini, pemerintah propinsidan kabupaten mempunyai andil besar dalam jaminankesehatan. Ketidak jelasan ini memicu YudicialReview di MK dan sampai sekarang masih menjadikontroversi.Apabila UU SJSN bertujuan mengatur haloperasional untuk asuransi dan jaminan kesehatan,terlihat bahwa hanya sedikit pasal yang mengaturnya(10 Pasal, dari nomor 19 sampai 28). Pasal-pasaltersebut tidak cukup karena asuransi/kesehatan danjaminan kesehatan sangat kompleks. Diperlukanaturan dalam level UU yang mencakup posisijamkesda, perusahaan asuransi swasta, bagaimanamutu pelayanan akan dijamin, apa peran Kemkes,DinKes, RS, hubungan kontraktual, masalahpemerataan pelayanan, dan lain sebagainya.Khusus untuk pemerataan ada pasal dalam UUSJSN yang menyulitkan operasionalnya misalnyapasal 23 ayat 3.Dalam hal di suatu daerah belum tersediafasilitas kesehatan yang memenuhi syarat gunamemenuhi kebutuhan medik sejumlah peserta, BPJaminan Sosial wajib memberikan kompensasi.Pasal ini sungguh sangat sulit dijalankan karenapenyebaran tenaga dan fasilitas kesehatan diIndonesia yang masih sangat timpang. Sebagaigambaran di Propinsi NTT saat ini tidak ada dokteranastesi bekerja penuh. Jika pasal ini dijalankanmaka BP Jaminan Sosial harus memberikankompensasi pada warga NTT yang membutuhkanpelayanan anastesi. Apa bentuk kompensasinya?Apakah harus memberikan dana transportasi keDenpasar bagi pasien dan keluarganya untukberobat? Pasal ini pelaksanaannya sulit didefinisikan.Hal ini yang menyebabkan UU SJSN ini sulit dalampelaksanaan secara teknis.Dalam konteks perbandingan isi, UU SJSN perludibandingkan dengan Amerika Serikat yang besarnyanegara, sistem ekonomi, adanya pemerintah pusatdan daerah, mirip dengan Indonesia. Di AmerikaSerikat, hal-hal dalam Konvensi ILO (tahun 1952)disebut sebagai Social Security Act yang diterbitkanlebih awal di tahun 1935 dengan berbagai amandemensesudahnya. Secara lengkap yang diatur adalah:Federal Old-Age, Survivors, and Disability Insurance,Unemployment benefits, Temporary Assistance forNeedy Families, Health Insurance for Aged andDisabled (Medicare), Grants to States for MedicalAssistance Programs (Medicaid), State Children’sHealth Insurance Program (SCHIP), dan SupplementalSecurity Income (SSI). Selanjutnya untuk hal-hal yanglebih spesifik untuk asuransi kesehatan diatur olehberbagai UU, antara lain: The Health InsurancePortability and Accountability Act of 1996 (HIPAA),the Medicare Prescription Drug, Improvement, andModernization Act, dan tentunya yang terkait denganreformasi kesehatan Obama. Dengan demikian SocialSecurity Act yang disusun tahun 1935 ini tidak satusatunyaUU yang mengatur asuransi/jaminankesehatan di Amerika Serikat.Di Indonesia ada beberapa pendapat yangmenyamakan UU SJSN dengan ReformasiKesehatan. Menurut hemat kami, UU SJSN lebihmirip dengan Social Security Act yang seperti UUpayung di Amerika Serikat. Dengan logika inisebaiknya UU SJSN diamandemen agar menjadisemacam UU payung untuk melaksanakan KonvensiILO. Sementara itu untuk mengatur sistem jaminandan asuransi kesehatan diperlukan UU mengenaiasuransi/jaminan kesehatan. (Laksono Trisnantoro,[email protected])