Legal Review of Inpatient Services for Five Diagnoses (Typhoid, Dyspepsia, Gastroenteritis, Febricular Observation and Dengue Fever) for National Health Insurance Participants at Primary Level Health Care Facilities

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Published: Nov 1, 2024
DOI: https://doi.org/10.55885/jchp.v4i2.390
Keywords:
National Health Insurance, Primary Health Care, Non-Specialist Diagnoses

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Khaterina Kristina
Sekolah Tinggi Hukum Militer, Jakarta, Indonesia
Parluhutan Sagala
Sekolah Tinggi Hukum Militer, Jakarta, Indonesia
Suhadi Suhadi
Sekolah Tinggi Hukum Militer, Jakarta, Indonesia

Abstract

The national health insurance promulgated in the National Social Security System (SJSN) law in 2014 is an implementation of SJSN. Based on BPJS Health data from 2017 to 2019, Thypus, Dyspepsia, Gastroenteritis, Febrile Observation and Dengue Fever which are 5 (five) non-specialist diagnoses are included in the 10 (ten) diagnoses absorbing the largest costs and the most diagnoses in Advanced Inpatient (RITL) where the results of secondary data analysis of data amounted to 39% during 2017 – 2019 from all reference data with Severity Level light. In the study, the research method used is through the normative juridical method approach. The results of the discussion explained that primary health care in the JKN program is tasked with managing cases from 144 diagnoses. The capacity of inpatient services at FKTP is the main key in completing the diagnosis of Typhoid, Dyspepsia, Gastroenteritis, Febrile Observation and Dengue Fever, and this is formed from the competence of human resources owned, availability of facilities.

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How to Cite
Kristina, K., Sagala, P. ., & Suhadi, S. (2024). Legal Review of Inpatient Services for Five Diagnoses (Typhoid, Dyspepsia, Gastroenteritis, Febricular Observation and Dengue Fever) for National Health Insurance Participants at Primary Level Health Care Facilities. Journal of Community Health Provision, 4(2), 77-88. https://doi.org/10.55885/jchp.v4i2.390
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Vol. 4 No. 2 (2024): Journal of Community Health Provision
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Articles
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References

Alawode, G. O., & Adewole, D. A. (2021). Assessment of the design and implementation challenges of the National Health Insurance Scheme in Nigeria: a qualitative study among sub-national level actors, healthcare and insurance providers. BMC Public Health, 21, 1-12. https://doi.org/10.1186/s12889-020-10133-5

Aminah, S., Huliatunisa, Y., & Magdalena, I. (2021). Usaha kesehatan sekolah (uks) untuk meningkatkan perilaku hidup bersih dan sehat (phbs) siswa sekolah dasar. jurnal JKFT, 6(1), 18-28. http://dx.doi.org/10.31000/jkft.v6i1.5214

Bintoro, I. W., & Erliyana, A. (2023). Transisi Demokrasi Dan Pemenuhan Ham Dalam Perwujudan Sistem Kesehatan Nasional (Studi Banding Indonesia Dan Kuba). Jurnal Darma Agung, 31(5), 535-550. http://dx.doi.org/10.46930/ojsuda.v31i5.3736

Dewi, R., & Israhadi, E. (2021, May). Legal aspects of BPJS as national health insurance. In Proceedings of the 1st International Conference on Law, Social Science, Economics, and Education, ICLSSEE 2021, March 6th 2021, Jakarta, Indonesia. http://dx.doi.org/10.4108/eai.6-3-2021.2306412

Fahlevi, M., & Alharbi, N. S. (2021, October). The used of technology to improve health social security agency services in Indonesia. In 2021 3rd International Conference on Cybernetics and Intelligent System (ICORIS) (pp. 1-5). IEEE. https://doi.org/10.1109/ICORIS52787.2021.9649649

Gusnita, M. (2017). Asuransi Kesehatan Ditinjau Dari Hukum Islam (Studi Kasus Pada BPJS Kesehatan di Kantor Cabang BPJS Kesehatan Kota Metro) (Doctoral dissertation, IAIN Metro).

Hidayat, K. (2020). Peran usaha kesehatan sekolah (UKS) sebagai proses prilaku hidup bersih dan sehat peserta didik (Doctoral dissertation, Universitas Negeri Padang).

Jati, S. P., Fatmasari, E. Y., Risdanti, S., & Silavati, Y. A. (2021). Marketing Strategy and Referral Efforts from First Level Health Facilities (FKTP) to Diponegoro National Hospital through the 7P (Product, Price, Place, Promotion, People, Process, and Physical Environment). Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(2), 353-361. https://doi.org/10.30604/jika.v6i2.490

Kipo-Sunyehzi, D. D., Ayanore, M. A., Dzidzonu, D. K., & AyalsumaYakubu, Y. (2019). Ghana’s journey towards universal health coverage: the role of the national health insurance scheme. European Journal of Investigation in Health, Psychology and Education, 10(1), 94-109. https://doi.org/10.3390/ejihpe10010009

Kustiyanti, S. A. (2023). Smart Hospital: Konsep, Implementasi, dan Tantangan. Transformasi Rumah Sakit Indonesia Menuju Era Masyarakat, 5, 161.

Lutfiana, A., Lestari, I. S., Annisa, K., Sarah, S., Puspita, R., & Rasyid, Y. (2023). Strategi Pusat Kesehatan Masyarakat (Puskesmas) Kecamatan Cilandak Dalam Meningkatkan Akreditasi Ke Tingkat Paripurna. Pentahelix, 1(1), 1-14. https://doi.org/10.24853/penta.1.1.1-14

Manita, R., & Afrita, I. (2024). Aksebilitas Pembiayaan Dalam Program Jaminan Kesehatan Nasional. Innovative: Journal Of Social Science Research, 4(1), 12874-12886. https://doi.org/10.31004/innovative.v4i1.9581

Mulupi, S., Kirigia, D., & Chuma, J. (2013). Community perceptions of health insurance and their preferred design features: implications for the design of universal health coverage reforms in Kenya. BMC health services research, 13, 1-12. https://doi.org/10.1186/1472-6963-13-474

Rahmah, R. A., & Basri, M. H. (2024). Analysis of Needs and Service Capacity of BPJS at First-Level Healthcare Facilities in Bandung District. Journal of Indonesian Health Policy and Administration, 9(1), 3.

Sadiq, A. R., Hakim, A., Haryono, B. S., & Hanafi, I. (2024). Policy Implementation Model of National Health Insurance Through Social Health Insurance Institution (BPJS) in Indonesia. Journal of Law and Sustainable Development, 12(1), e2448-e2448. https://doi.org/10.55908/sdgs.v12i1.2448

Septiana, W., Azizah, S. N., & Wasir, R. (2024). Tantangan dan Peluang Mewujudkan Akses Universal ke Layanan Kesehatan Berkualitas di Indonesia: Literatur Review. Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi, 2(3), 115-128. https://doi.org/10.57213/antigen.v2i3.317

Sitorus, N., Yusrizal, Y., & Nasution, J. (2024). Peranan Program Jaminan Kesehatan Nasional (JKN) Dalam Mendorong Sustainable Development Goals (SDGs) di Indonesia. Economic Reviews Journal, 3(1), 45-60. https://doi.org/10.56709/mrj.v3i1.108

Solida, A., Amir, A., Sari, R. E., & Widiastuti, F. (2023). Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities. Journal of Applied Nursing and Health, 5(2), 378-389. https://doi.org/10.55018/janh.v5i2.148

Sutrisno, H., & Maimory, A. A. N. (2022). Analisis yuridis jaminan sosial kesehatan dalam Undang-Undang Nomor 24 tahun 2011 tentang Badan Penyelenggara Jaminan Sosial. Jurnal Pahlawan, 5(2), 1-7.

Trisnantoro, L. (2018). Healthcare system reform and governance for sustainable development under Indonesia’s health insurance (JKN) policy. In Sustainable development goals in Southeast Asia and ASEAN (pp. 143-159). Brill. https://doi.org/10.1163/9789004391949_008

Triyunarti, W., Amanwinata, R., & Astawa, I. G. P. (2022). The application of the services of the social security administration agency in Hospitals in the perspective of the national social security system. International Journal of Latin Notary, 3(01). https://doi.org/10.61968/journal.v3i01.47

Virnata, R. Z., & Masayu, A. D. (2024). Analisis Faktor-Faktor Pengambilan Keputusan Masyarakat Dalam Memilih Jasa Pelayanan Kesehatan Di Rumah Sakit Umum Daerah (RSUD) Dr. Mohammad Soewandhie Kota Surabaya. Journal of Research and Development on Public Policy, 3(2), 57-77. https://doi.org/10.58684/jarvic.v3i2.139