PERHITUNGAN ANGGARAN JAMINAN KESEHATAN BERDASARKANKAN NILAI KAPITASI DI PG KREBET BARU MALANG

ABSTRACT: PG Krebet Baru managed its own financing program of healthcare using fee-for-service mechanism. This mechanism  caused  the  healthcare  cost  exceeds  the  prepared  budget.  This  study  aimed  to  calculate  the healthcare budget for PG Krebet Baru based on capitation. It was a non-experimental study using a case-study approach  with  quantitative  descriptive  method.  Checklist  instrument  varied  design  based  on  type  of  visiting patients, healthcare service, healthcare service cost and medicine cost. The highest utilization rate of outpatient was  at  Internist  clinic  meanwhile  the  highest  of  inpatient  was  for  health  treatment.  The  highest  charge  each proceduree for outpatient was at Nerves clinic, meanwhile for inpatient was for the service of physician in surgery. The highest capitation value for outpatient was at Internist clinic (Rp8.792) and for inpatient was for the service of physician  in  surgery  (Rp15.065).  The  budget  that  PG  Krebet  Baru  need  to  prepared  based  on  calculation  of capitation value is Rp1.410.638.220. The calculated budget in this project could not be used direcly for the base of calculating healthcare budget at PG Krebet Baru yet since the risks aside of prior utilization isn’t calculated.
Keywords: capitation, charge per proceduree, utilization rate
Penulis: Adiapaksi Nastiti Primudyasiwi, Thinni Nurul Rochmah
Kode Jurnal: jpkedokterandd130164

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