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.
Penulis: Adiapaksi Nastiti
Primudyasiwi, Thinni Nurul Rochmah
Kode Jurnal: jpkedokterandd130164