DAMPAK KEBIJAKAN KEPESERTAAN MANDIRI JAMINAN KESEHATAN NASIONAL (JKN) DI YOGYAKARTA
ABSTRACT: The implementation
of National Health Insurance (JKN) had been started since 1 January 2014. In
the first semester, several problems are found in the admission department.
First, it is found that there about 10% or 4,400 participants are they who are
suffering for disease or have used the health insurance. Second, there are
participants who are already undergoing treatment at the hospital and turning
out a large cost then they are newly registered as JKN participants.
Objective: To monitoring the implementation of independent participants policy
of the National Health Insurance (JKN) in Yogyakarta.
Methods: This research is a case study with qualitative and quantitative approaches.
Research will be conducted in the BPJS Yogyakarta, Academic Hospital of the
Gadjah Mada University, the Office of the Provincial Council Commission D Yogyakarta,
Yogyakarta Provincial Health Office in April 2015. The study was conducted by
in-depth interviews as well as filling the form of independent patient data.
Results: The viewpoint of the national health insurance participant is
positive. Independent participants consider it is important to enforce the
national health insurance program. Participants also consider it is reasonable
for them to pay the monthly dues. Their motivation to register as an
independent participant is already going to take advantage of health services,
a precaution and to protect themselves against the risk of illness. Compliance
participants who pay dues are in arrears to pay dues by 27%. The impact of
independent participants is people who are already sick or have health services
and will utilize it for about 123% claims ratio. It is better for the hospital
to do socialization, add more facilities and infrastructure, improve the
hospital services, leadership and bureaucracy.
Conclusion: Independent participants policy is to motivate people who are
already sick to register as a participants and 27% of participants who had
recovered in arrears to pay.The fundamental improvement in the
independentparticipants policy is an improvement on Presidential Decree No. 12
of 2013, especially chapters 4 and 5, Presidential Decree No. 111 of 2013
chapter 16F, and The Health Minister regulations No. 71 of 2013 article 21
paragraph 1 and 22 paragraph 1
Keywords: impact, independent
participant,National Health Insurance (JKN)
Penulis: Sri Sularsih
Endartiwi, Laksono Trisnantoro, Yulita Hendrartini
Kode Jurnal: jpkesmasdd170154