Regional government concerns in health services in remote areas: Case study on special capitation policies in North Bengkulu Regency

Try Purnamasari,Diah Ayu Puspandari,Muttaqien Muttaqien,Mubasysyir Hasanbasri,Firdaus Hafidz,H Susilowati,R Dharmastiti,F.S.T Dewi,R.F Putri,Y.A Purwestri,T.R Nuringtyas,Gunadi Gunadi,R.I Jenie,Afiahayati Afiahayati

doi:10.1051/bioconf/20202805003

Abstract

The Minister of Health Regulation No. 52 of 2016 states that the tariff for first-level health services in remote areas and islands is determined based on special capitation tariffs, which is greater than the usual capitation tariffs. In North Bengkulu there is a primary health care that does not include a special capitation even though the criteria are the same as the primary health care that received it. The perception of stakeholders involved is needed to see whether the determination of criteria for disadvantaged areas for recipients of special capitation funds is in accordance with existing regulations or not.The study was based on in-depth interviews with 6 respondents from 6 institutions (Local Government, Regional Secretary, Health Office, the BPJS health branch office, and two Primary health care). The local government does not help question that matter to BPJS or help in other ways so that health care that do not receive special capitation funds can still provide optimal services like other remote health care. This study found the lack of socialization about health services in remote areas to non-health officials in local governments is the causes of weak support by local governments. This research shows that the application of central policies without joint review and verification with local stakeholders can lead to unproductive situations. Local governments should also look for solutions so that health care in remote areas that do not receive special capitation funds continue to run optimally.

Highlights

In Indonesia, capitation funds for payment of health services are obtained from premium JKN participants who partially pay for health services through capitation
“For special capitation, I think it is appropriate, because if it seems like it will be more complicated than it is clear that our funds have a health centre giro account, BPJS transfers to the Primary health care account, we use it according to the existing rules, right away even though there are new rules from the local government, we still follow them.” (R6)
As explained by informants from the local government, if the policy is made for the welfare of the community, so if there are still problems such as areas that are not included in the special capitation recipient, it will be studied so that it can be followed up quickly to support community welfare, if still remote, it will be fought for, but if it is more likely to be a more developed village, it will be developed as a new growth centre

Summary

Introduction

In Indonesia, capitation funds for payment of health services are obtained from premium JKN participants who partially pay for health services through capitation. The Indonesian National Health System does mention the payment of health for private payments, except for the poor who pay the government [1]. One of the health facilities that can be paid for by the capitation system is the Primary health care [2]. The Minister of health Number 90 of 2015 composes in terms of addressing the balance of health care in a safe and very complicated health facilities. Namely on health management in health facilities. A special program to improve the implementation of the Health Insurance program by implementing a special capitation payment system for the regions and very useful [3] The purpose of the discussion in article two is one of increasing the accessibility of health services in very complex discussion areas. a special program to improve the implementation of the Health Insurance program by implementing a special capitation payment system for the regions and very useful [3]

Methods

Results

Discussion

Conclusion