BPJS Patients Research Articles

Patient Health Services at Individual Practice Doctors in Muna District

Introduction: The phenomenon that occurs in the field shows that now many practicing doctors are opening practices like the BPJS program which opens family doctor services. In general, one district has 4,7 and 10 practicing doctors and each practicing doctor has BPJS patients. However, there is a discrepancy in the field, namely that there are still general practitioners who have many BPJS patients and some of them have few patients. In terms of science or competence and facilities, it shows that for general practitioners to have the same knowledge the reality in the field is that there are still many practicing doctors who are a few times their patients. Therefore I feel interested in finding out if it is the doctor who has the problem, the patient, or the facility.
 Methods: The type of research in this study is a qualitative method, which is a study aimed at describing and analyzing phenomena, events, activities, social, attitudes, beliefs, and perceptions of people individually and in groups.
 Result: Research results show that Based on the informant's statement, it can be seen that patients who come for treatment at the clinic of an individual practice doctor get good service and the officers are very friendly so patients do not have the desire to move to another primary facility.
 Conclusion: In general, health services at individual pre-training doctors (DPP) contribute greatly to improving patient satisfaction in Muna Regency.

Differences in perception of responsiveness between BPJS and non-BPJS patients

Responsiveness is a person's ability to help and provide fast and appropriate service to every customer in the hospital. The background of this research is the decrease in the number of visits by Social Security Administration Agency (BPJS) Kesehatan patients and Non-BPJS Kesehatan patients at the Outpatient Installation at Tk.II Health Hospital 14.05.01 Pelamonia. The purpose of the study was to determine differences in the perception of responsiveness between BPJS Kesehatan patients and non-BPJS Kesehatan patients in the Outpatient Installation of Tk.II Hospital 14.05.01 Pelamonia.Research Methods This research is a quantitative descriptive cross-sectional approach. The sampling technique uses stratified random sampling. The number of samples in this study was 333, consisting of 317 BPJS Kesehatan patient respondents and 16 non-BPJS Kesehatan patient respondents. The data in this study were obtained by distributing questionnaires to patients. The results showed that there were significant differences between BPJS Kesehatan patients and non-BPJS Kesehatan patients in Prompt Attention (p = 0.000), Dignity (p = 0.000 Autonomy (p = 0.046), Basic amenities (p = 0.000), Choice Of Provider (p = 0.000), Dignity (p = 0.000), and Access to social support networks (p = 0.000), and there is no difference in perception between BPJS Kesehatan and non-BPJS Kesehatan patients for Comunnication (p = 0.548). Data analysis used the Mann-Whitney test. Non-BPJS Kesehatan patients in Outpatient Installations have a better perception of responsiveness than BPJS Kesehatan patients. It is hoped that the hospital will be able to improve the quality of service without having to differentiate between BPJS Kesehatan patients and non BPJS Kesehatan patients

ANALISIS PROSEDUR PENDAFTARAN PASIEN RAWAT JALAN BPJS IGD GUNA MENUNJANG EFEKTIVITAS PELAYANAN DI RUMAH SAKIT MUHAMMADIYAH BANDUNG


 This study aims to describe the procedures for registering outpatient care at the BPJS IGD to support the effectiveness of services at Muhammadiyah Bandung Hospital. The research method used is a qualitative method with a descriptive approach. Data collection techniques use observation, interviews and questionnaires. From the research results obtained, descriptive analysis of the questionnaire. service time for patient registration was 84%. Meanwhile, the service provider style factor is 81%, which means that these two indicators are effective. However, there are several obstacles that arise, including: 1) There are still patients who do not know about the use of BPJS; 2) There are many BPJS patients who do not know about the registration procedure for outpatient emergency care and patients are still not active in seeking information about registration procedures at the IGD at Muhammadiyah Bandung Hospital. Problem solving efforts that have been made by the hospital to increase the effectiveness of services at the Bandung Muhammadiyah Hospital are: 1) socializing related to BPJS rules in the emergency room for patients; 2) The hospital provides KIUP, so that if there are patients who do not bring KIB, their identity can be found using KIUP.
 Keywords : Registration Outpatient, Outpatient, Effectiveness of services

SERVQUAL measures: Indonesian government healthcare (BPJS) from a human resource perspective

The purpose of this study is to investigate customer satisfaction with quality of service known as SERVQUAL improvement or service quality competitiveness in emerging markets. Using Indonesian government medical care as an example the author examines the satisfaction of patients. Information and data were collected through a survey of 399 BPJS users in Indonesia. All data were analyzed using Smart PLS. This study demonstrates that there is a negative value associated with the five-dimensional gap. As a result, the care provided to BPJS patients is below par. Specifically, the sensitivity dimension has the largest disparity at 0.15, while the physical evidence dimension has the smallest at 0.49. In order to raise the level of service provided, it may be necessary to take direct measures or examine tangible evidence. This study develops the relationship between different quality service models. There appears to be a substantial increase in the body of literature in the area of service quality, allowing for constant updates and the incorporation of the lessons learned from the experiences of the departed. These revised guidelines are intended to aid SERVQUAL study participants. The study gives practical support to academics and practitioners in directing service quality improvement through the use of data collected from large-scale surveys of patients and medical professionals as doctors in Indonesia.

FAKTOR-FAKTOR PENYEBAB KETIDAKLENGKAPAN PENGINPUTAN KODIFIKASI PADA KASUS RAWAT JALAN DI RSUD RAJA AHMAD TABIB MENGGUNAKAN METODE DIAGRAM FISHBONE

Community service at Raja Ahmad Tabib Regional General Hospital from August 14 to August 26, 2023 aims to improve the efficiency and accuracy of inputting outpatient data. This activity focused on socialization to health workers to better understand the constraints in the Raja Ahmad Tabib Regional General Hospital Management System Application. The results of observations and interviews showed several factors causing the problem. First, the number of coder personnel has not met the standard, causing data entry to be not optimal. Second, SOPs related to inputting outpatient data need to be more specific so that the process is more uniform. The literature study also shows the need for integration of information management systems to facilitate staff, but there is a gap between INA-CBGs and SIMRS at Raja Ahmad Tabib Hospital. Another problem is related to the incomplete medical record files of BPJS patients, where accident information is less specific. Emergency department assessments and history taking also did not always reflect the details of the accident. Financial constraints are the main obstacle, limiting the addition of personnel and updating the information management system which still uses a desktop. With limited budgets, resolving issues related to staffing, methods, and system integration is difficult. Special attention is needed to ensure that outpatient information management becomes more efficient and accurate.

EFISIENSI PENGELOLAAN KEUANGAN DENGAN MENGHITUNG TURNOVER RECEIVABLE PADA PASIEN BPJS KESEHATAN RUMAH SAKIT DAERAH BENOWO SURABAYA

The research focuses on the management of patient receivables from the Indonesian Health Security Agency (BPJS) at Hospital in Surabaya from 2019 to 2022. Through financial data analysis, it unveils the fluctuations in receivables turnover and billing periods during this period. The Accounts Receivable Turnover (ART) ratio varied, starting at 6.16 in 2020, peaking at 14.21 in 2021, and decreasing to 8.72 in 2022. These changes reflect the hospital's ability to convert BPJS receivables into cash. Meanwhile, the Average Collection Period (ACP) decreased from 59.25 days in 2020 to 25.69 days in 2021, but rose to 41.86 days in 2022, indicating shifts in the time needed to collect outstanding balances. Challenges arose from rejected BPJS claims affecting receivable balances, compounded by an increase in BPJS patients in 2022. Adapting to BPJS policy changes and streamlining the claim verification process will be crucial for financial stability. This research was conducted using quantitative methods. The research findings state that the financial management at Benowo Regional Hospital in Surabaya is inefficient.

Implementasi Asas Persamaan Perlakuan Bagi Pasien Rawat Inap DiRumah Sakit Umum Daerah dr. R. Goeteng Taroenadibrata BerdasarkanPeraturan Daerah Nomor 3 Tahun 2020 Tentang Pelayanan Publik DiKabupaten Purbalingga

This study aims to find out how the implementation of the principle of equality of treatment in public services in thehealth sector at the Regional General Hospital (RSUD) dr. R. Goeteng Taroenadibrata, Purbalingga Regency, and tofind out what factors hinder the hospital in applying the principle of equality of treatment in the health sector toinpatients who use BPJS services (Social Security Administering Body) and patients who use public services. Theapproach method used in this study is a sociological juridical research method, and data analysis in this study usesqualitative analysis methods. The results of research at the Regional General Hospital (RSUD) dr. R. GoetengTaroenadibrata in providing health services to inpatients using BPJS (Social Security Administering Agency) servicesand patients using public services, there are still differences in health services to inpatients using BPJS services(Social Security Organizing Agency) and patients using services In general, the difference is in the room facilities forinpatients. In Purbalingga Regency Regional Regulation Number 3 of 2020 concerning Public Services Article 4, it isclearly stated that there should not be unequal treatment (discrimination) in public services, one of which is relatedto health services. Even so, in the implementation of health services by applying the principle of equal treatment ofpatients, there are still several inhibiting factors. Factors hindering the implementation of the principle of equality oftreatment in terms of health services to inpatients using BPJS services and general services at the Regional GeneralHospital (RSUD) dr. R. Goeteng Taroenadibrata Purbalingga, namely: facilities and infrastructure (room facilities),responsiveness and communication between officers (medical staff) and patients

Discriminatory Treatment of Fulfillment of Patient Rights in Services at Facilities by the Healthcare Social Security Agency in Indonesia

Objective: The research aims to explore the fulfillment and protection of BPJS Health Patient rights from discriminatory actions in health services. This research uses a normative juridical approach with descriptive analysis. Theoretical framework: This study revolves around the discriminatory treatment in the fulfillment of patient rights within healthcare services provided by the Healthcare Social Security Agency in Indonesia. This framework is constructed upon three pivotal pillars: the concept of patient rights, the role of the Healthcare Social Security Agency, and the overarching principles of social justice. Method: This research is descriptive and of the normative legal research category. Normative legal research is a form of legal research methodology that bases its analysis on relevant laws and regulations applicable to the legal issues that are the primary focus of the research. Meanwhile, the approaches used in this research are conceptual approach, statute approach and case approach. This study utilizes secondary data derived from both primary and secondary sources. Result and conclusion: The results illustrate that health is the main thing that is the basic need of every human being. BPJS guarantees health services for all users by helping to handle the costs of health services. BPJS Health patients have the right to be protected and fulfilled in health services, although in practice sometimes the fulfilment and protection of these rights are ignored by medical personnel and health facilities. The forms of discriminatory treatment experienced by BPJS Health Patients are the treatment of unprofessional health or medical personnel, queuing for service units with a long time, providing unqualified drugs, and limiting the room quota for BPJS patients. Originality/Value: As a recommendation in the study, Health Facilities and Medical Personnel should act professionally without any discrimination in providing health services to BPJS Health participants.

Analisis Cost of Illness pada Pasien Diabetes Mellitus Dengan Terapi Glimepiride-Metformin Rawat Jalan Peserta BPJS di Puskesmas Ketapang II Kota Sampit

Diabetes mellitus is a chronic disease that affects the costs incurred by patients during illness. The financingissuedfor the treatment of diabetes mellitus diseases can be measured using Cost of Illness analysis. Research objectivestofind out the total cost of treatment of diabetes mellitus patients BPJS participants with Glymepiride-Metformintherapy for one year. The method this study used a non-probability sampling technique with an accidental sampling method. This research conducted at Ketapang II Health Center with sample total 45 people. The instrument usedastructured interview which was previously tested for validity. Data were analyzed using Microsoft Excel. Result andconclusion, the estimate total cost of treatment of diabetes mellitus with outpatient glimepiride-metformin therapyofIndonesia Health Insurance participants at Ketapang II Health Center in Sampit city for one year is Rp.623.760-Rp.4.475.520. The direct medical cost per patient is Rp.143.760 - Rp.2.787.120. Non-medical direct cost is Rp.0-Rp.188.400. Indirect cost is Rp.480.000 - Rp.1.500.000. High cost are more expensive but the frequencyof visitsand patient compliance are orderly so that the therapeutic effect achieved is good, while the lowcost is cheaper butthe frequency of patient visits and patient compliance are not orderly so that the therapeutic effect achievedislessgood and not maximal.

The Relationship Of The Quality Of Administrative Services And Bpjs Patient Satisfaction In The Inpatient Room X Rumkit Tk Ii Dr. Soepraoen Kesdam V/Brawijaya Malang In Malang City

Quality of service is one of the factors that people consider when choosing a health facility to use. Service quality is a measure to measure patient satisfaction. The aim of the research is to analyze the relationship between the quality of administrative services and BPJS patient satisfaction at Rumkit Tk.II dr. Soepraoen Kesdam V/Brawijaya Malang City Malang City. This research uses a quantitative research design with a cross-sectional approach. The population is all patients or BPJS patient waiters in Inpatient Room X Rumkit Tk.II dr. Soepraoen Kesdam V/Brawijaya Malang City with a sample of 78 respondents using a purposive sampling technique. The independent variable is the quality of administrative services and the dependent variable is BPJS patient satisfaction. Data were collected using a questionnaire and analyzed by the Spearman Rho test with the help of SPSS. The research results showed that the majority of respondents (56.41%) were good (44 people). the majority (65.3%) of respondents were satisfied (51 people). The cross tabulation results showed that the majority expressed satisfaction and good quality, namely 28 people (54.9%). The Spearman's rho statistical test obtained a P-value of 0.000 < 0.05 and a Correlation Coefficient of 0.340, which means there is a relationship between the quality of administrative services and patient satisfaction. At TK II Hospital, dr. Soepraoen Kesdam V/Brawijaya Malang City. The better the quality of administrative services, the more patient satisfaction will increase, so it is hoped that hospital bureaucracy can improve the quality of administrative services for patient satisfaction.

Analysis of Hospital and INA-CBG’S Rates of JKN Outpatient in Genteng Regional Public Hospital in 2021

The Government's effort improves the health status of the Indonesian people by establishing a Jaminan Kesehatan Nasional (JKN). JKN’s program was formed by Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan). Payment of health costs by BPJS uses the Indonesian-Case Based Group (INA-CBG's) especially for advanced health care services. INA-CBG's is payment to the main health center for a predetermined service package according to the disease diagnosis category. This makes hospitals strive to continue providing quality health services to JKN patients while still controlling costs. The aim of this research is analyze the difference between the outpatient BPJS patient rates and INA-CBG's rates at the Genteng Regional General Hospital in 2021. The research method is a retrospective observational study with simple random sampling. The total sample was 400 obtained during the period January to December 2021. The results of the research showed that the hospital rates was IDR 105,995,056 and the INA-CBG's rates was IDR 89,484,300. It was known that there were three largest cost components including drugs (drugs and chronic drugs) was IDR 51,878,574 (48.70%); patient care costs was IDR 33,980,600 (24.65%); and consultation fee was IDR. 10,400,000 (9.40%). The three largest components of hospital rates included minor chronic disease procedures and dialysis procedures. The conclusion was hospital rates are greater than INA-CBG's rates.

Level of service satisfaction of health BPJS patients with drug services at pharmacy X Sibolga City

Health-related issues are one of the most pressing needs of society. Indonesia has government-run health insurance that is directly under its control. When patients obtain services that are considered appropriate or above expectations, patient satisfaction is achieved. This research uses a survey research approach and is descriptive. Surveys distributed to respondents were used to collect data. Eighty respondents who met the inclusion requirements were sampled. The data used is primary data, information obtained directly from respondents, with data collection methods such as providing questionnaires, which are filled in by the respondents themselves and sent back to the researcher. The findings of the study, which were based on SPSS patient characteristics analysis, showed that females accounted for the most significant percentage of respondents (43), followed by the 46-55 years age group (32.5%) and housewives (27.5%), (n=26; 32.5%) had the highest hypertension diagnosis on SPSS analysis, while (n=18; 69%) had the highest drug name of amlodipine. The results, according to the Servqual model, showed that the guarantee dimension had the largest average of 98%(Assurance), while the responsiveness dimension had the lowest average of 92% (waiting time).

The Influence of Service Marketing Mix on the Revisitation Intention of BPJS Inpatient Patients at Royal Prima Marelan General Hospital

Marketing in hospitals is a basic activity of an organization to run its business and to maintain its continuity, the role of marketing in hospitals is very important in determining hospital selection. Service marketing needs an expanded marketing mix with the addition of a non-traditional marketing mix, namely people, physical evidence, and process, so that it becomes seven elements. This research aims to determine the influence of the marketing mix of services on the intention to revisit BPJS inpatients at Royal Prima Marelan General Hospital. This research is an analytical observational research with a cross-sectional approach. The population in this study were BPJS patients hospitalized during the last five months at Royal Prima Marelan General Hospital, totaling 1,279 patients. Determination of samples using the Slovin formula with a total sample of 305 patients. Data analysis uses univariate, bivariate, and multivariate analysis. The results of the research show that the variables of type of service, location of service, promotion, health personnel, physical appearance, service procedures, and hospital performance have a positive and significant effect on interest in revisiting inpatient BPJS patients at Royal Prima Marelan hospital p-value <0.05. The independent variable that most influences the interest in revisiting inpatient BPJS patients at the Hospital of Royal Prima Marelan is the hospital performance variable.

Kontribusi Mahasiswa Dalam Program MBKM Di RS.Prof.DR.Tabrani

With the existence of the MBKM program in the Health sector, one of which is in hospitals. Prof.Dr. Tabrani students gain experience in the world of work because a student is not only required to be competent in theoretical knowledge, but is also required to have soft skill competencies such as: Discipline, having a high work ethic, being able to communicate verbally and in writing, having a wide network, being able to take decisions, sensitive to the environment, and so on. The method used is direct implementation at the internship site. Activities during the internship include Closing payments for outpatient general patients, Closing payments for outpatient BPJS patients, Collecting clinical brobat patients, Recording the status of discharged patients, Closing BPJS discharge patients using the virtual client system, Making permission letters to go home from home Sick

Analysis of Health Service Quality in BPJS Patient Satisfaction at the Inpatient Installation of RSU Sundari Medan

Research on the Sundari General Hospital in Medan was carried out in 2023 to get a picture of the quality of health services in terms of BPJS patient satisfaction. The method used is a descriptive method with qualitative research. The number of informants in the study was sixteen (16), namely 7 main informants and 9 triangulation informants who werel BPJS patients, patient family, and health workers, in depth interviews were conducted in the form of an open questionnaire. The results of the research carried out stated that health services at RSU Sundari Medan were not running optimally. Of the five aspects of patient satisfaction, two aspects of patient satisfaction are not optimal in supporting this. These two things are the condition of toilets that smell, the use of bed sheets that are rarely changed making patients uncomfortable, and doctors who are often late. Suggestions for related agencies to pay more attention to cleanliness, especially in toilets and the use of bed linen, and to improve performance, especially for doctors who will visit patients.

Analysis of Nurse Care Behavior and Patient Satisfaction in X Hospital

The service that most affects patient satisfaction is nursing services. Whether or not patients are satisfied with health services is an indicator and one of the determining factors for the good and bad quality of professional nursing care. For this reason, this study aims to analyze nurses' caring behavior and patient satisfaction at the X Hospital. This type of research is quantitative with a cross sectional approach. The sample selection technique used purposive sampling and calculations were carried out using the slovin formula so that a sample of 119 patient respondents was found, both BPJS patients and general patients. Data collection was carried out in October-December 2022. The analysis used in this study included the chi square test, as well as multivariate analysis using ANOVA. The processing of this research data uses the help of SPSS software. The results showed that the patient age was a variable that was not related to the Principles of Nursing Care Caring Behavior, Leadership and Management of Caring Behavior, and Inpatient Satisfaction of X Hospital. While the variables related to the Principles of Nursing Care Caring Behavior, Leadership and Management of Nursing Care Caring Behavior, and Inpatient Satisfaction of X Hospital are variables of patient gender, patient education level, patient payment type is expected that there will be an increase in Caring leadership attitude between nurses to improve a good work environment between nurses. For hospitals, management improvement is needed to evaluate the provision of health services to BPJS patients and general patients.

Kesesuaian Penulisan Resep Pasien BPJS dengan Formularium Nasional di Poli Penyakit dalam Rumah Sakit Islam Hasanah Mojokerto Periode Oktober – Desember 2022

Background: Social security is a form of social protection that guarantees all Indonesian people can meet the needs of a decent life. The Social Security Administration Agency (BPJS) is one of the institutions established to administer social security assistance programs in Indonesia. To overcome the imbalance between the contributions received from the community and the health costs incurred by BPJS, efforts are made to optimize BPJS patient prescribing based on the National Formulary as a reference so that the hospital can control the quality and cost of treatment and optimize services to patients. Research Methods: This research is non-experimental, descriptive research with retrospective data collection from October to December 2021, using the purposive sampling method, namely examining existing samples with specific considerations. The data are presented in tabular form and are described and calculated in percentage terms. A prescription is said to be by the National Formulary if all the drugs are included in the National Formulary. The results showed that the suitability of prescription writing with the National Formulary based on prescription sheets was 74.19%, which was by the National Formulary, and 25.81%, which was not according to the National Formulary. In comparison, the conformity of prescription writing to the National Formulary based on drug items was 93.14%, which was by the Formulary. National and 6.86%, which is not by the National Formulary. Conclusion: The results of this study indicate that the recipes studied need to be fulfilled by the National Formulary.

PATIENT PERCEPTIONS OF SERVICE QUALITY IN THE DENTAL POLYCLINIC OF SUNAN KALIJAGA REGIONAL GENERAL HOSPITAL DEMAK: A STUDY ON BPJS AND NON-BPJS PATIENTS

Background: The Social Security Organizing Agency (BPJS) is an initiative by the government to improve the quality of healthcare services. However, in reality, the services provided to BPJS patients have not yet reached optimal standards. The objective of this research is to identify patients' perceptions regarding the quality of services between BPJS and non-BPJS patients in the dental clinic of Sunan Kalijaga Regional General Hospital (RSUD) in Demak.Method: This research was conducted at the Dental Clinic of Sunan Kalijaga Regional General Hospital (RSUD) in Demak in the year 2020, using an observational analytical approach based on a cross-sectional design. The sample was selected using the slovin technique, with a total of 78 respondents divided into two groups, namely 39 respondents who were BPJS participants and 39 other respondents who were not BPJS participants.Result: The research results showed differences in SERVQUAL service quality scores between patients who were participants of BPJS and those who were not BPJS participants. Based on the analysis of both groups across the dimensions, reliability had gap scores of -0.7 and -0.9, tangible evidence had gap scores of -0.5 and -0.6, responsiveness had gap scores of -0.9 and -1, assurance had gap scores of -0.4 and -0.4, and empathy had gap scores of -0.4 and -1.1. These scores obtained a significance value (p<0.05),Conclusion: There were significant differences in patient perceptions between the quality of patient services for BPJS participants and non-BPJS patients.

ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP KEPUTUSAN PINDAH KELAS PERAWATAN PASIEN BPJS

This study aims to analyze the effect of patient satisfaction with hospital services on the decision to move BPJS patient care classes at Ulin Hospital, Banjarmasin. The data collection technique used is quantitative, namely distributing questionnaires to BPJS patients. Participants in this study amounted to 75 people. Data analysis used ordinal logistic regression analysis. The level of patient satisfaction is measured using 4 factors, namely Tangible, Reliability, Assurance, and Empathy. The results showed that the patient satisfaction factors that had a significant effect were Assurance and Empathy. Overall, these two variables influenced the satisfaction assessment of patients treated at Ulin Hospital, Banjarmasin, by 27.5%.

Optimalisasi Tracking Rekam Medis Dengan Barcode di Puskesmas Lendah II

In 2014, primary health centres Lendah II was implemented health information system for primary care (Simpus). the use of simpus can help the physician and health practicioners entry data of patient, import dan export data and also improved theirs performance. The implementation of medical records for primary health centres an important role in managing patient data. The use of technology and information systems in the health sector has an impact on optimizing services. One of them is by utilizing a barcode system to support storage at primary health centres Lendah II This study aims to help the storage tracking system in the filing room using barcodes. Data capture with FGD for needs analysis, then application design and trials. This research uses research and develompent. The results of the study by making class diagrams, barcode applications and examples of barcodes applied to poly service names and medical record numbers. Barcodes will be printed and affixed to the patient's medical record to facilitate tracking of the The barcode of the patient's medical record number will also be affixed to the patient's BPJS card, making it easier for officers to check the patient's medical record number on the simpus. There is a scanner reader tool that will make it easier for officers to read barcode codes.