KnE Life Sciences

ISSN: 2413-0877

The latest conference proceedings on life sciences, medicine and pharmacology.

Policy Analysis toward the Effectiveness of Implementation of a Referral Program on Indonesia Social Health Insurance: Lessons Learned from Depok City Hospital in Indonesia

Published date:Jan 11 2018

Journal Title: KnE Life Sciences

Issue title: The 1st International Conference on Global Health

Pages:222-228

DOI: 10.18502/kls.v4i1.1383

Authors:

Rakhmawati Caesaria

Wahyu Sulistiadiwahyus@ui.ac.idDepartemen Administrasi Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia, Gedung F Lantai 1 Kampus Baru UI Depok 16424, Indonesia

Astia Dwiputri Lestari

Fadlia Murtafia

Abstract:

Health is fundamental right of all people, and all citizens are entitled to have health care services. Indonesia is experiencing a trend change in disease, from infectious diseases to noncommunicable diseases, including chronic diseases. The increasing number of noncommunicable diseases has put a double burden on the health service. BPJS Kesehatan, a legal entity formed to organize the health insurance program, offers an effective service system in its back-referral program (BRP) for chronic disease patients who have received treatment in the hospital and whose conditions have stabilized enough for outpatient treatment in a primary health care setting. There are nine types of diseases included in this back-referral program. The study’s aim was to examine the effectiveness of implementation of a BRP on Social Health Program members in Depok City Hospital. This study used a qualitative method with a case study approach using a theory conducted by Van Horn and Van Meter. There were six variables measured to determinethe the program’s effectiveness. The variables were standard—policy objective; resources; communication; characteristics of implementing agencies; implementor disposition; and social, economic, and political. The results showed that according to the six variables, the implementation of the BRP in Depok City Hospital has not been effective.

References:

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[3] BPS. 2013. Proyeksi Penduduk Indonesia 2010–2035. Jakarta: BPS.

[4] Hamzah, Aries. 2015. “Analisis ImpelemEntasi Kebijakan Rujuk Balik Diabetes Mellitus di Puskesmas Pamulang Kota Tangerang Selatan.” Tesis: Program Studi Magister Ilmu Kesehatan Masyarakat Program Pascasarjana Fakultas Kesehatan Masyarakat, FKM UI.

[5] http://siteresources.worldbank.org/INTINDONESIA/Resources/Publication/ 280016-1235115695188/5847179-1243851359474/6164739-1260876505486/ section.C.en.pdf, diunduh Selasa 19 Februari 2016, 20.09 WIB.

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