Implementation of Health Care Policy for the Poor at the Era of National Health Insurance

Wibowo, Nugroho Mardi and Widiastuti, Yuyun Implementation of Health Care Policy for the Poor at the Era of National Health Insurance. In: 2 ND INTERNATIONAL RESEARCH CONFERENCE ON ECONOMICS BUSINESS AND SOCIAL SCIENCES – UMI CHAPTER, LA’RIZ Wthree Hotel Lagaligo Makassar Indonesia.

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Abstract

Objective: The Purpose of this paper is to analyze the implementation of health care policy for the poor in the era of National Health Insurance (JKN). Methodology: The approach used in this study is qualitative with data collection using in-depth interviews, observation and documentation. The study was conducted at the Regional General Hospital (RSUD) Sampang Regency. By using purposive sampling, got three informants. The analysis techniques used are content analysis and interactive analysis. Results: 1) there are some poor people are not included in qouta of beneficiary of contribution (PBI) JKN; 2) The amount of human resources of the administration, especially in the claim section, is still lacking; 3) management of maintenance and maintenance of facilities, infrastructure and health equipment is still not good; 4) RSUD is difficult to refer especially poor patients to other hospitals for various reasons; 5) The government does not have a referral information system between hospitals; 6) poor people's knowledge of this policy is very limited; 7) Poor people's behavior when they seek treatment in hospitals wants more facilities outside the procedure; 8) Some village officials use the momentum of data collection of the poor of quota PBI for their political interests. Implication: The survey of the poor, prospective of PBI participants is based on parliamentary poverty, the principle of openness and a database on the information system of the poor at the village level that is updated continuously. Inter-hospital referral information systems are needed to be developed to facilitate the poor patient referral process

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