* Corresponding Author
Refleksi Implementasi Jaminan Kesehatan Nasional pada Pelayanan Kedokteran Gigi di Fasilitas Kesehatan Tingkat Pertama Kota Tangerang Tahun 2017
https://doi.org/10.22146/jkki.v6i4.26438 Indra Rachmad Dharmawan(1*)
(1) Fakultas kesehatan Masyarakat, Universitas Indonesia
(*) Corresponding Author
Abstract
This study aims to find out how the reflection of the implementation of national health insurance (JKN) in dentistry services at first-rate health facilities (FKTP) Tangerang City in 2017. The condition of awareness of Indonesian people for oral health is still not good, thus requiring process improvement, and The concept of better service. Such improvements can be implemented in the form of dental services in FKTP. This research uses qualitative method that aims to know the implementation of dental services in health insurance, in accordance with the rules, conditions and regulations that apply. The research was conducted in FKTP of Tangerang City Health Office, 15 Puskesmas and 15 pratama clinics in collaboration with BPJS health. The results showed the presence of dentists in each FKTP has been fulfilled as well as the condition of dental infrastructure facilities is sufficient. In terms of utilization of dentistry services, JKN participants in Puskesmas are very low. There are still differences in the number of JKN participants in each FKTP. Dentistry services in JKN are still many kinds of service in serving JKN participants, the highest number of dental disease cases in the community in JKN not all can be served in primary service so there are still many references.
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Ali, F. A. (2014). Analisis Pelaksanaan Rujukan Rawat Jalan Tingkat Pertama Peserta Program Jaminan Kesehatan Nasional (JKN) di Puskesmas Siko dan Puskesmas Kalumata Kota Ternate Tahun 2014.
Ayuningtyas, D. (2014). Kebijakan Kesehatan, Prinsip dan Praktik. Jakarta: Rajawali Pers.
Azwar, A. (1996). Pengantar Administrasi Kesehatan. Jakarta: Bina Rupa Aksara
BPJS. (2013). Panduan Praktis Pelayanan Kesehatan. Jakarta: BPJS Kesehatan.
BPJS. (2014 a). Kredensialing dan Kebijakan BPJS.
BPJS. (2014 b). Panduan Praktis Gate Keeper Concept. Jakarta: BPJS Kesehatan.
BPJS. (2014 c). Panduan Praktis Program Rujuk Balik bagi Peserta JKN. Jakarta:BPJS Kesehatan.
BPJS. (2014 d). Panduan Praktis Sistem Rujukan Berjenjang. Jakarta: BPJS Kesehatan.
BPJS. (2014). Panduan Layanan Bagi Peserta BPJS Kesehatan. Jakarta: BPJS Kesehatan.
BPJS. (2014). Faskes Tingkat Pertama Tangani 144 Penyakit Hapus "Puskesmas Raksasa". Info BPJS Kesehatan Edisi XI.
BPJS. (2014 g). Bahan Paparan Jaminan Kesehatan Nasional (JKN) dalam Sistem Jaminan Sosial Nasional.
BPJS. (2014 h). Peran Dokter Umum sebagai pelaksana Layanan Primer dalam Program BPJS Kesehatan.
BPJS. (2015 a). Peraturan BPJS Kesehatan Nomor 2 Tahun 2015 tentang Norma Penetapan Besaran Kapitasi dan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan pada Fasilitas Kesehatan Tingkat Pertama.
Bungin B. (2003). Analisis Data Penelitian Kualitatif : Pemahaman Filosofis dan Metodologis ke arah Penguasaan Metode Aplikasi. Jakarta: Rajagrafindo Persada.
Edwards III, George C.1980. Implementing Public Policy. Congressional Quetely press
Gao, et.al. (2013). Innovative interventions to promote positive dental health behaviors and prevent dental caries in preschool children : study protocol for a randomized controlled trial. 14-118.
Kandelman., et.al. (2012). Oral health care system in developing and developed countries. Periodontology Journal Singapore, Vol.60, 98-109
Kertya Witaradya, 2010. Implementasi Kebijakan Model Edward III.
Meter, Donald Van, dan Carl Van Horn, 1975, The Policy Implementation Process: A Conceptual Framework dalam Administration and Society 6, 1975, London: Sage
Moleong, Lexy J. , 2013, Metode Penelitian kualitatif, Penerbit PT Remaja Rosdakarya, Bandung.
Notoatmodjo, soekidjo, 2012, Metodelogi Penelitian Kesehatan, Penerbit Rineka Cipta, Jakarta
PE Petersen and S Kwan, 2010, The 7th Global Conference on Health Promotion-towards Integration of Oral Health, Community Dental Health Journal, Vol 27, page 129-136
Johansson V., Axtelius B., Söderfeldt B., Sampogna F., Lannerud M. and Sondell K., 2007, Financial systems’ impact on dental care; a review of fee-forservice and capitation systems, Community Dental Health (2007) 24, 12-20
Thabrany, H., 2000, Rasional pembayaran Kapitasi, Ikatan Dokter Indonesia (IDI), Jakarta.
Thabrany, H.,2014, Jaminan Kesehatan Nasional, Jakarta
Boland, P., 1996,The Capitation Sourcebook: a practical guide to managing at risk arrangements, Boland Health Care Inc., California.
Sturm, R., 2002, Effect of Managed Care and Financing on Pactice Constraints and Career Satisfaction in Primary Care, J Am Board Fam Pract, 15: 367 - 377.
Iwan Dewanto and Naniek Isnaeni L, 2014, Panduan Pelaksanaan Pelayanan Kesehatan Gigi dan Mulut dalam Sistem Jaminan Kesehatan Nasional (guide to the implementation of Oral Helath service in a national health insurance system, Edisi 1, PB PDGI, Jakarta
Heywood P, Choi Y., 2010.,Health System performance at the district level in Indonesia after decentralization., BMC Int Health and Human Rights, vol 10:3. Doi:10.1186/1472-698x-10-3.
Satinder Singh W, Anup N, Amaninder Kaur and Kamaldeep Kaur, 2014, Type Of Patients, Disease Pattern, Felt Needs And Serves Provided To Patients Attending Community Dental Camps In Amritsar District, Indian Journal of Comprehensive Dental Care, July-Dec 2014, Vol 4, issue 2, 448-451. Amritsar
Sulastomo, 2000. Manajemen Kesehatan. Jakarta : PT. Gramedia Pustaka Utama
Diah Ayu Maharani, 2012., Do the Indonesians Receive the Dental Care Treatment They Need? A Secondary Analysis on Self-Perceived Dental Care Need.,International Scholarly Research Network, ISRN Dentistry, Vol 2012, 1-5.
Dinas Kesehatan Kota Tangerang, 2015. Profil Kesehatan Kota Tangerang. Banten
Hartley DA, 2004.,Rural health disparities, population health, and rural culture. Am J Public Health. 2004;94:1675–1678.
Merzel C., 2000.,Gender differences in health care access indicators in an urban, low-income community., Am J Public Health. 2000;90:909–916.
Office of Program Development.,1992, Study of Models to Meet Rural Health Care Needs. Rockville, MD: Health Resources and Service Administration, 1992. Publication No. HRS 240- 89-0037.
Hartley, D., L. Quam, and N. Lurie., 1994, Urban and rural differences in health insurance and access to care., Journal of Rural Health. 1994; 10 (2): 98-108
Phillips, CD. & McLeroy, KR., 2004, Health in rural America: Remembering the importance of place. Editorial. American Journal of Public Health. 2004;94(10). 1661-1663.
Winarno, B. 2004. Teori dan Proses Kebijakan Publik. Yogyakarta: Media Pressindo
WHO, Regional Office for South-East Asia, 2013, Regional Oral Health Strategy 2013 – 2020
Karleanne, LP. 2015. Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD Dr. Adjidarmo Kabupaten Lebak : Jurnal Arsi, Jakarta
Kementerian Kesehatan Republik Indonesia. 2012. Pedoman Sistem Rujukan Nasional. Jakarta: Direktorat Jenderal BUK (Bina Upaya Kesehatan) Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. 2012. Peraturan Menteri Kesehatan Republik Indonesia, No. 01 Tahun 2012 tentang Sistem Rujukan Pelayanan Kesehatan Perorangan. Jakarta.
Kementerian Kesehatan RI. 2013. Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 tahun 2013 Tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional.
Kementerian Kesehatan Republik Indonesia. 2015. Keputusan Menteri Kesehatan Nomer 9 Tahun 2015 tentang Rencana Aksi Nasional Pelayanan Kesehatan Gigi Dan Mulut 2015 – 2019
Kementerian Kesehatan Republik Indonesia. 2015. Keputusan Menteri Kesehatan Nomer 62 Tahun 2015 tentang Panduan Praktik Klinis Bagi Dokter Gigi
Kementerian Kesehatan Republik Indonesia. 2015. Peraturan Menteri Kesehatan Nomer 89 Tahun 2015 tentang Upaya Kesehatan Gigi dan Mulut.
Kementerian Kesehatan RI, 2011. Riset Fasilitas Kesehatan
Kementerian Kesehatan RI, 2013. Laporan Riset Kesehatan Dasar
Harris R, Ashcroft A, Burnside G, Dancer J M, Smith D, Grieveson B, 2008, Facets of Job Satisfaction of Dental Practitioners Working in Different Organizational Settings in England, British Dental Journal; 204:E1
Harris R, Burnside G, Ashcroft A, Grieveson B, 2009, Job Satisfaction of Dental Practitioners Before and After a Change in Incentives and Governance: a Longitudinal Study, British Dental Journal; 207:E4
Milsom K M, Threlfall A, Pine K, Tickle M, Blinkhorn A S, Kearney-Mitchell P, 2008, The Introduction of the New Dental Contract in England – a Baseline Qualitative Assessment, British Dental Journal; 204:59-62
Kim J B, 2012, Oral Health Promotion in Korea, Lecture Presentation in Pusan National University
Bailit H, 1999, Dental Insurance, Managed Care and Traditional Practice, Journal of American Dental Association; 130
Kalsen H J, 2007, Kaiser Family Foundation, Issue Brief. Medicaid’s Role for Women, http://www.kff.org
Rosenblatt R A, Androlla C H A, Curtin T, Hart L G, 2006, Shortages of Medical Personnel at Community Health Centers. Implications for Planned Expansion, Journal of American Medical Association; 295:1042-1049
Renny R S, 2016, Utilization Rate Pelayanan Kesehatan Gigi Dan Mulut Era Jaminan Kesehatan Nasional (Jkn) Periode 2014 Di Puskesmas Urban, Sub Urban, Dan Rural Propinsi DIY;
Suhartati, D. (2014). Analysis of first level outpatient referral system implementation on BPJS participant in Puskesmas 5 Ilir and Puskesmas Merdeka
Thompson W M, 2001, Use of Dental Services by 26-year-old New Zealanders, New Zealand Dental Journal; 97:44-48
Tewarit S, Leizel PL., Which Households Are At Risk Of Catastrophic Health Spending: Experience In Thailand After Universal Coverage. Health Affairs. 2012., 28(3): (2009):467-78.
Somkotra T, Detsomboonrat P. Is there equity in oral healthcare utilization:experience after achieving Universal Coverage. Community Dental Oral Epidemiology Journal. 2009; 37: 85–96.
Konsil Kedokteran Indonesia, 2015. Peraturan Konsil Kedokteran 40 tahun 2015 tentang Standar Kompetensi Dokter Gigi Indonesia
WHO. 2010. Management of Health Facilities: Referral systems (Health Referral System & Minimum Packages of Service) (diunduh website: http://www.who.int/management/facility/referral/en/ index3.html).
Wardoyo. (2014). Analisis Permintaan Rujukan Non Indikasi Peserta Jaminan Kesehatan Nasional (JKN) di Psukesmas Wilayah Kota Tangerang, Tesis
DOI: https://doi.org/10.22146/jkki.v6i4.26438
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