Pemenuhan indikator angka kontak pada kapitasi berbasis komitmen pelayanan di Puskesmas Kabupaten Wajo Provinsi Sulawesi Selatan



Sri Fadhillah(1*), Julita Hendrartini(2)

(1) Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada
(2) Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Implementation of capitation based on service commitment in PHC Wajo Regency has not reached the expected indicators, based on result of evaluation on October-December, it is known that in 2017 the indicator contact rate, from 23 health centers that have implemented KBKP all on the unsafe category, whereas the ratio of non specialistic referral, there are 9 PHC are on the safe zone and there are only 6 PHC which are the safe zone on indicator visits of chronic disease management program. Contact rate is an indicator of the most distant meet targets and has never been one of PHC were able to achieve the target, thus impact on the percentage of capitation payment, where none is payout of 100% of the norm of capitation for the period January-March 2018.

Objective: Explore fullfilment contact rate indicator on the capitation based on service commitment in PHC Wajo Regency.

Methods: This type of research is qualitative research with design case studies in exploring the fulfillment of contact rate indicator capitation based on service commitment. The location of the research done at the 9 PHC Wajo Regency where using a purposive sampling criteria that is based on the characteristics of the work-area PHC and capitation quantities received. Collection method is done with in-depth interviews, and review the document staffing PHC Wajo Regency.

Results: Compliance contact rate are affected by the high workload of the health workers are not offset by the revenues received at the PHC affect compliance indicators number of contacts. High workload is also influenced by the number and disribution of health care personnel who have not been evenly so that one health worker may hold some programs, general practitioner and as the head of PHC, and the ideal ratio of the number of doctors and JKN participants haven't met on 7 PHC.

Conclusions: Compliance of contact rate indicators is affected by the limitations of human resources include the number, distribution, and competency does not match resulting in a high workload in PHC, so that Wajo District Health Office need to review the availability of human resources in PHC both in terms of the number, distribution, as well as competence human resources.

Keywords


contact rate; capitation based on service commitment; PHC



References

  1. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 52 Tahun 2016 Tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan.; 2016:6.
  2. Kurniawan MF, Siswoyo BE, Novelira A, Dedik S. Pengelolaan Sisa Lebih Dana Kapitasi di Fasilitas Kesehatan Tingkat Pertama Milik Pemerintah. J Kebijak Kesehat Indones. 2016;6(1):7.
  3. Kementerian Kesehatan dan BPJS Kesehatan. Peraturan Bersama Sekretaris Jenderal Kementerian Kesehatan RI Dan Direktur Utama Badan Penyelenggara Jaminan Sosial Kesehatan Nomor HK.01.08/III/980/2017 Tahun 2017 Nomor 2 Tahun 2017 Tentang Petunjuk Teknis Pelaksanaan Pembayaran Kapitasi Berbasis Pemen.; 2017.
  4. Vamos EP, Pape UJ, Bottle A, et al. Association of practice size and pay-for-performance incentives with the quality of diabetes management in primary care. Can Med Assoc or its Licens. 2011;183(12):809-816.
  5. Wulandari R. Implementasi Kapitasi Berbasis Pemenuhan Komitmen Pelayanan di Puskesmas Kabupaten Pacitan. 2017.
  6. Badan Penyelenggara Jaminan Sosial. Peraturan BPJS Kesehatan Nomor 1 Tahun 2017 Tentang Pemerataan Peserta Di FKTP.; 2017:5.
  7. Astianto A. Pengaruh stres kerja dan beban kerja terhadap kinerja karyawan pdam surabaya. 2014;3(7).
  8. Jesmin S, Thind A, Sarma S. Does team-based primary health care improve patients ’ perception of outcomes ? Evidence from the 2007 – 08 Canadian Survey of Experiences with Primary Health. Health Policy (New York). 2012;105(1):71-83. doi:10.1016/j.healthpol.2012.01.008.
  9. Hogg W, Rowan M, Russell G, Geneau R, Muldoon L. Framework for primary care organizations : the importance of a structural domain. 2008;20(5):308-313.




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