Articles

The role of communication contact in capitation implementation at public health centres in Denpasar

Ni Putu Purlimaningsih , Ketut Suarjana, Pande Putu Januraga

Ni Putu Purlimaningsih
Udayana University. Email: purlimaningsihputu@gmail.com

Ketut Suarjana
Udayana University

Pande Putu Januraga
Udayana University
Online First: December 01, 2017 | Cite this Article
Purlimaningsih, N., Suarjana, K., Januraga, P. 2017. The role of communication contact in capitation implementation at public health centres in Denpasar. Public Health and Preventive Medicine Archive 5(2): 152-157. DOI:10.15562/phpma.v5i2.31


Background and purpose: One of the main indicators of quality in the provision of primary health care is the contact between the provider and the recipient (communication contact). Targets set regarding communication contacts are often not achieved which in turn results in consequent cuts in the capitation rates received by the public health centres (PHCs). The purpose of this research is to understand the implementation, inhibiting and enabling factors of supporting communication contact in the era of National Health Insurance (Jaminan Kesehatan Nasional/JKN).

Methods: This study used a qualitative explorative design through in-depth interviews and focus group discussion (FGD) with 22 informants consisting of heads of PHCs, PHCs staff, Head of Denpasar Health Office, Head of Social Security Administering Agency (BPJS) Denpasar Branch and JKN members. This research was conducted at 11 PHCs in Denpasar City from April to July 2017. The informants were chosen purposively and the data were analysed thematically to explore aspects of implementation, the inhibiting and enabling factors of communication contact.

Results: Communication contacts can be assessed both inside and outside the PHCs buildings. The inhibiting factor of communication contact implementation related to difference in understanding of the concept of PHCs working area, the absence of a standard operational procedure (SOP) for communication contact, heavy workload of PHCs service providers, lack of optimal means of supporting application of pcare convoluted and confusing information from BPJS, and lack of understanding from JKN enrolees on the particulars of the administration and desire for speedy service. Supporting factors are the availability of media, training and orientation for the implementing staff and the feedback from BPJS to PHCs staff. Driving factors are the effective authority of the PHCs head, commitment and motivation from government agencies and cross-sectoral support.

Conclusions: Implementation of communication contact is influenced by both inhibiting and enabling factors, from the BPJS stakeholders and the members of the BPJS. Achieving the target of communication contact requires synergy of central government policy and BPJS managers.

References

Ministry of Health of Indonesia. Peraturan menteri kesehatan Republik Indonesia Nomor 28 tentang pedoman Program Jaminan Kesehatan Nasional [The Ministry of Health of Indonesia Regulation No. 28 on National Health Insurance Program]. Jakarta: Ministry of Health of Indonesia

Social Security Administering Agency. Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 2 Tahun 2015 tentang norma penetapan besaran kapitasi dan pembayaran kapitasi berbasis pemenuhan komitmen pelayanan pada fasilitas kesehatan tingkat pertama [Social Security Administering Agency Regulation No. 2 of 2015 on norms of setting capitation and capitation payments based on fulfillment of service commitments at primary health facilities]. Jakarta: Social Security Administering Agency; 2015.

Budiarto W, Kristiana L. Pemanfaatan dana kapitasi oleh fasilitas kesehatan tingkat pertama (FKTP) dalam penyelenggaraan JKN [The use capitation funds in the first level health facility (FKTP) the implementation JKN]. Buletin Penelitian Sistem Kesehatan. 2015; 18: 437–445.

Social Security Administering Agency Denpasar Branch. Laporan profiling indikator penilaian kinerja fasilitas kesehatan tingkat pertama [Profiling report of primary health facility performance indicators]. Denpasar: Social Security Administering Agency Denpasar Branch; 2016.

Ministry of Health of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2016 tentang Penggunaan Dana Kapitasi Jaminan Kesehatan Nasional Untuk Jasa Pelayanan Kesehatan dan Dukungan Biaya Operasional pada Fasilitas Tingkat Pertama [The Ministry of Health of Indonesia Regulation no. 21 of 2016 on Use of national health insurance capitation fund for healthcare services and support of operational costs at primary level facilities]. Jakarta: Ministry of Health of Indonesia; 2016.

Pradana GA. Diskresi dalam implementasi kebijakan publik di Puskesmas Kepanjen [Discretion in public policy implementation at Kepanjen Public Health Center]. Jurnal Ilmu Administrasi Publik. 2016; 2: 19–27.

Ministry of Health of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat [The Ministry of Health of Indonesia Regulation no. 75 of 2014 on Public Health Center]. Ministry of Health of Indonesia; 2014.

Social Security Administering Agency Denpasar Branch. Peraturan Bersama Sekretaris Jenderal Kementerian Kesehatan Republik Indonesia dan Direktur Utama Badan Penyelenggara Jaminan Sosial Kesehatan Nomor HK.02.05/III/SK /089/2016 Nomor 3 Tahun 2016 Tentang Petunjuk Teknis Pelaksanaan Pembayaran Kapitasi Berbasis Komitmen Pelayanan [Joint Regulation of the Secretary General of the Ministry of Health of Indonesia and the President Director of Social Security Administering Agency No. HK.02.05 / III / SK / 089/2016 No. 3 of 2016 on the Technical guidelines for the implementation of payment of commitment based capitation services]. Jakarta: Social Security Administering Agency Denpasar Branch; 2016.

Yandrizal, Anita B, Suryani D. Analisis kebijakan jaminan kesehatan Kota Bengkulu dalam upaya efisiensi dan efektifitas pelayanan di puskesmas [Policy analysis of Bengkulu City health insurance as an effort to improve efficiency and effectiveness of primary health centers]. Jurnal Kebijakan Kesehatan Indonesia. 2013; 2: 151–160.

Ministry of Health of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 Tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional [[The Ministry of Health of Indonesia Regulation No71 of 2013 on health care on national health insurance]. Jakarta: Ministry of Health of Indonesia; 2013.

Ministry of Home Affairs of Indonesia. Peraturan Menteri Dalam Negeri Nomor 61 Tahun 2007 tentang Pedoman Teknis Pengelolaan Keuangan Badan Layanan Umum Daerah [The Ministry of of Home Affairs of Indonesia Regulation No. 61 of 2007 on Technical guidelines for financial management of regional public service]. Jakarta: Ministry of Home Affairs of Indonesia; 2007.

Afandi MI, Warjio. Implementasi Peraturan Daerah Kabupaten Asahan Nomor 11 Tahun 2011 tentang pajak daerah dalam pencapaian target pajak bumi dan bangunan perdesaan dan perkotaan [Implementation regulation of Asahan Region number 11 in year 2011 on local taxes in achieving the target of property tax in rural and urban area]. Jurnal Administrasi Publik. 2015; 6: 93–113.

Mutiasari, Nur YM, Syamsul A. Implementasi kebijakan perizinan dan pemberitahuan kegiatan masyarakat pada Kepolisian Resort (Polres) Kota Kendari [The implementation of the licensing policies and notices of community activities in Kendari City Police]. e-Journal-Publica, PPS AP-UHO. 2016; 1(1): 1–14.

Yunevy EFT, Haksama S. Analisis kepuasan berdasarkan persepsi dan harapan pasien di Puskesmas Medokan Ayu Surabaya [Quality analysis based on perception and expectation of patients in Medokan Ayu Community Health Center Surabaya]. Jurnal Administrasi Kesehatan Indonesia. 2013; 1: 9–20.

Nurmansyah MI, Kilic B. The impact of national health insurance policy to the implementation of health promotion program on public health center in Indonesia. Kesmas National Public Health. 2017; 11: 103–110.

Nawawi M. Pengaruh motivasi dan kompetensi tenaga kesehatan terhadap kinerja pusat kesehatan masyarakat [Influence of motivation and competency of health personnel on the performance of public health center in Palu]. Mimbar. 2012; 28: 93–102.

Ramdhani MALI, Suryadi K. Consensus method development on analytic hierarchy process. ICOQSIA. 2005; 6–8.


No Supplementary Material available for this article.
Article Views      : 427
PDF Downloads : 147