Dampak Kebijakan Jaminan Kesehatan Nasional terhadap Efisiensi Rumah Sakit: Studi Kasus di Provinsi Sulawesi Selatan
Abstract
Managing the hospital efficiency with still control the hospital quality and cost is a key to survive in NationalHealth Insurance Era. The objective of this study was to determine the impact of the implementation of theNational Health Insurance Policy (NHI) on the efficiency level of Hospital in South Sulawesi Province, Indonesia.The level of efficiency was analyzed using the Data Envelopment Analysis method. The study population was allBLUD hospitals in South Sulawesi Province. The Samples of research were 25 hospitals. Data from years 2014 to2017 are used to analyze. The results showed, in average the hospitals achive the efficiency level only in year 2016.In years 2014, 2015 and 2017 the hospitals were not efficient. The changing in the healthcare system, especially onpayment system to hospitals in JKN era, have had a negative impact on the level of hospital efficiency because theunadequate INA CBGs Tariff and hospital claims payment disrupted. Therefore, the government needs to overcomethose problems.
References
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2. Harmadi SHB, Irwandy. Technical Efficiency of Public Service Hospitals in Indonesia: A Data Envelopment Analysis (DEA). Asian Soc Sci. 2018;14(6):81–90.
3. Chriswardani S, Sutopo P, Putri Asmita W, Pawit S, Puri Nur M. Implementasi JKN dan Permasalahan di Rumah Sakit di Kota Semarang Tahun 2014. In: Kongres INA-HEA 2016. Semarang; 2015.
4. Malonda TD, Rattu AJM, Soleman T. Analisis Pengajuan Klaim Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di RSUD Dr. Sam Ratulangi Tondano. Univesitas Sam Ratulangi; 2015.
5. Hussey PS, Vries H De, Romley J, Wang MC, Chen SS, Shekelle PG, et al. Health Care Efficiency A Systematic Review of Health Care Efficiency Measures. Heal Res Educ Trust. 2008;784-805.
6. Araújo C, Barros CP, Wanke P. Efficiency Determinants and Capacity Issues in Brazilian for Profit Hospitals. Health Care Manag Sci. 2014 Jun;17(2):126-38.
7. Chu K, Zhang N, Chen Z. The Efficiency and Its Determinants for China’s Medical Care System: Some Policy Implications for Northeast Asia. Sustainability. 2015;7:14092-111.
8. Hsin-hui H, Qinghui Q, Chih-hai Y. Analysis of Hospital Technical Efficiency in China : Effect of Health Insurance Reform. China Econ Rev. 2012;23(4):865-77.
9. Varabyova Y, Schreyögg J. International Comparisons of the Technical Efficiency of the Hospital Sector: Panel Data Analysis of OECD Countries Using Parametric and Non-Parametric Approaches. Health Policy (New York). 2013 Sep;112(1–2):70-9.
10. Karagiannis R. A System of Equations Two Stage DEA Approach for Explaining Capacity Utilization and Technical Efficiency. Ann Oper Res. 2013 Apr;227(1):25-43.
11. Nicola A De, Gitto S, Mancuso P, Tor R. A Two Stage DEA Model to Evaluate the Efficiency of the Italian Health System. Munich Pers RePEc Arch. 2011;(39126).
12. Sulku SN. The Health Sector Reforms and the Efficiency of Public Hospitals in Turkey: Provincial Markets. Eur J Public Health. 2012;22(5):634-8.
13. Direktorat Jenderal Bina Upaya Kesehatan. Juknis Sistem Informasi Rumah Sakit. Jakarta, Indonesia; 2011.
14. Shahhoseini R, Tofighi S, Jaafaripooyan E, Safiaryan R. Hospitals Efficiency Measurement in Developing Countries: Application of Data Envelopment Analysis for Iranian. Heal Serv Manag Res.2011;24(2):75–80.
15. Tabrizi HM. Impact of DRG Reimbursement System on Hospital Efficiency : Systematic Review. BMC Health Serv Res [Internet]. 2012;12(Suppl 1):O2.
16. TNP2K. The Road to National Health Insurance (JKN). 2015.
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2. Harmadi SHB, Irwandy. Technical Efficiency of Public Service Hospitals in Indonesia: A Data Envelopment Analysis (DEA). Asian Soc Sci. 2018;14(6):81–90.
3. Chriswardani S, Sutopo P, Putri Asmita W, Pawit S, Puri Nur M. Implementasi JKN dan Permasalahan di Rumah Sakit di Kota Semarang Tahun 2014. In: Kongres INA-HEA 2016. Semarang; 2015.
4. Malonda TD, Rattu AJM, Soleman T. Analisis Pengajuan Klaim Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di RSUD Dr. Sam Ratulangi Tondano. Univesitas Sam Ratulangi; 2015.
5. Hussey PS, Vries H De, Romley J, Wang MC, Chen SS, Shekelle PG, et al. Health Care Efficiency A Systematic Review of Health Care Efficiency Measures. Heal Res Educ Trust. 2008;784-805.
6. Araújo C, Barros CP, Wanke P. Efficiency Determinants and Capacity Issues in Brazilian for Profit Hospitals. Health Care Manag Sci. 2014 Jun;17(2):126-38.
7. Chu K, Zhang N, Chen Z. The Efficiency and Its Determinants for China’s Medical Care System: Some Policy Implications for Northeast Asia. Sustainability. 2015;7:14092-111.
8. Hsin-hui H, Qinghui Q, Chih-hai Y. Analysis of Hospital Technical Efficiency in China : Effect of Health Insurance Reform. China Econ Rev. 2012;23(4):865-77.
9. Varabyova Y, Schreyögg J. International Comparisons of the Technical Efficiency of the Hospital Sector: Panel Data Analysis of OECD Countries Using Parametric and Non-Parametric Approaches. Health Policy (New York). 2013 Sep;112(1–2):70-9.
10. Karagiannis R. A System of Equations Two Stage DEA Approach for Explaining Capacity Utilization and Technical Efficiency. Ann Oper Res. 2013 Apr;227(1):25-43.
11. Nicola A De, Gitto S, Mancuso P, Tor R. A Two Stage DEA Model to Evaluate the Efficiency of the Italian Health System. Munich Pers RePEc Arch. 2011;(39126).
12. Sulku SN. The Health Sector Reforms and the Efficiency of Public Hospitals in Turkey: Provincial Markets. Eur J Public Health. 2012;22(5):634-8.
13. Direktorat Jenderal Bina Upaya Kesehatan. Juknis Sistem Informasi Rumah Sakit. Jakarta, Indonesia; 2011.
14. Shahhoseini R, Tofighi S, Jaafaripooyan E, Safiaryan R. Hospitals Efficiency Measurement in Developing Countries: Application of Data Envelopment Analysis for Iranian. Heal Serv Manag Res.2011;24(2):75–80.
15. Tabrizi HM. Impact of DRG Reimbursement System on Hospital Efficiency : Systematic Review. BMC Health Serv Res [Internet]. 2012;12(Suppl 1):O2.
16. TNP2K. The Road to National Health Insurance (JKN). 2015.
Authors
Irwandy, I., & Sjaaf, A. C. (2018). Dampak Kebijakan Jaminan Kesehatan Nasional terhadap Efisiensi Rumah Sakit: Studi Kasus di Provinsi Sulawesi Selatan. Media Kesehatan Masyarakat Indonesia, 14(4), 360-367. https://doi.org/10.30597/mkmi.v14i4.5144
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