Arih Diyaning Intiasari
Jurusan Kesehatan Masyarakat Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jenderal Soedirman

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PENETAPAN PAKET PELAYANAN KESEHATAN DAN PERHITUNGAN PREMI PROGRAM PEMELIHARAAN KESEHATAN MAHASISWA UNIVERSITAS JENDERAL SOEDIRMAN TAHUN 2007 Intiasari, Arih Diyaning
Jurnal Manajemen Pelayanan Kesehatan Vol 12, No 04 (2009)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Background: In an effort to provide health service access toits students, University of Jenderal Soedirman develops ascheme of health insurance in the program of student healthcare assistance during academic year 2006/2007. During thisperiod there were some problems which caused the schemeunable to cover all needs of students for health services. It isexpected that next time there is development in health servicepackage and premi calculation in order that the program ofstudent health care assistance can operate better.Objective: To develop alternative health service package andrational premi calculation for the implementation of student healthcare assistance based on the coverage of participation at theUniversity of Jenderal Soedirman in the future.Method: This case study used complementary qualitative andquantitative approach. Major research design was quantitative.Result: Service package of Soedirman Health Center for theprogram of student health care assistance included primaryoutpatient, continuing outpatient and inpatient health serviceswith particular limitation either on cost or length of stay. Unitcost calculation of primary outpatient health service at StudentHealth Center for Medication clinic was Rp24,423 and for DentalMedication clinic was Rp96,387. Premi calculation was madeusing actual utilization for Student Health Center as much asRp6.180/student/semester and for Purbalingga CommunityHealth Care Insurance was Rp67.062/student/semester.Conclusion: The establishment of health service packageand rational premi calculation should enable the developmentof health insurance program for students of the University ofJenderal Soedirman and become an instrument for advocacyfor the policy makers in developing the program in the future.Keywords:  health service packages, premi calculation, unitcost
Kebutuhan Jaminan Kesehatan Masyarakat di Wiliyah Perdesaan Kurniawan, Arif; Intiasari, Arih Diyaning
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 1 Agustus 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.333 KB) | DOI: 10.21109/kesmas.v7i1.69

Abstract

Jaminan kesehatan adalah salah satu cara untuk mengurangi beban pembiayaan kesehatan yang dikeluarkan masyarakat. Sebagian besar masyarakat perdesaan di Kabupaten Banyumas yang mempunyai tingkat kemampuan membayar pelayanan kesehatan rendah belum mempunyai jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis kebutuhan jaminan dan faktor-faktor yang memengaruhi kesehatan masyarakat daerah. Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi penelitian adalah seluruh kepala keluarga diKabupaten Banyumas dengan jumlah sampel 130 orang. Metode analisis yang digunakan meliputi analisis univariat, bivariat, dan multivariat. Penelitian menemukan bahwa sebagian besar masyarakat Kabupaten Banyumas (72,3%) membutuhkan jaminan kesehatan daerah (Jamkesda).Terdapat hubungan antara pendidikan, pengetahuan, pendapatan, dan keyakinan terhadap mutu pelayanan kesehatan serta pola pembiayaan kesehatan dengan kebutuhan Jamkesda. Persepsi berpengaruh terhadap tarifpelayanan kesehatan dengan kebutuhan Jamkesda. Persepsi terhadap tarif pelayanan kesehatan merupakan variabel yang berpengaruh terhadap kebutuhan Jamkesda.Kata kunci: Kebutuhan, pembiayaan kesehatan daerah, jaminan kesehatanAbstractHealth insurance is one of the ways to reduce the burden of health financing issued by the society. Most communities in Banyumas district living in rural areas do not have health insurance. Rural communities in Banyumas district have low ability to pay health care services. The aim of this study isto analyze the health insurance needs of local communities and the factors that affect the public health insurance need of the area. This study is an observational study with survey research methods. This study used cross sectional approach. The study population was all households in Banyumas district.The research sample consisted of 130 people. Retrieval research data used a questionnaire instrument. Analysis of research data used univariate, bivariate, and multivariate. The research was conducted in Banyumas district. Most people in Banyumas district (72,3%) required regional health insurance. The result showed no relationship between education, knowledge, income, beliefs in health care quality and patterns of health financing in local communities needs of health insurance. The result showed the influence perceptions of health care rates with the health insurance needs of local communities. Perceptions of health care is a variable rate which affects the health insurance needs of local communities.Keywords: Needs, district health financing, health insurance
PENGARUH KARAKTERISTIK PASIEN TERHADAP INDEKS KEPUASAN MASYARAKAT TENTANG PELAYANAN RAWAT JALAN PUSKESMAS BANYUMAS Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 5 No 2 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT 169   Level of satisfaction of community service to public health  centers need to meet the standards of public service minister by decree in 2004. Based on the above background research done on the influence of patient characteristics on the satisfaction index of ambulatory service in Banyumas public health center. This study aims to analyze the public about the service satisfaction index  of ambulatory service in Banyumas public health center and the influence  factors on the satisfaction index. This study is an observational study with survey research methods. The approach of this study using cross-sectional approach. The study population was all households in Banyumas public health center. The research sample consists of 150 people, with accidental sampling method. Retrieval research data using a questionnaire instrument. Analysis of research data using univariate analysis, bivariate analysis, and multivariate analysis. The research was conducted in Banyumas public health center. Results showed that most people (51.3%) satisfied with the service ambulatory, and 48.7% of the public are not satisfied with the service ambulatory in Banyumas public health center. There was no association between age, occupation, gender, and status of financing of patient satisfaction with the level of ambulatory service in Banyumas public health center. There is a relationship between education and marital status of patients with levels of satisfaction ambulatory service in Banyumas public health center. There are influences together education and marital status of patients with level of satisfaction ambulatory service in Banyumas public health center. Proposed study is Banyumas public health center to immediately improve patient care aspects of the course mainly discipline officers in providing service. Kesmasindo. Volume 5( 2)  Juli  2012,  hlm. 169- 179 Keywords: patient characteristics, community satisfaction, ambulatory service
PENETAPAN TARIF BERDASARKAN ANALISIS BIAYA SATUAN PADA PELAYANAN KESEHATAN RAWAT JALAN TINGKAT PERTAMA PUSKESMAS DI KABUPATEN BANYUMAS Intiasari, Arih Diyaning; Kurniawan, Arif
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 1 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Research to assess the amount of real costs for the provision of RJTP health care of Puskesmas in Banyumas as the basis for determination of tariff policy. The results show the unit cost of health care which considering total cost without investation  is greater than tariff set by the The goverment of Banyumas regency. Average unit costs for health care in BP was Rp. 5846, unit-cost of MCH / family planning is Rp. 6775, - but the average unit cost  in the BPG reached a high nominal, it is Rp. 23 724. Determination of tariff that was being applied in RJTP Banyumas is Rp. 5.000, - for the BP service and MCH / family planning, and for  BPG service is Rp.8.000. The current tariff is lower than the unit cost of service. This research suggests that it is necessary to have unity of perceptions toward  stakeholders in government of Banyumas regency about the benefits of unit cost analysis in determining the tariff policy in the future, and it suggests to do research about Ability and Willingness to Pay in order to obtain more rational and competitive tariff determination and calculation in regency of Banyumas. Kata Kunci: Unit cost, tarif pelayanan, puskesmas Kesmasindo. Volume 4(1) Januari 2011, hlm. 81-94
ANALISIS KEMAMPUAN DAN KEMAUAN MEMBAYAR PETUGAS PARKIR TERHADAP PELAYANAN PUSKESMAS DI KABUPATEN BANYUMAS Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 5 No 2 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Different levels of ability and willingness to pay society encourages research to see how much the level of ability and willingness of the community especially the informal sector workers who are vulnerable to disease. Parking attendants who have no fixed income, and working outdoors is an object of research is interesting to examine the ability to pay and willingness to pay for public health care in Banyumas district. This descriptive research used consumption survey by 1 month  recall for food budget and non food budget to scalling ATP. The Contingent Valuation Methode (CVM) used to scalling the WTP. Number of samples in this research is 40 people. Parking attendants  in Banyumas District have Average of ATP was Rp. 21.706,6. The  respondents have average of WTP  Rp. 9262,5 for outpatient service in public health centers. The respondents have average of WTP Rp. 121.500,0 for inpatient service in public health centers. The ATP of the parking attendant health services is higher than the WTP outpatient of the parking attendant, and is lower than the WTP inpatient of the parking attendant.  Parking attedants should follow the health insurance so that if the events requiring inpatients service in public health centers. Keywords : Ability to Pay, Willingness to Pay, Public Health Centre Kesmasindo. Volume 5(2) Juli  2012,  hlm. 86 - 94
Kebutuhan Jaminan Kesehatan Masyarakat di Wiliyah Perdesaan Kurniawan, Arif; Intiasari, Arih Diyaning
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 1 Agustus 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.333 KB) | DOI: 10.21109/kesmas.v7i1.69

Abstract

Jaminan kesehatan adalah salah satu cara untuk mengurangi beban pembiayaan kesehatan yang dikeluarkan masyarakat. Sebagian besar masyarakat perdesaan di Kabupaten Banyumas yang mempunyai tingkat kemampuan membayar pelayanan kesehatan rendah belum mempunyai jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis kebutuhan jaminan dan faktor-faktor yang memengaruhi kesehatan masyarakat daerah. Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi penelitian adalah seluruh kepala keluarga diKabupaten Banyumas dengan jumlah sampel 130 orang. Metode analisis yang digunakan meliputi analisis univariat, bivariat, dan multivariat. Penelitian menemukan bahwa sebagian besar masyarakat Kabupaten Banyumas (72,3%) membutuhkan jaminan kesehatan daerah (Jamkesda).Terdapat hubungan antara pendidikan, pengetahuan, pendapatan, dan keyakinan terhadap mutu pelayanan kesehatan serta pola pembiayaan kesehatan dengan kebutuhan Jamkesda. Persepsi berpengaruh terhadap tarifpelayanan kesehatan dengan kebutuhan Jamkesda. Persepsi terhadap tarif pelayanan kesehatan merupakan variabel yang berpengaruh terhadap kebutuhan Jamkesda.Kata kunci: Kebutuhan, pembiayaan kesehatan daerah, jaminan kesehatanAbstractHealth insurance is one of the ways to reduce the burden of health financing issued by the society. Most communities in Banyumas district living in rural areas do not have health insurance. Rural communities in Banyumas district have low ability to pay health care services. The aim of this study isto analyze the health insurance needs of local communities and the factors that affect the public health insurance need of the area. This study is an observational study with survey research methods. This study used cross sectional approach. The study population was all households in Banyumas district.The research sample consisted of 130 people. Retrieval research data used a questionnaire instrument. Analysis of research data used univariate, bivariate, and multivariate. The research was conducted in Banyumas district. Most people in Banyumas district (72,3%) required regional health insurance. The result showed no relationship between education, knowledge, income, beliefs in health care quality and patterns of health financing in local communities needs of health insurance. The result showed the influence perceptions of health care rates with the health insurance needs of local communities. Perceptions of health care is a variable rate which affects the health insurance needs of local communities.Keywords: Needs, district health financing, health insurance
Potret Masyarakat Sektor Informal di Indonesia: Mengenal Determinan Probabilitas Keikutsertaan Jaminan Kesehatan sebagai Upaya Perluasan Kepesertaan pada Skema Non PBI Mandiri Intiasari, Arih Diyaning; Trisnantoro, Laksono; Hendrartini, Julita
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 4 (2015)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.v4i4.36122

Abstract

Latar Belakang: Perluasan kepesertaan jaminan kesehatan pada masyarakat sektor informal masih merupakan permasa- lahan nyata di berbagai negara. Karakteristik spesifik yang dimiliki oleh masyarakat sektor informal mempunyai potensi negatif dan positif yang harus bisa dikenali oleh pembuat kebijakan dalam rangka memberikan rekomendasi kebijakan yang paling tepat. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik masyarakat sektor informal terhadap kepemilikan jaminan kesehatan. Hasil penelitian ini diharapkan dapat memberikan kontribusi dalam upaya perluasan cakupan kepesertaan Non PBI Mandiri dimasa yang akan datang. Metode Penelitian : Penelitian ini merupakan studi observasio- nal analitik dengan rancangan Cross sectional dengan pende- katan data kuantitatif yang digunakan berhasil mendapatkan sebanyak 349.491 responden masyarakat sektor informal di Indonesia. Untuk memberikan gambaran karakteristik masyara- kat sektor informal dalam kepemilikan Jaminan kesehatan digu- nakan analisis data univariat dan bivariat. Hasil : Berdasarkan hasil analisis diketahui bahwa faktor yang berhubungan dengan kepemilikian asuransi sukarela adalah umur (p<0,001), pendidikan (p<0,001), pekerjaan (p<0,001), status perkawinan (p=0,002), status dalam keluarga (p=0,035), tempat tinggal (p<0,001), status ekonomi (p<0,001), status tempat tinggal (p<0,001), kepemilikan obat tradisional (p<0,001) dan kepemilikan riwayat penyakit kronis (p<0,013). Sebanyak 95,4% responden tidak memiliki akses terhadap pelayanan kesehatan Kesimpulan: Upaya perluasan cakupan kepesertaan Non PBI mandiri tidak hanya membutuhkan promosi kesehatan yang baik, akan tetapi juga harus diimbangi dengan kebijakan peme- rataan akses dan peningkatan kuantitas serta kualitas pelayan- an kesehatan. Upaya untuk mengkaji potensi pembiayaan kesehatan, utamanya melalui identifikasi revenue collection dan metode pengumpulan premi yang tepat bagi masyarakat sektor informal harus terus dilakukan.Background: The effort of extending of health insurance enrollment to the informal sector has risen to become an agenda in Man countries. The informal sector has a specific characteristic with positive and negative potential that should be recognized by all of the decision-makers in order to make appropriate policy. This research aims to analyze the informal sector characteris- tic regarding health insurance enrollment. The Renault may contribute to extending universal coverage in the enrollment of Non-PBI (voluntary scheme) on JKN in the coming years. Method: This study was observational analytic with a cross-sectional design. A quantitative approach was used to analyze 349.492 respondents from informal sector community in Indonesia. Univariate and bivariate data analysis was used to give information about the correlation between informal sector charac- teristic and health insurance enrollment. Result: Data analysis showed the variables correlate into health insurance enrollment are : Age (p<0,001), Education (p<0,001), jobs(p<0,001), marital status (p=0,002), role on family (p=0,035), place of resident (p<0,001), economic status (p<0,001), home status (p<0,001), traditional medication stock (p<0,001) and history of chronic illness (p<0,013). Many re- spondents ( 95,4% ) have no access to health care provider Conclusion: Effort on extending of non PBI (voluntary scheme) enrollment not only need a good health promotion but also balancing with policies in order to ensure many factors such as equity on health care access and increasing the quantity and quality of health care. There must be a policy analysis to explore health financing potential on informal sector communi- ty, especially to identify the appropriate and adequate me- thods on revenue collection and premium collection.
Potret Masyarakat Sektor Informal di Indonesia: Mengenal Determinan Probabilitas Keikutsertaan Jaminan Kesehatan sebagai Upaya Perluasan Kepesertaan pada Skema Non PBI Mandiri Intiasari, Arih Diyaning; Trisnantoro, Laksono; Hendrartini, Julita
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 4 (2015)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.489 KB) | DOI: 10.22146/jkki.v4i4.36121

Abstract

Latar Belakang: Perluasan kepesertaan jaminan kesehatan pada masyarakat sektor informal masih merupakan permasa- lahan nyata di berbagai negara. Karakteristik spesifik yang dimiliki oleh masyarakat sektor informal mempunyai potensi negatif dan positif yang harus bisa dikenali oleh pembuat kebijakan dalam rangka memberikan rekomendasi kebijakan yang paling tepat. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik masyarakat sektor informal terhadap kepemilikan jaminan kesehatan. Hasil penelitian ini diharapkan dapat memberikan kontribusi dalam upaya perluasan cakupan kepesertaan Non PBI Mandiri dimasa yang akan datang. Metode Penelitian : Penelitian ini merupakan studi observasio- nal analitik dengan rancangan Cross sectional dengan pende- katan data kuantitatif yang digunakan berhasil mendapatkan sebanyak 349.491 responden masyarakat sektor informal di Indonesia. Untuk memberikan gambaran karakteristik masyara- kat sektor informal dalam kepemilikan Jaminan kesehatan digu- nakan analisis data univariat dan bivariat. Hasil : Berdasarkan hasil analisis diketahui bahwa faktor yang berhubungan dengan kepemilikian asuransi sukarela adalah umur (p<0,001), pendidikan (p<0,001), pekerjaan (p<0,001), status perkawinan (p=0,002), status dalam keluarga (p=0,035), tempat tinggal (p<0,001), status ekonomi (p<0,001), status tempat tinggal (p<0,001), kepemilikan obat tradisional (p<0,001) dan kepemilikan riwayat penyakit kronis (p<0,013). Sebanyak 95,4% responden tidak memiliki akses terhadap pelayanan kesehatan Kesimpulan: Upaya perluasan cakupan kepesertaan Non PBI mandiri tidak hanya membutuhkan promosi kesehatan yang baik, akan tetapi juga harus diimbangi dengan kebijakan peme- rataan akses dan peningkatan kuantitas serta kualitas pelayan- an kesehatan. Upaya untuk mengkaji potensi pembiayaan kesehatan, utamanya melalui identifikasi revenue collection dan metode pengumpulan premi yang tepat bagi masyarakat sektor informal harus terus dilakukan.Background: The effort of extending of health insurance enrollment to the informal sector has risen to become an agenda in Man countries. The informal sector has a specific characteristic with positive and negative potential that should be recognized by all of the decision-makers in order to make appropriate policy. This research aims to analyze the informal sector characteris- tic regarding health insurance enrollment. The Renault may contribute to extending universal coverage in the enrollment of Non-PBI (voluntary scheme) on JKN in the coming years. Method: This study was observational analytic with a cross-sectional design. A quantitative approach was used to analyze 349.492 respondents from informal sector community in Indonesia. Univariate and bivariate data analysis was used to give information about the correlation between informal sector charac- teristic and health insurance enrollment. Result: Data analysis showed the variables correlate into health insurance enrollment are : Age (p<0,001), Education (p<0,001), jobs(p<0,001), marital status (p=0,002), role on family (p=0,035), place of resident (p<0,001), economic status (p<0,001), home status (p<0,001), traditional medication stock (p<0,001) and history of chronic illness (p<0,013). Many re- spondents ( 95,4% ) have no access to health care provider Conclusion: Effort on extending of non PBI (voluntary scheme) enrollment not only need a good health promotion but also balancing with policies in order to ensure many factors such as equity on health care access and increasing the quantity and quality of health care. There must be a policy analysis to explore health financing potential on informal sector communi- ty, especially to identify the appropriate and adequate me- thods on revenue collection and premium collection.
Analisis Pola Pemanfaatan Jaminan Pembiayaan Kesehatan Era Jaminan Kesehatan Nasional Pada Peserta Non PBI Mandiri Di Wilayah Perdesaan Kabupaten Banyumas Intiasari, Arih Diyaning; Hendrartini, Julita; Trisnantoro, Laksono
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 3 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.999 KB) | DOI: 10.22146/jkki.v5i3.30649

Abstract

ABSTRACTBackground : There is a suspected tendency of adverse selection during the implementation of JKN typically among Non PBI members (voluntary member) impact on the high rate of claims for services, especially in the outpatient claims level in hospital. It is necessary to study the patterns of utilization of health financing among Non PBI participants to describe determinants that influence it. Policy recommendations for the improvement of public health financing for non-poor informal sector are expected to support the efforts toward the expansion of the universal health coverageMethod: This study design was cross-sectional in the period from June to December 2015. Data collection is using qualitative approach with in-depth interview guide. Informants are some 24 people comprising 12 Non PBI informant participants, 3 the registrar at the health center, 2 nurses in health centers, 3 the registrar at the private hospital and 4 people registrar in General HospitalResult: There are four patterns of usage by the participants of the Non PBI (Mandiri). The utilization pattern consists of: Utilization of health services appropriate tiered referral system, utilization of health insurance by their own preference of referral system, utilization of health insurance only for health care outpatient and inpatient hospital and utilization of health insurance only for inpatient health services in hospital Conclusion : There is a tendency for adverse selection and moral hazard on utilization of health financing by Non PBI members. Some referral practices are not in accordance with the procedure of tiered referral system due to several identified reasons either from the demand side and the supply side. Keyword : social health insurance, Adverse Selection ABSTRAKLatar Belakang: Adanya kecenderungan terhadap fenomena adverse selection pada skema Non PBI Mandiri berdampak kepada tingginya rasio klaim pelayanan terutama pada klaim rawat jalan tingkat lanjutan di FKTL. Perlu dilakukan kajian terhadap pola pemanfaatan jaminan pembiayaan kesehatan era JKN pada peserta Non PBI Mandiri untuk mengetahui gambaran determinan yang mempengaruhinya. Rekomendasi terhadap perbaikan kebijakan pembiayaan kesehatan masyarakat sektor informal non miskin diharapkan dapat mendukung upaya perluasan kepesertaan menuju kesehatan masyarakat semestaMetode: Penelitian ini menggunakan rancangan potong lintang pada periode Bulan Juni-Desember 2015. Pengambilan data menggunakan pendekatan kualitatif dengan panduan wawancara mendalam. Informan yang terlibat sejumlah 24 orang yang terdiri dari 12 informan peserta Non PBI Mandiri, 3 orang petugas pendaftaran di Puskesmas, 2 orang perawat di Puskesmas, 3 orang petugas pendaftaran di RS Swasta dan 4 orang petugas pendaftaran di RS UmumHasil : Identifikasi pada informan menemukan adanya 4 pola penggunaan jaminan pembiayaan kesehatan oleh peserta Non PBI Mandiri. Pola pemanfaatan tersebut terdiri dari : Pemanfaatan pelayanan kesehatan sesuai sistem rujukan berjenjang, Pemanfaatan jaminan kesehatan dengan sistem rujukan APS, Pemanfaatan jaminan kesehatan hanya untuk pelayanan kesehatan rawat jalan dan rawat inap di FKTL dan pemanfaatan jaminan kesehatan hanya untuk pelayanan kesehatan rawat inap di FKTLKesimpulan: Adanya kecenderungan adverse selection dan moral hazard teridentifikasi pada peserta skema Non PBI Mandiri. Pola pemanfaatan jaminan pembiayaan kesehatan yang tidak sesuai dengan prosedur sistem rujukan berjenjang disebabkan adanya beberapa hal yang dapat teridentifikasi baik dari sisi demand maupun sisi supply. Keyword : BPJS Non PBI Mandiri, Adverse Selection
FAKTOR – FAKTOR YANG MEMPENGARUHI PEMANFAATAN PELAYANAN PENGOBATAN INFEKSI MENULAR SEKSUAL (IMS) DI PUSKESMAS PURWOKERTO SELATAN KABUPATEN BANYUMAS. Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 5 No 1 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT South Purwokerto is a region that also has high risk of Sexual Transmitted Infection (IMS) because there are wild prostitution areas which located in ex terminal and Rajawali Cinema. Based on data, curative service exploiting in Puskesmas Baturaden II have been good enough that equals to 83,93%, while in Puskesmas Purwokerto Selatan shows number of patients exploiting therapy service of IMS still be low that equals to 37,5%. This research aims to know service exploiting of Sexual Transmitted Infection ( IMS) therapy&nbsp; at IMS patient and factors influencing service exploiting of IMS therapy. The type of this research is survey with form of explanatory research. Population of this research is society in the job region of Puskesmas Purwokerto Selatan who have high risk of IMS. The sample number of this research is 40, obtained from formula of minimum sample size. Result of research shows that there is correlation between knowledge about therapy service of IMS, promotion of therapy service of IMS, and quality of therapy service of IMS with service exploiting of therapy IMS. While there is no correlation between service reachability of IMS therapy and service need of IMS therapy with service exploiting of IMS therapy. There is simultanous influence between promotion of IMS therapy service and quality of IMS &nbsp;therapy service with service exploiting of IMS therapy. Suggestion in this research is puskesmas must increase promotion of therapy service of IMS to the society in puskesmas region&nbsp; and increase quality of therapy service of IMS to the patient of IMS therapy. Kata Kunci : Pemanfaatan,Pengobatan, Infeksi Menular Seksual Kesmasindo Volume 5( 1)Januari 2012, hlm. 33-43