Articles

Found 5 Documents
Search

BERBAGAI KIAT RUMAH SAKIT UNTUK MENINGKATKAN PENDAPATAN: POTENSI KERUGIAN KEPENTINGAN PUBLIK DAN ANTISIPASINYA Riyarto, Sigit
Jurnal Manajemen Pelayanan Kesehatan Vol 3, No 03 (2000)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (713.395 KB)

Abstract

TERSEDIA DALAM FILE
EVALUASI IMPLEMENTASI STRATEGI PEMASARAN DI RUMAH SAKIT ISLAM JAKARTA Riyarto, Sigit
Jurnal Manajemen Pelayanan Kesehatan Vol 2, No 01 (1999)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1320.04 KB)

Abstract

TERSEDIA DALAM FILE
Analisis potensi pengembangan instalasi gizi Rumah Sakit Umum Banyumas menjadi profit center Wahyanto, Wahyanto; Hadi, Hamam; Riyarto, Sigit
Jurnal Gizi Klinik Indonesia Vol 3, No 1 (2006): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17426

Abstract

Background: A hospital is supposed to be self-financed. Nutrition installation as one of units in the hospital is categorized as a cost center unit. It may be changed into a profit center unit if it is developed by providing foods for staff, students and patients’ families.Objectives: To know feasibility of nutrition department development potential of Banyumas Hospital through provision of food service for staff, students and patients’ families in order to contribute for hospital income.Methods: Primary data were collected through questionnaires to know: willingness to pay for from staff, students and patients’ families and commitment of nutrition installation staff; and through focus group discussion to know the commitment of hospital management. Secondary data were obtained from non-experiment observation at nutrition installation and hospital secretariat. Nutrition service development feasibility was viewed from market, commitment of staff and hospital management, and technical aspects.Results: Result of the study showed than potential of nutrition department development to become a profit center by serving foods for staff, students and patients’ families was feasible to implement viewed from: market aspect, there was definite potential market, willingness and capacity to pay, high interest to become customers and marketing mix control; Investment criteria, Net Present value was as much as Rp166,333,504.04, Internal Rate of Return Value was 81.9%, Pay Back Period was 9 months, and Break Even Point was 2 years 10 months and 24 days; Nutrition Installation staff and hospital management commitment was high; Technical aspect, location, raw material resources, manpower, production capacity and facilities were justified.Conclusion: Nutrition department development was feasibly potential to be implemented.
Analisis potensi pengembangan instalasi gizi Rumah Sakit Umum Banyumas menjadi profit center Wahyanto, Wahyanto; Hadi, Hamam; Riyarto, Sigit
Jurnal Gizi Klinik Indonesia Vol 3, No 1 (2006): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1988.598 KB) | DOI: 10.22146/ijcn.17426

Abstract

Background: A hospital is supposed to be self-financed. Nutrition installation as one of units in the hospital is categorized as a cost center unit. It may be changed into a profit center unit if it is developed by providing foods for staff, students and patients’ families.Objectives: To know feasibility of nutrition department development potential of Banyumas Hospital through provision of food service for staff, students and patients’ families in order to contribute for hospital income.Methods: Primary data were collected through questionnaires to know: willingness to pay for from staff, students and patients’ families and commitment of nutrition installation staff; and through focus group discussion to know the commitment of hospital management. Secondary data were obtained from non-experiment observation at nutrition installation and hospital secretariat. Nutrition service development feasibility was viewed from market, commitment of staff and hospital management, and technical aspects.Results: Result of the study showed than potential of nutrition department development to become a profit center by serving foods for staff, students and patients’ families was feasible to implement viewed from: market aspect, there was definite potential market, willingness and capacity to pay, high interest to become customers and marketing mix control; Investment criteria, Net Present value was as much as Rp166,333,504.04, Internal Rate of Return Value was 81.9%, Pay Back Period was 9 months, and Break Even Point was 2 years 10 months and 24 days; Nutrition Installation staff and hospital management commitment was high; Technical aspect, location, raw material resources, manpower, production capacity and facilities were justified.Conclusion: Nutrition department development was feasibly potential to be implemented.
Evaluasi Manfaat Program Jaminan Kesehatan Daerah bagi Masyarakat Kota Yogyakarta Rohadanti, Rohadanti; Riyarto, Sigit; Padmawati, Retna Siwi
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 2 (2012)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.747 KB) | DOI: 10.22146/jkki.v1i2.36010

Abstract

Background: The Program of Community Health Insurance Scheme (Jamkesda) in Yogyakarta Municipality is organized by the Technical Unit Regional Health Insurance Provider (UPT PJKD) with funds from the municipal budget. The rules about membership, benefits and amount of Jamkesda are appointed in the Mayor Regulation. There has been no comprehensive research about benefits and the perceived difficulty when using Jamkesda. Therefore, this research aims to determine this issue. Methods: This was an observational study using quantitative and qualitative methods. The quantitative respondents (n= 154) were selected accidentally when the patients were being treated at two hospitals in Yogyakarta and were based on the recapitulation of the claims in the previous month. The qualitative respondents (n = 10) were selected by purposive sampling for patients with chronic illnesses and with very high claims. Data collection was taken by questionnaire and guide- line for in-depth interviews to Jamkesda participants who had been treated in the two hospitals. Results: The respondents perceived that Jamkesda was beneficial despite objecting to 51.30% of the cost sharing. Therefore, in in-depth interviews five respondents expressed that they had to borrow money to pay for it. A total of 61.04% respondents used a letter of recommendation from Department of Social, Labor and Transmigration (those with no health insurance). Difficulty in handling the identity of membership was only experienced by 16.23%, while 78.57% had no prob- lem in it. Those who found difficulty were looking for a solution to the government administrator as RT/RW, parliaments, NGOs and neighbors. Around 78.57% of respondents did not under- stand about the Jamkesda service limit; they only knew infor- mation relating to their current interests. A total of 89.61% respondents knew that Jamkesda was an aid. All respon- dents in in-depth interview and around 73.38% respondents paid the cost sharing more than 10% of total claims. From the total household expenditure, almost all (99.35 %) were cata- strophic as the health spent more than 40% of their household expenditure whereas 73.38% earned below the minimum wage income. Conclusion: High cost sharing can result in large catastrophic expenses. Therefore, there is a need for reassessing the Jamkesda benefit package in order that the financial protec- tion of household can be achieved.Latar Belakang: Program Jaminan Kesehatan Daerah (Jam- kesda) Kota Yogyakarta diselenggarakan oleh Unit Pelaksana Teknis Penyelenggara Jaminan Kesehatan Daerah (UPT PJKD) dengan sumber dana berasal dari APBD Kota Yogyakarta. Aturan tentang kepesertaan, benefit dan besarannya terdapat dalam Peraturan Walikota. Belum ada penelitian yang kompre- hensif tentang manfaat dan kesulitan yang dirasakan masya- rakat dalam menggunakan Jamkesda Kota Yogyakarta maka penelitian ini bertujuan untuk mengetahui hal tersebut. Metode: Penelitian ini adalah penelitian observasional dengan metode kuantitatif dan kualitatif. Responden kuantitatif (n=154) dipilih secara accidental ketika pasien sedang berobat di dua rumah sakit di Yogyakarta dan didasarkan pada rekapitulasi klaim pada bulan sebelumnya. Responden kualitatif (n=10) dipilih dengan purposive sampling yaitu pasien dengan penyakit kro- nis dan yang mempunyai klaim sangat tinggi. Pengumpulan data menggunakan kuesioner dan pedoman wawancara men- dalam kepada peserta Jamkesda yang sedang atau telah dira- wat di dua RS tersebut. Hasil: Responden merasakan manfaat Jamkesda walaupun 51,30% merasa keberatan dengan besar cost sharing, se- hingga sebagian responden pada wawancara mendalam me- nyatakan mengutang untuk membayarnya. Sebanyak 61,04% responden menggunakan surat rekomendasi Dinas Sosial Tena- ga Kerja dan Transmigrasi untuk berobat karena tidak memiliki jaminan kesehatan. Kesulitan dalam pengurusan identitas kepe- sertaan hanya dialami oleh 16,23%, sedangkan 78,57% merasa mudah dalam pemanfaatannya. Masyarakat yang merasa kesu- litan pada wawancara mendalam, mencari solusi kepada pe- ngurus RT/RW, anggota DPRD, LSM dan tetangga. Sekitar 78,57% responden tidak memahami batasan pelayanan Jam- kesda dan hanya mengetahui informasi yang berhubungan dengan kepentingan mereka saat itu. Sebanyak 89,61% res- ponden mengetahui bahwa Jamkesda hanya bersifat bantuan. Semua responden pada wawancara mendalam serta 73,38% responden membayar cost sharing lebih dari 10% total klaim dari pengeluaran rumah tangga, hampir semua (99,35% res- ponden) mengalami pengeluaran katastrofik yakni pengeluaran biaya kesehatan lebih dari 40% pengeluaran rumah tangga setelah dikurangi pengeluaran kebutuhan pokok padahal 73,38% masyarakat berpenghasilan di bawah UMR. Kesimpulan: Cost sharing yang besar dapat berakibat pe- ngeluaran katastrofik sehingga perlu dikaji kembali benefit pack- age Jamkesda agar perlindungan terhadap keuangan rumah tangga dapat dicapai.