Isjwardhani, Fawzia Rahmah Gieza (2020) Strategi Pelayanan Rumah Sakit Umum Daerah dalam Mengemban Program Jaminan Kesehatan Nasional dengan Penghampiran Sistem Dinamik (Studi Kasus pada Rumah Sakit Umum Daerah X Kelas B). Other thesis, Institut Teknologi Sepuluh Nopember.
Preview |
Text
02411640000210_Undergraduate Thesis.pdf Download (4MB) | Preview |
Abstract
Program Jaminan Kesehatan Nasional melalui BPJS Kesehatan telah berhasil membantu mewujudkan keadilan bagi penduduk Indonesia di bidang pelayanan kesehatan. Program ini berupa jaminan kesehatan atas penduduk Indonesia yang sakit baik terutama bagi yang tidak mampu melalui bantuan pemerintah. Fasilitas kesehatan, salah satunya RSUD X merupakan salah satu fasilitas kesehatan yang bekerjasama dengan program ini. Namun, keuntungan tidak berbanding lurus bagi fasilitas kesehatan selaku mitra kerja BPJS Kesehatan, terutama rumah sakit. Hal ini disebabkan adanya perbedaan antara jumlah keseluruhan dana yang digunakan rumah sakit untuk melayani pasien dan jumlah dana yang diterima oleh rumah sakit sebagai pembayaran klaim pasien pengguna. Penelitian ini dilakukan untuk menganalisis dan memodelkan sistem RSUD X dan apa saja yang mempengaruhi keuangan RSUD X. Tujuan dari penelitian ini adalah untuk mencari skenario yang mampu memperbaiki kondisi keuangan RSUD X secara signifikan. Variabel keputusan yang berpengaruh besar adalah pendapatan operasional yang berasal dari pelayanan kesehatan pasien rawat jalan dan rawat inap. Hasil skenario perbaikan menunjukkan bahwa dengan membagi proporsi pasien umum menjadi 75% dan pasien JKN menjadi 25% serta memberlakukan skema co-sharing akan meningkatkan pendapatan secara signifikan dan mengurangi subsidi mencapai 50% dari kondisi awal.
==========================================================
==========================================================
National Health Insurance Program through BPJS Health has succeeded in helping to bring equality to the Indonesian population in the field of health services. It is done by providing health insurance for the unhealthy Indonesian population, especially for those who cannot afford health services, through government subsidies. Health facilities, one of which is RSUD X, is one of the health facilities in collaboration with this program. However, the benefits are not directly proportional to health facilities as BPJS Health partners, especially hospitals. This problem is caused by differences between the total amount of funds used by hospitals to serve patients and the amount of funds received by hospitals as payment for patient user claims. This research was conducted to analyze and model the RSUD X system and anything that affects the finances of RSUD X. The purpose of this study was to look for scenarios that could significantly improve the financial condition of RSUD X. Decision variables that have a big influence are operational income derived from outpatient and inpatient health services. The results of the improvement scenario show that by dividing the proportion of general patients into 75% and JKN patients into 25% and enforcing co-sharing scheme will significantly increase income and reduce subsidies to 50% of the initial conditions.
| Item Type: | Thesis (Other) |
|---|---|
| Uncontrolled Keywords: | Pelayanan Rumah Sakit, BPJS Kesehatan, Performansi Finansial, Sistem Dinamik, Healthcare System, Health Insurance, Financial Performance, System Dynamics |
| Subjects: | H Social Sciences > HG Finance Q Science > Q Science (General) R Medicine > RA Public aspects of medicine > RA960+ Hospitals R Medicine > RZ Other systems of medicine |
| Divisions: | Faculty of Industrial Technology > Industrial Engineering > 26201-(S1) Undergraduate Thesis |
| Depositing User: | Ms. Fawzia Rahmah Gieza |
| Date Deposited: | 27 Aug 2020 07:42 |
| Last Modified: | 19 Jan 2024 15:10 |
| URI: | http://repository.its.ac.id/id/eprint/80402 |
Actions (login required)
 |
View Item |