Analisis Mekanisme Pengelolaan Dana Kapitasi Pada Klinik Pratama di Kecamatan Pedurungan Kota Semarang

Listia Ayuni Nur Afifah; Septo Pawelas Arso; Eka Yunila Fatmasari

doi:10.14710/jkm.v7i4.25076

DOI: https://doi.org/10.14710/jkm.v7i4.25076

Analisis Mekanisme Pengelolaan Dana Kapitasi Pada Klinik Pratama di Kecamatan Pedurungan Kota Semarang

*Listia Ayuni Nur Afifah - , Indonesia

Septo Pawelas Arso - , Indonesia

Eka Yunila Fatmasari - , Indonesia

Received: 29 Sep 2019; Published: 22 Oct 2019.

BibTex Citation Data :

@article{JKM25076,
    author = {Listia Nur Afifah and Septo Arso and Eka Fatmasari},
    title = {Analisis Mekanisme Pengelolaan Dana Kapitasi Pada Klinik Pratama di Kecamatan Pedurungan Kota Semarang},
    journal = {Jurnal Kesehatan Masyarakat},
  volume = {7},
    number = {4},
    year = {2019},
    keywords = {National Health Insurance, Capitation Fund, Pratama Clinic},
    abstract = {  Pratama Clinic is a health care facility that organizes individual health that provides basic medical health services. Pratama Clinic is a private Primary Health Care/not owned by the Government so it is not under the Department of Health. Pedurungan District is one of the districts with the highest population in Semarang City and has the highest number of pratama clinics. Capitation fund management is a procedure for budgeting, implementation, administration (utilization), and accountability of capitation fund. BPJS Kesehatan must pay capitation and non-capitation tariffs to perform basic health services provided by pratama clinics to participants in the National Health Insurance (JKN) program. This study aims to describe the mechanism of managing capitation funds at the Pratama clinic in Pedurungan District, Semarang City. This study is a qualitative study with in-depth interviews and observations with Owners, Admins, and Doctors at the Pratama Clinic.    The results show that all Pratama clinics do not make plans for capitalization and expenditure. BPJS Kesehatan is always on time to pay capitation funds, which is every 15th. Not all pratama clinics determine the amount of capitation fund allocation for health services and support for operational costs of health. Pratama Clinic also does not carry out accountability of capitation funds, but only makes reports requested by BPJS Kesehatan or other agencies. To overcome this, the role of leadership is needed in managing capitation funds at the Pratama Clinic optimally and BPJS Kesehatan needs to make regulations related to the management of capitation fund at Pratama clinic.  },
   issn = {2356-3346},   pages = {683--694}  doi = {10.14710/jkm.v7i4.25076},
    url = {https://ejournal3.undip.ac.id/index.php/jkm/article/view/25076}
}

Citation Format:

Abstract

Pratama Clinic is a health care facility that organizes individual health that provides basic medical health services. Pratama Clinic is a private Primary Health Care/not owned by the Government so it is not under the Department of Health. Pedurungan District is one of the districts with the highest population in Semarang City and has the highest number of pratama clinics. Capitation fund management is a procedure for budgeting, implementation, administration (utilization), and accountability of capitation fund. BPJS Kesehatan must pay capitation and non-capitation tariffs to perform basic health services provided by pratama clinics to participants in the National Health Insurance (JKN) program. This study aims to describe the mechanism of managing capitation funds at the Pratama clinic in Pedurungan District, Semarang City. This study is a qualitative study with in-depth interviews and observations with Owners, Admins, and Doctors at the Pratama Clinic.

The results show that all Pratama clinics do not make plans for capitalization and expenditure. BPJS Kesehatan is always on time to pay capitation funds, which is every 15th. Not all pratama clinics determine the amount of capitation fund allocation for health services and support for operational costs of health. Pratama Clinic also does not carry out accountability of capitation funds, but only makes reports requested by BPJS Kesehatan or other agencies. To overcome this, the role of leadership is needed in managing capitation funds at the Pratama Clinic optimally and BPJS Kesehatan needs to make regulations related to the management of capitation fund at Pratama clinic.

Fulltext View|Download

Keywords: National Health Insurance, Capitation Fund, Pratama Clinic

Article Metrics:

Article Info

Section: Administrasi dan Kebijakan Kesehatan

Language : ID

In Vol 7, No 4 (2019): OKTOBER

Recent articles

Analisis Pengembangan Tim Pendataan Kunjungan Rumah Program Indonesia Sehat dengan Pendekatan Keluarga di Puskesmas Manyaran Kota Semarang Evaluasi Pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga pada Indikator TB Paru di Puskesmas Tayu II Kabupaten Pati HUBUNGAN SOSIAL BUDAYA, PERSEPSI EFEK SAMPING DAN GANGGUAN HUBUNGAN SEKSUAL DENGAN PEMILIHAN IUD DI KECAMATAN BANYUBIRU KABUPATEN SEMARANG TAHUN 2018 Beberapa Faktor yang Berhubungan dengan Penggunaan Sistem Informasi oleh Penyuluh KB terhadap Kelengkapan Laporan Kampung KB di Kota Semarang Analisis Spasial Persebaran Kasus Tuberkulosis Paru Di Kota Semarang Tahun 2018 Faktor Risiko Ketidakikutsertaan Skrining Tuberkulosis (Studi pada Penderita Diabetes Mellitus di Puskesmas Imogiri 1 Bantul) RELATIONSHIP OF NUTRITION STATUS AND NUTRITIONAL ADEQUACY OF MORNING EATING WITH STUDENT ACHIEVEMENT OF SIDOMULYO 01 STATE ELEMENTARY SCHOOL STUDENTS WONOSALAM DISTRICT DEMAK REGENCY PERBEDAAAN KETERSEDIAAN PANGAN PANTI, TINGKAT KECUKUPAN ENERGI-PROTEIN DAN STATUS GIZI LANSIA PEREMPUAN ANTARA PANTI WREDHA NEGERI DAN SWASTA (Studi di Unit Rehabilitasi Sosial Pucang Gading Provinsi Jawa Tengah dan Panti Wredha Harapan Ibu Kota Semarang) HUBUNGAN POSTUR KERJA DENGAN METODE QUICK EXPOSURE CHECKLIST (QEC) PADA KELUHAN NYERI LEHER PENERAPAN WILDLIFE HAZARD MANAGEMENT SEBAGAI UPAYA KESELAMATAN PENERBANGAN DI BANDAR UDARA INTERNASIONAL JENDERAL AHMAD YANI SEMARANG EVALUASI PELAKSANAAN PILAR PERTAMA STOP BUANG AIR BESAR SEMBARANGAN PADA PROGRAM SANITASI TOTAL BERBASIS MASYARAKAT DI KABUPATEN NAGEKEO Efektivitas Variasi Dosis Koagulan PAC (Poly Alumunium Chloride) dalam Menurunkan Kadar Logam Berat Kromium (Cr) pada Limbah Cair Penyamakan Kulit ANALISIS PERSEPSI STAKEHOLDER DALAM KEBUTUHAN PENDIDIKAN TERINTEGRASI PENCEGAHAN PERILAKU BERISIKO REMAJA HUBUNGAN PERSEPSI KERENTANAN DAN PERSEPSI ANCAMAN DENGAN PERAN PMO DALAM PEMBERIAN OBAT TB PADA ANAK TERHADAP PENCEGAHAN KEJADIAN DROP OUT More recent articles

Last update:

No citation recorded.

Last update:

No citation recorded.

The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Jurnal Kesehatan Masyarakat (JKM, p-ISSN: 2715-5617, e-ISSN:2356-3346) and Faculty of Public Health, Diponegoro University as the publisher of the journal. Copyright encompasses the rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms, and any other similar reproductions, as well as translations.

JKM journal and Faculty of Public Health, Diponegoro University, the Editors and the Advisory Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the JKM journal are the sole and exclusive responsibility of their respective authors and advertisers.

The Copyright Transfer Form can be downloaded here: [Copyright Transfer Form JKM journal]
The copyright form should be signed originally and send to the Editorial Office in the form of original mail or scanned document to jkm@live.undip.ac.id.