skip to main content

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.

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
Recent articles
Analisis Pengembangan Tim Pendataan Kunjungan Rumah Program Indonesia Sehat dengan Pendekatan Keluarga di Puskesmas Manyaran Kota Semarang Organizational Factors in the Performance Analysis of Healthy Indonesian Program Data Collection Employee with Family Approaches in Public Health Center HUBUNGAN PENDIDIKAN, BUDAYA, TEMAN SEBAYA DENGAN PERNIKAHAN USIA MUDA DI KECAMATAN KANDANGHAUR INDRAMAYU TAHUN 2018 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN DOKUMEN REKAM MEDIS RAWAT INAP DI RUMAH SAKIT TAHUN 2018 HUBUNGAN ANTARA REHABILITASI DAN DUKUNGAN KELUARGA DENGAN KEJADIAN STROKE BERULANG (STUDI KASUS DI RSUD Dr. ADHYATMA, TUGUREJO SEMARANG) SURVEI KANDUNGAN RESIDU OKSITETRASIKLIN PADA HATI AYAM YANG DIJUAL DI PASAR TRADISIONAL KECAMATAN BANYUMANIK KOTA SEMARANG HUBUNGAN ASUPAN ZAT GIZI (PROTEIN, ZAT BESI, VITAMIN C) DAN POLA (SIKLUS, LAMA) MENSTRUASI DENGAN KADAR HEMOGLOBIN (Studi pada Remaja Putri di SMK Negeri 10 Semarang) PENGARUH PENDIDIKAN GIZI DENGAN MEDIA SAMPUL BUKU TERHADAP PENGETAHUAN DAN SIKAP TENTANG ANEMIA REMAJA PUTRI (studi pada siswi kelas VII di SMP Teuku Umar Semarang) HUBUNGAN INTENSITAS PENCAHAYAAN, KELELAHAN MATA DAN GANGGUAN KETAJAMAN PENGLIHATAN PADA PEKERJA BAGIAN INSPECTING PT. TEKSTIL X ANALISIS FAKTOR MANUSIA DAN LINGKUNGAN TERHADAP KECELAKAAN LALU LINTAS (Studi pada Pengemudi Travel PO.X di Ruas Jalan Curup – Lubuk Linggau, Kabupaten Rejang Lebong, Bengkulu) Efektivitas Variasi Dosis Koagulan PAC (Poly Alumunium Chloride) dalam Menurunkan Kadar Logam Berat Kromium (Cr) pada Limbah Cair Penyamakan Kulit Analisis Sebaran Kasus TB Paru BTA Positif di Kota Semarang Tahun 2018 berdasarkan Suhu Udara FAKTOR YANG BERHUBUNGAN DENGAN PRAKTIK IBU DALAM MELINDUNGI KELUARGA DARI PAPARAN ASAP ROKOK PENGARUH PICTORIAL HEALTH WARNING PADA KEMASAN BUNGKUS ROKOK TERHADAP PRAKTIK MEROKOK REMAJA USIA 12-14 TAHUN DI KOTA SEMARANG More recent articles

Last update:

No citation recorded.

Last update:

No citation recorded.