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      • Buletin Penelitian Sistem Kesehatan
      • (eJournal 1) Buletin Penelitian Sistem Kesehatan
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      A Case Study on the Implementation of Local Health Insurance Benefit Packages

      Date
      2015
      Author
      Supriyantoro, Supriyantoro; Sekretariat Jenderal Kementerian Kesehatan RI
      Hendarwan, Harimat; Pusat Teknologi dan Intervensi Kesehatan Masyarakat, Badan Litbang Kesehatan, Kemenkes RI
      Savithri, Youth; Direktorat Jenderal Bina Upaya Kesehatan, Kemenkes RI
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      Abstract
      Background: The variation of benefit packages implemented by some local social health insurance schemes (Jamkesda) become an important issue in the effort to integrating them into National Health Insurance (JKN). This study aims to describe implementation of Jamkesda’s benefit packages as a basic consideration in integration to JKN. Methods: Design of this study is case study with qualitative and quantitative aproaches, conducted 2013–2014 in all of districts/cities which already have Jamkesda. Primary and secondary data was collected. Primary data has been collected by focus group discussion, interview, observation, and self administered questioner. Secondary data collected from many sources such as articles, journal, official document, statistics data, and others. Results:Of this study show there is no significant relationship between fiscal capacity group and benefit packages (continuity correction, p value = 0.065). But, districts/cities with high fiscal capacity (high and very high) seem likely to have probability 1,920 bigger than lower capacity districts/cities in giving equal or more benefit than existing national social health insurance (Jamkesmas) (Mantel-Haenszel, Common Odds Ratio Estimates = 1.920; Confidence Interval 95% =1.008–3.658; asymp. Sig 2 sided = 0.047). There is variation of benefit packages between each Jamkesda. Qualitative results show there are many obstacles faced in giving benefit health services, such as limited community accessibility to health facilities, the absence of health workforce, and lack of health infrastructure and equipment. Recomendation: This study recommends to set a national minimum benefit packages and equalizing percetion of local decission maker.
      URI
      http://ejournal.litbang.depkes.go.id/index.php/hsr/article/view/4100
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      • (eJournal 1) Buletin Penelitian Sistem Kesehatan [594]

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      Copyright © Badan Litbangkes - Kementerian Kesehatan RI
      Jl. Percetakan Negara no.29, Jakarta Pusat 10560, Indonesia
      All rights reserved. 2019
      Contact Us | Send Feedback