ANALISIS UPAYA PENCAPAIAN INDIKATOR KAPITASI BERBASIS KINERJA DI PUSKESMAS TALANG BANJAR KOTA JAMBI TAHUN 2023

Astuti, Jesika (2023) ANALISIS UPAYA PENCAPAIAN INDIKATOR KAPITASI BERBASIS KINERJA DI PUSKESMAS TALANG BANJAR KOTA JAMBI TAHUN 2023. S1 thesis, Ilmu Kesehatan Masyarakat.

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Official URL: https://repository.unja.ac.id/

Abstract

Abstrak Latar Belakang: Kebijakan Kapitasi Berbasisis Kinerja merupakan kendali mutu dan kendali biaya FKTP. Studi pendahuluan, pembayaran kapitasi Puskesmas Talang Banjar tahun 2022 hanya 88% dengan capaian AK 64,93 permil, RRNS 2,12%, dan RPPT 0,55%. Studi ini bertujuan menganalisis upaya pencapaian indikator KBK di Puskesmas Talang Banjar. Metode: Studi menggunakan pendekatan mix method dengan rancangan sequential exploratory di Puskesmas Talang Banjar Juni-Juli 2023. Data kualitatif diperolah dari wawancara mendalam dengan 15 informan dipilih secara purposive sampling, observasi dan telaah dokumen. Data kuantitatif hasil penyebaran kuesioner kepada 49 staf puskesmas dipilih secara total sampling. Data kualitatif dianalisis bantuan software Nvivo secara content analysis dan data kuantitatif dianalisis secara univariat. Hasil: Pencapaian indikator KBK puskesmas dipengaruhi oleh input yang tersedia yaitu SDM Kesehatan, Sarana Prasarana, Dana dan Metode. Aspek process menunjukan hambatan pencapaian indikator angka kontak yaitu pencatatan dan pelaporan kunjungan sehat, indikator rujukan non spesialistik dipengaruhi perilaku pasien yang ingin dirujuk dan ketersediaan alat kesehatan, sedangkan indikator prolanis terkendali dipengaruhi kesulitan pemantauan rutin petugas terhadap peserta. Hasil penelitian kuantitatif menunjukan sebagain besar staf (77,6 %) menyatakan pelaksanaan dalam mencapai indikator KBK di puskesmas kurang baik. Kesimpulan: Puskesmas Talang Banjar belum mencapai target indikator KBK. Diperlukan evaluasi menyeluruh dari BPJS Kesehatan, Dinas Kesehatan dan pimpinan Puskesmas mengidentifikasi permasalahan yang muncul dalam pencapaian indikator kinerja Puskesmas sebagai upaya memastikan kualitas pelayanan kepada peserta JKN. Kata kunci: Kapitasi Berbasis Kinerja, Pendekatan Sistem, Pencapaian indikator puskesmas. Abstract Background: The Performance-Based Capitation policy is a quality control and cost control measure for primary health care facilities. Preliminary study, capitation payment of Puskesmas Talang Banjar in 2022 was only 88% with the achievement of AK 64.93 percent, RRNS 2.12%, and RPPT 0.55%. This study aims to analyze efforts to achieve KBK indicators at Puskesmas Talang Banjar. Methods: The study used a mixed method approach with a sequential exploratory design at Puskesmas Talang Banjar in June-July 2023. Qualitative data were obtained from in-depth interviews with 15 informants selected by purposive sampling, observation and document review. Quantitative data resulted from distributing questionnaires to 49 health center staff selected by total sampling. Qualitative data were analyzed using Nvivo software by content analysis and quantitative data were analyzed univariately. Results: The achievement of health center KBK indicators is influenced by the available inputs, namely Health Human Resources, Infrastructure Facilities, Funds and Methods. The process aspect shows that the obstacles to achieving the contact rate indicator are recording and reporting healthy visits, the non-specialistic referral indicator is influenced by the behavior of patients who want to be referred and the availability of medical devices, while the controlled prolanis indicator is influenced by the difficulty of routine monitoring by officers of participants. The results of quantitative research show that most staff (77.6%) stated that the implementation in achieving KBK indicators at the puskesmas was not good. Conclusion: Talang Banjar Health Center has not achieved the target of KBK indicators. A thorough evaluation is needed from BPJS Health, the Health Office and Puskesmas leaders to identify problems that arise in achieving Puskesmas performance indicators in an effort to ensure the quality of services to JKN participants. Keywords: Performance-Based Capitation, Systems Approach, Achievement of health center indicators.

Type: Thesis (S1)
Uncontrolled Keywords: Performance-Based Capitation, Systems Approach, Achievement of health center indicators.
Subjects: L Education > L Education (General)
Divisions: Fakultas Kedokteran dan Ilmu Kesehatan > Ilmu Kesehatan Masyarakat
Depositing User: ASTUTI
Date Deposited: 11 Dec 2023 06:36
Last Modified: 11 Dec 2023 06:36
URI: https://repository.unja.ac.id/id/eprint/58549

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