Implementasi Kapitasi Berbasis Kinerja (KBK) di Puskesmas Meuraxa Kota Banda Aceh
DOI:
https://doi.org/10.33143/jhtm.v10i1.3772Abstrak
ABSTRACT
Latar Belakang Masalah: Kapitasi Berbasis Kinerja (KBK) mempunyai tiga indikator penting yang harus diterapkan sebagai upaya peningkatan kualitas pelayanan peserta JKN di FKTP. Adapun ketiga indikator tersebut adalah angka kontak ≥ 150 per mil, rasio rujukan rawat jalan non spesialistik ≤2%,dan rasio peserta prolanis terkendali ≥ 5%. Tujuan penelitian ini untuk menganalisis Pelaksanaan Kapitasi Berbasis Kinerja (KBK) Di Puskesmas Meuraxa Kota Banda Aceh. Penelitian ini menggunakan pendekatan kualitatif dengan indept interview, observasi, dan telah dokumen sebagai cara untuk mengumpulkan data. Informan penelitian ini berjumlah 5 orang dengan teknik Purposive Sampling. Analisis data secara reduksi data, penyajian data, penarikan kesimpulan, dan verifikasi. Hasil penelitian menunjukkan Angka Kontak mencapai target pada zona aman dengan kriteria rating 4 dengan capaian angka kontak ≥150% nilai capaian 1,6. Rasio Rujukan Rawat Jalan Kasus Non Spesialistik mencapai target pada zona aman dengan kriteria rating 4 dengan capaian Rasio Rujukan Rawat Jalan Kasus Non Spesialistik ≤ 2% nilai capaian 2 dan Rasio peserta prolanis tidak mencapai zona aman dengan kriteria rating 1 dengan capaian Rasio peserta prolanis terkendali <3% nilai capaian 0. Diharapkan Puskesmas Meuraxa melakukan koordinasi dengan kepala desa dan kader puskesmas serta optimalisasi  penjadwalan konsultasi dan pemeriksaan penunjang secara rutin dan kunjungan ke rumah.
Kata kunci: Kapitasi Berbasis Kinerja (KBK), Prolanis.
Background of the Problem: Performance Based Capitation (KBK) have three indicators that are applied as an effort to improve the quality of services for JKN participants at the FKTP. The three indicators are contact rate ≥ 150 per mile, non-specialist outpatient referral ratio ≤2%, and Prolanis participant ratio controlled ≥ 5%. The purpose of this study was to analyze the implementation of performance-based capitation (KBK) at the Meuraxa Public Health Center, the Banda Aceh City. This study used a qualitative approach using in-depth interviews, observation, and documents as a way to collect data. The number of informants in this study were 5 people with purposive sampling technique. Data analysis in qualitative research consists of the stages of data reduction, data presentation, drawing conclusions, and verification. The results showed that the contact number reached the target in the safe zone with a rating criterion of 4 with a contact number achievement ≥150%, an achievement value of 1.6. Outpatient Referral Ratio for Non-Specialistic Cases reached the target in the safe zone with rating criteria 4 with the achievement of Outpatient Referral Ratio for Non-Specialistic Cases ≤ 2%, score of 2 and the ratio of prolanis participants not reaching the safe zone with rating criteria 1 with the achievement of controlled prolanist participant ratio 3% achievement value 0.1. It is hoped that the Meuraxa Health Center will coordinate with the village head and puskesmas cadres as well as optimize the scheduling of consultations and routine supporting examinations and home visits.
Keywords: Performance Based Capitation (KBK), Prolanis
Referensi
Nofriyenti, Syah, N.A., Akbar, A, 2019. Analisis Faktor-faktor Yang Mempengaruhi Angka Kontak Komunikasi dan Rasio peserta Prolanis di Puskesmas Kabupaten Padang Pariaman. Jurnal FK.Unand.ac.id.
Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Kantor Wilayah Aceh, 2019. Data Hasil Capaian KBK Puskesmas Kota Banda Aceh.
Dinas Kesehatan Kota Banda Aceh, 2019. Data Jaminan kesehatan Kota Banda Aceh. Banda Aceh: Dinas Kesehatan Kota Banda Aceh.
Laily, 2019. Upaya Pencapaian Indikator Angka Kontak da Rasio Peserta Prolanis Pada Kapitasi Berbasis Kinerja Pelayanan di Puskesmas Kaliwates dan Puskesmas Gladak Pakem Kabupaten Jember. Skripsi. Universitas Jember.
Widaty, Delvia. 2017. Indikator Pembayaran Kapitasi berbasis Pemenuhan kinerja pelayanan pada Fasilitas Kesehatan Tingkat Pertama di Surabaya, 5 (2), hal 111-116.
Leksana, 2020. Faktor Yang Berhubungan Dengan Rasio Rujukan Non Spesialistik Pasien BPJS Kesehatan di Puskesmas Provinsi DIY dan Jawa Tengah. Universitas Gadjah Mada. Yogyakarta.
Faulina, 2021. Kajian Pelaksanaan Sistem Rujukan Berjenjang Dalam Program Jaminan Kesehatan Nasional di UPT. Pelayanan Kesehatan Universitas Jember. Jurnal Ikesma. 2016;12(2):91–102.
Maramis, J.V.F., Mandagi, K.F.,Wowor, R .2018. Analisis Pencapaian Indikator Berbasis Komitmen (KBK) Terhadap Pembayaran Dana Kapitasi Di Puskesmas Wawonasa Kota Manado, 7 (4).
BPJS Kesehatan. 2019. Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 7 Tahun 2019 tentang Petunjuk Pelaksanaan Pembayaran Kapitasi Berbasis Kinerja. BPJS Kesehatan. Jakarta.
Munawarah. 2020. Sumber Daya Terhadap Pencapaian Indikator Kapitasi Berbasis Pemenuhan Komitmen Pelayanan (KBPKP) di Puskesmas Kota Palembang. Gaster. 2020;18(1):37-49.
Nurlinawati. 2019. Gambaran Faktor Penyebab Rujukan Di Puskesmas Kota Depok. Buletin Penelitian Sistem Kesehatan. ;22(3):176-183.
Dinkes Aceh. 2018. Profil Kesehatan Aceh. Banda Aceh.
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
I. ORIGINALITY, AUTHORSHIP, AND COPYRIGHT
The manuscripts submitted for publication must be research works written in English that have not been previously published and  are not being considered for publication elsewhere. All the authors must have agreed to the submission and to the order of their names on the title page. They must also have agreed that the corresponding author may act on their behalf throughout the editorial review and publication process. The corresponding author is responsible for obtaining such agreement.
Requests for changes in authorship (order of listing or addition or deletion of names) after submission should be accompanied by signed statements of agreement from all the parties involved. To maintain and protect the publisher‘s ownership and rights and to protect the original authors from misappropriations of their published work, author(s) are required to sign a Journal Publishing Agreement and send it to the editorial office (jhtm@uui.ac.id).
II. PERMISSION
The author is responsible for acquiring the permission(s) to reproduce any copyrighted figures, tables, data, or text that are being used in the submitted paper. Authors should note that text quotations of more than 250 words from a published or copyrighted work will require grant of permission from the original publisher to reprint. The written permission letter(s) must be submitted together with the manuscript.
III. EDITORIAL REVIEW AND REVISION
All papers will be critically read by at least two anonymous reviewers, selected for their competence in the subject area of the paper. Acceptance of the paper will depend upon its scientific merit and suitability for the journal. A paper may be accepted in its original form or subject to revision.
The reviewers' (and editor's) suggestions will be conveyed to the author, who will then have an opportunity to revise the paper. A manuscript returned to an author for revision can be held for a maximum of eight weeks.
The accepted paper will be edited by native English speakers. The cost of language editing service is currently free.
IV. PROOFS
Galley proofs (PDF format) for an accepted article will be sent by e-mail to the corresponding author for copyediting corrections. The core content of an article cannot be changed at this time. It is the author's responsibility to check the entire manuscript, including tables, figure legends, and cited reference numbers, not just the items queried. The proofs should be corrected and mailed to the editorial office within 48 hours of receipt in order to expedite publication. Only one set of corrections will be accepted. In other words, it is important to ensure that all of your corrections are sent to us in one communication.
V. Â REPRINTS
Five free reprint copies of the published article will be shipped to the corresponding authors in Indonesia only, approximately two weeks after the issue is printed. Authors, including overseas authors, who wish to purchase reprints, are required to complete the Reprint Order Form, which will be sent with the galley proofs to corresponding authors. This form must be returned together with the corrected galley proofs.
