Performance Based Capitation Payment At First Level Health Facility In Malang
Abstract
JKN applies the performance baxed capitation payment or called KBKP or Kapitasi Berbasis Komitmen Pelayanan in Primary health Care or FKTP, with 3 indicators, namely Contact Rate, Non Specialistic Referral Ratio, and Routine Visiting Prolanis Participant Ratio. The preliminary study for January until July 2019, the KBKP of Malang City is still low. The purpose of this research is to explore the application of KBKP from the point of view of policy implementation theory.The research method is a mix method with informants 8 FKTP, Malang Health Office, and BPJS Kesehatan KC Malang.The results showed that no one FKTP had received full capitation in 2019. The implementation of the socialization and evaluation policy has been running. Constraints in the availability of resources related to the operation of the p care application. The implementation of budgeting is adequate both from capitation, BOK and BLUD. The FKTP heads play a role in encouraging the fulfillment of the KBKP by motivating them to achieve targets, but there are FKTP heads who do not care much about the implementation of the KBKP. The Health Office has not implemented a reward and punishment policy in encouraging efforts to fulfill the KBKP. The fulfillment of the 2019 KBK at the FKTP in Malang City is still not optimal, competence in the FKTP is still an obstacle, and the Health Office has not implemented incentive and disincentive policies in fulfilling the KBKP indicators.
References
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Garcia-cardenas, V., Perez-escamilla, B., Fernandez-llimos, F. and Benrimoj, S. I. (2017) ‘Research in Social and Administrative Pharmacy The complexity of implementation factors in professional pharmacy services’, Research in Social and Administrative Pharmacy. Elsevier Ltd, pp. 11–13. doi: 10.1016/j.sapharm.2017.05.016.
Girault, A., Bellanger, M., Lalloué, B., Loirat, P., Moisdon, J. and Minvielle, E. (2017) ‘Implementing hospital pay-for-performance : Lessons learned from the French pilot program’, Health policy. Elsevier Ireland Ltd, 121(4), pp. 407–417 doi: 10.1016/j.healthpol.2017.01.007
Grindle, M. S. (1980) ‘Politics and Policy Implementation in the Third World’, Princeton University Press.
Handayani, C. (2013) ‘Pengaruh Partisipasi dalam Penyusunan Anggaran dan Kejelasan Sasaran Anggaran terhadap Kinerja manajerial SKPD dengan Desentralisasi sebagai Variabel Moderating (Studi Empiris Pada SKPD Pemerintah Daerah Kota Padang)’.
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Massie, R. G. A. (2009) ‘Kebijakan Kesehatan: Proses, Implementasi, Analisis, dan Penelitian’, Pusat Penelitian dan Pengembangan Sistem dan Kebijakan Kesehatan, (23), pp. 409–417.
Mctigue, C., Monios, J. and Rye, T. (2017) ‘Identifying barriers to implementation of local transport policy : An analysis of bus policy in Great Britain’, Utilities Policy. Elsevier, (June), pp. 1–11. doi: 10.1016/j.jup.2017.12.002.
Mctigue, C., Rye, T. and Monios, J. (2017) ‘The Role of Reporting Mechanisms in Transport Policy Implementation by Local Authorities in England’, Case Studies on Transport Policy. World Conference on Transport Research Society. doi: 10.1016/j.cstp.2017.12.002.
Mendel, P., Meredith, L. S., Schoenbaum, M., Sherbourne, C. D. and Wells, K. B. (2013) ‘Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research’, Adm Policy Ment Health, 35, pp. 21–37. doi: 10.1007/s10488-007-0144-9.Interventions.
Merilind, E., Salupere, R., Västra, K. and Kalda, R. (2016) ‘Pay for performance of Estonian family doctors and impact of different practice- and patient-related characteristics on a good outcome : A quantitative assessment’, Medicina. The Lithuanian University of Health Sciences, 52(3), pp. 192–198. doi: 10.1016/j.medici.2016.04.003.
Peraturan Presiden RI (2014) Perpres Nomor 32 Tahun 2014 tentang Pengelolaan dan Pemanfaatan Dana Kapitasi JKN pada FKTP milik pemerintah daerah. Indonesia.
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Riana, I. G. (2015) ‘Kerja dan Kinerja Karyawan ( Studi Pada Wake Bali Art Market Kuta-Bali )’, E-Jurnal Ekonomi dan Bisnis Universitas Udayana, 6, pp. 430–442.
Sagala, I. (2015) Implementasi Kebijakan JKN oleh Pemberi Pelayanan Kesehatan di Kabupaten Kepulauan Anambas. UNiversitas Gadjah Mada.
Scheffler, R. M. (2010) Pay For Performance ( P4P ) Programs in Health Services : What is the Evidence ?
Senitan, M., Alhaiti, A. H., Gillespie, J., Alotaibi, B. F. and Lenon, G. B. (2017) ‘Review Article The Referral System between Primary and Secondary Health Care in Saudi Arabia for Patients with Type 2 Diabetes : A Systematic Review’, Journal of Diabetes Research. Hindawi, 2017. doi: 10.1155/2017/4183604.
Sibbald, B., Ph, D. and Roland, M. (2009) ‘Effects of Pay for Performance on the Quality of Primary Care in England’, The New England Journal of Medicine, pp. 368–378.
Sugiyono (2013) Metode Penelitian Kuantitatif Kualitatif dan R & D. Edisi ke 1. Bandubg: Alfabeta.
Sugiyono (2015) Metode Penelitian Kuantitatif Kualitatif dan R&D. Edisi 20. Bandung: Alfabeta.
Suryawati, S. H., Soetarto, E., Adrianto, L. and Purnomo, A. H. (2011) ‘Identifikasi Sistem Insentif Pengelolaan Sumberdaya di Laguna Segara Anakan’, Jurnal Kebijakan Sosial Ekonomi, 1(1), pp. 45–61.
Tachjan, D. H. M. S. (2006) Implementasi Kebijakan Publik. Edited by Dede Mariana dan Caroline Paskarina. Bandung: AIPI Bandung.
Tambun, E. (2009) Evaluasi implementasi kebijakan persalinan bagi masyarakat miskin oleh bidan praktek swasta di kota tanjungpinang. Universitas Gadjah Mada.
Ulfah, Kusnanto and Pramono (2017) Evaluasi Rujuk Balik Pasien Hipertensi dan Faktor-Faktor yang Mempengaruhi Rujuk Balik Pasien Hipertensi Peserta BPJS Kesehatan di RS PKU Muhammadiyah Yogyakarta. Universitas Gadjah Mada.
Utami, D. S., Murti, B. and Suryani, N. (2016) ‘Kajian Implementasi Kapitasi Berbasis Pemenuhan Komitmen Pelayanan Jaminan Kesehatan Nasional di Kota Surakarta’, Diglib UNS, pp. 1–3.
Vamos, E. P., Pape, U. J., Bottle, A., Hamilton, F. L., Curcin, V., Anthea, Molokhia, M., Car, J., Majeed, A. and Millett, C. (2011) ‘Association of practice size and pay-for-performance incentives with the quality of diabetes management in primary care’, Canadian Medical Association or its licensors, 183(12), pp. 809–816.
Wahid, M. A., Gunawan, B. and Husodo, T. (2016) ‘Efektivitas Pelaksanaan Rencana Pengelolaan Lingkungandan Rencana Pemantauan Lingkungan (RKL-RPL) Tabalong, Provinsi Kalimantan Selatan’, Bio Site, 2(1), pp. 13–26.
Wasiti, Marita Ahdiyana, dan Yanuardi. 2011. Implementasi Program Jaminan Kesehatan Masyarakat (Jamkesmas) di Kabupaten Bantul. Fakultas Ilmu Sosial Universitas Negeri Yogyakarta.
World Health Organization (2014) Implementation Research Toolkit.
Wulandari, R. (2017) Implementasi Kapitasi Berbasis Pemenuhan Komitmen Pelayanan di Puskesmas Kabupaten Pacitan. Universitas Gadjah Mada.
Wulandari, S., Nurtjahjanti, H. and Putra, N. A. (2013) ‘Hubungan antara Persepsi terhadap Gaya Kepemimpinan Transformasional dengan Work Engagement pada Karyawan Pt. Dua Kelinci Pati’, Jurnal Universitas Diponegoro, 0, pp. 1–10.
Yeni, R. (2013) Pemetaan Proses Perencanaan Obat Tahunan Puskesmas di Kota Payakumbuh.
Yin, R. K. (2009) Case Studi Research: Design & Methods.
Zhou, L. and Nunes, M. B. (2016) ‘Barriers to knowledge sharing in Chinese healthcare referral services : an emergent theoretical model’, Global Health Action, 1, pp. 1–13
Astianto, A. (2014) ‘Pengaruh stres kerja dan beban kerja terhadap kinerja karyawan pdam surabaya’, Jurnal Ilmu dan Riset Manajemen, 3(7), pp. 2–5.
Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI (2013) Riset Kesehatan Dasar. Jakarta.
Badan Penyelenggara Jaminan Sosial (2017) Peraturan BPJS Kesehatan Nomor 1 Tahun 2017 tentang Pemerataan Peserta di FKTP. Indonesia.
Berenson, R. A. (2016) Payment Methods and Benefit Designs: How They Work and How They Work Together to Improve Health Care. Urban Institute.
Boland, P. (1996) The Capitation Sourcebook, a Practical Guide to Managing at Risk Arrangements. California: Berkeley.
Briesacher, B. A., Ph, D., Field, T. S., Sc, D., Baril, J. and Gurwitz, J. H. (2009) ‘Pay-for-Performance in Nursing Homes’, 30(3), pp. 1–14.
Creswell, J. W. (2015) Penelitian Kualitatif & Desain Riset: Memilih di Antara Lima Pendekatan. Edisi 3. Jakarta: Pustaka Pelajar.
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A. and Lowery, J. C. (2009) ‘Fostering implementation of health services research findings into practice : a consolidated framework for advancing implementation science’, Implementation Science, 15, pp. 7–10. doi: 10.1186/1748-5908-4-50.
Darfi, F. (2013) Analisa Kualitas Pelayanan Kesehatan Tumbuh Kembang Anak di Puskesmas Kecamatan Sukamara Kabupaten Sukamara.
Djalal, Fasli, dan Dedi Supriadi (eds). 2001. Reformasi Pendidikan dalam Konteks Otonomi Daerah. Yogyakarta: Adicita Karya Nusa.
Eijkenaar, F. (2013) ‘Key issues in the design of pay for performance programs’, Eur J Health Econ, (14), p. 118. doi: 10.1007/s10198-011-0347-6.
Ertok, M. (2015) ‘Evaluation of a Pay for Performance Scheme in Maternity Care : The Commissioning Quality and Innovation Payment Framework in’, Procedia - Social and Behavioral Sciences. Elsevier B.V., 195, pp. 93–102. doi: 10.1016/j.sbspro.2015.06.333.
Fischer, F., Miller, G. J. and Sidney, M. S. (2007) Handbook of Public Policy Analysis Theory, Politics, and Methods. United States of Amerika: CRC Press.
Garcia-cardenas, V., Perez-escamilla, B., Fernandez-llimos, F. and Benrimoj, S. I. (2017) ‘Research in Social and Administrative Pharmacy The complexity of implementation factors in professional pharmacy services’, Research in Social and Administrative Pharmacy. Elsevier Ltd, pp. 11–13. doi: 10.1016/j.sapharm.2017.05.016.
Girault, A., Bellanger, M., Lalloué, B., Loirat, P., Moisdon, J. and Minvielle, E. (2017) ‘Implementing hospital pay-for-performance : Lessons learned from the French pilot program’, Health policy. Elsevier Ireland Ltd, 121(4), pp. 407–417 doi: 10.1016/j.healthpol.2017.01.007
Grindle, M. S. (1980) ‘Politics and Policy Implementation in the Third World’, Princeton University Press.
Handayani, C. (2013) ‘Pengaruh Partisipasi dalam Penyusunan Anggaran dan Kejelasan Sasaran Anggaran terhadap Kinerja manajerial SKPD dengan Desentralisasi sebagai Variabel Moderating (Studi Empiris Pada SKPD Pemerintah Daerah Kota Padang)’.
Hogg, W., Rowan, M., Russell, G., Geneau, R. and Muldoon, L. (2008) ‘Framework for primary care organizations : the importance of a structural domain’, International Journal for Quality in Health Care, 20(5), pp. 308–313.
Hsieh, H., Lin, T., Lee, I., Huang, C., Shin, S. and Chiu, H. (2016) ‘The association between participation in a pay-for-performance program and macrovascular complications in patients with type 2 diabetes in Taiwan : A nationwide population-based cohort study ?’, Preventive Medicine. Elsevier Inc., 85, pp. 53–59. doi: 10.1016/j.ypmed.2015.12.013.
Jesmin, S., Thind, A. and Sarma, S. (2012) ‘Does team-based primary health care improve patients ’ perception of outcomes ? Evidence from the 2007 – 08 Canadian Survey of Experiences with Primary Health’, Health policy. Elsevier Ireland Ltd, 105(1), pp. 71–83. doi: 10.1016/j.healthpol.2012.01.008.
Kemenkes RI (2018) Permenkes Nomor 61 Tahun 2017 tentang Petunjuk Teknis Penggunaan DAK Non Fisik Bidang Kesehatan Tahun Anggaran 2018. Indonesia.
Kementerian Dalam Negeri RI (2007) Permendagri Nomor 61 Tahun 2007 tentang Pedoman Teknis Pengelolaan Keuangan Badan Layanan Uumum Daerah. Indonesia.
Kementerian Kesehatan dan BPJS Kesehatan (2017) Peraturan Bersama Sekretaris Jenderal Kementerian Kesehatan RI dan Direktur Utama Badan Penyelenggara Jaminan Sosial Kesehatan tentang Petunjuk Teknis Pelaksanaan Pembayaran Kapitasi Berbasis Pemen. Indonesia.
Kementerian Kesehatan RI (2014) Peraturan Menteri Kesehatan Nomor 75 tahun 2014 tentang Puskesmas. Indonesia.
Kementerian Kesehatan RI (2016a) Peraturan Menteri Kesehatan Nomor 44 Tahun 2016 tentang Pedoman Manajemen Puskesmas. Indonesia.
Kementerian Kesehatan RI (2016b) Peraturan Menteri Kesehatan Republik Indonesia Nomor 52 Tahun 2016 tentang Standar Tarif Pelayanan Kesehatan dalam Penyelenggaraan Program Jaminan Kesehatan. Indonesia.
Kolimon, S. K. I. . (2011) Kebijakan insentif dokter umum dan dokter gigi berdasarkan beban kerja di kabupaten alor tahun 2011: Universitas Gadjah Mada.
Kramer, B. J., Cote, S. D., Lee, D. I., Creekmur, B. and Saliba, D. (2017) ‘Barriers and facilitators to implementation of VA home-based primary care on American Indian reservations : a qualitative multi-case study’, Implementation Science. Implementation Science, 12(109), pp. 1–14. doi: 10.1186/s13012-017-0632-6.
Kurniawan, M. F., Siswoyo, B. E., Novelira, A. and Dedik, S. (2016) ‘Pengelolaan Sisa Lebih Dana Kapitasi di Fasilitas Kesehatan Tingkat Pertama Milik Pemerintah’, Jurnal Kebijakan Kesehatan Indonesia, 6(1), p. 7.
Majumdar, R., Zhang, F. and Soumerai, S. B. (2011) ‘Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study’, Biomedical Journal, (April), pp. 1–7. doi: 10.1136/bmj.d108.
Massie, R. G. A. (2009) ‘Kebijakan Kesehatan: Proses, Implementasi, Analisis, dan Penelitian’, Pusat Penelitian dan Pengembangan Sistem dan Kebijakan Kesehatan, (23), pp. 409–417.
Mctigue, C., Monios, J. and Rye, T. (2017) ‘Identifying barriers to implementation of local transport policy : An analysis of bus policy in Great Britain’, Utilities Policy. Elsevier, (June), pp. 1–11. doi: 10.1016/j.jup.2017.12.002.
Mctigue, C., Rye, T. and Monios, J. (2017) ‘The Role of Reporting Mechanisms in Transport Policy Implementation by Local Authorities in England’, Case Studies on Transport Policy. World Conference on Transport Research Society. doi: 10.1016/j.cstp.2017.12.002.
Mendel, P., Meredith, L. S., Schoenbaum, M., Sherbourne, C. D. and Wells, K. B. (2013) ‘Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research’, Adm Policy Ment Health, 35, pp. 21–37. doi: 10.1007/s10488-007-0144-9.Interventions.
Merilind, E., Salupere, R., Västra, K. and Kalda, R. (2016) ‘Pay for performance of Estonian family doctors and impact of different practice- and patient-related characteristics on a good outcome : A quantitative assessment’, Medicina. The Lithuanian University of Health Sciences, 52(3), pp. 192–198. doi: 10.1016/j.medici.2016.04.003.
Peraturan Presiden RI (2014) Perpres Nomor 32 Tahun 2014 tentang Pengelolaan dan Pemanfaatan Dana Kapitasi JKN pada FKTP milik pemerintah daerah. Indonesia.
Ramadhan, A. (2012) ‘Politik Ekonomi Generasi Muda Implementasi kebijakan Gerakan Kewirausahaan Nasional di Jawa Timur’, Jurnal Politik Muda, pp. 1–8.
Ramdhani, A. and Ramdhani, M. A. (2016) ‘Konsep Umum Pelaksanaan Kebijakan Publik’, Jurnal Publik, 11(1), pp. 1–12.
Riana, I. G. (2015) ‘Kerja dan Kinerja Karyawan ( Studi Pada Wake Bali Art Market Kuta-Bali )’, E-Jurnal Ekonomi dan Bisnis Universitas Udayana, 6, pp. 430–442.
Sagala, I. (2015) Implementasi Kebijakan JKN oleh Pemberi Pelayanan Kesehatan di Kabupaten Kepulauan Anambas. UNiversitas Gadjah Mada.
Scheffler, R. M. (2010) Pay For Performance ( P4P ) Programs in Health Services : What is the Evidence ?
Senitan, M., Alhaiti, A. H., Gillespie, J., Alotaibi, B. F. and Lenon, G. B. (2017) ‘Review Article The Referral System between Primary and Secondary Health Care in Saudi Arabia for Patients with Type 2 Diabetes : A Systematic Review’, Journal of Diabetes Research. Hindawi, 2017. doi: 10.1155/2017/4183604.
Sibbald, B., Ph, D. and Roland, M. (2009) ‘Effects of Pay for Performance on the Quality of Primary Care in England’, The New England Journal of Medicine, pp. 368–378.
Sugiyono (2013) Metode Penelitian Kuantitatif Kualitatif dan R & D. Edisi ke 1. Bandubg: Alfabeta.
Sugiyono (2015) Metode Penelitian Kuantitatif Kualitatif dan R&D. Edisi 20. Bandung: Alfabeta.
Suryawati, S. H., Soetarto, E., Adrianto, L. and Purnomo, A. H. (2011) ‘Identifikasi Sistem Insentif Pengelolaan Sumberdaya di Laguna Segara Anakan’, Jurnal Kebijakan Sosial Ekonomi, 1(1), pp. 45–61.
Tachjan, D. H. M. S. (2006) Implementasi Kebijakan Publik. Edited by Dede Mariana dan Caroline Paskarina. Bandung: AIPI Bandung.
Tambun, E. (2009) Evaluasi implementasi kebijakan persalinan bagi masyarakat miskin oleh bidan praktek swasta di kota tanjungpinang. Universitas Gadjah Mada.
Ulfah, Kusnanto and Pramono (2017) Evaluasi Rujuk Balik Pasien Hipertensi dan Faktor-Faktor yang Mempengaruhi Rujuk Balik Pasien Hipertensi Peserta BPJS Kesehatan di RS PKU Muhammadiyah Yogyakarta. Universitas Gadjah Mada.
Utami, D. S., Murti, B. and Suryani, N. (2016) ‘Kajian Implementasi Kapitasi Berbasis Pemenuhan Komitmen Pelayanan Jaminan Kesehatan Nasional di Kota Surakarta’, Diglib UNS, pp. 1–3.
Vamos, E. P., Pape, U. J., Bottle, A., Hamilton, F. L., Curcin, V., Anthea, Molokhia, M., Car, J., Majeed, A. and Millett, C. (2011) ‘Association of practice size and pay-for-performance incentives with the quality of diabetes management in primary care’, Canadian Medical Association or its licensors, 183(12), pp. 809–816.
Wahid, M. A., Gunawan, B. and Husodo, T. (2016) ‘Efektivitas Pelaksanaan Rencana Pengelolaan Lingkungandan Rencana Pemantauan Lingkungan (RKL-RPL) Tabalong, Provinsi Kalimantan Selatan’, Bio Site, 2(1), pp. 13–26.
Wasiti, Marita Ahdiyana, dan Yanuardi. 2011. Implementasi Program Jaminan Kesehatan Masyarakat (Jamkesmas) di Kabupaten Bantul. Fakultas Ilmu Sosial Universitas Negeri Yogyakarta.
World Health Organization (2014) Implementation Research Toolkit.
Wulandari, R. (2017) Implementasi Kapitasi Berbasis Pemenuhan Komitmen Pelayanan di Puskesmas Kabupaten Pacitan. Universitas Gadjah Mada.
Wulandari, S., Nurtjahjanti, H. and Putra, N. A. (2013) ‘Hubungan antara Persepsi terhadap Gaya Kepemimpinan Transformasional dengan Work Engagement pada Karyawan Pt. Dua Kelinci Pati’, Jurnal Universitas Diponegoro, 0, pp. 1–10.
Yeni, R. (2013) Pemetaan Proses Perencanaan Obat Tahunan Puskesmas di Kota Payakumbuh.
Yin, R. K. (2009) Case Studi Research: Design & Methods.
Zhou, L. and Nunes, M. B. (2016) ‘Barriers to knowledge sharing in Chinese healthcare referral services : an emergent theoretical model’, Global Health Action, 1, pp. 1–13
Published
2021-10-28
How to Cite
ARDHIASTI, Anggi; SETIAWAN, Eko Rahman.
Performance Based Capitation Payment At First Level Health Facility In Malang.
Jurnal Pendidikan Kesehatan, [S.l.], v. 10, n. 2, p. 209-225, oct. 2021.
ISSN 2442-7993.
Available at: <https://ojs.poltekkes-malang.ac.id/index.php/jpk/article/view/2268>. Date accessed: 24 apr. 2024.
doi: https://doi.org/10.31290/jpk.v10i2.2268.
Section
Original Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
