Analisis Ketersediaan Fasilitas Kesehatan dan Pencapaian Universal Health Coverage Jaminan Kesehatan Nasional se Provinsi Bengkulu

https://doi.org/10.22146/jkki.v5i3.30668

Yandrizal Yandrizal(1*), Desri Suryani(2), Betri Anita(3), Henni Febriawati(4), Riska Yanuarti(5), Bintang Agustina Pratiwi(6), Heldi Saputra(7)

(1) Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu
(2) Politeknik Kesehatan Kemenkes Bengkulu
(3) Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu
(4) Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu
(5) Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu
(6) Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu
(7) Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu
(*) Corresponding Author

Abstract


ABSTRACT
Introduction: The National Health Insurance began in 2014 gradually toward Universal Health Coverage. The purpose of the National Health Insurance in general is easier for people to access health services and obtain quality health services. Health providers are limited, extensive spread of population and limited access, leading to less supply (provision of services) by the government and other parties, so it would appear inequality and financing of health care.
Purpose: to know the availability of health care facilities as well as efforts to achieve compliance with Univarsal Coverange Health in Bengkulu Province.
Metoe Research: Research using design analysis method formative To assess the implementation of policies. Descriptive study is observational, presents an overview and focus on solving the actual problem. The unit analyzes the data collection was health facilities using quantitative and qualitative approaches.
Results And Discussion: The first-level health facilities
(FKTP) as much as 272 units, 590 units needs. Puskesmas capitation average Rp. 4847, -. All hospitals are already working with BPJS and needs a bed in 1769, the highest available FKTP 1329. Utilization of Physician Practice. Government encourages open pratama clinics and doctors as well as provide opportunities practice at the PPDS.
Conclusion: The first-level health facilities are lacking. Doctors and dentists in the health centers are still less impact on the small capitation funds received. Local Government clinics and physician practices to encourage and develop the health center. Shortage of specialist doctors by maximizing all participants Medical Education Program Specialist of the Bengkulu Province can return by providing specialist medical support equipment and incentives.
Keywords: Equity Services, Access Services, Equity Health Care Financing.
ABSTRAK
Latar belakang: Jaminan Kesehatan Nasional dimulai pada Tahun 2014 secara bertahap menuju Universal Health Coverage. Tujuan Jaminan Kesehatan Nasional secara umum yaitu mempermudah masyarakat untuk mengakses pelayanan kesehatan dan mendapatkan pelayanan kesehatan yang bermutu. Pemberi pelayanan kesehatan yang terbatas, penyebaran penduduk yang luas dan akses yang terbatas, menyebabkan kurang supply (penyediaan layanan) oleh pemerintah dan pihak lain, sehingga akan muncul ketidakmerataan pelayanan dan pembiayaan kesehatan.
Tujuan: mengetahui ketersediaan fasilitas pelayanan kesehatan serta upaya pemenuhan untuk mencapai Univarsal Health Coverange di Provinsi Bengkulu.
Metode: penelitian menggunakan rancangan metode analisis
formatif Untuk menilai pelaksanaan kebijakan. Jenis penelitian deskriptif yang bersifat observasional, menyajikan Gambaran dan memusatkan pada pemecahan masalah aktual. Unit analisis fasilitas kesehatan. Pengumpulan data menggunakan pendekatan kuantitatif dan kualitatif.
Hasil: Fasilitas kesehatan tingkat pertama (FKTP) sebanyak 272 unit, kebutuhan 590 unit. Kapitasi Puskesmas rerata Rp. 4.847,-. Semua rumah sakit sudah bekerja sama dengan BPJS dan kebutuhan tempat tidur 1769, tersedia 1329. Pemanfaatan FKTP tertinggi Dokter Praktek. Pemerintah mendorong buka klinik pratama dan prakter dokter serta memberi kesempatan Pendidikan Dokter Spesialis.
Kesimpulan: Fasilitas kesehatan tingkat pertama masih kurang. Dokter umum dan dokter gigi di Puskesmas masih kurang berdampak kepada kecil dana kapitasi yang diterima. Pemerintah Daerah mendorong klinik dan dokter praktek dan mengembangkan Puskesmas Perawatan. Kekurangan dokter spesialis dengan memaksimalkan semua peserta Program Pendidikan Dokter Spesialis dari Provinsi Bengkulu dapat kembali dengan menyediakan peralatan penunjang medis spesialistik dan insentif .
Kata Kunci : Pemerataan Pelayanan, Akses Pelayanan, Pemerataan Pembiayaan Kesehatan.


Keywords


Pemerataan Pelayanan, Akses Pelayanan, Pemerataan Pembiayaan Kesehatan.

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DOI: https://doi.org/10.22146/jkki.v5i3.30668

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