Persepsi Stakeholder Tentang Rancangan Model Kebijakan Insentif Pembayaran KBK Dengan Indikator RPPT Pada FKTP Di Medan

https://doi.org/10.22146/jkki.97643

Susy Hartati Novintry Sitorus(1*), Diah Ayu Puspandari(2)

(1) Universitas Gadjah Mada
(2) Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Data BPJS per Desember 2023 , Fktp yang mencapai kriteria rating 4 untuk indikator RPPT hanya 32% , untuk indikator Angka Kontak (AK) 42% dan indikator RRNS 83% dari total 273 fktp yang bekerja sama.  Dengan kondisi data seperti di atas , harus ada faktor yang bisa memotivasi FKTP untuk menaikkan nilai KBK nya salah satunya dengan pemberian insentif. Penelitian ini bertujuan untuk mengeksplorasi persepsi stakeholder tentang model KBK insentif dengan indikator penilaian RPPT di FKTP provider BPJS kesehatan cabang Medan. Persepsi stakeholder terkait rancangan model KBK insentif  yaitu target nilai RPPT antara 5% sampai dengan 10% dengan pemberian insentif secara rating/ bertingkat, indikator intermediet untuk DM adalah Hba1c dan untuk Hipertensi adalah tekanan darah, pembayaran insentif diberikan kepada FKTP, dan dikelola untuk mendorong kegiatan-kegiatan prolanis, serta pembayaran insentif haruslah rutin dan pasti

Keywords


kapitasi; Diabetes Melitus; Hipertensi; insentif; pay for performance; prolanis



References

  1. Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 7 Tahun 2019 Tentang Petunjuk Pelaksanaan Pembayaran Kapitasi Berbasis Kinerja pada Fasilitas Kesehatan Tingkat Pertama. 2019 [cited 2024 Jun 26]; Available from: https://peraturanpedia.id/peraturan-badan-penyelenggara-jaminan-sosial-kesehatannomor-7-tahun-2019/
  2. Pheakdey S, Chan N, Kolesar RJ, Chak C. Improving Health Service Quality in the Kingdom of Cambodia: A Policy Perspective. Asia Pacific Journal of Public Health [Internet]. 2020 Nov 15;32(8):426–9. Available from: http://journals.sagepub.com/doi/10.1177/1010539520957841
  3. Ashcroft R, Silveira J, Rush B, McKenzie K. Incentives and Disincentives for the Treatment of Depression and Anxiety: A Scoping Review. The Canadian Journal of Psychiatry. 2014 Jul 1;59(7):385–92.
  4. Cahyati ST, Sandra C, Herawati YT. Implementasi Kebijakan Pembayaran Kapitasi Berbasis Kinerja (KBK) di Puskesmas Kabupaten Nganjuk. Jurnal Kebijakan Kesehatan Indonesia. 2023 Sep 3;12:168–77.
  5. Purnamasari AT, Ningrum HD. Implementasi Program Pengelolaan Penyakit Kronis (Prolanis) di Masa Pandemi COVID-19 pada FKTP di Kota Malang. JKKI. 2023 Jun;12:84–96.
  6. DJSN, BPJS Kesehatan. Statistik JKN 2015-2019 : Fakta dan Data Capaian Program Jaminan Kesehatan Nasional. 1st ed. Jakarta : Dewan Jaminan Sosial Nasional; 2021. 84–137 p.
  7. Kajian Kebijakan Pembayaran Insentif dan Disinsentif Pembayaran Kapitasi Berbasis Kinerja pada FKTP. 2023.
  8. Meiriana A, Trisnantoro L, Padmawati RS. Implementasi Program Pengelolaan Penyakit Kronis (Prolanis) pada Penyakit Hipertensi di Puskesmas Jetis Kota Yogyakarta. Indonesia : JKKI. 2019;08(02):51–8.
  9. Salamah S, Khafiyya AN, Ramadhani R, Arfiana MR, Syamsuri I, Faizah NN, et al. Outcomes of the Indonesian Chronic Disease Management Program (PROLANIS) in Patients with Hypertension During the COVID-19 Pandemic in Rural Areas: A Preliminary Evaluation Study. Medical Science Monitor. 2023 Apr 25;29.
  10. Tanty HN, Anggriani Y, Saragi S. Pengaruh Prolanis Terhadapoutcome Klinik Pasien Diabetes Melitus Tipe 2 Di Puskesmas Kecamatan Pulogadung. Farmasains. 2019 Apr;6.
  11. Jafar TH, Gandhi M, de Silva HA, Jehan I, Naheed A, Finkelstein EA, et al. A Community-Based Intervention for Managing Hypertension in Rural South Asia. New England Journal of Medicine. 2020 Feb 20;382(8):717–26.
  12. Harniati A, Suriah, Amqam. H. Ketidakpatuhan Peserta BPJS Kesehatan Mengikuti Kegiatan Prolanis di Puskesmas Rangas Kabupaten Mamuju. JKMM. 2018 Jan;1:1–6.
  13. Purnamasari SM, Prameswari GN. Pemanfaatan Program Pengelolaan Penyakit Kronis diPuskesmas. HIGEIA. 2020 Apr;2.
  14. Arifin B, van Asselt ADI, Setiawan D, Atthobari J, Postma MJ, Cao Q. Diabetes distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care. BMC Health Serv Res. 2019 Dec 30;19(1):773.
  15. Li X, Krumholz HM, Yip W, Cheng KK, De Maeseneer J, Meng Q, et al. Quality of primary health care in China: challenges and recommendations. The Lancet. 2020 Jun;395(10239):1802–12.
  16. Anselmi L, Ohrnberger J, Fichera E, Nhassengo P, Fernandes QF, Chicumbe S. The impact of performance‐based financing within local health systems: Evidence from Mozambique. Health Econ. 2023 Jul 27;32(7):1525–49.
  17. Glazier RH, Green ME, Frymire E, Kopp A, Hogg W, Premji K, et al. Do Incentive Payments Reward The Wrong Providers? A Study Of Primary Care Reform In Ontario, Canada. Health Aff. 2019 Apr;38(4):624–32.
  18. Jin Y, Tian W, Yu Y, Pan W, Yuan B. Impact of Pay-for-performance Incentives for Contracted Family Doctor Service among Primary Healthcare Providers on Diabetes Care in China. Res Sq. 2021 Jun;
  19. Ma X, Wang H, Yang L, Shi L, Liu X. Realigning the incentive system for China’s primary healthcare providers. BMJ. 2019 Jun 21;l2406.
  20. Zivojinovic AS. Blood Glucose Monitoring. In: Basics of Hypoglycemia. IntechOpen; 2022.
  21. Yu X, Li YT, Cheng H, Zhu S, Hu XJ, Wang JJ, et al. Longitudinal changes in blood pressure and fasting plasma glucose among 5,398 primary care patients with concomitant hypertension and diabetes: An observational study and implications for community-based cardiovascular prevention. Front Cardiovasc Med. 2023 Apr 3;10.
  22. Wang Y, Hu XJ, Wang HHX, Duan HY, Chen Y, Li YT, et al. Follow-up care delivery in community-based hypertension and type 2 diabetes management: a multi-centre, survey study among rural primary care physicians in China. BMC Fam Pract. 2021 Dec 13;22(1):224.
  23. Tri Cahyati S, Sandra C, Tri Herawati Y, Studi Kesehatan Masyarakat P, Kesehatan Masyarakat F, Jember Jl Kalimantan Kampus Bumi Tegal NoI U, et al. Implementasi Kebijakan Pembayaran Kapitasi Berbasis Kinerja (KBK) di Puskesmas Kabupaten Nganjuk Policy Implementation Performance Based Capitation of Payment in Primary Health Care at Nganjuk District. Vol. 12, Jurnal Kebijakan Kesehatan Indonesia : JKKI. 2023. Fardousi
  24. N, Nunes da Silva E, Kovacs R, Borghi J, Barreto JOM, Kristensen SR, et al. Performance bonuses and the quality of primary health care delivered by family health teams in Brazil: A difference-in-differences analysis. PLoS Med. 2022 Jul 7;19(7):e1004033.
  25. Shubrook JH, Pfotenhauer KM. Home Blood Glucose Monitoring. Osteopathic Family Physician. 2022 Nov 30;14(6).
  26. Kranzer K, Simms V, Bandason T, Dauya E, McHugh G, Munyati S, et al. Economic incentives for HIV testing by adolescents in Zimbabwe: a randomised controlled trial. Lancet HIV. 2018 Feb;5(2):e79–86.
  27. Kristiyanti M. Peran indikator kinerja dalam mengukur kinerja manajemen. Majalah Ilmiah Informatika. 2012;3(3).
  28. Riadi M. Pengukuran Kinerja (Pengertian, Tujuan, Syarat, Indikator, Model dan Proses) [Internet]. 2020 [cited 2024 Jun 23]. Available from: https://www.kajianpustaka.com/2020/02/pengukuran-kinerja-pengertian-tujuan-syaratmodel-dan-proses.html
  29. Augustian R, Ayuningtyas D. Analisis Capaian Kapitasi Berbasis Kinerja Fasilitas Kesehatan Tingkat Pertama di Wilayah Jakarta Timur pada Masa Pandemi Covid-19. Syntax Literate ; Jurnal Ilmiah Indonesia. 2023 Jul 20;8(7):5205–22.



DOI: https://doi.org/10.22146/jkki.97643

Article Metrics

Abstract views : 112

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Jurnal Kebijakan Kesehatan Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kebijakan Kesehatan Indonesia : JKKI [ISSN 2089 2624 (print); ISSN 2620 4703 (online)] is published by Center for Health Policy and Management (CHPM). This website is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Built on the Public Knowledge Project's OJS 2.4.8.1.
 Web Analytics View My Stats