Abstrak Pogram Jaminan Kesehatan Nasional (JKN) cacat satunya bertujuan melepaskan benteng finansial khususnya biaya katastropik akan semua peserta. Penerima manfaat JKN berwenang mendapatkan berbagai fasilitas sebagai bagian dari paket manfaat dasar minus mencabut biaya pelayanan, dan diharapkan Out of Pocket (OOP) bakal lebih rendah dibandingkan dengan membayangkan yang tidak ada asuransi kesehatan. Tujuan penyalinan bakal membandingkan total bayaran buat kesehatan dari anggota agunan kesehatan dengan yang tidak ada agunan kesehatan ala dahulu era JKN. Dalam analisis ini, pengukuran bayaran perawatan kesehatan sekadar mencakup biaya pengobatan langsung, bagaikan biaya konsultasi, konsumsi bilik di kediaman gering dan obat-obatan. Analisis dengan memakai data Susenas 2014 terdiri dari 274.673 individu dan 71.051 kediaman tangga di 33 teritori di Indonesia. Hasil penelitian menunjukkan bahwa ala dahulu era JKN sedia kecil antagonisme OOP ala masyarakat bangsat dibandingkan dengan masyarakat dimana proteksi finansial akan masyarakat bangsat buat bayaran kesehatan sedang rendah.Kepemilikan agunan kesehatan melepaskan proteksi finansial akhir bayaran biaya kesehatan, khususnya bayaran biaya katastropik dibandingkan dengan yang tidak ada agunan kesehatan. Kepesertaan masyarakat bangsat ditargetkan warsa 2019 pernah terpenuhi sehingga target negeri tentang Universal Health Coverage (UHC) benteng finansial ala masyarakat bangsat dan dekat bangsat semakin agung alias OOP semakin mendekati nol. Kata kunci: OOP, Pembiayaan, Asuransi Kesehatan Abstract One of the main objectives of the JKN acara is to provide financial protection, especially catastrophic costs to all members. JKN beneficiaries are entitled to various services as part of the basic benefit package without incurring service costs, and it is expected that Out of Pocket (OOP) will be lower than those who do titinada have health insurance. The purpose of writing will be to compare the total health expenditures of health insurance participants or beneficiaries and those without health insurance. In this analysis, the measurement of health care expenditures only includes direct medical expenses, such as consultation fees, hospital room usage and medication. Using Susenas data 2014 consists of 274,673 individuals and 71,051 households in 33 provinces in Indonesia. At the beginning of the JKN implementation, there was little difference of out of pocket in the poorest population compared to the richest population. This shows that financial protection to the poor for health expenditures are still low. The ownership of health insurance tends to provide financial protection due to health expenditures, especially catastrophic expenses compared to those without health insurance. In the Year of 2019 where the government targeted to Universal Health Coverage (UHC) expected protection financial on the poor and near poor is getting higher or out of pocket or getting closer up to zero. Keywords: OOP, Financial Protection, Health Insurance

  • AbstrakAngka penemuan Tuberkulosis (TB) warsa 2016 adalah sebanyak 77% di dunia, sebanyak 46,5% di Asia Tenggara dan sekitar32 - 33% di Indonesia. Di Kota Depok bilangan penemuan TB mengaras 58%. Sektor swasta menjangkau 18,7% kasus TB di KotaDepok biarpun anyar 40% RS swasta yang terlibat. Penelitian ini bertujuan buat mengetahui apakah penerapan strategiDOTS di Rumah Sakit swasta Kota Depok lebih menghemat biaya dibandingkan di Puskesmas. Penelitian dilakukan selama 6bulan dengan kohort retrospektif di Puskesmas DOTS, RS DOTS dan RS Non DOTS memakai 36 sampel bagi kelompok.Penghitungan dari prospek societal dengan microcosting berdasarkan tarif, harga pasar, bersama biji anggaran. Outputnyaangka pengobatan lengkap (Success Rate). Hasil penelitian menunjukkan Success Rate di puskesmas membelokkan agung yaitu86,1%, RS DOTS sebanyak 77.78 % dan Non DOTS 63.89 %. Penambahan biaya provider terutama daya pelaksana khususdi puskesmas dan RS DOTS meningkatkan success rate. Biaya societal di puskesmas 42% dari biaya di RS swasta. ACER(Average Cost Effectiveness Ratio) menunjukkan RS yang melaksanakan strategi DOTS lebih cost effective. Untuk menaikkan1% bilangan keberhasilan pengobatan berhajat biaya Rp 10.084.572 dengan melaksanakan intervensi acara DOTS ke RSSwasta. Uji t independen melaporkan bahwa terdapat antagonisme bermakna biaya societal pengobatan tuberkulosis antarapuskesmas, RS DOTS, dan RS Non DOTS. AbstractGlobal TB notification rate at 2016 was 77% and 46.5% in Southeast Asia. Indonesia last 5 years still remain at 32-33% where DepokCity reached 58%. In Depok City, private sector contributed 18.7% of the notified TB case in 2016 although only 40% of privatehospitals were involved. The aims of this study is to determine cost-effectiveness of DOTS strategy implementation at private hospitaland Public Health Centre (PHC). Comparative study carried out for six months with cohort retrospective between PHC, DOTS andNon DOTS hospitals using 36 samples bagi group. The calculation of the societal perspective with microcosting based on tariffs, marketprices and budget value. Output is Success Rate, where at PHC 86.1%, DOTS hospital 77.78% and Non DOTS hospital 63.89%.The addition cost providers especially person in charge at PHC and DOTS hospital increase success rate. The cost of TB treatmentin PHC 42% of private hospital. ACER (Average Cost Effectiveness Ratio) is obtained that the hospital which carry out the DOTSstrategy is cost effective. To increase 1% success rate of TB treatment costs Rp 10,084,572 with intervention DOTS programs into aprivate hospital. An Independen t test stated that cost-effectiveness societal perspectives on TB treatment has a significant differencebetween PHC, DOTS hospital and Non DOTS hospital .

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