Pengaruh potensi fraud dalam penerapan sistem jaminan kesehatan nasional terhadap mutu layanan di RSJ dr. Radjiman Wediodiningrat Lawang, Malang

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dc.contributor.authorNurfarida, Ika
dc.date.accessioned2015-04-29T17:51:12Z
dc.date.available2015-04-29T17:51:12Z
dc.date.issued2014
dc.description.abstractBackground: The National Health Insurance System organized by the government as an effort to provide affordable and excellent health care, including for mental health services. In practice there is a potential of fraud that allegedly could be detrimental either directly or indirectly. Supervision of the potential fraud in the health sector has begun to catch the attention of the Corruption Eradication Commission, because the potential losses caused could be enormous. Aim: To determine the effect of potential fraud in the implementation of the national health insurance system versus quality services in The Mental Hospital. Methods: This study was cross-sectional design. The sample of this study were schizophrenia patients in the inward services in dr. Radjiman Wediodiningrat Mental Hospital Lawang during implementation of the National Health Insurance system. Result: The potential fraud that may occur in mental hospitals include attempts to extend or shorten the average length of stay (AvLOS), fictitious invoice on medical anamneses and proceeding treatment, and hospitalization inpatients without clear indication. This is supported by initial data obtained that AvLOS is decrease when the health insurance system apply packaged payment system, nevertheless there is increased rates up to five times of re-hospitalization. This shows that the indication of potential fraud could affect the output quality of mental hospital. Conclussion: There is a potential fraud in the implementation of the national health insurance system that affects the quality of services in a mental hospital.en
dc.formatTexten
dc.format.extent1 digital file (p. 183-191)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationNurfarida, I. (2014). Pengaruh potensi fraud dalam penerapan sistem jaminan kesehatan nasional terhadap mutu layanan di RSJ dr. Radjiman Wediodiningrat Lawang, Malang. Jurnal Kebijakan Kesehatan Indonesia, 3(4): 183-191.en
dc.identifier.issn2089-2624
dc.identifier.urihttp://hdl.handle.net/10625/54086
dc.identifier.urihttp://jurnal.kebijakankesehatanindonesia.net/index.php/petunjuk-bagi-penulis/17-link-terbit-sejak/94-2014
dc.language.isoid
dc.publisherPusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, IDen
dc.subjectHEALTH INSURANCEen
dc.subjectMENTAL HEALTHen
dc.subjectCORRUPTIONen
dc.subjectFRAUDen
dc.subjectHOSPITAL MANAGEMENTen
dc.subjectCARE STANDARDSen
dc.subjectACCOUNTABILITYen
dc.subjectPSYCHIATRIC HOSPITALSen
dc.titlePengaruh potensi fraud dalam penerapan sistem jaminan kesehatan nasional terhadap mutu layanan di RSJ dr. Radjiman Wediodiningrat Lawang, Malangen
dc.title.alternativeEffect of fraud in the national health insurance system toward the quality of health services in dr. Radjiman Wediodiningrat mental hospital, Lawang, Malangen
dc.typeJournal Article (peer-reviewed)en
idrc.dspace.accessOpen Accessen
idrc.project.componentnumber106920001
idrc.project.number106920
idrc.project.titleStrengthening the Indonesia's Health Policy Network to Promote Equity and Social Protectionen
idrc.recordsserver.bcsnumberIC01-10814-5
idrc.rims.adhocgroupIDRC SUPPORTEDen

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