UNIVERSITAS AIRLANGGA



Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 6 / No. 1 / Published : 2008-01

Order : 9, and page :46 - 55

Related with : Scholar   Yahoo!   Bing

Original Article :

Insurance contract using multi-party contract model

Author :

  1. burhanuddin hamid*1
  2. DJAZULY CHALIDYANTO*2
  1. RS Yasmin, Jl. Letkol Istiqlah 80-84, Banyuwangi 68414, Indonesia.
  2. fakultas kesehatan masyarakat,universitas airlangga

Abstract :

From 2003-2005, the average Bed Occupancy Rate (BOR) of Banyuwangi Yasmin Hospital (BYH) was 35.66% with the lowest user segment was insurance holders. The purpose of this research was to formulate an insurance contract using multi-party contract model for BYH to improve BOR. This was a cross-sectional study using survey approach carried out from April to June 2007. The unit analysis was the BYH. Research result covered formulation of the multi-party contract based on normative evaluation of the real contract, content analysis of right and obligation, and problem analysis faced by the insurance company, BYH and insurance holders. The recommendation was to take insurance holders into contract document as one of the parties besides hospitals and insurance company; and the contract document should contain: definition and procedure of payment, insurance company’s obligation to prepare the orientation program for hospital pertaining to insurance plan, domicile of insurance company and personal contact with easy access, insurance company’s obligation to give a copy of company audit, sanction of contract violation and precedent condition, the judicial review and alteration of contract, hospital obligation to give information on member’s fraud, service audit by insurance company supported by hospitals, and hospital’s and insurance company’s obligation to make the socialization procedure for the insurance holders.

Keyword :

insurance contract, multi-party contract
,


References :

Thabrany H.,(2001) Rasional Jaminan Pemeliharaan Kesehatan Vol. 3, No. 8 hal. 160–161 : Fatmawati Journal of Health Service





Archive Article

Cover Media Content

Volume : 6 / No. : 1 / Pub. : 2008-01
  1. Utilizing Burden Of Diseases For Setting Priorities Of Health Resource Allocation
  2. The Influence Of Organizational Culture On Bed Occupancy Rate
  3. Constructing Financial Compensation System Based On Employee’s Assessment, Expectation And Hospital Capability
  4. Public Health Center Tariff Rationalization Based On Unit Cost Analysis
  5. Cost Effectiveness Analysis Of Iud, Injection And Pills Contraception Methods Through Quality Of Life Approach
  6. The Decrease Of Under Graduate Student Enrollee Selection Registrars At The Surabaya Yarsis Nursing Academy Based On The Preferences And The Choices Theories
  7. Diagnosis Related Group’s Of Five Majority Diseases With The Present Value Computation
  8. Reason Behind The Utilization Of Maternal Health Services
  9. Insurance Contract Using Multi-party Contract Model
  10. Efforts To Increase Maternal Delivery Services By Health Personnel Based On Need And Demand Analysis

Information index.php/JIPK/tmp_tumb/AKK