Jurnal Administrasi Kesehatan Indonesia
ISSN 23033592
Vol. 1 / No. 3 / Published : 2014-03
Order : 2, and page :208 - 216
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Original Article :
Clinic management in term of preparing cooperation with social health insurance provider
Author :
- Tito yustiawan*1
- Dosen Fakultas Kesehatan Masyarakat
Abstract :
Abstract Indonesia’s preparing for social insurance system that govern and operate by “BPJS” (Badan Pelaksana Jaminan Sosial). One of the areas that covered by “BPJS” is Health Insurance Program, which is call as “BPJS Kesehatan”. “BPJS Kesehatan” will need an aggreement and cooperation with primary healthcare facility such as Doctor’s Private Practice, Clinic or “Puskesmas” (Public Health Centre) in legal contract. In Indonesia, clinic is usually run by the private sectors and it’s quite different to private practice facility which is run by individual an also “Puskesmas” which is run by the disctrict or local government. Clinic must have its own legal status, pay salary from their own revenue, etc. That is why a clinic as an organization must be well-prepare and well-manage before they put their signature on a contract with “BPJS Kesehatan”. At least, there are 7 main aspects that must be prepare by a clinic which are: (1) Legal Status, (2) Human Resources, (3) Facility, (4) Standardization, (5) Marketing, (6) Price, (7) Information System. A clinic shouldn’t be worry or feel purturbed to have a deal with “BPJS Kesehatan” when these 7 main aspects are well-prepared, and even more are well-managed. Keywords: Insurance System, Healthcare Facility, Clinic.
Keyword :
insurance system, healthcare facility, clinic,
References :
Burke FJT., Freeman R,(2004) Preparing Dental Practice London : Oxford University Press
Kemenkes. R.I,(2011) Peraturan Menteri Kesehatan No. 28 Tahun 2011 tentang Klinik. Jakarta : Kemenkes. R.I
Kemenkes. R.I,(2011) Peraturan Menteri Kesehatan No. 1438 Tahun 2011 tentang Standar Pelayanan Kedokteran. Jakarta : Kemenkes. R.I
Kemenkes. R.I,(2012) Peraturan Menteri Kesehatan No. 001 Tahun 2012 tentang Sistem Rujukan Pelayanan Kesehatan Perorangan. Jakarta : Kemenkes. R.I
Undang-undang no. 40 tahun 2004 ,(2004) Sistem Jaminan Sosial Nasional. Jakarta : Keputusan Presiden R.I
Undang-undang no. 24 tahun 2011 ,(2011) Badan Pengelola Jaminan Sosial. Jakarta : Keputusan Presiden R.I
Archive Article
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