Pemetaan Strategi Pengembangan Jaminan Kesehatan Daerah Provinsi Jawa Tengah

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan 2012 ABSTRAK Ida Windyarti Pemetaan Strategi Pengembangan Jaminan Kesehatan Daerah Provinsi Jawa Tengah 175 hal + 30 tabel + 5 gambar + 9 lampiran Dalam rangka mewujudkan amanat beberapa undang-undang tentang penyediaan jaminan pelayanan kesehatan maka Provinsi Jawa Tengah menyelenggarakan Jaminan Kesehatan Daerah dalam bentuk Perda No. 10 Tahun 2009 tentang Penyelenggaraan Jaminan Kesehatan Daerah Provinsi Jawa Tengah. Sebagai organisasi yang baru bertumbuh Jamkesda menghadapi berbagai permasalahan internal dan eksternal yang sangat cepat berubah, sedangkan tuntutan terhadap pelayanan kesehatan bagi masyarakat miskin terus berjalan. Lingkungan eksternal yang sedang dihadapi diantaranya adalah undang-undang BPJS, Untuk mencapai target Tahapan Awal Jamkesda diperlukan suatu strategi untuk pengembangan Jamkesda Provinsi Jawa Tengah. Penelitian ini merupakan penelitian deskriptif eksploratif pendekatan kualitatif. Data dikumpulkan melalui FGD dan wawancara mendalam kepada anggota Tim Pelaksana, Sekretariat Tim Pelaksana Jamkesda serta PPK III. Dilakukan analisis untuk mengidentifikasi kekuatan, kelemahan, peluang dan ancaman (SWOT) terhadap aspek kepesertaan, pelayanan kesehatan, pembiayaan dan kelembagaan. Hasil SWOT digunakan untuk memetakan strategi pengembangan. Hasil penelitian menunjukkan bahwa organisasi Jamkesa Provinsi Jawa Tengah berada pada kuadran III yang berarti organisasi menghadapi peluang besar tetapi menghadapi kelemahan internal. Strategi yang diterapkan adalah meminimalkan kelemahan sehingga dapat merebut peluang pasar yang lebih baik yaitu pemantapan manajemen kepesertaan, meningkatkan PPK II, advokasi kepada stake holder dan masyarakat serta peningkatan kelembagaan yang terlepas dari tugas program lain. Saran yang diajukan bagi Pemerintah Provinsi Jawa Tengah adalah menyediakan anggaran operasional, fasilitasi penyusunan kebijakan pendukung serta mengimplementasikan lembaga penyelenggara Jamesda yang lepas dari tugas program lain. Bagi Dinas Kesehatan Provinsi adalah penyusunan visi-misi Jmakesda, fasilitasi entry dan validasi data peserta, implementasi aturan dan mekanisme pelayanan kesehatan rujukan berjenjang dan aturan penyediaan jumlah tempat tidur kelas III di RS pemerintah / swasta serta adanya hotline service. Kata Kunci : Jaminan Kesehatan Daerah, SWOT Kepustakaan : 39 (1992-2012) Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration 2012 ABSTRACT Ida Windyarti Mapping on Development Strategies of Regional Health Insurance in Central Java Province 175 pages + 30 tables + 5 figures + 9 enclosures In order to realize what had been stated in the legislations regarding health assurance service, Central Java province issued local regulation number 10, year of 2009 regarding implementation of local health assurance (Jamkesda) of Central Java province. As a new growing organization, Jamkesda faced many internal and external problems. On the other hand, public pursuits on health services for the poor were sounded continuously. External environment that was faced by this organization was BPJS legislation. To reach the early step target of Jamkesda, it was required a strategy to develop Central Java province Jamkesda. This was a descriptive-explorative study with qualitative approach. Data were collected through FGD and in-depth interview to the member of executing team, secretary of Jamkesda executing team, and PPK III. Analysis was conducted to identify strength, weakness, opportunity, and thread (SWOT) toward participation, health service, budgeting, and organization aspects. Results of the SWOT analysis were used to map the development strategy. Results of the study showed that Central Java province Jamkesa organization was in the third quadrant. It meant that the organization faced big opportunities, but it was facing internal weaknesses. Strategy applied for this situation was to minimize weaknesses to get better market opportunities such as establishment of participation management, improving PPK II, advocacy to stake holders and community, and improvement of organization apart from the tasks of other programs. Suggestions for Central Java province are to provide operational budget, to facilitate supporting policy formulation, to provide Jamkesda executor institution that apart from the tasks of other programs. Suggestions for province health office are to formulate Jamkesda vision and mission, to facilitate participant data entry and validation, to implement regulations and health service referral mechanism, to implement regulation on the number of beds for the third class in the government hospitals or private hospitals, and to provide hotline service. Key words : Local health assurance, SWOT Bibliography : 39 (1992-2012)