Analysis of Patient Characteristics, Financing of Actions and Diagnosis of Disease in BPJS Patients

Syagran, Evy Afiyah and Setianto, Budhi and Adriansyah, Agus Aan and Setiyowati, Eppy and Sa'adah, Nikmatus (2021) Analysis of Patient Characteristics, Financing of Actions and Diagnosis of Disease in BPJS Patients. JQPH: Journal for Quality in Public Health, 5 (1). pp. 231-236. ISSN 2614-4921

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Abstract

Background: Dental and oral health services are a form of professional service that is an integral part of health services for the community, families or individuals3. Implementation of a dental specialist clinic at the 2nd health facility is a referral from the health facility 1 All financing is borne by BPJS with INA CBGS financing. Purpose: This study aims to determine patient characteristics and disease diagnosis of BPJS patients in specialist dental clinic in Islamic Hospital Surabaya. Methods: This study used a qualitative research method with a descriptive analytic study. From the BPJS TXT data for January - December 2019, there were 7153 patient visits at the dental specialist clinic of the Islamic Hospital in Surabaya, the TXT data is data issued by the BPJS as a result of purification of billing file data recognized by the BPJS. Results: Based on the results of the study, it was found that most of the patients were male, with the largest age ranges being <25 years and> 50 years. The implementation of the tariff difference between INA CBGS and the fare difference of the Islamic Hospital in Surabaya is - 128,091,924 with an average of - 17,907 / patient. Of the total TXT, the largest financing of the INA CBGS tariff is the doctor service rate with a percentage of 54.90%. Conclusion: the implementation of BPJS examination of specialist dental polyclinic at RS Islam Surabaya did not give the maximum benefit.

Item Type:	Article
Uncontrolled Keywords:	BPJS, Characteristic, Dental Clinic, Diagnosis, Hospital
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Nursing and Midwifery > Program Study of Nursing Magister
Depositing User:	Mr. . Aji
Date Deposited:	31 Oct 2022 04:35
Last Modified:	27 Mar 2024 07:28
URI:	http://repository.unusa.ac.id/id/eprint/8984

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