Penerapan Prinsip Kesetaraan Relasi Puskesmas Dengan Badan Penyelenggara Jaminan Sosial Berdasarkan Peraturan Badan Penyelenggara Jaminan Sosial Nomor 7 Tahun 2019
DOI:
https://doi.org/10.32670/ht.v2i2.1345Keywords:
Abstract, Puskesmas, BPJSAbstract
Health centers in the JKN/BPJS system have a major role in BPJS health participants. Quality services are services that must have basic requirements, namely, available and sustainable, easily accessible, easily accessible, acceptable and reasonable, and of good quality. The decline in the quality of FKTP can affect the calculation of capitation payments for FKTP. According to Article 4 of BPJS Regulation Number 7 of 2019 concerning Instructions for Implementation of Performance-Based Capitation Payments at first-level health facilities, the contact number is one indicator to see the utilization of the Puskesmas. If the quality of FKTP services decreases, it will certainly have an impact on the number of patient contacts with FKTP. Other impacts that arise are such as reduced capitation payments which have an effect on labor intensiveness in FKTP. This can cause a sense of injustice to the rights that should be obtained. This study aims to analyze the relationship between the Puskesmas and the Social Security Administering Body based on the Regulation of the Social Security Administering Body Article 4 Number 7 of 2019 and to find out the ideal concept of the relationship between the Puskesmas and the Social Security Administering Body based on Indonesian Positive Law. The research method used by the author is normative research which is carried out by finding the rule of law, legal principles, or legal doctrines, as well as searching literature using data bases to answer legal issues faced in writing. The application of the tariff applied by BPJS to Puskesmas is a capitation system, in which the payment of claims in advance every month at health facilities is based on the number of patients who register at the health facility without calculating the type and number of health services provided. This system is effective but pressures health facilities to serve with claims below the basic cost of health services so that health facilities are resistant and provide services that are meager and tend to be poor. Therefore, more effective policies are needed so that equality occurs in order to create good quality in health services. Policies related to the relationship between Puskesmas and BPJS must be based on the basis of the obligations of the State of Indonesia in guaranteeing the right of the people to obtain proper health services in accordance with Article 28 H and Article 34 of the 1945 Constitution of the Republic of Indonesia, as well as reviewing the responsibilities of the Government and the Government. Regions to provide health facilities that meet these standards and cooperate with BPJS Health in accordance with Articles 35 and 36 of Presidential Regulation Number 111 of 2013 concerning JKN.
References
A. G Subarsono, 2011, Analisis Kebijakan Publik Konsep Teori dan Aplikasi (Yogyakarta:Pustaka Pelajar),
A. Widiada Gunakaya, 2017, “Hukum Hak Asasi Manusia”, Yogyakarta, Andi,
Ardiansyah, S.H., M.Ag. M.H dkk , Pedoman Penulisan Tesis, Program Studi Magister Ilmu Hukum, 21 Juni 2019.
Ardiansyah, silm oktapani, Politik Hukum Pemenuhan Hak katas Kesehatan Rakyat Indonesia Berdasarkan UU SJSN dan Undang-Undang BPJS.
Arif Saprianto dan Dyah Mutiarin , ‘Evaluasi Pelaksanan Jaminan Kesehatan Nasional (Studi Tentang Hubungan Stakeholder, Model Pembiayan dan OutCome JKN di Kabupaten Bantul Provinsi Daerah Istimewa Yogyakarta)”, dalam jurnal Govermrnent and Public Policy, Vol 4., No 1, Februari 2017.
Ayu wulandari, Sudarman, Ikhsan, “Inovasi BPJS Kesehatan Dalam Pemberian Layanan Kepada Masyarakat : Aplikasi Mobile JKN”, dalam jurnal Public Policy jpp@utu.ac.id, Vol 5, No. 2 Oktober 2019.
Bahder Johan Nasution, 2005, Hukum Kesehatan Pertanggungjawaban Dokter, Jakarta; Rineka Cipta
Bahder Johan Nasution, 2013, Hukum Kesehatan: Pertanggungjawaban Dokter, Jakarta: Rineka Cipta
Dr. H ishaq.SH.M.Hum, 2016, Metode Penlitian Hukum Dan Penulisan Skripsi, Thesis, dan Desertasi. Bandung : Alfabeta.
H.A.R. Tillar & Riant Nugroho, , 2012, Kebijakan Pendidikan (Pengantar Untuk Memahami Kebijakan Pendidikan Dan Kebijakan Pendidikan Sebagai Kebijakan Publik) Yogyakarta: Pustaka Pelajar
Hubaib Alif Khariza, “Program Jaminan Kesehatan Nasional : Studi Deskriptif tentang Faktor-Faktor Yang dapat Mempengaruhi Keberhasilan Implementasi Program Jaminan Kesehatan Nasional,” Kebijakan dan Manajemen Publik”3 2015.
Indonesia.go.id, portal informasi indonesis, “Mengenal 6 fitur baru Aplikasi JKN, diakses 24 Desember 2020.
Jamkesnew.com ,portal resmi BPJS Kesehatan, ‘Pengembangan KBK BPJS Kesehatan Sorong Sosialisasi peraturan BPJS no 7 tahun 2019”, di akses 18 Oktobr 2019. Nikken larasati, Kuaitas pelayanan program jaminan Kesehatan Nasional dalam Rangka menjamin Perlindungan Kesehatan bagi Peserta BPJS dr. M Soewandi kota Surabaya , Vol 4 No. 2 Mei-Agtustus 2016.
Kedua, Jakarta; Kencana.
Koeswadji, 1984, Hukum dan Masalah Medik, Surabaya: Universitas Airlangga,
Konsideran Peraturan Menteri Kesehatan Republik Indonesia No.903/Menkes/Per/V/2011 Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Masyarakat
Leo Agustino, 2008, Dasar-Dasar Kebijakan Publik Bandung :Afabeta ,
M Irfan Islamy, 2009Prinsip-prinsip Perumusan Kebijakan Negara , Jakarta: Bumi Aksara
M. Agus Santoso, 2014,Hukum,Moral & Keadilan Sebuah Kajian Filsafat Hukum, Ctk.
Peraturan BPJS Kesehatan Nomor 7 Tahun 2019 Tentang Petunjuk Pelaksanaan Pembayaran Kapitasi Berbasis Kinerja Pada FKTP.
Peraturan Menteri Kesehatan Republik Indonesia No.903/Menkes/Per/V/2011 Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Masyarakat
Prima maharani putri, patria bayu murdi, “Pelayanana kesehatan di era Jaminan Kesehatan Nasional sebagai program Badan Penyelenggaran Jaminan Sosial Kesehatan”.
Retma Balqis Bestari, “Kualitas Pelayanan Program Jaminan Kesehatan Nasional (JKN) di RSUD Muntilan Kabupaten Magelang”, Website : http://www.fisip.undip.ac.id / Email : fisip@undip.ac.id.
Sulastomo, 2008, Sistem Jaminan Sosial Nasional Sebuah Introduksi, Jakarta; Rajawali Pers PT. RajaGrafindo Persada.
Taufik, Hardi Warsono, “Birokrasi Baru Untuk New Normal:TInjauan Model Perubahan Birokrasi Dalam Pelayanan Publik di Era Covid-19”, dalam Jurnal Ilmu Administrasi Publik, VOl 2, No 1, Juni 2020.
Undang – Undang Nomor 26 tahun 2009 tentang Kesehatan.
Undang - Undang Nomor 43 tahun 2019 tentang Puskesmas.
Undang- Undang Nomor 24 Tahun 2011 tentang BadanPenyelenggara Jaminan Sosial: Lembaran Negara Republik Indonesia Tahun 2011 Nomor 116.
Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (Lembaran Negara Republik Indonesia Tahun 2004 nomor 150,Tambahan Lembaran Negara Republik Indonesia Nomor 4456.
