Adiapaksi Nastiti Primudyasiwi, - and Thinni Nurul Rochmah, - (2013) PERHITUNGAN ANGGARAN JAMINAN KESEHATAN BERDASARKANKAN NILAI KAPITASI DI PG KREBET BARU MALANG. Jurnal Administrasi Kesehatan Indonesia, 1 (2). pp. 140-146. ISSN 2540-9301

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Abstract

PG Krebet Baru managed its own financing program of healthcare using fee-for-service mechanism. This mechanism caused the healthcare cost exceeds the prepared budget. This study aimed to calculate the healthcare budget for PG Krebet Baru based on capitation. It was a non-experimental study using a case-study approach with quantitative descriptive method. Checklist instrument varied design based on type of visiting patients, healthcare service, healthcare service cost and medicine cost. The highest utilization rate of outpatient was at Internist clinic meanwhile the highest of inpatient was for health treatment. The highest charge each proceduree for outpatient was at Nerves clinic, meanwhile for inpatient was for the service of physician in surgery. The highest capitation value for outpatient was at Internist clinic (Rp8.792) and for inpatient was for the service of physician in surgery (Rp15.065). The budget that PG Krebet Baru need to prepared based on calculation of capitation value is Rp1.410.638.220. The calculated budget in this project could not be used direcly for the base of calculating healthcare budget at PG Krebet Baru yet since the risks aside of prior utilization isn’t calculated.

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