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"Kesehatan sebagai salah satu unsur kesejahteraan umum yang harus diwujudkan melalui berbagai upaya kesehatan dalam rangkaian pembangunan kesehatan secara menyeluruh dan terpadu yang didukung oleh sistem kesehatan nasional.Untuk mendukung hal tersebut Pemerintah Daerah Khusus Ibukota Jakarta telah menetapkan bahwa iuran program sistem jaminan sosial bagi fakir miskin dan orang tidak mampu dibayar oleh pemerintah. Program yang dijalankan adalah melalui program Kartu Jakarta Sehat (KJS) sebagai pengganti program yang sebelumnya yaitu Jaminan Pemelihataan Kesehatan Keluarga Misiskin (JPK-Gakin). Tujuan dari penelitian ini adalah mencari alternatif program mana yang lebih efektif dari sisi pembiayaan mengingat adanya kenaikan anggaran dari yang sebelumnya dan terjadi kenaikan cakupan (pasien). Jenis penelitian ini adalah Descriptive-Komparative dengan metode studi kasus dan kombinasi kuantitatif serta kualitatif. Lokasi Penelitian adalah UP Jamkesda Dinas Kesehatan Provinsi DKI Jakarta dengan menggunakan data sekunder dan data primmer dari 2 RSUD dan 1 RS swasta. Hasil dari penelitian ini adalah terjadi peningkatan pembiayaan mencapai 168,33% yang semula Rp.2.482.382.808 untuk JPK-Gakin menjadi Rp.4.178.716.437,- untuk KJS. Berdasarkan cakupan program dan uji sensitivitas dengan menggunakan rata-rata lama hari rawat didapatkan bahwa program JPK-Gakin lebih efektif dibandingkan program KJS. Rekomendasi / saran yang dapat diberikan untuk efisiensi pembiayaan program KJS adalah pembuatan petunjuk teknis yang jelas dan kriteria terperinci siapa saja yang boleh menggunakan fasilitas KJS, penyempurnaan kembali sistem rujukan yang ada, melengkapi sarana dan prasarana di Rumah Sakit termasuk perekrutan / penambahan SDM serta peningkatan insentif mengingat beban kerja meningkat.

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Health as one element of the common good to be realized through a variety of health measures in the series overall health and development are supported by an integrated health system that supports nasional.Untuk Jakarta Capital City Government has determined that the system of social security contribution program for the poor and people are not able to be paid by the government. Is a program run through the Jakarta Health Card (KJS) as a replacement for the previous program Pemelihataan Family Health Insurance Misiskin (JPK-Gakin).

The purpose of this study is to find alternatives which programs are more effective in terms of financing in light of the increase from the previous budget and an increase in coverage (the patient). This research is Descriptive-Komparative with the case study method and a combination of quantitative and qualitative. Study Site is UP Jamkesda Jakarta Health Agency using secondary data and data primmer from 2 hospitals and 1 private hospital.

Results of this study was an increase in funding of 168.33% which was originally Rp.2.482.382.808 to JPKGakin Rp.4.178.716.437, - to KJS. Based on the scope of the program and test sensitivity using the average length of stay was found that the JPK-Gakin more effective than programs KJS.

Recommendation / advice that can be given to the efficiency financing program KJS is making technical instructions are clear and detailed criteria for who may use the facilities KJS, further refinements of existing referral system, complete infrastructure and facilities at the Hospital including recruitment / HR additions as well as increased incentives given the increased workload."

"[ABSTRAKDalam UUD 1945 menyebutkan bahwa setiap orang berhak memperolehpelayanan kesehatan dan Negara bertanggung jawab atas penyediaan fasiltaskesehatan dan fasilitas umum yang layak. Untuk memenuhi dan mewujudkan hakbagi setiap warga negara dalam mendapatkan pelayanan kesehatan yang layak dankewajiban pemerintah penyediaan fasilitas kesehatan sebagai amanat UUD 1945maka pemerintah pusat menyelenggarakan program jaminan kesehatan nasional(JKN) dan untuk pemerintahan daerah khusus Ibukota (DKI Jakarta)menyelenggarakan jaminan kesehatan daerah yang dikenal dengan nama KartuJakarta Sehat (KJS). RSCM adalah rumah sakit milik pemerintah pusat yang salahsatu visinya adalah menjadi rumah sakit pusat rujukan nasonal terkemuka di AsiaPasifik tahun 2014. RSCM diharapkan dapat melayani masyarakat dari seluruhpenjuru Indonesia dengan sistem rujukan berjenjang dengan optimal sesuaidengan standar pelayanan kesehatan dan peraturan yang berlaku. Penelitian inimembahas mengenai indeks kepuasan masyarakat miskin terhadap pelayanan diRSCM dalam program JKN dan KJS. Program kesehatan JKN dan KJS ini tidaklepas dari permasalahan dalam pelaksanaannya, salah satunya adalah mengenaipelayanan di rumah sakit dalam pelaksanaan program tersebut. Tujuan dalampenelitian ini adalah untuk mengukur nilai indeks kepuasan masyarakat miskin diRSCM dalam pelaksanaan program JKN dan KJS serta untuk mengetahui unsurunsuryang sudah baik dan yang masih membutuhkan peningkatan kualitaspelayanannya. Hasil dari penelitian kuantiatif menilai bahwa indeks kepuasanmasyarakat miskin di RSCM adalah sangat baik, tetapi ada beberapa pelayananyang perlu menjadi perhatian dan atau perbaikan yang didapat dari hasil penelitiankualitatif.

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ABSTRACTIndonesia Constitution (UUD 1945) states that every citizen has the right to obtainmedical care and the Government is responsible for the provision of health andadequate public facilities. In order to satisfy and fulfil the right of every citizen ingetting proper health care as mandated by the Constitution, The centralgovernment has issued the National Health Insurance Program (JKN) whereas theJakarta Provincial Government has issued a Regional-based Health InsuranceProgram known as the Jakarta Health Card (KJS). National General Hospital Dr.Cipto Mangunkusumo (RSCM) is one of the hospitals owned by the centralgovernment and one of its visions is to become regional referral hospitals in AsiaPacific in 2014. RSCM is expected to serve people from all over Indonesiaaccordance with the standard of health services and regulations. This studydiscusses the satisfaction index of the poor with regard to services in RSCMespecially on the implementation of the JKN and KJS. The problem of theimplementation of JKN and KJS are still occurred, one of the problems is thehospital services in the implementation of the programs. The purpose of thisresearch is to measure the value of the satisfaction index of the poor in RSCM onthe implementation of JKN and KJS as well as to determine the factors that aregood and which are still in need of improvement of service quality. The results ofthe quantitative study is conclude that the satisfaction index of the poor in RSCMis ?very good?, yet there are some services that need to be improved derived fromthe results of qualitative research.;Indonesia Constitution (UUD 1945) states that every citizen has the right to obtainmedical care and the Government is responsible for the provision of health andadequate public facilities. In order to satisfy and fulfil the right of every citizen ingetting proper health care as mandated by the Constitution, The centralgovernment has issued the National Health Insurance Program (JKN) whereas theJakarta Provincial Government has issued a Regional-based Health InsuranceProgram known as the Jakarta Health Card (KJS). National General Hospital Dr.Cipto Mangunkusumo (RSCM) is one of the hospitals owned by the centralgovernment and one of its visions is to become regional referral hospitals in AsiaPacific in 2014. RSCM is expected to serve people from all over Indonesiaaccordance with the standard of health services and regulations. This studydiscusses the satisfaction index of the poor with regard to services in RSCMespecially on the implementation of the JKN and KJS. The problem of theimplementation of JKN and KJS are still occurred, one of the problems is thehospital services in the implementation of the programs. The purpose of thisresearch is to measure the value of the satisfaction index of the poor in RSCM onthe implementation of JKN and KJS as well as to determine the factors that aregood and which are still in need of improvement of service quality. The results ofthe quantitative study is conclude that the satisfaction index of the poor in RSCMis ?very good?, yet there are some services that need to be improved derived fromthe results of qualitative research., Indonesia Constitution (UUD 1945) states that every citizen has the right to obtainmedical care and the Government is responsible for the provision of health andadequate public facilities. In order to satisfy and fulfil the right of every citizen ingetting proper health care as mandated by the Constitution, The centralgovernment has issued the National Health Insurance Program (JKN) whereas theJakarta Provincial Government has issued a Regional-based Health InsuranceProgram known as the Jakarta Health Card (KJS). National General Hospital Dr.Cipto Mangunkusumo (RSCM) is one of the hospitals owned by the centralgovernment and one of its visions is to become regional referral hospitals in AsiaPacific in 2014. RSCM is expected to serve people from all over Indonesiaaccordance with the standard of health services and regulations. This studydiscusses the satisfaction index of the poor with regard to services in RSCMespecially on the implementation of the JKN and KJS. The problem of theimplementation of JKN and KJS are still occurred, one of the problems is thehospital services in the implementation of the programs. The purpose of thisresearch is to measure the value of the satisfaction index of the poor in RSCM onthe implementation of JKN and KJS as well as to determine the factors that aregood and which are still in need of improvement of service quality. The results ofthe quantitative study is conclude that the satisfaction index of the poor in RSCMis “very good”, yet there are some services that need to be improved derived fromthe results of qualitative research.]"

"Tesis ini menganalisis implementasi kebijakan kepesertaan Kartu Jakarta Sehat (KJS) di wilayah Puskesmas Kecamatan Cipayung. Penelitian adalah penelitian kualitatif yang dilaksanakan pada bulan April sampai Mei 2014. Penelitian kualitatif ini dengan menggunakan wawancara mendalam dan FGD. Model implementasi kebijakan yang dipakai adalah George C. Edward III. Terdapat empat variabel yaitu komunikasi, sumber daya, disposisi, dan struktur birokrasi. Kebijakan kepesertaan KJS telah mengalami beberapa kali perubahan. Dari empat variabel dalam model George C. Edward IIII, didapatkan kesimpulan implementasi kebijakan ini belum sesuai, akibatnya sasaran kebijakan kepesertaan KJS belum tepat.

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This thesis analyzes the implementation of Healthy Jakarta Card membership in the region of Cipayung Sub-District Community Health Center, East Jakarta using qualitative method. This method was carried out with in-depth interviews and the focus group discussion on April until May 2014. Using the policy implementation George C. Edward III model, there are four variables, those are communication, resources, disposition, and bureaucratic structure. The policy of the Healthy Jakarta Card membership has been changed several times. Based on that four variables model, author concludes that the implementation of this policy has not been completed that results the target was not appropriate."

"Peningkatan jumlah kunjungan pasien ke rumah sakit pada awal masa pemberlakuan program Kartu Jakarta Sehat (KJS) disebabkan belum optimalnya sistem pelayanan kesehatan berjenjang. PT Asuransi Kesehatan (PT Askes) bersama Dinas Kesehatan DKI Jakarta melakukan berbagai upaya dalam bentuk paket intervensi untuk mengoptimalkan sistem tersebut. Penelitian ini bertujuan untuk mengevaluasi efektivitas paket intervensi PT Askes dan Dinas Kesehatan DKI Jakarta dalam meningkatkan optimilisasi sistem rujukan pelayanan kesehatan. Penelitian ini menggunakan survei potong lintang dengan metode pengambilan sampel acak pada puskesmas di DKI Jakarta terhadap hasil intervensi PT Askes. Hasil intervensi diukur melalui wawancara pada kepala puskesmas atau petugas yang mewakili. Data dianalisis menggunakan tes statistik nonparametrik, yaitu uji Wilcoxon dan regresi Generalized Linear Model. Penelitian dilakukan pada bulan Oktober 2013 hingga Februari 2014. Terdapat perbedaan bermakna pada keempat indikator, terjadinya peningkatan kunjungan peserta KJS dipengaruhi oleh ketersediaan tempat tidur, jumlah peserta KJS terdaftar, intervensi dalam bentuk regulasi, serta persentase pengangguran terbuka. Meskipun ada perbedaan signifikan setelah dikelola PT Askes, hal ini belum cukup membentuk persepsi puskesmas untuk berpendapat bahwa PT Askes memiliki andil dalam mengoptimalkan sistem elayanan kesehatan berjenjang pada program KJS.

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Increasing the number of patient visits to the hospital at the beginning of the implementation Healthy Jakarta Card (KJS) program was claimed to be associated with optimization of health care referral system. PT Asuransi Kesehatan (PT Askes) with the DKI Jakarta Department of Health Service made efforts to improve the optimalization that system. This study aimed to evaluate the effectiveness of intervention PT Askes?s and DKI Jakarta Departement Of Health?s packages in improving the optimization of health care referral system. This study used a cross sectional survey with a random sampling method in primary health centers in Jakarta related with the result of PT Askes?s intervention package. The result of intervention were conducted by interview to the head of the primary health center or officer representing. Data were analyzed with nonparametric statistical tests, using the Wilcoxon test and Generalized Linear Regression Model. The study was conducted in October 2013 until February 2014. There were significant differences between the four indicators, an increase in visits KJS participants are influenced by the availability of beds, number of participants registered KJS, intervention in the regulation, and the percentage of open unemployment. Although there were significant differences after managed by PT Askes, these efforts were not enough to make primary health centers perception that PT Askes has contributed to the optimization of health care referral system in KJS program."