Kualitas Pelayanan Kesehatan pada Ibu dan Anak sebagai Penerima Manfaat UHC: Literatur Review
Keywords:
clinical pathways, manajeman kesehatan, pelayanan kesehatan
Abstract
Kehadiran UHC dapat meningkatkan kualitas layanan kesehatan dengan memberikan pemerataan dalam akses ke layanan kesehatan dan juga mencegah kerugian finansial bagi penerima UHC. Studi ini bertujuan untuk menilai manfaat UHC bagi ibu dan anak dalam mendapatkan pelayanan kesehatan. Tinjauan pustaka ini menggunakan 8 artikel yang telah disaring dari 373 artikel dari database Pubmed, ProQuest, Google Scholar, CINAHL, Portal Garuda dan data sekunder dari tahun 2010-2020. Hasil penelitian menunjukkan bahwa UHC telah diterapkan di 183 negara dan terungkap bahwa UHC memperkuat kualitas pelayanan kesehatan di negara-negara tersebut, termasuk Indonesia melalui program jaminan kesehatan nasional (JKN). Di Indonesia, implementasi JKN diterapkan melalui BPJS dan Ina-CBGs serta bekerjasama dengan seluruh rumah sakit, termasuk rumah sakit ibu dan anak sebagai fasilitas kesehatan tingkat lanjutan. BPJS dan Ina-CBGs dilaksanakan melalui clinical pathway untuk pengendalian kualitas dan biaya di rumah sakit ibu dan anak. UHC khususnya JKN melalui penerapan Ina-CBGs dan clinical pathways terbukti mempengaruhi kualitas pelayanan kesehatan sehingga bermanfaat pada ibu dan anak sebegai penerima manfaat UHC.
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Galárraga, O., Sosa-Rubí, S. G., Salinas-Rodríguez, A., & Sesma-Vázquez, S. (2010). Health insurance for the poor: Impact on catastrophic and out-of-pocket health expenditures in Mexico. European Journal of Health Economics, 11(5), 437–447. https://doi.org/10.1007/s10198-009-0180-3
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Islam, M.K & Gerdtham, U.-G. (2006). A systematic review of the estimation of costs-of-illness associated with maternal newborn ill-health. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/43516/9241594497_eng.pdf?sequence=1
Jakab, Melitta; Krishnan, C. (2001). A Survey of the Literature on the Impacts , Strengths , and. World Bank, (September). http://hdl.handle.net/10986/13706
Jamison, D. T., Alwan, A., Mock, C. N., Nugent, R., Watkins, D., Adeyi, O., … Zhao, K. (2018). Review Universal Health Coverage And Intersectoral Action For Health : Key Messages From Disease Control Priorities , 3rd edition, 391. https://doi.org/10.1016/S0140-6736(17)32906-9
Jowett, M., Contoyannis, P., & Vinh, N. D. (2003). The impact of public voluntary health insurance on private health expenditures in Vietnam. Social Science and Medicine, 56(2), 333–342. https://doi.org/10.1016/S0277-9536(02)00031-X
Komaryani, K. (2017). Persiapan Perubahan Tarif INA-CBG. Jakarta. http://www.pdpersi.co.id/kegiatan/pertemuan_irsjam/tarif_inacbgs.pdf
Maslow, A. H. (1943). A Theory Of Human Motivation. Psychological Review, 50(4), 370–395. https://doi.org/10.1037/h0054346
Menteri Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 69 Tahun 2013 Tentang Standar Tarif Pelayanan Kesehatan Pada Fasilitas Kesehatan Tingkat Pertama Dan Fasilitas Kesehatan Tingkat Lanjutan Dalam Penyelenggaraan Program Jaminan Kesehatan, Pub. L. No. Nomor 69 (2013). Indonesia. http://www.jkn.kemkes.go.id/attachment/unduhan/Perpres No. 12 Th 2013 ttg Jaminan Kesehatan.pdf
Menteri Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 76 Tahun 2016 Tentang Pedoman Indonesia Case Base Groups (INA-CBGS) Dalam Pelaksanaan Jaminan Kesehatan Nasional, Pub. L. No. Nomor 76 Tahun 2016 (2017). http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._67_ttg_Penanggulangan_Tuberkolosis_.pdf
Menteri Kesehatan RI. (2019). Petunjuk Teknis Aplikasi E-Klaim (Aplikasi INA-CBG) - v5.3. National Casemix Center (NCC). https://inacbg.kemkes.go.id/DL/Petunjuk_Teknis_E-Klaim_5.3.2_Tahun_2019.pdf
Nguyen, H., & Wang, W. (2012). The effects of free government health insurance among small children — evidence from the free care for children under six policy in Vietnam. Int J Health Plann Mgmt (2012). https://doi.org/10.1002/hpm
Putri, A. E. (2004). Paham SJSN: Sistem Jaminan Sosial Nasional (SJSN). Friedrich-Ebert-Stiftung Kantor Perwakilan Indonesia (Edisi 1). Jakarta. https://doi.org/10.1017/CBO9781107415324.004
Republik Indonesia. Undang-Undang Rapublik Indonesia Nomor 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional, Pub. L. No. Undang-Undang No. 40 (2004). Indonesia.
Republik Indonesia. Undang-Undang Republik Indonesia Nomor 24 Tahun 2011 Tentang Badan Penyelenggara Jaminan Sosial, Pub. L. No. Nomor 24 Tahun 2011, 1 (2011). Indonesia. https://peraturan.bpk.go.id/Home/Details/39268
Rotter, T., Kinsman, L., James, E., Machotta, A., Willis, J., Snow, P., & Kugler, J. (2012). The Effects of Clinical Pathways on Professional Practice , Patient Outcomes , Length of Stay , and Hospital Costs : Cochrane Systematic Review and Meta-Analysis. Evaluation & The Health Professions, 35(1), 3–27. https://doi.org/10.1177/0163278711407313
Scammell, K., Noble, D. J., Rasanathan, K., Connell, T. O., Ahmed, A. S., Begkoyian, G., … Chopra, M. (2016). A Landscape Analysis of Universal Health Coverage for Mothers and Children in South Asia. MJ Global Health, 1;e000017. https://doi.org/10.1136/bmjgh-2015-000017
Susilo, M. E. (2020). Jaminan Kesehatan Nasional (JKN) dan Isu Keadilan Di Indonesia. Yogyakarta. https://ilmuhukum.umy.ac.id/wp-content/uploads/2020/02/JKN-dan-Isu-Keadilan.pdf
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United Nations. (2020a). Ensure healthy lives and promote well-being for all at all ages ; Targets and Indicators. Retrieved October 16, 2020.https://sdgs.un.org/goals/goal3
United Nations. (2020b). Report SDGs 2020 Goal 03. https://unstats.un.org/sdgs/report/2020/goal-03/
United Nations Statistics Division. (2020). Indikator 3.8.1: Indeks cakupan layanan cakupan kesehatan universal (UHC). https://unstats-undesa.opendata.arcgis.com/datasets/55a343e2234c4b3ab3d0cc449229d1fc?geometry=-112.873%2C-71.718%2C115.643%2C80.313&page=19&selectedAttribute=Country_Profile
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World Bank. (2013). Universal Healthcare on the Rise in Latin America. https://www.worldbank.org/en/news/feature/2013/02/14/universal-healthcare-latin-america
World Bank. (2017). Current health expenditure (% of GDP) - Indonesia Data. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?end=2017&locations=ID&start=2000
World Bank. (2020). Indonesia Overview. Retrieved October 21, 2020, https://www.worldbank.org/en/country/indonesia/overview
World Health Organization. (1948). What is the WHO definition of health? Retrieved from https://www.who.int/about/who-we-are/frequently-asked-questions
World Health Organization. (2000). The World Health Report 2000, Health Systems: Improving Performance. World Health Report. Geneva. https://www.who.int/whr/2000/en/whr00_en.pdf
World Health Organization. (2005a). Mothers and Children Matter – so does their health. Geneva. https://www.who.int/whr/2005/chap1-en.pdf?ua=1
World Health Organization. (2005b). Resolution WHA58.33. Sustainable health financing, universal coverage and social health insurance; 2005. Fifty Eighth World Health Assembly. Geneva. https://apps.who.int/gb/ebwha/pdf_files/WHA58-REC1/english/A58_2005_REC1-en.pdf
World Health Organization. (2007). Everybody’s Business -- Strengthening Health Systems to Improve Health Outcomes : WHO’s Framework for Action. https://www.who.int/healthsystems/strategy/everybodys_business.pdf?ua=1
World Health Organization. (2010). The World Health Report Health Systems Financing. Geneva. Retrieved from https://www.who.int/whr/2010/10_summary_en.pdf
World Health Organization. (2017). World Report On Health Policy And System Research. Villar Sours Yens. https://apps.who.int/iris/bitstream/handle/10665/255051/9789241512268-eng.pdf
World Health Organization. (2018). Definition of skilled health personnel providing care during childbirth : the 2018 joint statement by WHO, UNFPA, UNICEF, ICM, ICN, FIGO and IPA, 1–4.
World Health Organization. (2020a). Indicator 3.8.1: Universal of Essensials Health Service. https://unstats.un.org/sdgs/metadata/files/Metadata-03-08-01.pdf
World Health Organization. (2020b). WHO_ What is universal coverage. Retrieved from https://www.who.int/health_financing/universal_coverage_definition/en/
World Health Organization & The World Bank. (2017). Tracking Universal Health Coverage : 2017 Global Monitoring Report. Geneva. https://apps.who.int/iris/bitstream/handle/10665/259817/9789241513555-eng.pdf?sequence=1
Published
2021-05-30
How to Cite
Rara, A., Rachmawaty, R., & Irwan, A. (2021). Kualitas Pelayanan Kesehatan pada Ibu dan Anak sebagai Penerima Manfaat UHC: Literatur Review. Jurnal Keperawatan, 13(1), 113-122. https://doi.org/https://doi.org/10.32583/keperawatan.v13i1.1399
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Articles
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