Model Problem the Effectiveness of National Health Insurance Agency in General Hospital Public Service Regional Bahteramas Province of Southeast Sulawesi, Indonesia

Abstract

To overcome the problem of health care in Indonesia, since January 2014 the government implemented the National Health Insurance (HNI) applicable for all Indonesian people. Through the NHI program, expected no more people, especially the poor, who do not go to health care facilities because they do not have a cost. This study aimed to analyze the effectiveness of the implementation of the NHI from the aspect of the health care system at the Hospital Regional Public Service Bahteramas Southeast Sulawesi province, developing the model problems and solutions to the problems of health care effectiveness of NHI. Types of Research Survey, using quantitative methods qualitative Mix. Samples of outpatients as many as 354. The informant patients and hospital personnel. Collecting data using questionnaires, in-depth interviews and review documents. The results show general implementation of aspects of the NHI Health Care, Service Satisfaction and Effectiveness Services from the perspective of the patient is said to have been adequate, effective and patient satisfaction. But there are still many problems in the implementation of both aspects of the regulation, service management, behavior and readiness officer service resources. Ineffectiveness and dissatisfaction services include service mechanism complicated, difficult conditions of service, imprecision of service, waiting time of services, facilities, amenities, medical devices and drugs are not available, officials are limited, the patient is still the cost of medicines, and there are types of services not covered by NHI. The conclusion shows that the implementation of the NHI Hospital has been carried out effectively and in patient satisfaction, but still many problems in the implementation, including aspects of policy issues, service management, personnel behavior and readiness resources, hence the need to improve policy and service management. Recommendation; The need to make improvements Hospital policy, improvement of service management, education and training for officers, and fulfillment service resources.