scholarly journals JAMINAN PEMELIHARAAN KESEHATAN BAGI MASYARAKAT MISKIN DI KOTA YOGYAKARTA

Populasi ◽  
2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Eddy Kiswanto
Keyword(s):  
Quantitative Research ◽  
Qualitative Method ◽  
Health Sector ◽  
Point Of View ◽  
Health Card ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Before And After ◽  
Fourth Form ◽  
Yogyakarta City

The research aims to find out the implementation of JPKM before and after being organized by PT. Askes, the financing and health service accepted by those who join JPKM program in Yogyakarta City, and how useful was JPKM program according to poor citizens in Yogyakarta City. This research is designing to combine two methodologies, quantitative and qualitative method. A quantitative research needed to conduct a survey and a qualitative research aims to get more comprehensive view from stakeholders in the implementation of JPKM in Yogyakarta City. The results of this study are first, the low level of commitment from local government in Yogyakarta City in health sector. Second, Yogyakarta City has not yet developed its own social security system. Third, there is no complete database of poor citizens to be used in order to appoint the target for this health insurance program. Fourth, form the point of view of the target, health card has shown effective.

The Korean Health Insurance Program: Analysis of Financial and Cost Containment Measures

1991 ◽  
Vol 5 (1) ◽  
pp. 66-78 ◽  
Author(s):  
Ok Ryun Moon
Keyword(s):  
Health Insurance ◽  
Program Analysis ◽  
Cost Containment ◽  
Point Of View ◽  
National Health Insurance System ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Price Cutting ◽  
Containment Measures ◽  
Care Costs

Cost containment is the major determinant of a successful national health insurance system. From this point of view, the financial situation and factors influencing the rise of health care costs in the Korean health insurance program were analyzed. Current measures of cost containment in use are discussed in terms of price cutting and utilization reduction approaches.

scholarly journals RECONSTRUCTION NATIONAL SOCIAL SATISFACTION SYSTEM FOR HEALTH FIELD IN THE AUTONOMY REGION WITH VALUE OF WELFARE

2018 ◽  
Vol 1 (1) ◽  
pp. 101
Author(s):  
Gunarto Gunarto
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
Government Regulation ◽  
Health Sector ◽  
Social Security System ◽  
Security System ◽  
Research Approach ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Government

Objectives to be achieved in this research To understand and analyze the National Social Security System Construction of Health Sector in the current positive law, to understand and analyze the weaknesses of the National Social Security System in the Field of Health today and to analyze and reconstruct the National Social Security System for Health Based on the value of welfare Research is expected to have both theoretical and practical uses that researchers use is socio legal research, this research approach is chosen to see how far the effectiveness of law in the prosperity of the community especially in health insurance coverage, here the law is not only seen in terms of its effectiveness but Also related to non-legal factors such as institutions related to the welfare of the community. The Legal System of the Health Insurance Program with the participation of BPJS is still very weak both in terms of the legal substance component, in providing equitable welfare in obtaining health services through the Health Insurance Program with. Strengthening Components of Legal Substances by changing Article 39 Paragraphs (1), (3) and (4) of Presidential Regulation No. 12 of 2013, Strengthening Legal Structure Components by Strengthening FKTP I on the regulation of Government Regulation, Strengthening Legal Culture Component by developing Culture of community law through continuous education to the community so that the community, the Government is not responsible for providing funds for Beneficiaries of Contribution (PBI).

scholarly journals PERJALANAN MANDIRI SISWA SMP PASCAPENERAPAN SISTEM ZONASI PENERIMAAN SISWA BARU DI KOTA YOGYAKARTA

2020 ◽  
Vol 20 (2) ◽  
pp. 137-150
Author(s):  
Fajar Zawa Tri Mulya ◽  
Yori Herwangi
Keyword(s):  
High School Students ◽  
Junior High School ◽  
Quantitative Research ◽  
Junior High School Students ◽  
Independent Mobility ◽  
School Students ◽  
Keywords Children ◽  
Significant Barrier ◽  
Before And After ◽  
Yogyakarta City

Abstract One of the goals of implementing school zoning system is to bring school closer to home, thus providing a further impact on children's mobility to school more independent. Children’s independent mobility measured from trips to and from school without accompanied by adults. Deductive-quantitative research approaches are used to describe CIM changes and influencing factors. A total of 628 students before and after implementation of school zoning system from 5 schools in the Yogyakarta City become respondents. The results showed that independent trips to and from school increased by 8.6% and 5.1%. The children's independent mobility types almost similar between two groups. The most significant facilitating factor are parental permit and parent’s time to go home from work be significant barrier. While distance and crossing arterial/railroad give less barrier. Boys and peer support are facilitator variables. Then, directly go home and long routes became significant barrier for students after implementation of school zoning system. Keywords: children independent mobility; urban junior high school students; school zoning system.  Abstrak Salah satu tujuan penerapan sistem zonasi sekolah adalah mendekatkan lingkungan sekolah dengan lingkungan keluarga, sehingga dapat memberi dampak lanjut perjalanan anak ke sekolah lebih mandiri. Perjalanan mandiri anak sekolah diukur dari perjalanan berangkat dan perjalanan pulang sekolah yang dilakukan sendiri tanpa di-antar oleh orang dewasa. Penelitian ini menggunakan pendekatan deduktif-kuantitatif untuk mendeskripsikan perubahan perjalanan mandiri anak dan faktor-faktor yang memengaruhinya. Sejumlah 628 siswa sebelum dan setelah penerapan sistem zonasi dari 5 SMP di Kota Yogyakarta menjadi responden. Hasil penelitian ini me-nunjukkan bahwa perjalanan mandiri berangkat dan pulang sekolah meningkat sebesar 8,6% dan 5,1%. Tipe perjalanan mandiri anak relatif sama di antara kedua kelompok. Variabel yang signifikan mendorong adalah izin orang tua, tetapi waktu orang tua pulang kerja bersamaan pulang sekolah menghambat secara signifikan. Jarak rumah dan penyeberangan jalan arteri atau rel kereta api juga berpengaruh menghambat. Jenis kelamin laki-laki dan dukungan teman menjadi variabel pendorong. Tujuan langsung ke rumah dan rute yang memutar jauh menghambat secara signifikan bagi siswa setelah penerapan zonasi. Kata-kata kunci: perjalanan mandiri anak; siswa smp perkotaan; sistem zonasi sekolah.

Reimbursement changes and drug switching: are severe patients more affected?

2016 ◽  
Vol 22 (2) ◽  
pp. 76-82 ◽  
Author(s):  
Shou-Hsia Cheng ◽  
Chi-Chen Chen ◽  
Hung-Chih Kuo ◽  
Chi-Chuan Wang
Keyword(s):  
Health Insurance ◽  
Anatomical Therapeutic Chemical ◽  
Phase 1 ◽  
Long Term Effects ◽  
Physician Visits ◽  
Drug Reimbursement ◽  
Drug Switching ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Before And After

Objectives To examine the long-term effects of drug reimbursement adjustments on drug-switching decisions and to investigate whether patients with complicated or severe conditions are more affected. Methods A population-based, longitudinal study with a before-and-after design. Analysis of 141,703 patients with type 2 diabetes covered by the universal health insurance program in Taiwan. Observation of five 6-month phases before and after a drug reimbursement adjustment implemented in October 2009. Drug switching was defined as a brand change within the same anatomical therapeutic chemical group between two consecutive physician visits. Generalized estimating equations were employed to control for the random subject effect. Results The drug-switching rates in the five phases were 10.85% and 13.71% before implementation and 31.53%, 28.29% and 15.61% after implementation. Results from the regression model revealed a higher likelihood of receiving switched drugs in phases 3, 4 and 5, with odds ratios of 3.16, 2.72 and 1.44 (with 95% confidence interval 3.04–3.29, 2.61–2.84 and 1.38–1.51), respectively, compared with phase 1. Patients with complicated or severe conditions were more likely to have their drugs switched after the reimbursement adjustment. Conclusions The drug reimbursement adjustment under the health insurance program resulted in an increase in drug-switching decisions, and patients were not exempt from medication switching regardless of the complications or the severity level of their illness.

scholarly journals The Edge as The Choice (A Case Study of Jamu Sellers in Three Traditional Markets, Yogyakarta City)

2021 ◽  
Vol 2 (1) ◽  
pp. 36-42
Author(s):  
Arya Putra I Gusti Bagus ◽  
Atik Triratnawati
Keyword(s):  
Health Care ◽  
Readiness To Change ◽  
Health Sector ◽  
Point Of View ◽  
Structured Interviews ◽  
Lower Middle Class ◽  
Traditional Markets ◽  
Change Behavior ◽  
Yogyakarta City

The utilization of plants in the health sector has actually been as long as human civilization. This can be seen in jamu as a health care option, which is still in great demand at this time. Over the years, jamu is often identified as a nutritious drink for the lower middle class, but this does not apply to jamu in traditional markets, in Yogyakarta City. The community with various backgrounds also consume jamu. This study aims to find out the reasons behind the choice of Javanese jamu as a health care option in the midst of the modernization of the medical world in Yogyakarta City. This study was conducted in three traditional markets in Yogyakarta City, namely Kranggan Market, Demangan Market, and Prawirotaman Market. This research is a qualitative research with data collection using participatory observation techniques, semi-structured interviews, and literature review. The findings of this research are that jamu, which is considered edge by some, is actually an option for certain parties. Jamu as the center and the edge really depends on the point of view used to see it. The choice of jamu is basically a consumer's self-belief and readiness to change behavior in determining health care choices.

Clinically Meaningful Change

Methodology ◽  
2019 ◽  
Vol 15 (3) ◽  
pp. 97-105
Author(s):  
Rodrigo Ferrer ◽  
Antonio Pardo
Keyword(s):  
Effect Size ◽  
False Negative ◽  
False Negative Rate ◽  
Point Of View ◽  
Skewed Distribution ◽  
Effect Sizes ◽  
False Negatives ◽  
Large Size ◽  
Before And After ◽  
Post Test

Abstract. In a recent paper, Ferrer and Pardo (2014) tested several distribution-based methods designed to assess when test scores obtained before and after an intervention reflect a statistically reliable change. However, we still do not know how these methods perform from the point of view of false negatives. For this purpose, we have simulated change scenarios (different effect sizes in a pre-post-test design) with distributions of different shapes and with different sample sizes. For each simulated scenario, we generated 1,000 samples. In each sample, we recorded the false-negative rate of the five distribution-based methods with the best performance from the point of view of the false positives. Our results have revealed unacceptable rates of false negatives even with effects of very large size, starting from 31.8% in an optimistic scenario (effect size of 2.0 and a normal distribution) to 99.9% in the worst scenario (effect size of 0.2 and a highly skewed distribution). Therefore, our results suggest that the widely used distribution-based methods must be applied with caution in a clinical context, because they need huge effect sizes to detect a true change. However, we made some considerations regarding the effect size and the cut-off points commonly used which allow us to be more precise in our estimates.

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