Dental Visit, Dental Diseases, and Dental Therapist Pattern in The Implementation of NHI at Private Clinics
Introduction: Since 2014 through the National Health Insurance (JKN) program, the pattern of health financing in Indonesia has been changed, in the first level health facilities (FKTP), from the fee for service payment to capitation payments system. Reports from the Public Health Office of Yogyakarta City showed that in 2014 there was an increased in basic dental services in the city of Yogyakarta by 68.01% from 2013. The Firdaus Pratama Clinic Yogyakarta is a primary clinic with medical and dental services as one of the providers of the JKN program since 2015.
Objective: The purpose of this study was to evaluate the implementation of the national health insurance program in dentistry at Firdaus Pratama Clinic, Yogyakarta.
Methods: The type of this research was descriptive observational study, with the method used in the form of secondary data observation. Secondary data was obtained through electronic medical records at Firdaus Pratama Clinic. This research was conducted at the Firdaus Pratama Clinic in Yogyakarta which has been working with BPJS since 2015.
Results: The number of participants and the number of dental visits at the Firdaus Pratama Clinic continued to increase. The 3 diagnoses in dental services at the Firdaus Pratama Clinic that frequently found in the form of consultation were necrosis of pulp, dental caries, and pulpitis.
Conclusion: The category of dental visits at Firdaus Pratama Clinic was high, which found more than 2% utilization based on the number of participants and dental visits
Indonesia. Dinas Kesehatan Kota Yogyakarta. Profil kesehatan tahun 2015 Kota Yogyakarta (data tahun 2014). Yogyakarta; 2015.
Indonesia. Pemerintah RI. Undang-Undang RI No.40 Tahun 2004. Sistem Jaminan Sosial Nasional. Jakarta. 2004.
Dewanto I, Lestari NI. Panduan pelaksanaan pelayanan kesehatan gigi dan mulut dalam system jaminan kesehatan nasional (guide to the implementation of oral health service in a national health insurance system. 1 st ed. Jakarta: PB PDGI; 2014.
Adida E, Mamani H, Nassiri S. Bundled payment vs. fee-for-service: impact of payment scheme on performance. Manage Sci. 2015;63(5):1-19.
Leger PT. Physician payment mechanisms: An overview of policy options for Canada. Ottawa (CA): Canadian Health Services Research Foundation; 2011.
PB PDGI. Surat Edaran Pengurus Besar Persatuan Dokter Gigi Indonesia tentang pelayanan kesehatan gigi dalam Sistem Jaminan Kesehatan Nasional. Jakarta: PB PDGI; 2013.
Indonesia Regulation of the Minister of Health, Number 069/Menkes/PER/XI/2013 on Capitation of Health Insurance system.
Darmawan IR, Thabrany H. Refleksi implementasi Jaminan Kesehatan Nasional pada pelayanan kedokteran gigi di fasilitas kesehatan tingkat pertama Kota Tangerang tahun 2017. Jurnal Kebijakan Kesehatan Indonesia. 2017;6(3):174-183.
Andas CA, Hakeberg M. Who chooses prepaid dental care? A baseline report of a prospective observational study. BMC Oral Health. 2014;14:146.
Patel R, Eaton KA, Garcia A, Rincon V, Adams L, Brooks J. Factors influencing dental practitioner performance: a summary of a recent literature review. OHDM. 2011. 10(3): 119-130.
Strand J, Andas CA, Boman UW, Hakeberg M, Tidefors I. A new capitation payment system in dentistry: the patient’s perspective. Community Dental Health. 2015;32:83-88.
The national insurance guide. St. Louis (US): American Association of Orthodontists; 2008.
Hariyanti M. Evaluasi pelaksanaan program dokter gigi keluarga askes di Kabupaten Kudus [Tesis]. Yogyakarta: Universitas Gajah Mada. 2012.
Hill H, Birch S, Tickle M, McDonald R, Donaldson S, O’caroland D, et al. Does capitation affect the delivery of oral healthcare and access to services? Evidence from a pilot contact in Northern Ireland. BMC Health Service Research. 2017;17:175.
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