Inadequate services for BPJS Mandiri Class III users

Oct 13, 2025 by windailys.com 92 views

Implementation of Law Number 24 of 2011 concerning Social Security Organizing Agency: Study of Patient Services Recipient BPJS at TK II Putri Hijau Hospital-Kesdam I/BB

Introduction

The establishment of the Unitary State of the Republic of Indonesia, as stated in the Preamble to the 1945 Constitution, aims to improve the welfare of the people. This welfare must be felt by all levels of society in a sustainable, fair, and equitable manner. Social security is one of the instruments in public services that shows the state's commitment to realizing these ideals. The Social Security Organizing Agency (BPJS) is present as a legal entity that aims to ensure that every citizen gets a guarantee of the basic needs of a decent life, both for himself and his family members.

The Role of BPJS in Health Services

Health services offered by BPJS have the main focus on operational sustainability, benefits for all parties involved, meeting the medical needs of participants, as well as transparency and caution in financial management. This study aims to analyze the implementation of the BPJS Health program in improving services at the Level II Hijau Hijau Kesdam I/Bukit Barisan Hospital in Medan. The BPJS Health program is a crucial component of the country's social security system, providing essential health services to citizens.

Research Methodology

The research method used in this study is a descriptive method with a qualitative approach. Descriptive research focuses on the actual phenomena that occur when the study was conducted, as well as describing the facts related to the problems being investigated with the right interpretation. This approach allows for a deeper understanding of the implementation of the BPJS Health program in the study area.

Implementation of BPJS Health Program at Putri Hijau Level II Hospital

The results of this study showed that the implementation of the BPJS Health program in Putri Hijau Level II Hospital - Kesdam I/BB was good, but there were still several aspects that were not yet optimal, especially in services to BPJS Mandiri Class III users. This is an important record for hospitals to make improvements and improvement in the implementation of the program.

Challenges in Implementing BPJS Health Program

There are several challenges that hospitals face in implementing the BPJS Health program, including:

Inadequate services for BPJS Mandiri Class III users: This group often experiences obstacles in accessing health services, which can lead to poor health outcomes.
Inefficient service process: The service process can be improved by increasing the proportion of non-sipil human resources (HR) and implementing more efficient management systems.
Limited hospital management capacity: Hospitals need to increase their management capacity to achieve a more optimal degree of public health.

Recommendations for Improving Service Performance

Based on the findings of this study, several recommendations are made to improve service performance at Putri Hijau Level II Hospital - Kesdam I/BB:

Increase services for all BPJS users: This includes providing better services for BPJS Mandiri Class III users.
More proportional calculations related to non-sipil human resources (HR): This can help to improve the efficiency of the service process.
Increase hospital management capacity: This can help to achieve a more optimal degree of public health.

Conclusion

In conclusion, the implementation of the BPJS Health program in Putri Hijau Level II Hospital - Kesdam I/BB was good, but there were still several aspects that were not yet optimal. This study highlights the importance of ongoing evaluation and development of programs such as BPJS Health to ensure that all levels of society can feel the benefits of better and equitable health services.

Future Directions

Future studies should focus on:

Evaluating the effectiveness of the BPJS Health program: This can help to identify areas for improvement and ensure that the program is meeting its objectives.
Developing strategies to improve services for BPJS Mandiri Class III users: This can help to reduce obstacles and improve health outcomes for this group.
Increasing hospital management capacity: This can help to achieve a more optimal degree of public health.

References

[List of references cited in the study]

Appendix

[Appendix materials, including additional data and tables]

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Frequently Asked Questions (FAQs) about the Implementation of Law Number 24 of 2011 concerning Social Security Organizing Agency: Study of Patient Services Recipient BPJS at TK II Putri Hijau Hospital-Kesdam I/BB

Q: What is the main objective of the establishment of the Unitary State of the Republic of Indonesia?

A: The main objective of the establishment of the Unitary State of the Republic of Indonesia is to improve the welfare of the people. This welfare must be felt by all levels of society in a sustainable, fair, and equitable manner.

Q: What is the role of BPJS in health services?

A: BPJS has the main focus on operational sustainability, benefits for all parties involved, meeting the medical needs of participants, as well as transparency and caution in financial management.

Q: What is the research method used in this study?

A: The research method used in this study is a descriptive method with a qualitative approach. Descriptive research focuses on the actual phenomena that occur when the study was conducted, as well as describing the facts related to the problems being investigated with the right interpretation.

Q: What were the results of the study?

A: The results of the study showed that the implementation of the BPJS Health program in Putri Hijau Level II Hospital - Kesdam I/BB was good, but there were still several aspects that were not yet optimal, especially in services to BPJS Mandiri Class III users.

Q: What are the challenges in implementing the BPJS Health program?

A: There are several challenges that hospitals face in implementing the BPJS Health program, including inadequate services for BPJS Mandiri Class III users, inefficient service process, and limited hospital management capacity.

Q: What are the recommendations for improving service performance at Putri Hijau Level II Hospital - Kesdam I/BB?

A: The recommendations for improving service performance at Putri Hijau Level II Hospital - Kesdam I/BB include increasing services for all BPJS users, more proportional calculations related to non-sipil human resources (HR), and increasing hospital management capacity.

Q: Why is ongoing evaluation and development of programs such as BPJS Health important?

A: Ongoing evaluation and development of programs such as BPJS Health is important because it ensures that all levels of society can feel the benefits of better and equitable health services.

Q: What are the future directions for this study?

A: Future studies should focus on evaluating the effectiveness of the BPJS Health program, developing strategies to improve services for BPJS Mandiri Class III users, and increasing hospital management capacity.

Q: What is the significance of this study?

A: This study highlights the importance of ongoing evaluation and development of programs such as BPJS Health to ensure that all levels of society can feel the benefits of better and equitable health services.

Q: What are the implications of this study for policymakers and healthcare providers?

A: The implications of this study for policymakers and healthcare providers are that they should prioritize the implementation of the BPJS Health program and address the challenges faced by hospitals in implementing the program.

Q: What are the limitations of this study?

A: The limitations of this study are that it is a single-case study and the results may not be generalizable to other hospitals.

Q: What are the future research directions for this topic?

A: Future research directions for this topic include evaluating the effectiveness of the BPJS Health program in other hospitals, developing strategies to improve services for BPJS Mandiri Class III users, and increasing hospital management capacity.

Q: What are the potential applications of this study?

A: The potential applications of this study are that it can inform policymakers and healthcare providers about the importance of implementing the BPJS Health program and addressing the challenges faced by hospitals in implementing the program.

Q: What are the potential benefits of this study?

A: The potential benefits of this study are that it can improve the quality of health services provided to citizens and ensure that all levels of society can feel the benefits of better and equitable health services.