Analysis of Support and Barriers to Health Insurance Program in Jember Regency
Keywords:
BPJS, Policy Implementation, Health Services, Community Health Center, Edward IIIAbstract
This research examines the implementation of the Social Security Administering Body (BPJS) program at the UPTD Andongsari Community Health Center, Ambulu District, Jember Regency. Using descriptive qualitative methods, this research aims to analyze the implementation of the BPJS program based on Edward III's policy implementation model which includes four variables: communication, resources, disposition and bureaucratic structure. The research results show that the implementation of the BPJS program at the Andongsari Community Health Center has progressed with several positive achievements, but still faces various challenges. Communication between BPJS and Puskesmas has been well established through the placement of BPJS staff at the location. In terms of resources, even though it has 53 competent workers, there are still limitations in medical infrastructure. The disposition of the implementers shows a positive attitude even though there are obstacles in the efficiency of service time. The organizational structure follows Standard Operating Procedures (SOP) that support health services. Supporting factors for implementation include the availability of registration machines, adequate budget, competent human resources, and efficient bureaucratic reform. Meanwhile, inhibiting factors include limited public understanding of the BPJS program, an imbalance in the number of medical personnel and patients, limited class III inpatient space, and problems with the availability of medicines in the BPJS e-catalogue. This research recommends optimizing supporting factors and systematic handling of inhibiting factors to increase program effectiveness.
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