Oenunu, Marni Dominika (2019) PENERAPAN PRINSIP PORTABILITAS BAGI PESERTA JAMINAN KESEHATAN NASIONAL DI LUAR WILAYAH DOMISILI DALAM MEMPEROLEH AKSES PELAYANAN KESEHATAN DI KOTA SEMARANG. Other thesis, UNIKA SOEGIJAPRANATA SEMARANG.
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Abstract
The portability principles in the National Health Insurance Program (JKN) implementation are principles that guarantee JKN participants whenever and wherever they are as far as in Indonesian area. This includes any participant who moves his/her job or residence, has vacation, does a study or other business. This happens to all areas in Indonesia, including in Semarang City. The philosophical base for implementation of portability principle is the right to access health services. When suffering sick a JKN participant should receive his or her health insurance rights by possibly accessing to health services at the nearest degree of First Level Health Facility (FKTP). However, the fact was that remained facing obstacles. The purpose of this study was to obtain an overview of the form regulations, the factors influencing the implementation of portability principles for out-domiciled JKN participants in getting access to health services at Semarang City. This study used socio-legal approach having a descriptive-analytical specification. The primary data of this study were obtained through interviews with the Health Social Security Organizing Agency (BPJS) of Semarang Branch and five health center’s heads, namely Pandanaran, Sekaran, Ngesrep, Srondol, and Kedungmundu health centers beside 25 out-domicled JKN participants of Semarang as informants. The sampling technique used purposive sampling with qualitative analysis. The implementation of the portability principles for out-domiciled JKN participants in getting access to health services at Semarang City, especially in the 5 health centers does not going well. The form regulations of the implementation portability principles based on circular letter issued by Health BPJS Office of Semarang Branch number 766 / VI-01/0518 on Out-Domiciled Participant Services of FKTP is maximum visit limit 3 times which is contrary to the portability principles in Article 4 of Act No. 40 of 2004 on National Social Security System and Act No. 24 of 2011 on the Social Security Organizing Agency. Need for technical regulations in the form of a binding Minister Decree concerning requirements, administrative procedures, and service procedures for the implementation of portability principles. Juridical factors influencing were there are no technical regulations on the implementation of the portability principles for out-domiciled JKN participants in getting access to health services including the utilization of the JKN Mobile application. Social factors and technical factors had no adequate information and understanding to implement the portability principles. Keywords: principles portability, JKN, domicile, services.
| Item Type: | Thesis (Other) |
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| Subjects: | 600 Technology (Applied sciences) > 610 Medicine and health > Healthy |
| Divisions: | Graduate Program in Master of Law |
| Depositing User: | Mr Lucius Oentoeng |
| Date Deposited: | 16 Oct 2019 02:50 |
| Last Modified: | 23 Oct 2020 04:40 |
| URI: | http://repository.unika.ac.id/id/eprint/19804 |
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