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The release of medical information is the process of disclosing or sharing information about a patient's health condition, medical history, or medical examination results with other parties. Due to the sensitive nature of the information contained in medical records, healthcare providers are obligated to ensure that all information is appropriately accountable. This study aims to explore the work activities of medical record officers and health information management in the process of releasing medical information to insurance parties at Tarakan Regional General Hospital (RSUD Tarakan). This research uses a descriptive method with a qualitative approach by explaining the results of interviews regarding the work activities of medical record officers and health information management in the process of releasing medical information to insurance parties. RSUD Tarakan already has standard operating procedures related to the release of medical information, both to insurance parties that cooperate and to those that do not cooperate. In the work activities of the officers, the stages of data collection for insurance types, the request flow stage, data collection stage, data processing stage, and data presentation stage involve the insurance services and fundraising departments in the release process for cooperating insurance parties. Meanwhile, the medical records department and the information department are only involved in the release of medical information to non-cooperating insurance parties. The challenges in releasing medical information to non-cooperating insurance parties include the lack of requirements provided by patients, as they are often unaware of the necessary documents and the process for requesting the release of medical information, which can cause delays in the process.

The National Health Insurance Program, the Healthy Indonesia Card, is increasingly being utilized by the community. Improving the quality of services is also the focus of the efforts made. However, these improvements are expected not to be fragmented in just one aspect of the service. The goal of service quality is to meet or even exceed community expectations. The purpose of this literature review is to review how to improve the quality of National Health Insurance services in public health facilities. The literature used in this study is by determining articles that meet the inclusion criteria. The database used is Google Scholar. The year of publication of the literature sources taken is the last 5 years between 2020 and 2025. The literature sources use English or Indonesian. The results of 5 articles obtained that to improve the quality of National Health Insurance (NHI) services in public health facilities, namely by providing access to services, completing infrastructure that is still lacking, implementing the Healthy Indonesia Card Health Insurance Program Policy, and increasing the professionalism of human resources. It can be concluded that improving the quality of National Health Insurance (NHI) services in public health facilities can also be done by building an ecosystem with integrity, utilizing technology to facilitate access to health services that can facilitate the community in utilizing health services. For the government, it is necessary to provide new policies to facilitate NHI participants in obtaining health services, strengthening cross-sector support, whether in the form of regulations, infrastructure, or funding. In addition, there is also a need for evaluation from various aspects in order to create good quality in the utilization of health services.

Health is a basic human need, so it requires high awareness so that people maintain their health. One way to protect yourself and your family from the financial risks arising from health care costs is by having health insurance. The impact of this insurance provides protection against possible future losses and invests part of the funds collected from policyholders. Health insurance is important not only for reducing the financial burden of health services but also for ensuring that individuals have access to timely and quality medical care. The purpose of this theoretical study is to determine the impact of health insurance on the utilization of health services from a public health perspective. The method used is a theoretical study, which analyzes existing theories and previous research to understand the effects of health insurance. This approach is intended to draw conclusions regarding how insurance affects public health and health service usage. The results of this theoretical study indicate that, from a public health perspective, health insurance has a positive impact in various ways. It helps reduce the risk of disease, minimizes the economic burden when individuals fall ill, reduces financial risks, provides peace of mind, and facilitates access to quality medical services. Furthermore, insurance contributes to preventive care and early treatment. Accessibility to health services is identified as a crucial factor in enhancing the positive impact of insurance on the welfare and health of the community in Indonesia.

Diabetic ketoacidosis (DKA) is defined as life threatening condition that happen mainly in T1DM and less frequently with T2DM in certain situation, an increase in the serum concentration of ketones greater than 3 mmol/L, a blood sugar level greater than 11mmol/L (although it is usually much higher), and a blood (usually arterial) pH less than 7.3 and it is the most frequent acute hyperglycemic emergency in persons with diabetes mellitus (DM). The main cause of morbidity and mortality in children with diabetes is DKA from both type1 DM (T1DM) and T2DM. Children with diminished metabolic control or previous episodes of DKA are at higher risk, as are prepubescent and adolescent girls, children with psychiatric disorders, such as eating disorders, and children who come from challenging families with lower socioeconomic status and inadequate health insurance as well as low general education levels.

The National Health Insurance Program (JKN) organized by BPJS Health aims to improve access and quality of health services for all levels of Indonesian society. This research examines the effectiveness of the JKN program, with a focus on the use of the JKN mobile application, program implementation in health facilities, and factors that influence service quality. Based on case studies in several regions, the research results show that the JKN mobile application makes it easy for participants to access health-related services and information, although there are still obstacles such as a lack of public understanding of the application and technical problems. Apart from that, health services in hospitals and community health centers still face challenges such as a shortage of medical personnel, delays in services, and timeliness in administrative processes. Although the JKN program has expanded access to services, challenges in equal distribution of service quality and health resources still need to be overcome. Overall, the JKN program plays an important role in improving people's health and welfare, but improvements are needed in terms of community understanding, infrastructure and service efficiency to achieve more optimal and equitable health goals throughout Indonesia.

This study aims to analyze the fulfillment of National Health Insurance Rights (JKN) for workers who experience Termination of Employment (PHK) at PT. FI and evaluate the regulation of JKN rights after layoffs that provide justice for workers. The method used is normative legal research with a qualitative approach, which includes the selection and classification of legal materials as well as normative analysis of relevant regulations. Based on field findings, this study shows that there are administrative errors in reporting the status of layoffs that cause delays in fulfilling health insurance rights for laid-off workers. In addition, this study also found that even though the post-layoff JKN regulation has been regulated in the law, improper implementation can hinder the granting of rights fairly. This study recommends simplifying reporting procedures, increasing supervision by BPJS Kesehatan, and further education for companies to avoid administrative errors. Thus, this study contributes to the understanding of the importance of social justice in regulating health insurance for laid-off workers.

Non-communicable diseases (NCDs) are currently still the leading cause of death at the global level resulting in around 41 million deaths each year or almost equal to 7 out of 10 deaths that occur worldwide. PROLANIS (Chronic Disease Management Program) is a health service system and proactive approach implemented in an integrated manner involving Participants, Health Facilities and BPJS Health insurance in the context of health maintenance for BPJS Health participants suffering from chronic diseases to achieve optimal quality of life with effective and efficient health service costs. The high incidence of hypertension and cholesterol and the lack of knowledge of the use of BPJS health and the prolanis program in Melebung Village, so that this is the main problem that occurs in Melebung Village. The purpose of the activity is to increase community insight and knowledge about the Chronic Disease Management Program (PROLANIS). In this case the service team will provide education and assistance to the community regarding the BPJS Program (PROLANIS) and Herbal Medicine as an effort to prevent disease. The location of this activity will be carried out in one of the neighborhoods in Pekanbaru City, namely the Melebung Village neighborhood. The goal is that after this community service is carried out, it can improve the degree of public health through the BPJS Program (PROLANIS) and also increase community knowledge in the neighborhood regarding the use of family medicinal plants (herbal medicine).

This study discusses the legal protection for contract workers in Indonesia, which has become increasingly important as the use of contract work systems grows. Although various regulations have been implemented, such as Law No. 13 of 2003 on Manpower and Government Regulation No. 35 of 2021, practice in the field shows gaps in the application of contract workers' rights. This study uses a descriptive qualitative method by gathering data from various literature studies. The results indicate that contract workers often do not receive their full rights, including fair wages, social benefits, and health insurance, due to weak oversight, a lack of understanding among workers about their rights, and non-compliance by companies with applicable regulations. This article identifies several key challenges, such as discrepancies in the interpretation of regulations between central and regional authorities, as well as companies' practices that violate legal provisions. Therefore, there is a need for enhanced supervision, increased worker awareness, and stricter law enforcement to ensure more effective protection for contract workers. The findings are expected to contribute to the development of labor policies in Indonesia that are more supportive of the welfare of contract workers.

Changes in the health insurance system in Indonesia continue to evolve, one of which is implementing the Standard Inpatient Class (KRIS) policy as a replacement for the BPJS Health class system based on Presidential Regulation (Perpres) Number 59 of 2024. This policy is designed to unify healthcare classes to reduce disparities in healthcare access and quality in Indonesia. However, its implementation is faced with key challenges, including hospital infrastructure readiness, limited human resources, and criticism from various parties, including patients and healthcare providers. This study uses a qualitative approach with descriptive methods to review various policy documents, relevant literature, and legal and social perspectives related to policy implementation. The results show that although KRIS has the potential to reduce disparities in access to health services, its implementation requires more attention to the readiness of health facilities, strengthening management systems, and budget adjustments to support optimal operations. Furthermore, this policy requires the active involvement of the community and health workers in the evaluation and decision-making process so that the policy is more responsive to the real needs in the field. The theoretical approaches used, such as public policy theory and progressive law, highlight the importance of cooperation between the government, healthcare providers, and communities to ensure effective and equitable implementation of KRIS. This research suggests improving hospital infrastructure, continuous training for health workers, and strengthening a transparent monitoring system to ensure the success of this policy. This research is expected to make a positive contribution to the formulation of health policies that are more inclusive and sustainable and can serve as a reference in efforts to realize a more equitable and fair health service system for all Indonesians.

The MCH handbook This book covers a wide range of health-related subjects for parents, beginning with pregnancy and continuing through delivery and maturity. It also provides several techniques to take care of your own health as well as the health of your children. Therefore, if the KIA book is not helpful, it would be terrible to be able to notice it on the mother and kid. A number of factors, including the comprehension of Abu Hamil, have the potential to influence the interpretation of the book KIA. Acquiring knowledge may be accomplished via education, experience, or the information that one already has. The purpose of this research is to investigate the connection between the use of the KIA book and the level of knowledge that the parents of Hamil children have on child care at Bpm Riris indayani S.Tr. Keb. This particular study is a research endeavour that focusses on analytical observational research. An alternative approach, known as a cross-sectional design, is used. Due to the fact that they all had KIA books in hand throughout the time period of April to June 2023, this study included the participation of twenty-four married women. Through the use of a method known as comprehensive sampling, we conducted a survey of the whole population for this research. Instruments that are used include a KIA bookcase as well as a kuisoner. A mother who went to bpm with KIA books was the subject of the data gathering that was carried out under this project. The techniques of data analysis that have been chosen are the univariate analysis and the bivariate analysis. Based on the findings of the study, it was discovered that out of a total of 24 respondents, 87.5% were aware of health insurance, and 21 respondents were also aware of disability insurance. Given the p-value of.002 obtained from the chi-square statistical test, where the α-value is 0.05, it is possible for us to draw the conclusion that there is a Hubungan Pemanfaatan Buku KIA Dengan Pengetahuan Ibu Hamil Tentang Perawatan Kehamilan Di BPM Riris Indayani S.Tr. Keb. The recommendation for the elderly person is to learn about the book of KIA that is distributed in a healthy manner.

Through Presidential Regulation No. 82 of 2018, concerning Health Insurance in article 48, one of the benefits of promotive preventive services is health history screening services. Health history screening abbreviated as SRK is a preventive effort that can detect participants with a potential risk of diabetes, hypertension, kidney failure and coronary heart disease. This SRK filling activity is very beneficial for JKN participants, one of which is that they can find out the potential risk of disease as early as possible for themselves and their family members. Some people still have minimal knowledge about the Mobile JKN application, there are several obstacles in the community, especially the elderly who experience either a lack of smartphones or a lack of understanding of how to use the Mobile JKN application, so these obstacles are the main problems that occur in the Marpoyan Damai area, especially in the Jl. nurul. The aim of the activity is to increase the public's insight and knowledge regarding how to use and benefit the Mobile JKN application in health history screening. In this case, the service team will provide education and assistance with health screening through the BPJS application as an effort to prevent disease. The location for this activity will be carried out in one of the neighborhoods in Pekanbaru City, namely the RT 01 RW 21 Tangkerang Tengah neighborhood, Pekanbaru City. The aim is that after this community service is carried out, it can improve the level of public health through health screening in the application and also increase the knowledge of the community in the area regarding the use of family medicinal plants (herbal medicine)

This study discusses the effectiveness of implementing administrative sanctions to overcome fraud practices by health facilities against National Health Insurance (JKN) participants in Indonesia. Fraud practices involving claim manipulation, bill inflation, and falsification of diagnoses result in losses for JKN participants and reduce the quality of health services. This study identifies challenges in supervision, regulatory weaknesses, and obstacles in law enforcement that affect the effectiveness of the administrative sanctions imposed. Based on the analysis, this study recommends regulatory reforms that include the implementation of stricter sanctions, strengthening supervision with information technology, and increasing outreach programs to raise awareness of the impacts of fraud. It is expected that with this reform, the JKN system can run more effectively and reduce fraud practices that are detrimental to all parties.

This study analyzes the differences between the neoliberal and social democratic paradigms in poverty alleviation policies in Indonesia, by adding an Islamic Economic perspective as an alternative. The neoliberal paradigm focuses on free market mechanisms, deregulation, and minimizing the role of the state, but often exacerbates social inequality. In contrast, the social democratic paradigm balances the role of the market and state intervention through resource redistribution and protection of vulnerable groups through sustainable social programs. Islamic economics offers a complementary approach oriented towards the principles of distributive justice, balance, and solidarity, by integrating spiritual values ​​into socio-economic policies. A qualitative approach is used in this study, with policy analysis of programs such as the Family Hope Program (PKH) and the National Health Insurance (JKN). The results show that the social democratic paradigm is more effective in reducing poverty systemically than neoliberalism, especially through increasing access to education, health, and social protection. However, budget constraints, corruption, and infrastructure gaps remain significant challenges. The Islamic Economic perspective emphasizes the importance of zakat, waqf, and infaq as instruments of wealth redistribution that have the potential to strengthen inclusive and sustainable poverty alleviation policies. This study recommends strengthening the synergy between the paradigm of social democracy and the values ​​of Islamic Economics to create policies that are more effective, equitable, and oriented towards the welfare of society holistically.  

In line with the concept of a welfare state, Indonesia, as a country, is obligated to implement and ensure the welfare of its citizens, including in the national healthcare sector. To ensure the inclusivity of national health coverage, the government, through the BPJS Kesehatan agency, has established the National Health Insurance (JKN) program, which is mandatory for all citizens, as stipulated in Indonesian legislation. However, the effort to achieve inclusivity may become biased if there is no clear regulation regarding the rights of participants and the obligations of healthcare providers, who play a crucial role in this process. Under Indonesian positive law, the rights of JKN participants are thoroughly regulated, as are the obligations of healthcare providers. However, based on observed phenomena, there are still violations of these obligations by healthcare providers, leading to the neglect of participants' rights. This research aims to raise awareness among stakeholders and provide a foundation for future research. The type of research used in this paper is normative legal research, which focuses on the analysis of legal norms.

Background: Postpartum care is needed in the period after delivery to detect early problems or treat postpartum illnesses. More than 65% of maternal deaths occur during the first 42 days postpartum. This study aims to analyze the factors that influence postpartum visits in Indonesia. Method: The research uses quantitative research in the form of an analytical survey with a cross sectional design. Units. Results: Based on the results of logistic regression, predisposing factors that have the opportunity to influence complete postpartum visits are maternal age 20-35 years (OR 0.885), higher education (OR 1.167), parity ? 2 (OR 1.090), delivery by cesarean/vacuum/ forceps, etc. (OR 1.491), delivery in a health facility (OR 1.489), complete pregnancy check-up (OR 1.613), and regional Sumatra (OR 0.510). Enabling factors that have the opportunity to influence postpartum visits are unemployed status (OR 0.954) and having health insurance (OR 1.141). The need factor that has the opportunity to influence postpartum visits is having a history of pregnancy complications (OR 0.948). Conclusion: Factors that influence postpartum visits are maternal age, education, parity, method of delivery, place of delivery, prenatal check-up, regional residence, employment status, ownership of health insurance, and history of pregnancy complications.

Older people sometimes become a new problem for a family or government. These problems are the unavailability of access to health care, the lack of old age insurance, and the social support from the family to care for them. The aging process certainly has an impact on all aspects of life, especially health because with increasing age, the function of the body's organs will decrease both due to scientific factors or disease. The decreased function of the body's organs makes the elderly limited in carrying out activities because of the limited energy they have. Through the design of the Nursing Home with the Biophilic Architecture approach, it can help the elderly from feeling lonely and so that their illness does not get worse and it is hoped that they can recover and continue to carry out more productive activities. So this design can be a social space for the elderly who are able to respond to the conditions and activities of the elderly.

The integration of health insurance with Fixed Deposit Receipts (FDR) and Deposit Pension Schemes (DPS) represents a significant innovation in the banking sector, offering new opportunities for financial institutions, insurers, and consumers. This paper explores the potential of merging health insurance with FDR/DPS schemes, focusing on how such integration can enhance financial inclusivity and healthcare accessibility, particularly in developing countries.  The study outlines the theoretical framework supporting this integration and analyzes the associated challenges, including regulatory and operational barriers.  It also highlights the potential benefits for banks, such as customer base expansion and increased savings attraction, while offering consumers the dual advantage of financial security and health coverage. Through a case study of the banking sector in Bangladesh, this paper provides insights into how such models can be implemented in emerging economies. Additionally, we address the barriers to successful integration, including regulatory hurdles and consumer awareness. The findings indicate that this integration could serve as a strategic tool for banks to broaden their customer base and contribute to the healthcare system's resilience.   Finally, the paper discusses policy implications and future trends, emphasizing the role of technology in facilitating these hybrid financial products.  This research contributes to the growing body of knowledge on the intersection of finance and healthcare, offering strategic directions for stakeholders in both sectors

Health services aim to maintain and improve the quality of health, as well as prevent and treat diseases in the community.This study aiming to analyze the legal certainty for health workers in health services, using the normative legal method. The data source comes from a literature review. The results of this study indicate that Law Number 17 of 2023 regarding Health brings significant changes to the legal certainty for health workers in Indonesia in terms of health services. Previously, legal certainty for health workers was spread across various separate laws. However, with the enactment of Law Number 17 of 2023, this legal protection has become more integrated and comprehensive. Updates regarding the protection of health workers include increasing the rights of health workers, including affirmation of compliance with professional standards and ethics. There are improvements in rights, salary, performance allowances, health insurance, and opportunities for self development. This protection is strengthened by giving health workers the authority to stop services if there is a violation of ethics. It is necessary to strengthen operational procedures and work standards that can be a reference for health workers in carrying out their duties, thereby reduce the risk of negligence that can result in criminal sanctions and additional regulations are also needed to ensure a fair legal mechanism for health workers in facing accusations of negligence, by considering ethics and professional aspects in their work.

In developing countries, access to health insurance remains a critical challenge, with large segments of the population unable to afford adequate coverage. One potential solution is integrating health insurance with financial institutions, particularly through credit cards, offering a convenient and accessible method for individuals to manage health expenditures. Credit cards can open a new horizon to make healthcare affordable, convenient, competitive and important in improving service quality. Act as innovative tools to innovate and introduce financial institutions.This paper explores the concept of health insurance linked to credit cards, examining its viability in developing countries. We investigate the potential benefits, such as increased healthcare accessibility and financial inclusion, alongside challenges like limited financial literacy, regulatory barriers, and credit risks for low-income populations. Additionally, this paper highlights opportunities for financial institutions to partner with healthcare providers, expanding access through innovative models. Through case studies and analysis, we identify key success factors and propose a framework for effective implementation. The findings suggest that credit card-based health insurance has the potential to significantly improve healthcare access in developing countries, provided that regulatory, technological, and socio-economic challenges are adequately addressed.

Birth problems are one of the problems that have not been resolved in various regions, where an average mother gives birth to three to four children. The increase in population due to births will also affect various aspects of development, and pose a big risk to ensuring community welfare. For example, opportunities to obtain educational facilities, job opportunities, health insurance, housing and can increase opportunities for increasing poverty and crime. To find out which factors influence the birth of a baby, an association rule is needed to find out which factors influence the birth of a baby which can be seen from several criteria such as a woman who has a low level of education or a bachelor's degree, a woman who marries at an old age. , or women who marry underage, give birth naturally or surgically. Association rules are a data mining technique for determining the relationship between items in a set of data that has been determined. By determining min support 0.01, confidence 0.1 and 7 itemsets, the results obtained are 25 data items with varying min support and confidence with a maximum support x confidence result of 100%. By using the a priori method, 14 of the best rules were produced by producing the most up-to-date information.