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Background: The JKN program is here to provide benefits to Indonesian citizens in the form of comprehensive individual health services. The number of JKN participant referrals from FKTP to FKRTL has increased. Therefore, it is necessary to conduct research on strengthening basic health services to minimize the increase in health service costs borne by BPJS. Method: This study is a descriptive type of research because it is to describe how to optimize primary care. Data collection uses literature studies. Results: Based on a review of the four studies above from various countries, strengthening primary care is important to do by means such as integrating client-centered health services at the health center level, increasing community involvement when sick for treatment, optimizing the role of the government, implementing the Family Health Team approach, and routinely conducting socialization of JKN benefits in primary care. Conclusion: JKN provides benefits to improve public health so that strengthening primary health services is needed to help reduce inefficiencies in health service costs while increasing access to comprehensive and patient-centered health services.

Waiting time for healthcare services is a key indicator of quality, particularly for BPJS patients in outpatient settings. This study aims to examine the waiting time for BPJS patient services at Siti Khadijah Islamic Hospital Palembang and identify factors contributing to delays. A quantitative descriptive method was employed, with data collected through observation, questionnaires, and checklists. The sample consisted of 97 BPJS outpatient respondents. Findings revealed that 68% of patients experienced waiting times exceeding 60 minutes, surpassing the established standard. Key factors contributing to delays included inconsistent doctor schedules and high patient volumes in specific clinics, such as geriatrics. The study concludes that waiting times need improvement through the implementation of written Standard Operating Procedures (SOPs), increased medical staff, and optimized service schedules. The findings emphasize the importance of effective time management in enhancing service quality and patient satisfaction.

Delivery assistance is a delivery service process that starts from stage I to stage IV of delivery. The achievementcofcmaternal healthc effortsc isc measured through the indicator of the percentage of deliveries assisted by qualified health workers (Ministry of Health of the Republic of Indonesia 2015).Based on the description above, the problem discussed in this research is: to determine the effect of counterpressure massage techniques to reduce labor pain in active phase first stage mothers at Darul Aman Community Health Center, East Aceh. The type of research used is quasi-experimental with a pre-test design and post test control group design, cause or risk and effect variables or cases that occur in the research object are measured or collected simultaneously (at the same time) (Notoatmodjo, 2012) Darul Aman East Aceh Community Health Center is a BPJS Health First Level Health Facility in Aceh Tkmur Regency whose address is Jalan Medan, Gp Kuede Village, Darul Aman District, East Aceh Regency, NAD. The Darul Aman Health Center in East Aceh has the Motto: SIMPATI, namely Smiling and Greeting, Informative, Serving, Professional, Accountable, Transparent, Sincere. Based on the results of the analysis and discussion of research results, conclusions can be drawn regarding the effect of massage techniques to reduce labor pain at the Darul Aman Community Health Center, East Aceh. 1. The level of labor pain before the counterpesure massage was performed, all respondents experienced severe pain. 2. The level of labor pain after the counterpesure massage was performed. Most of the respondents experienced moderate pain. 3. There was an effect of using massage techniques to reduce labor pain in mothers during the first stage of the active phase.

The BPJS Employment Program is one of the crucial aspects of providing socio-economic protection for Indonesian society, especially Generation Z (Gen Z), who are entering the workforce. This service aims to enhance understanding of the BPJS Employment Program through education conducted within the Young Helper community, a volunteer organization committed to creating positive societal changes and part of Gen Z. This service also aims to increase the participatory role of Gen Z in the BPJS Employment Program, which provides socio-economic security. The method employed in this service is educational, involving interactive material presentation with data sources from literature studies, questionnaires, interviews, and field observations. Our service includes educating about the BPJS Employment Program such as eligibility criteria, technical implementation, program types, and registration procedures. The education we provide yields outputs such as pamphlets, PowerPoint presentations, educational videos, and posters, each of which highlights crucial information about the BPJS Employment Program. Our service results indicate an improvement in understanding and participatory willingness among participants to enroll in the BPJS Employment Program.

The social assurance program in Indonesia is formed by legal organization called Badan Penyelenggara Jaminan Sosial (BPJS) which is expected to provide appropriate health facilities for the middle low community. One of the diagnoses and surgery claimed by BPJS Kesehatan is sectio caesar where the caesar section has been increased significantly year by year, but there so many factors that effect the claim process before submitted to the BPJS. The purpose of this research is to find out what the factors that related to the submitting medical record for BPJS claims and how many files are returned from the casemix section to the BPJS claim process for sectio caesar patients at Pakuhaji Public Hospital. The sample of this study is 97 medical records of sectio Caesar patient that will be proceed for the BPJS claim. This study used a quantitative cross-sectional approach. This study found that incomplete medical record doucment and incorrect codes. And the result of this study is the completeness of the file and the accuracy of the code had a significant relation with the claim process, meanwhile the file collection at Pakuhaji Public Hospital hasn’t relation with the claim process because the results were constant. From the result, will be better if Pakuhaji Public Hospital provides the socialization, training for medical records officer and cross-checking medical records file completeness and code accuracy before being submitted to casemix so that in the future it will facilitate the claim process.

The quality of health services is very important to measure how far the Community Health Center is in providing services to patients by looking at the number of BPJS patient visits at the Bukit Lawang Community Health Center, Langkat Regency, which only reached 82.00% in 2020, 77.9% in 2022 and 76.9% in 2023 compared to the target of 95%. Data from the Bukit Lawang Community Health Center, Langkat Regency for the period 2021-2023 showed fluctuations in the number of BPJS patient visits every month. The purpose of this study was to analyze the effect of the quality of public health services on patient satisfaction at the Bukit Lawang Health Center, Langkat Regency in 2023. The research design used a quantitative method with a cross-sectional study approach. The population in this study were all patients who visited the Bukit Lawang Health Center, Langkat Regency in 2023 with an average number of visits of 292 patients per month, the number of samples of 75 people was obtained using a purposive sampling technique. Data analysis used univariate, bivariate and multivariate analysis with logistic regression tests. The results of the study using the chi-square test showed that the variables reliability, assurance, tangible, empathy and responsiveness had a p-value <0.05. The results of the study using the logistic regression test showed that the variables reliability, empathy and responsiveness had a sig. <0.05 and the variables assurance and tangible had a sig.> 0.05. The conclusion of the study is that the variables that significantly affect patient satisfaction are the variables reliability, empathy and responsiveness and the variable that most significantly affects patient satisfaction is the variable reliability.

Hypertension is a non-communicable disease that always increases every year. Hypertension is known as a silent killer because patients who suffer from hypertension rarely feel the symptoms. Common symptoms of hypertension can be headaches in the back of the neck, blurred vision, and others. The blood pressure of hypertension sufferers is above 140/90 mmHg. This study aims to see the pattern of prescribing antihypertensive drugs in BPJS Kesehatan patients including gender, age, patient diagnosis, and combination of antihypertensive drug classes. The method used is descriptive observational research. This study was conducted using 195 prescriptions in the period November 2023. The results obtained were that hypertension sufferers were more dominated by women with a total of 131 sufferers with a percentage of 67% compared to men with a total of 64 sufferers with a percentage of 33%. The age most affected by hypertension is people aged 51 years - 75 years with a total of 143 people and a percentage of 73.33%. 92 of 195 (47.18%) patients did not have other diseases such as diabetes mellitus, hyperlipidemia, heart, GI, and asthma. Single therapy of antihypertensive drugs was most commonly prescribed by doctors with a total of 127 patients with a presentation of 65.13% compared to patients who used combination therapy of two or more antihypertensive drugs. Calcium antagonist or CCB drugs were most commonly used by BPJS patients at several pharmacies in the Bandung area used in the prescription analysis with a total of 107 patients with a percentage of 54.87%.

Background : The problem found at the Sayang Bunda Makassar General Hospital was a decrease in patients after the end of COVID-19 in 2023, there were visit data of 147 patients in January – July. Objective : The purpose of this study is to determine the role of Public Relations in increasing the existence of the hospital. Method : This type of research used qualitative research methods. Methods collected documentation data and in-depth interviews to Result : The research results obtained at the general hospital unfortunately have not been fulfilled in terms of social activities which were only held in 2020, as for the results of observations of social activities and published on social media, this provides satisfaction that the service at the general hospital unfortunately has not collaborated with BPJS insurance, as for communication through media, it has not been fulfilled so that the internet is widely used, social media such as Instagram, as well as the educational dimension when carrying out activities.   such as handling mass circumcisions or providing direct health services. Suggestion : The hospital needs to improve marketing management by digitalizing marketing, promoting health through electronic media as well as re-organizing social activities, improving facilities and infrastructure as well as access to payment via card (JKN-KIS) at Sayang Bunda General Hospital.

Government policy changes and drug price fluctuations related to e-catalog can affect drug costs and types purchased between 2022 and 2023. This research aimed to analyze the differences in drug procurement using the e-catalog system and its interaction with hospital financial and operational variables. The study employed a mixed-methods approach to understand the dynamics of drug procurement at Pharmacy Department of X Hospital through the e-catalog system between 2022 and 2023. This research evaluated changes in purchasing volume, costs, cost efficiency, and service speed. Quantitative data were obtained from e-catalog documentation, focusing on the types, volumes, and prices of chronic medications, as well as BPJS claims. Statistical analysis was used to compare the study periods, while qualitative data from in-depth interviews with 15 respondents, observations and document analysis enriched the understanding of procurement process changes through data triangulation analysis.  The results demonstrated an increased use of e-catalog, with policy changes leading to supplier diversification and price flexibility. Quantitative findings indicated a 25% increase in the volume of drug purchases through the e-catalog from 2022 to 2023, accompanied by a 15% reduction in average drug prices due to heightened competition among suppliers. Additionally, procurement efficiency improved by 30%, as reflected in the reduction of the procurement cycle time from 45 days to 31 days. These findings indicated shifting needs and procurement strategies, affecting budget efficiency and the speed of fulfilling drug requirements. In conclusion, strategic adaptations and ongoing evaluations in managing e-catalog are essential to address financial and logistical challenges, ensuring patient satisfaction and drug availability.    

This study aims to identify the factors influencing delays in the claim process of theRetirement Savings Scheme (JHT) at the BPJS Employment Branch Office in Medan. Aqualitative approach was employed through in-depth interviews with BPJS employees,rticipants,andbranch managers.The findingsrevealthatinternalfactorssuch asincomplete documentation, human resource limitations, and technological system disruptionsplay a significant role in causing claim delays. Additionally, external factors includingsuddengovernmentregulatorychangesand inadequateparticipantinformation alsocontribute to these delays. The impact of claim delays on participant satisfaction is profound,necessitating improvements in claim management administration. Based on these findings, itis recommended to enhanceparticipant education and awareness, strengthen humanresources, improve technological system reliability, and develop adaptive mechanisms forregulatory changes to enhance efficiency and participant satisfaction in the JHT claimprocessattheBPJS EmploymentBranchOfficein Medan

The ongoing health problems in Indonesia require the government to take action so that people can still experience justice and obtain their rights and not cause harm. In order to improve the quality of public health, the government provides social security. This social security is provided by the government and is useful for meeting the basic needs of a decent life, starting from Jamkesmas, Jamkesda, AKSES and most recently the Social Security Administering Body (BPJS) for Health. Even though there have been efforts by the government to realize efforts to resolve existing problems, these efforts have not been effective due to several inhibiting factors. A solution is needed in the form of establishing and implementing the IMP (Identity Monitoring Program) concept which is integrated with the Capil Population and Civil Registry Department and BPJS. It is hoped that the application of the IMP concept can minimize the deficit in health insurance and become a solution to solving claims management problems as one of the root causes of the BPJS deficit.

Financing activities at Kembangan Regional Hospital are dominated by BPJS Health Participants, when submitting claim from patients participating in BPJS Health, there are still delays in submitting claim which will have an impact on hospital operational activities. The aim of this research was to determine the causes of Pending Claims that accurred at Kembangan Regional Hospital. This study used a descriptive method with a mix method approach. The BPJS Health claim procedure for inpatient services at Kembangan Hospital is in accordance with the exiting Standar Operating Procedures. The data used are pending claim files originating from inpatient treatment in November 2022- Jaunary 2023. The research result found 941 inpatient claim files and 84 pending claim files. The cause of pending claim were classified into 7, Conformity between surgical procedures was 22 (26%), inaccuracy in administrative verification and SEP suitability in inputting data into INA-CBGs was 19 (23%), coding determined by the coder was not unbundled by 17 (20%), INA-CBG codes was 9 (!1%), DPJP daognostic code matching 6 (7%), Hospital code conformity 6 (7%), and finally redmissions for the same disease coding 5 (6%). Based on the 5M identification, there are factors, namely the man factor: because the claim file was not accepted by BPJS Health due to coding. The coding given by the hospital to the hospital to the BPJS was not appropriate. Material: supporting files which arrived late on the specified day. Meanwhille, the 3 other factors, namely the money machine and methid, were not obstacles or causes fot the return of the claim files. It is recommended to reevaluate and socialize the reasoms fpr returning BPJS Health claims so that the BPJS Health claim submission process is carried out well and accepted.

Utilization of Emergency Maternal and Newborn Health Services is one of the important factors in determining the level of health which is particularly relevant to health problems and community development. The purpose of this study was to determine the factors that influence the utilization of health services in maternal and newborn emergencies in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province in 2024. This type of research is an analytical survey with a cross-sectional approach. Utilization of Health Services in maternal and newborn emergencies is the dependent variable in this study, while the independent variables include access to health services, attitudes of health workers and BPJS membership in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency in 2024. The sampling technique was carried out using simple random sampling. The head of the family was the sample in this study. The sampling technique was carried out randomly from 476 Heads of Families in Bangun Rejo Village to 99 respondents. Data analysis used univariate and bivariate analysis with a confidence level of 95% (α = 0.05). The results of the chi-square test showed that there was a relationship between access to health services and the use of maternal neonatal emergency health services (p=0.04), there was no relationship between the attitude of health workers and the use of emergency health services (p=0.227), there was a relationship between BPJS membership and the use of maternal neonatal emergency health services (p=0.002).

The information quality is an important factor in influencing someone's decision, including online drivers. In Jambi City, some people affected by the Covid-19 pandemic chose to change professions to become online drivers due to disruption to the household economy. Undertaking this profession, online drivers are at risk of contracting diseases and safety and health hazards while working, while there are still those who do not have health insurance to face these risks. The aim of this research is to analyze the influence of information quality on the decision to participate in BPJS Health insurance for online drivers in Jambi City. A quantitative study approach with a cross-sectional design was carried out in Jambi City in 2023. There were 96 respondents selected based on accidental sampling techniques. The study instrument is a questionnaire. Data analysis used the chi-square test. There is a significant influence between the factors accuracy (p=0.001), timeliness (0.000), relevance (p=0.001), and completeness of information on the decision to participate in BPJS Health insurance for online drivers. It is recommended that BPJS Health increase its educational campaign about the benefits of health insurance and improving the quality of timely and relevant information.

Pharmaceutical Services at the Hospital is an integral part of the Hospital's health care system that is patient-oriented, providing Pharmaceutical Preparations Medical Devices, and Medical Materials that are quality and affordable for all levels of society including clinical pharmacy services (Anonymous, 2016) Besed on the Decree of the Minister of Health of the Republic of Indonesia No 179 Menkes/SK/11/2008, the SPM indicator of hospital pharmacy services includes the waiting time for drug services to be a maximum of 30 minutes while the maximum concoction drug is 60 minutes, the absence of medication errors, stalaction customers at least 80% and prescription writing all must refer to the Hospital formulary This study aims to find out the Waiting Time (Respond Time) of Prescription Services for Finished Medicines and drugs mixed with BPJS patients Outpatient in Bangil Hospital. This research is a non-experimental research with descriptive approach, namely the type of research approach to obtain an overview of the state of a group of data based on observations the real thing is, data collection is done in the Outpatient Pharmacy Service at Hangil Hospital, and is carried out for three months. The total mumber of prescription samples erered in the pharmacy installation for three months a 12.587 prescriptions with details of 10,770 prescriptions of JKN BPJS 85.27% 1,808 peral recipes 14 66% and 9 other insurance recipes 0.07% Among the recipe for JKN BPIS obtained during the study were 90.23% of non-concoction recipes and 9.77% of recipe recipes. The results of the study were obtaining results, the number of prescriptions from patients was 85.27% more than prescriptions from general patients 14 66% and other insurance 0.07%. The average waiting time for non-concoction recipe services in 25 minutes, and concoctions are 62 minutes