Jurnal Ekonomi Kesehatan Indonesia最新文献

{"title":"Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko di Berbagai Negara","authors":"Aulia Agustina, Budi Hidayat, Pandujiwo Noormanadi","doi":"10.7454/eki.v6i2.5129","DOIUrl":"https://doi.org/10.7454/eki.v6i2.5129","url":null,"abstract":"Kapitasi merupakan salah satu metode pembayaran yang dilakukan kepada penyedia layanan kesehatan primer. Penerapan kapitasi yang tidak berdasarkan penyesuaian risiko dapat menimbulkan dampak  negatif. Terdapat beberapa bentuk penyesuaian risiko terhadap pembayaran kapitasi. Penelitian ini bertujuan untuk mengetahui perkembangan sistem pembayaran kapitasi dengan penyesuaian risiko pada pelayanan primer yang digunakan di beberapa negara. Penyusunan kajian sistematis ini menggunakan metode PRISMA. Kajian sistematis dilakukan dengan mengambil artikel dari tiga online database yaitu Pubmed, EBSCOhost Medline, dan Scopus. Dari 212 artikel yang diperoleh, terdapat 7 artikel yang memenuhi kriteria untuk dikaji lebih lanjut. Kajian sistematis difokuskan pada model sistem pembayaran kapitasi berbasis penyesuaian risiko. Didapatkan model sistem pembayaran kapitasi berbasis penyesuaian risiko dari yang sederhana hingga yang kompleks. Kesimpulan dari kajian sistematis ini yaitu faktor risiko yang paling sering dipakai adalah usia dan jenis kelamin. Model sistem pembayaran kapitasi berbasis penyesuaian risiko terus mengalami perkembangan sehingga penting untuk melakukan pembaharuan dan penyesuaian secara berkala. Dengan melihat berbagai kelebihan yang ada dalam penerapan model sistem pembayaran kapitasi berbasis penyesuaian risiko tersebut, dapat menjadi acuan bagi negara yang ingin mendapatkan formulasi kebijakan kapitasi dengan penyesuaian risiko yang paling tepat untuk diterapkan sesuai dengan kondisi masing-masing negara.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116693426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physicians’ Behavior in Referring National Health Insurance Patients to Hospital","authors":"N. Natalia, Haerawati Idris","doi":"10.7454/eki.v6i2.5279","DOIUrl":"https://doi.org/10.7454/eki.v6i2.5279","url":null,"abstract":"Physicians’ decision to refer patients in primary health care is vital in supporting the referral system. The increase of referral cases impacted the claims cost and hospital workload. This study aimed to analyze the physicians’ behavior in referring National Health Insurance (NHI) patients to hospitals. This study employed a qualitative method; 18 informants were selected using purposive sampling and analyzed using content analysis. The data were validated by triangulating method, source, and data. Physicians referred patients when the cases could not be handled; there were indications of severe disease and required further examination. The obstacles in the referral system were pressure from NHI patients that wanted to be referred and diagnosed differently from ICD 10. In referring NHI patients, physicians had followed referral procedures and criteria. High referrals were caused by patients being forced to be referred, coming with complaints of severe disease, having examined in a hospital, and some cases should not be referred to but still referred by entering a similar diagnosis into the ICD 10. It is expected that public health centers will educate NHI patients related to tiered referral procedures in health services.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125130209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Health Status of Labor Force in East Kalimantan Province: Effect of Individual Characteristics and Household Conditions","authors":"Jaka Eben Heizer, B. Budiono, Ferry Hadiyanto, Pipit Pitriyan, A. Siregar","doi":"10.7454/eki.v6i2.4658","DOIUrl":"https://doi.org/10.7454/eki.v6i2.4658","url":null,"abstract":"The aims of this research are first, to explore the factors that are associated with health status. Second, to address the individual characteristics and household conditions that affect the health status of labor force, taking into account the urban-rural differences. This research utilized data from SUSENAS Cor 2018, and employed a cross sectional - multinomial logistic regression analysis method. The dependent variable is the health conditions of the labor force. The findings show that, age and number of household members were significant for both sick and very sick health status in all two type of areas analyzed. In urban and rural areas simultaneously gender, expenditure per capita, and drinking water were only significant for sick health group while marital status, education, employment status, sanitation, house area was only significant for very sick health status group. In urban areas, the results indicated that gender, employment status, and drinking water were only significant for sick health status, while marital status, education, sanitation, and house area significant for very sick health status. Moreover, in rural areas, marital status was only significant for sick health status whereas, sanitation and house area were significant for the very sick health status. ","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127035646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral Changes in Accessing Outpatient Care During the Covid-19 Pandemic","authors":"Alfiah Hasanah, Donny Hardiawan, Jefani Marrosa, Adlan Ramadhan, Heriyaldi Heriyaldi, Estro Dariatno Sihaloho, Adiatma Yudistira Ms","doi":"10.7454/EKI.V6I1.4863","DOIUrl":"https://doi.org/10.7454/EKI.V6I1.4863","url":null,"abstract":"Unwillingness to seek healthcare has been observed in citizens from many countries during the Covid-19 pandemic. Previous studies show that the changes in behavior are due to various reasons such as economic slowdown, loss of health insurance due to termination of employment, and fear of contracting the virus. This behavior may result in worsened health conditions, making a individual more susceptible to the virus. The supply side of health care is one of the things that should be considered in the discussion about access to health care in developing countries. This paper investigates access to the healthcare problem of Indonesians, discusses both the supply side and demand side by looking at the change of behavior due to the patients’ fear of getting treatment during pandemic covid-19. We will serve this purpose through a small-scale survey and offer some insights from a statistical analysis perspective as well. Based on a survey from 588 respondents from the west Indonesia region, this study observes that the respondents’ health condition shows no significant change before and during the Covid-19 pandemic era. On the other hand, the respondents’ frequency of accessing outpatient healthcare proves to be significantly decreasing during the Covid-19 pandemic era, with 23,4% of the respondents stating that they avoid utilizing outpatient healthcare as an effort to avoid the Coronavirus. The frequency of using Kartu Indonesia Sehat to access outpatient healthcare also shows a significant decrease during this pandemic era. ","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127705252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Pengadaan Barang dan Jasa pada Masa Pandemi Corona Virus Disease 2019 (COVID-19) Terhadap Kondisi Keuangan Rumah Sakit di RSUP Dr. Kariadi Semarang","authors":"Himawan Sasongko, Chriswardhani Suryawati, Mursid Rahardjo","doi":"10.7454/EKI.V6I1.4898","DOIUrl":"https://doi.org/10.7454/EKI.V6I1.4898","url":null,"abstract":"Mekanisme pengadaan barang dan jasa (PBJ) dalam penanganan keadaan darurat berbeda dengan kondisi normal/biasa. Perbedaan utama adalah pada tahapan pelaksanaan pengadaannya. Masalah yang terjadi saat ini adalah disparitas harga yang sangat besar, ketersediaan dan jumlah kebutuhan yang meningkat terutama pada alat pelindung diri (APD). Disparitas telah mengakibatkan pengeluaran rumah sakit menjadi lebih besar. Kondisi ini memberikan pengaruh terhadap keuangan rumah sakit. Penelitian ini merupakan penelitian observasional dengan metode kualitatif. Data yang diambil adalah data primer dan data sekunder. Informan terdiri dari informan utama dan informan triangulasi. Instrumen pengumpulan data adalah pedoman wawancara mendalam. Dari hasil penelitian diketahui bahwa sebelum pandemi COVID-19 ada dua metode pelaksanaan PBJ (E-Katalog dan Pengadaan Langsung) sedangkan PBJ pada masa pandemi menggunakan tiga metode (E-Katalog, pengadaan langsung dan penunjukan langsung). Proses PBJ sudah sesuai dengan aturan yang telah ditetapkan. Proses PBJ yang dilakukan telah mematuhi prinsip - prinsip dan etika PBJ. Terdapat perubahan Rencana Umum Pengadaan Tahun 2020 akibat pandemi.  Realisasi penerimaan RSUP Dr. Kariadi Tahun 2020  melampaui  target yang telah ditetapkan, sehingga dapat dikatakan kondisi keuangan RSUP Dr. Kariadi selama masa Pandemi COVID-19 dinilai sehat. Kesimpulan dari penelitian ini adalah proses PBJ pada kondisi pandemi COVID-19 telah sesuai dengan prinsip – prinsip, etika dan peraturan yang telah ditetapkan serta kondisi keuangan RSUP Dr. Kariadi saat pandemi COVID-19 dinilai sehat.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115360891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pembiayaan Pasien COVID-19 dan Dampak Keuangan terhadap Rumah Sakit yang Melayani Pasien COVID-19 di Indonesia Analisis Periode Maret 2020 – Desember 2020","authors":"Wiwik Ambarwati","doi":"10.7454/EKI.V6I1.4881","DOIUrl":"https://doi.org/10.7454/EKI.V6I1.4881","url":null,"abstract":"Rendahnya kunjungan pasien selama pandemi COVID-19 berakibat turunnya pendapatan rumah sakit secara drastis. Beban rumah sakit yang menangani pasien COVID-19 semakin tinggi dengan adanya keterlambatan pembayaran klaim COVID-19. Kajian ini bertujuan untuk menjelaskan kebijakan pembiayaan COVID-19 di rumah sakit, kendala dari pelaksanaan kebijakan, serta dampaknya pada keuangan rumah sakit di Indonesia. Kajian bersifat deskriptif analitik, pengumpulan data dilakukan melalui penelusuran literatur dari jurnal ilmiah, BPJS Kesehatan, Kementerian Kesehatan, Asosiasi Rumah Sakit, maupun seminar ilmiah di media massa daring. Data BPJS per tanggal 28 Januari 2021 menunjukkan total pengajuan klaim COVID-19 oleh rumah sakit sebanyak 433.077, dari hasil verifikasi tercatat sebanyak 266.737 kasus yang sesuai (61,59%) dan dapat diklaim dengan biaya 17,3 triliun,  165.189 kasus dispute (38,14%) dengan biaya 9,7 triliun dan 1.151 kasus tidak sesuai (0,27%). Total klaim yang diajukan sampai Desember 2020 sebesar Rp. 22.9 triliun, jumlah yang sudah dibayarkan Kementerian Kesehatan kepada rumah sakit sebesar Rp. 14.5 triliun (63.3%) dan sisa yang belum dibayarkan sebesar Rp. 8.4 triliun (36,6%). Kendala yang ditemui dalam pembayaran klaim antara lain; pembayaran tidak tepat waktu, tingginya dispute klaim yang disebabkan perbedaan persepsi terhadap regulasi yang berlaku, dokumen klaim rumah sakit yang tidak lengkap, ketidaksiapan perangkat aplikasi dan jumlah verifikator dispute dari Kementerian Kesehatan dalam melakukan proses verifikasi ulang. Penurunan arus kas mengakibatkan terjadinya hambatan operasional rumah sakit, antara lain penurunan kemampuan kewajiban membayar penyedia obat dan alat kesehatan, termasuk pembayaran gaji tenaga kesehatan dan karyawan rumah sakit.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"17 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132025891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mandatory Social Distancing for Covid-19 Outbreak and Its Economic Consequences in West Sumatera - Indonesia","authors":"E. Ridwan, Besti Novianda","doi":"10.7454/EKI.V6I1.4548","DOIUrl":"https://doi.org/10.7454/EKI.V6I1.4548","url":null,"abstract":"The Governor of West Sumatra Province of Indonesia imposed a mandatory social distancing (PSBB) to slow down the Covid-19 outbreak from 22 April to 7 June 2020. The cons argued that PSBB was ineffective because of the impossibility to limit people’s movements. The pros, on the other hand, viewed PSBB as a training facility to increase people’s awareness about the pandemic. Our research aims at evaluating the effectiveness of PSBB by using the Kermack-McKendrick SIR pandemic model and the NLSUR non-linear least square estimation. Using daily data published by the Covid-19 task force, we found that PSBB had a positive impact on flattening the curve. Assuming that vulnerable people were around 30% of the population, PSBB has reduced the rate of spread of Covid-19 from around 2 persons to less than 1 person for every infected. We also found that the economic consequences of PSBB on commodities varied by their demand and supply characteristics. We, therefore, suggest that policy interventions related to price control and subsidy should consider these characteristics. For future research, as data more available, the effect of PSBB on broader economic variables such as poverty and growth in the province needs to be examined.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132316016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perhitungan Cost of Treatment pada Pasien Rawat Inap Penderita Stroke Peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo","authors":"Azizah Munawwarah, Eri Witcahyo, Sri Utami","doi":"10.7454/EKI.V6I1.3181","DOIUrl":"https://doi.org/10.7454/EKI.V6I1.3181","url":null,"abstract":"Stroke merupakan salah satu penyakit katastropik yang menjadi penyebab kematian paling banyak di Indonesia. Kota Probolinggo merupakan kota dengan prevalensi stroke tertinggi kedua di Jawa Timur. Prevalensi dan kematian akibat stroke ini terus meningkat di RSUD dr. Mohamad Saleh Kota Probolinggo.  Stroke merupakan penyakit berbiaya tinggi dan secara komplikasi dapat membahayakan jiwa, sehingga dibutuhkan pengelolaan pembiayaan yang tepat untuk menjamin efektifitas dan efisiensi pelayanan kesehatan penyakit ini. Oleh karena itu, perlu dilakukan studi mengenai cost of treatment yang mengukur biaya perawatan per episode layanan dari stroke. Tujuan penelitian ini untuk mengetahui gambaran perhitungan cost of treatment pada penderita stroke peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo. Studi ini merupakan studi evaluasi ekonomi parsial, dimana bertujuan untuk mendeskripsikan suatu objek biaya tanpa ada perbandingan terhadap intervensi lain yang dilakukan di RSUD dr. Mohamad Saleh Kota Probolinggo. Sampel penelitian adalah penderita stroke peserta BPJS di RSUD dr. Mohamad Saleh yang memenuhi kriteria inklusi dan eksklusi yaitu sebanyak 40 responden. Hasil penelitian menunjukkan rata-rata biaya langsung sebesar Rp 8.278.584. Rata-rata indirect cost sebesar Rp 974.383. Sedangkan rerata biaya per satu episode layanan stroke sebesar Rp 9.252.967. Saran yang diberikan adalah meningkatkan pencatatan tindakan keperawatan yang baik serta dilengkapi dengan tindakan koreksi ulang.  Perlu dilakukan monitoring dan evaluasi berkala terhadap billing sebagai bentuk pengendalian biaya.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126530996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HUBUNGAN REALISASI ALOKASI DANA KESEHATAN DAN PEMANFAATAN FASILITAS KESEHATAN IBU DI INDONESIA","authors":"Izzun Nafiah","doi":"10.7454/eki.v5i2.3980","DOIUrl":"https://doi.org/10.7454/eki.v5i2.3980","url":null,"abstract":"Peningkatan pemanfaatan fasilitas kesehatan ibu menjadi target penting bagi pemerintah Indonesia kaitannya dengan pencapaian target SDG’s. Pemerintah Indonesia mengalokasikan anggaran untuk bidang kesehatan setidaknya 5% dari APBN dan 10% dari APBD diluar gaji. Besaran ini lebih kecil dibandingkan negara yang masuk dalam kategori low income. Padahal penelitian yang dilakukan WHO menunjukkan bahwa peningkatan alokasi dana kesehatan ini memiliki hubungan positif terhadap derajat kesehatan masyarakat. Oleh karena itu, studi ini bertujuan untuk mengidentifikasi apakah terdapat hubungan antara realisasi alokasi dana kesehatan khususnya terhadap pemanfaatan pelayanan kesehatan ibu di Indonesia. Sumber data dari SDKI2017 dan survei statistik keuangan pemerintah provinsi. Variabel dependen yang digunakan adalah jumlah kunjungan ANC setidaknya empat kali selama masa kehamilan, waktu kunjungan ANC pertama kali pada trisemester awal, pemanfaatan pelayanan persalinan dari sektor publik. dan melakukan PNC setidaknya dalam waktu dua bulan setelah melahirkan. Variabel Independen utama adalah realisasi alokasi dana kesehatan dan karakteristik sosial demografi ekonomi sebagai variabel kontrol. Dengan analisis regresi logistik biner hasil studi ini menunjukkan bahwa semakin tinggi realisasi alokasi dana kesehatan semakin meningkatkan probabilitas ibu untuk memanfaatkan pelayanan kesehatan ibu pada tahap antenatal care dan postnatal care akan tetapi menurunkan probabilitas memanfaatkan pelayanan persalinan di sektor publik dengan asumsi cateris paribus","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133501717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EVALUASI IMPLEMENTASI JAMINAN PERSALINAN (JAMPERSAL) DI INDONESIA: ANALISIS PENERIMA MANFAAT DAN REGRESI (A PERFORMANCE ANALYSIS ON MATERNAL HEALTH INSURANCE IN INDONESIA)","authors":"Mazda Novi Mukhlisa, I. Yoga, Nana Tristiana, Rosa Estetika, Windi Haryani","doi":"10.7454/eki.v5i2.4902","DOIUrl":"https://doi.org/10.7454/eki.v5i2.4902","url":null,"abstract":"Jampersal merupakan salah satu bentuk dana transfer dari Pusat ke daerah untuk membantu pelayanan kesehatan ibu dan anak.  Jampersal bertujuan meningkatkan akses pelayanan kesehatan bagi ibu hamil, bersalin, dan nifas, serta bayi baru lahir ke fasilitas pelayanan kesehatan yang kompeten.  Analisis ini bertujuan mengevaluasi pemanfaatan dana Jampersal dalam meningkatkan persalinan di fasilitas kesehatan.  Sumber data berasal dari Riskesdas 2018 dan data rutin dari Kementerian Kesehatan RI.  Analisis ini menggunakan pendekatan kuantitatif dan kualitatif.  Data kuantitatif dianalisis melalui metode analisis penerima manfaat dan regresi linier, sedangkan data kualitatif menggunakan analisis isi.  Pendekatan kuantitatif dilakukan pada dua level, yaitu level individu (80.459 ibu hamil) dan kabupaten/kota (407 kabupaten/kota).  Pendekatan kualitatif mengumpulkan informasi untuk memperkaya hasil kuantitatif.  Informan berasal dari delapan kabupaten/kota yang dipilih secara purposif, yaitu delapan kabupaten/kota di Indonesia.  Hasil analisis ini menunjukan bahwa Jampersal mengambil porsi sekitar 3,75% sebagai sumber pembiayaan persalinan.  Realisasi anggaran Jampersal mengalami peningkatan walaupun selalu kurang dari 80%, dan Jampersal banyak dimanfaatkan untuk belanja jasa.  Analisis penerima manfaat menunjukkan bahwa Jampersal banyak dimanfaatkan oleh ibu dengan kepala keluarga berpendidikan SD/MI.  Analisis regresi menunjukkan bahwa setiap pertambahan rupiah realisasi Jampersal meningkatkan persalinan di fasilitas kesehatan, walaupun tidak signifikan secara statistik (coefficient 0,000726; robust SE 0,00370; p-value>0,1).Jampersal as a transfer funds from central to district government is provided to support maternal and child health services aiming to increase access to health services for pregnant women, childbirth and postpartum mothers, also newborns to competent health facilities. This analysis aimed to evaluate the use of Jampersal in increasing institutional delivery using quantitative and qualitative approaches.  For quantitative approach, this analysis used Riskesdas 2018 and routine data from the Ministry of Health.  The data was analyzed using benefit incidence analysis (BIA) and linear regression.  The quantitative approach conducted at two levels, the individual level (80,459 pregnant women) and the district level (407 districts).  Qualitative approach collected information to enrich quantitative results. Informants came from eight districts that were selected purposively.  Information was managed using content analysis.  Results indicated that Jampersal held 3.75% of total funding of child delivery.  Jampersal spending tends to increase every year and it used mostly for services.  BIA showed that Jampersal is widely used by mothers whose heads of households are at primary education level. Regression analysis showed that every rupiah spent in Jampersal increases institutional delivery, although it is not statistically significant (coeffici","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"214 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133806744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}