甲打邦地区卫生社会保障管理机构对国民健康保险计划政策的评估

S. Sukamto, Rupita Rupita, Herlan Herlan, Arifin Arifin, Erdi Erdi
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引用次数: 0

摘要

本研究的目的是评估哥打邦区卫生社会保障管理机构实施国民健康保险计划政策的过程,其依据是与实施机构、政策实施、设施和资源有关的合规性视角,以及与影响实施和短期结果的因素有关的 "发生了什么 "视角。本研究结果表明,吉打邦地区卫生社会保障管理机构对国民健康保险计划政策实施过程的评估尚未达到最佳实施效果。这可以从以下指标看出:从遵守的角度来看,包括政策执行机构的遵守情况,没有客观地按照规定执行,也没有按照政策规定的标准和程序执行。克塔邦地区卫生社会保障管理机构的政策执行--国家医疗保险计划未能提高克塔邦地区的医疗服务质量,医疗设施和资源的可用性未达到按人头付费规范的标准,医疗工作者的素质和质量都有所欠缺。同时,"正在发生什么 "视角包括影响政策实施的因素,即参与方、政策目标的明确性、计划的复杂性、所有参与单位的支持,以及人力资源等其他因素,其中包括卫生工作者的质量和数量、薄弱的权威性和合法性,以及由于卫生社会保障管理机构在线申请的联系数据而未能取得短期成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of National Health Insurance Program Policies by Ketapang District Health Social Security Administration Body
This research aims to evaluate the process of implementing the National Health Insurance program policy by the Ketapang District Health Social Security Administering Agency, based on a compliance perspective relating to compliance with implementing agents, implementation of policies and facilities and resources, and based on what happening Perspective, which is related to factors that influence implementation and short-term outcomes. The results of this research show that the Evaluation of the National Health Insurance program policy implementation process by the Ketapang District Health Social Security Administration Agency has yet to be implemented optimally. This can be seen from the following indicators: Compliance perspective, which includes compliance by policy implementing agents, has not been carried out objectively according to regulations and is not by standards and procedures established by policy. Policy implementationNational Health Insurance Program by the Ketapang District Health Social Security Administering Agency has not been able to improve the quality of health services in Ketapang Regency, the availability of health facilities and resources has not met the criteria for capitation payment norms, and there is a lack of health workers both in terms of quality and quality. Meanwhile, the What is Happening Perspective includes factors that influence the implementation of policies, namely the actors involved, clarity of policy objectives, program complexity, support from all units involved, and other factors such as human resources, which include the quality and quantity and weak authority and legitimacy of health workers and short-term results have not been achieved due to contact data on the online application of the Social Security Administering Agency for Health.
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