Research Article
Critical Evaluation of Social Health Insurance Administration Body Services: Case Study at Undata Hospital in Palu City
@INPROCEEDINGS{10.4108/eai.10-10-2023.2342139, author={Alda Alfiani and Andi Anhalma Wati and Haryono Pasang Kamase}, title={Critical Evaluation of Social Health Insurance Administration Body Services: Case Study at Undata Hospital in Palu City}, proceedings={Proceedings of the 5th International Public Sector Conference, IPSC 2023, October 10th-11th 2023, Bali, Indonesia}, publisher={EAI}, proceedings_a={IPSC}, year={2023}, month={12}, keywords={local goverment bpjs health services undata hospital}, doi={10.4108/eai.10-10-2023.2342139} }- Alda Alfiani
Andi Anhalma Wati
Haryono Pasang Kamase
Year: 2023
Critical Evaluation of Social Health Insurance Administration Body Services: Case Study at Undata Hospital in Palu City
IPSC
EAI
DOI: 10.4108/eai.10-10-2023.2342139
Abstract
This study critically evaluates the BPJS card services at Undata Hospital, analyzing strengths, weaknesses, and implementation challenges. Data from archival records, direct observations, and in-depth interviews with 13 informants (10 patients and 3 medical personnel) was employed. The findings reveal critical challenges. First, the complex BPJS card registration and verification cause patient service delays. Second, inadequate information technology infrastructure hinders BPJS card's effective use. Third, suboptimal RSUD Undata-BPJS coordination creates obstacles in claims and payments. This research offers valuable policy insights for Undata Hospital managers and Central Sulawesi regional policymakers. It aims to improve Health BPJS Card services, aligning with patient rights and needs. The study complements social security research, emphasizing the significance of optimizing BPJS card services and overall healthcare provision.