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"[ABSTRAKProgram BOK di Kabupaten Kuningan meningkatan dana operasional Puskesmastahun 2011 dan 2012 menjadi 2 kali lipat, tetapi hal tersebut tidak berbandingpositif dengan pencapaian cakupan indikator SPM bidang kesehatan. Inimengindikasikan bahwa implementasi program BOK di Puskesmas KabupatenKuningan belum berjalan sesuai harapan. Tujuan penelitian ini untukmenganalisis faktor-faktor yang mempengaruhi implementasi kebijakan BOK diPuskesmas Kabupaten Kuningan berdasarkan variabel kondisi lingkungan,hubungan antar organisasi, sumber daya organisasi, serta karakteristik dankapabilitas instansi pelaksana. Penelitian ini menggunakan metode kualitatif dandilakukan antara Bulan Maret?April 2013 berlokasi di 4 Puskesmas dan DinasKesehatan dengan jumlah informan 23 orang. Pelaksanaan BOK di KabupatenKuningan tahun 2011?2012 memberikan banyak manfaat kepada Puskesmaskhususnya operasional kegiatan preventif dan promotif. Tetapi ini tidakberpengaruh positif terhadap pencapaian SPM bidang kesehatan. SPM cenderungmenurun dan item tidak mencapai target cenderung meningkat.

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ABSTRACTBOK programs in Kuningan District to improve operational funds of publichealth centers in 2011 and 2012 to 2-fold, but it is not comparable positive withthe achievement coverage of health SPM indicators. This indicates that theimplementation of BOK programs in public health centers of Kuningan Districthas not run as expected. The purpose of this study to analyze the factors thatinfluence implementation of the BOK policy in public health centers of KuninganDistrict, based on variable environmental conditions, inter-organizationalrelationships, organizational resources, as well as the characteristics andcapabilities of executing agencies. This study uses a qualitative method andconducted between March-April 2013 and is located at 4 public health centerswith the Health Department informant number 23. Implementation of BOKprograms in Kuningan district in 2011-2012 provides many benefits to the publichealth center especially operational to preventive and to promotive activities. Butthis is not a positive influence on the achievement in health SPM. SPM tends todecrease and the item does not reach the target is likely to increase.;BOK programs in Kuningan District to improve operational funds of publichealth centers in 2011 and 2012 to 2-fold, but it is not comparable positive withthe achievement coverage of health SPM indicators. This indicates that theimplementation of BOK programs in public health centers of Kuningan Districthas not run as expected. The purpose of this study to analyze the factors thatinfluence implementation of the BOK policy in public health centers of KuninganDistrict, based on variable environmental conditions, inter-organizationalrelationships, organizational resources, as well as the characteristics andcapabilities of executing agencies. This study uses a qualitative method andconducted between March-April 2013 and is located at 4 public health centerswith the Health Department informant number 23. Implementation of BOKprograms in Kuningan district in 2011-2012 provides many benefits to the publichealth center especially operational to preventive and to promotive activities. Butthis is not a positive influence on the achievement in health SPM. SPM tends todecrease and the item does not reach the target is likely to increase., BOK programs in Kuningan District to improve operational funds of publichealth centers in 2011 and 2012 to 2-fold, but it is not comparable positive withthe achievement coverage of health SPM indicators. This indicates that theimplementation of BOK programs in public health centers of Kuningan Districthas not run as expected. The purpose of this study to analyze the factors thatinfluence implementation of the BOK policy in public health centers of KuninganDistrict, based on variable environmental conditions, inter-organizationalrelationships, organizational resources, as well as the characteristics andcapabilities of executing agencies. This study uses a qualitative method andconducted between March-April 2013 and is located at 4 public health centerswith the Health Department informant number 23. Implementation of BOKprograms in Kuningan district in 2011-2012 provides many benefits to the publichealth center especially operational to preventive and to promotive activities. Butthis is not a positive influence on the achievement in health SPM. SPM tends todecrease and the item does not reach the target is likely to increase.]"

"Pelayanan kesehatan di Indonesia makin hari semakin berkembang dengan pesat, hal ini memberi dampak pads meningkatnya pembiayaan kesehatan Setelah texjadi krisis, beban pembiayaan itu menjadi semakin berat terutama disebabkan oleh infiasi yang sangat tinggi. Krisis ekonimi juga menambah behan biaya kesehatan yang berasal dari pemerintah karma pemerintah hams mensubsidi pelayanan kesehatan bagi pcnduduk miskin. Selain itu juga menyebabkan alokasi pembiayaan untuk kesehatan menjadi semakin minim. Dalam melaksanakan program pokok yang menjadi tugasnya, maka biayaPuskesmas tems meningkat. Biaya yang tersedia sekarang, baik yang berasal dari Pusat, Propinsi dan Kabupatcn dirasakan semakin tidak mencukupi, disamping itu tuntutan masyarakal akan pelayanan kesehatan tems meningkat pula, Dikaitkan dengan persiapan otonomi daerah, tanggung jawab para pemimpin daerah khususnyayang berkaitan dengan pembiayaan bidang kesehatan akan lebih besar, KabupatenTangerang harus berupaya untuk memobilisasi dana masyarakat melalui upaya peningkatan pendapatan daui masyarakat untuk menutupi biaya pelayanannya. Penyesuaian tarif yang rasional merupakan salah satu altematif untuk mengatasibeban biaya tersebut. Hal ini dimungkinkan asalkan scsuai dengan tingkat kemampuan membayar (ability ro pay) dan kemauan mcmbayar (willingnes to pay) masyarakat setempat.Tarif pelayanau kesehatan di Kabupaten Tangerang perlu dilihat sebagai salah satu altematif unutk meningkatkan pendapatan Puskesmas guna memcukupi kebutuhan biaya operasional maupun pemeliharaannya dalam upaya memberikan pelayanan yang lebih bermutu. Namun demikian, dalam kebijakan sektor kesejahteraau (welfare policy), seyogyanya pelayanan yang bersifat public goods dibiayai bersama oleh masyarakat melalui tangan Pemerintah dalam bentuk subsidi yang berasal dari masyarakat sendiri. A Sampai saat ini belum diketahui besamya tarif rasional Puskesmas di Kabupaten Tangerang, oleh karena itu penelitian ini dilakukan untuk mengetahui besamya biaya total produksi, biaya satuan aktual, biaya satuan normati besarnya revenue, dan besarnya cost recovery Puskesmas dan tentu saja diperolehnyagambaran kemampuan membayar masyarakat di Kabupaten Tangerang dengan mempenimbangkan juga tarif pesaing setara sebagai dasar dalam melaksanakan penyesuaian tarif Penelitian ini dilaksanakan di Kahupaten Tangerang pada 4 Puskesmas yang diambil secara purposive dan diharapkan dapat mewakili 40 Puskesmas yang adayaitu di Puskesmas Balaraja, Puskesmas Sukadiri, Puskesmas Pamulang dan Puskesmas Dangdnng Analisis hiaya Puskesmas menggunakan data sekunder, yaitu data Puskesmas tahun 1999/2000 dan data kemampuan membayar masyarakat memakai data Susenas tahun 1999 berdasarkan kemampuan pengeluaran non esensial.Hasil analisis menunjukkan bahwa tarif yang sekarang berlaku di Semua unit produksi Puskesmas jauh di bawah biaya tuannya. Untuk biaya satuan di unit produksi dengan output yang heterogen dilakukan penghitungan Relative Value Unit HU/U). Cos! Recovely Rate Puskesmas Kabupaten Tangerang masih rendah dan semua unit produksi mengalami deiisit. CRR paling tinggi di unit produksi laboratozium Puskesmas Balaraja yaitu sebesar 48,1%. ATP Kabupaten Tangerang hasil Susenas tahun 1999 berdasarkan pcngeluaran non esensial (tembakau sirih) sebesar Rp.36,847,- dengan pengeluaran terendah Rp.l5.235,- dan tertinggi sebesar Rp.s5_24o,-Hasil dari simulasi tarif dengan berdasarkan biaya satuan, kemampuan membayar masyarakat, Cos! Recovery Rate sorta mempertimbangkan tarif pesaing setara malta tarif yang diusulkan untuk tmit produksi Balai Pengobatan (BP) adalah sebesar Rp.5.000,- perkunjungan dengan 88,17 % masyarakat mampu membayar, sisanya sebanyak ll,83% termasuk kelompok tersingkir dan hams mendapat subsidi salah satunya adalah dengan pembelian kartu sehat. Untuk tarif lain di luar unit produksi BP hendalmya mengacu kepada biaya satuan yang telah dihitung dalam penelitian ini. Apabila akan diberlakukan tarif nmggal (seragarn) di semua Puskesmas Kabupaten Tangerang dengan subsidi sllang antar Puskesmas hendaknya didasari hasil analisis biaya masing-masing Puskesmas.

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Health services in Indonesia is getting more and more developed rapidly and it

increases the health financing. After the crisis hit, the Enancing burden is getting

more and more unbearable due to the very high inflation. The economic crisis is also burdening the govemment on how to finance the health cost because the govemment has to subsidize the health services for the poor people. Besides it also minimizes the allocation of health cost. In implementing the main programs of their relevant tasks, PI-[Cs under go the increasing costs. The now available fluid, either from the Central, Provincial, and Regional Governments is felt more insuicient , mean while the society

demands on health services keep increasing as well. ln line with the Regional Autonomy preparation, the Regional leaders, specially those who are dealing with the health service financing are bearing greater responsibilities. Tangerang Regional Govemment has to try to mobilize the public iitnds for raising income collected fiom the society to cover their health services. The rational adjustment of tariif is an altemative solution to the cost biuiden. It is possible as long as it is considering the ability to pay adan willingness to pay. The tariff of health services in Tangerang Region should be viewed as one

altemative to increase the income of a PHC to cover the operational and maintenance costs so that it can give more quality services. However in the welfare policy , the public goods services should be financed collectively through the govemment subsidy collected liom the society it self Up to now the rational tariff for PHC in Tangerang is not known yet _

Therefore this research is carried out to find out the total production cost, actual unit cost, normative unit cost, the revenue amount, and recovery cost in a PHC. lt is also aimed at finding out the illustration of the paying power of Tangerang society by considering the competitors tariff as the basis of the tariff adjustment. This research is carried out in Tangerang District at 4 PHCS which have been

selected purposively and they are expected to represent 40 existing PHCs in Tangerang. The 4 PHCs were PHC Balaraja, PHC Sukadiri, PHC Pamulang and PHC Dangdang. PHC cost analysis uses the secondary data ie.1999/2000 PHCs and 1999 Susenas on non-essential eaqaenses. The analysis result shows that the existing tariff eH ective in all PHC production units is titr below the unit cost. For the unit cos in a production tmit with the heterogeneous output, the RVU was calculated. Tangerang District PHC cost recovery rate is still low and all production units suffer deficit. The highest CRR in It production unit is Balaraja PHC laboratorium with 48,1 %. The ATP of Tangerang

Region in 1999 msenas on non-essential elqaeoses is Rp 36.847, with the lowest expense ofllp 15.235 and the highest exp se is Rp 55.240. From the tariff simulation on unit cost, society paying power, CRR and considering the competitors? tari&, the suggested tarif for a production unit in a Clinic (BP) is Rp 5000.- per visit. With that 88, 17 % of the society can it and the rest 11,83 % cannot alford it so that they need to be subsidized. One way of

giving the subsidy is providing them with the health cards. Tariffs other than the

Clinic production unit should refer to the unit costs which have been calculated in this

research. 1999. We suggested that the price charged by The PHC was best levied regionally

in accordance to the group of society based on unit cost, affordability and acceptance

applicable to the patiens of each particular PHC. In the future, it is therefore

unavoidable thateach district could have more then otielevel of prices. References ; 47 (1983-200l)"

"Tujuan dari penelitian ini adalah untuk mengetahui (1) implementasi program bantuan operasional kesehatan (BOK) di Puskesmas Kota Bekasi, (2) ukuran dan tujuan kebijakan, (3) pelaksanaan program cakupan penanganan komplikasi kebidanan, (4) ketersediaan SDM, (5) disposisi pelaksana dan (6) lingkungan sosial, ekonomi dan politik yang mempengaruhi implementasi bantuan operasional kesehatan (BOK) dengan cakupan penanganan komplikasi kebidanan di puskesmas kota bekasi tahun 2019. Variabel penelitian meliputi sumber daya manusia, anggaran, pedoman, fasilitas, perencanaan, pelaksanaan, monitoring dan evaluasi. Sampel yang terlibat dalam pelaksanaan program bantuan operasional kesehatan di Puskesmas Kota Bekasi terdiri dari 9 responden. Hasil penelitian mengungkapkan bahwa perencanaan anggaran sudah sesuai dengan juknis, kebijakan sumber daya manusia belum memadai, jumlah dana sudah mencukupi dan proses akuntabilitasnya memerlukan pengawasan dan penyederhanaan pelaporan. Pada tingkat capaian program penanganan komplikasi kebidanan, cakupan layanan ada yang telah meningkat, tetapi ada beberapa layanan yang tidak memenuhi target Standar Pelayanan Minimal (SPM).

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The aims of the research are to find out (1) the implementation of health operational assistance (BOK) at Bekasi City Health Center, (2) the size and objectives of the policy, (3) implementation of coverage programs for obstetric complications management, (4) the availability of human resources, (5) implementation disposition and (6) social, economic and political environment that affect the implementation of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center in 2019. Research variables include human resources, budget, guidelines, facilities, planning, implementation, monitoring and evaluation. The sample involved in implemention of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center consisted of 9 respondents. The results of the research revealed that budget planning was in accordance with technical guidelines, human resource policies were inadequate, the amount of funds was sufficient and the accountability process needed supervision and simplification of reporting. At the level of achievement of the obstetric complications management program, service coverage has increased, but there are some services that do not meet the Minimum Service Standards (MSS) targets."

"ABSTRAKTesis ini meneliti tentang penilaian efisiensi relatif 40 puskesmas di Kabupaten Bogor Provinsi Jawa Barat pada Tahun 2011 dengan menggunakan pendekatan nonparametrik Data Envelopment Analysis (DEA). Metode DEA dipilih karena kelebihannya dalam mengolah lebih dari satu input dan output. Pendekatan yang digunakan adalah pendekatan output. Input terdiri dari 5 variabel, yaitu: Jumlah Tenaga Kesehatan Medis, Jumlah Tenaga Kesehatan Lainnya, Jumlah Pembiayaan Kesehatan bersumber APBD, Jumlah Pembiayaan Kesehatan bersumber APBN (BOK/Bantuan Operasional Kesehatan) dan Belanja Obat dan Alat Kesehatan Habis Pakai. Output terdiri dari 8 variabel, yaitu Jumlah Kunjungan, Case Detection Rate (CDR) TB Paru, Cakupan Ibu Bersalin di Tenaga Kesehatan (Bulinakes), Cakupan Imunisasi Dasar, Persentase Balita ditimbang, Jumlah Penyuluhan, Persentase Balita Gizi Baik dan Cakupan Pelayanan Peserta KB Aktif. Hasil perhitungan dengan DEA menghasilkan 31 puskesmas efisien secara teknis dan 9 puskesmas tidak efisien secara teknis. Bagi puskesmas yang tidak efisien secara teknis dapat diperbaiki nilai efisiensinya dengan cara meningkatkan output berdasarkan hasil perhitungan DEA.

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ABSTRACTThe focus of this study is measuring relative efficiency of 40 public health centers in Bogor regency in 2011, by using non parametric approach Data Envelopment Analysis (DEA). DEA is chosen because it is able to handle more input and output variables. This study uses output oriented model. Input variables consist of numbers of medical staf, numbers of other medical staf, health financing from state budget (APBN), health financing from local budget (APBD), financing for drug and health equipment. Output variables consist of numbers of visitor, Case Detection Rate TBC, safe motherhood, infant’s imunization coverage, percentage of child under five’s weighting, and numbers of health promotion, percentage child with good nutrition and coverage of active family planning. The results are 31 public health centers classified as technically efficient and the remaining classified as technically inefficient. For the public health centers which are technically inefficient can be improved by increasing output variable based on DEA."

"Tesis ini meneliti tentang penilaian efisiensi relatif 40 puskesmas di Kabupaten Bogor Provinsi Jawa Barat pada Tahun 2011 dengan menggunakan pendekatan nonparametrik Data Envelopment Analysis (DEA). Metode DEA dipilih karena kelebihannya dalam mengolah lebih dari satu input dan output. Pendekatan yang digunakan adalah pendekatan output. Input terdiri dari 5 variabel, yaitu: Jumlah Tenaga Kesehatan Medis, Jumlah Tenaga Kesehatan Lainnya, Jumlah Pembiayaan Kesehatan bersumber APBD, Jumlah Pembiayaan Kesehatan bersumber APBN (BOK/Bantuan Operasional Kesehatan) dan Belanja Obat dan Alat Kesehatan Habis Pakai. Output terdiri dari 8 variabel, yaitu Jumlah Kunjungan, Case Detection Rate (CDR) TB Paru, Cakupan Ibu Bersalin di Tenaga Kesehatan (Bulinakes), Cakupan Imunisasi Dasar, Persentase Balita ditimbang, Jumlah Penyuluhan, Persentase Balita Gizi Baik dan Cakupan Pelayanan Peserta KB Aktif. Hasil perhitungan dengan DEA menghasilkan 31 puskesmas efisien secara teknis dan 9 puskesmas tidak efisien secara teknis. Bagi puskesmas yang tidak efisien secara teknis dapat diperbaiki nilai efisiensinya dengan cara meningkatkan output berdasarkan hasil perhitungan DEA.

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The focus of this study is measuring relative efficiency of 40 public health centers in Bogor regency in 2011, by using non parametric approach Data Envelopment Analysis (DEA). DEA is chosen because it is able to handle more input and output variables. This study uses output oriented model. Input variables consist of numbers of medical staf, numbers of other medical staf, health financing from state budget (APBN), health financing from local budget (APBD), financing for drug and health equipment. Output variables consist of numbers of visitor, Case Detection Rate TBC, safe motherhood, infant`s imunization coverage, percentage of child under five`s weighting, and numbers of health promotion, percentage child with good nutrition and coverage of active family planning.

The results are 31 public health centers classified as technically efficient and the remaining classified as technically inefficient. For the public health centers which are technically inefficient can be improved by increasing output variable based on DEA."

"Program Bantuan Operasional Kesehatan atau BOK melalui mekanisme DAK Non Fisik merupakan upaya penyalurkan dana operasional untuk kegiatan Puskesmas. Dana tersebut merupakan yang digunakan untuk kegiatan UKM di Puskesmas. Namun masih banyak kendala yang yang menyebabkan efektifitas dana ini menjadi belum maksimal. Tujuan penelitian ini adalah untuk melihat efektifitas implementasi dana BOK melalui mekanisme DAK Non fisik untuk menunjang kegiatan UKM di Puskesmas dilihat dari waktu pencairan, anggaran, sumber daya manusia, sarana, beban kerja serta proses pengelolaan dana tersebut. Penelitian dilakukan dengan metode kualitatif dandilakukan di antara bulan Januari sampai Mei 2019. Dana BOK ini sangat membantu kegiatan operasional puskesmas, namun cakupan SPM di kabupaten Bogor belum begitusignifikan. Hal ini dikarenakan masih banyak faktor yang membuat jalannya dana tersebut belum efektif dan efisien.

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The Health Operational Assistance Program or BOK through the Non-Physical DAK mechanism is an effort to channel operational funds to Public Health Centre activities.The fund is used for the activities of UKM in the Public Health Centre. But there are still many obstacles that have caused the effectiveness of these funds to be not optimal. The purpose of this study was to see the effectiveness of the implementation of BOK fundsthrough the non-physical DAK mechanism to support UKM activities in Public Health Centre viewed from the time of disbursement, budget, human resources, facilities,workload and the process of managing the funds. The research was conducted with qualitative methods and was carried out between January and May 2019. This BOK fundgreatly helped the operational activities of the Public Health Centre, but the SPM coverage in Bogor district was not so significant. This is because there are still manyfactors that make the way the funds have not been effective and efficient."

"Penelitian ini mencoba mengukur nilai efisiensi pengeluaran publik di sektor kesehatan kabupaten/kota di Jawa Barat pada tahun 2006-2011. Selain itu juga melakukan analisis terhadap faktor-faktor yang mempengaruhi beragamnya nilai efisiensi yang diperoleh oleh masing-masing daerah.Dengan menggunakan data Susenas 2006 ndash; 2011, Podes 2008 dan 2011, Data Anggaran belanja daerah dari Dirjen Perimbangan Keuangan Daerah Kementrian Keuangan, Profil Kesehatan Jawa Barat 2006-2011. Pada bagian pertama dilakukan pengukuran menggunakan Fungsi Produksi Kesehatan untuk mendapatkan nilai efisiensi pengeluaran publik kesehatan dengan metode Stochastic Frontier Analysis. Pada bagian kedua estimasi dilakukan dengan metode Least Square Dummy Variable, dimana efisiensi yang telah didapat pada estimasi bagian pertama dimodelkan sebagai fungsi linear dari variabel penjelas yang relevan.Hasil menunjukkan bahwa peningkatan pengeluaran kesehatan publik, signifikan meningkatkan Angka Harapan Hidup. Nilai efisiensi terendah berada di Kabupaten/kota yang terletak di Jawa Barat bagian timur dan dua daerah pantai selatan. Faktor-faktor berikut berkorelasi positif terhadap efisiensi pengeluaran publik di sektor kesehatan diantaranya : pendapatan per kapita, akses air bersih dan pengeluaran kesehatan pribadi. Sedangkan jarak ke sarana kesehatan terdekat berkorelasi negatif terhadap efisiensi pengeluaran publik di sektor kesehatan di kabupaten/kota di Jawa Barat.

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This study attempts to measure the efficiency of public expenditure in the health sector in the district city in West Java in the year 2006 2011. In addition, an analysis of the factors that affect the diversity of the efficiency gained by each region. Using data susenas 2006 2011, Podes 2008 and 2011, data from the local budget for the Regional Director General of Fiscal Balance, Ministry of Finance, West Java Health Profile 2006 2011. In the first section was measured using the Health Production Function to get the value of the efficiency of public health spending by the method of Stochastic Frontier Analysis. In the second part of the estimation made by the method of Least Square Dummy Variable, where efficiency has been obtained in the estimation of the first part is modeled as a linear function of the relevant explanatory variables. The results showed that the increase in public health spending, a significant increase life expectancy. The value of the lowest efficiency in the district city located in the eastern part of West Java and two southern coastal areas. The following factors were positively correlated to the efficiency of public expenditure in the health sector include income per capita, access to clean water and private health expenditures. While the distance to the nearest health facility was negatively correlated to the efficiency of public expenditure in the health sector in the districts cities in West Java."

"PT Husada Mandiri Berbakti, adalah Badan Pelaksana jaminan Pemeliharaan Kesehatan Masyarakat di Kabupaten Kiaten dan merupakan daerah uji coba pengembangan pemasaran JPKM. Penelitian ini bertujuan untuk mengetahui berbagai permasalahan yang dialami Bapel JPKM dengan pendekatan 'titik impas, disamping itu ingin mengetahui peran pemerintah dalam mendukung program jaminan kesehatan masyarakat. Dalam tesis ini dibahas analisa titik impas peserta anak sekolah, peserta umum dan titi impas PT Husada Mandiri Berbakti secara keseluruhan. Analisa biaya berupa analisa cash flow dan analisa rugi-laba. Secara umum Perseroan Terbatas Ilusada Mandiri Berbakti tidak mengalami hambatan dalam mencapai titik impas maupun laba, namun bila dihubungkan volume kepesertaan belum mampu mencapai target dan laba yang maksimal. Sebagaimana visa JPKM bahwa adanya subsidi silang antara yang mampu membantu yang tidak mampu, serta yang sehat membantu yang tidak sehat belum terlihat jelas_ Manfaat pemasaran sosial yang diprogramkan oleh USAID belum terasa untuk menarik peserta yang lebih banyak.Untuk menarik pangsa lebih besar perlu kebijakan di masa yang akan datang yang mendorong terselenggaranya penyelenggaraan ]PIM yang lebih baik, antara lain kebijakan pemasaran/promosi sebaiknya dikelola sendiri oleh Bapel JPKM, kebijakan harga misalnya dengan menurunkan tarif iuran JPKM, kebijakan pelayanan kepada peserta yaitu mempermudah sistim rujukan, serta perlunya pertimbangan kedudukan Sapel JPKM seeara organisasi dimasa mendatang, agar perusahaan yang mengelola JPKM dapat lebih mandiri.

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PT. Husada Mandiri Berbakti , as the implementation board of maintenance insurance of public health (JPKM) in Kiaten regency and as the study are of the development of JPKM marketing. The objective of this study is to know problems which experienced by JPKM implementation board with the approach of break event point, beside it we want to know the extant of the government rule in supporting the program of public health insurance. In this thesis will be discussed the analysis of break event point school children, public and the PT. Husada Mandiri Berbakti worker as a whole. Budgeting analysis are cash flow analysis and benefit analysis. In general the limited enterprise Husada Mandiri Berbakti has no problem in reaching the balance or benefit, but if it will be correlated the volume of participation have not reach the target yet and maximum benefit . As the vision of JPKM the cross subsidy between the have and have not, and the healthy will help the unhealthy does not exist. The advantages of social marketing which is programmed by the USAID seems haven't attract more participant.

To influence more participant need policy in the future which will motivate the implementation of JPKM better among others to the participant and the need in considering the place of implementation board of JPKM organizationally in the future, so that the enterprise which managed the JPKM can be self reliance."

"Penelitian ini bertujuan untuk mengetahui efisiensi dan faktor-faktor yang berhubungan dengan efisiensi Puskesmas di Kota Depok tahun 2015. Penelitian ini menggunakan disain cross sectional, dengan pendekatan kuantitatif. Efisiensi Puskesmas diperoleh dengan menggunakan metode Data Envelopment Analysis, model Variable Returns to Scale, dan berorientasi output. Penelitian dilakukan di seluruh Puskesmas wilayah kerja Dinas Kesehatan Kota Depok, yaitu sebanyak 35 Puskesmas, yang terdiri dari 7 Puskesmas Rawat Inap dan 28 Puskesmas Non Rawat Inap, serta terbagi dalam 11 Kecamatan. Hasil perhitungan efisiensi teknik menunjukkan bahwa semua Puskesmas Rawat Inap sudah efisien, Puskesmas Non Rawat Inap sebanyak 14 Puskesmas 50 efisien. Berdasarkan wilayah, sebanyak 8 kecamatan 72,7 efisien. Ketidakefisienan Puskesmas Non Rawat Inap, berdasarkan slack input masih terdapat pemanfaatan input yang belum optimal pada semua variabel, dan berdasarkan slack output masih terdapat pencapaian output yang belum maksimal pada variabel jumlah kunjungan.

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This study aims to identify efficiency and factors related to efficiency in PHC in Depok City 2015. This study used a cross sectional design with quantitative approach. The efficiency of PHC was collected with Data Envelopment Analysis method, Variable Returns to Scale model, and output orientation. The number of samples in this study were 35 PHCs, which was the total sample that consisted of 7 PHCs with inpatient facility and 28 PHCs without inpatient facility, and were divided into 11 districts. The results from the technical efficiency calculation showed that all PHCs with inpatient facility were efficient. As many as 50 PHCs without inpatient facility were efficient. According to district area, 72,7 PHCs were efficient. The inefficiency of PHCs without inpatient facility according to the slack input was that the utilization of all variables were not optimal, and according to the slack output, the output achievement in the visit amount variable was still not maximal. "

"Tesis ini membahas kesiapan puskesmas di Kabupaten Ketapang dalam menyongsong Implementasi Jaminan Kesehatan Nasional 2014 nanti. Penelitian ini adalah penelitian kuantitatif dengan desain cross sectional dilengkapi dengan wawancara. Dari hasil analisis variabel penelitian didapatkan bahwa tidak ada puskesmas yang siap dilihat dari dimensi utilisasi dan kualitas pelayanan kesehatan. Peneliti menyarankan agar Dinas Kesehatan Kabupaten Ketapang menambah sumber daya puskesmas seperti tenaga kesehatan inti yaitu dokter, dokter gigi, perawat, dan bidan; juga peralatan dan obat pelayanan kesehatan dasar; dengan melakukan advokasi ke pemerintah daerah untuk menambah anggaran kesehatan.

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Readiness in order to facing the implementation of the National Health Insurance 2014. This study was a quantitative research with cross sectional design features interview with key informants. From the analysis of the study variables mentioned that no primary health care is ready viewed from the dimensions of utilization and quality of health services. Researchers suggested that the health departement in Ketapang Regency to adds resources center specially for the core professional such as doctors, dentists, nurses, and midwives; other things is also for equipment and primary health care medicines; by advocating to local governments for increase the health budget."