ISLAM, RHEINANDA AFGHA (2025) IMPLEMENTASI PRINSIP KEGOTONGROYONGAN DALAM PELAYANAN PESERTA JAMINAN KESEHATAN PADA BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN CABANG KOTA TANGERANG BERDASARKAN UNDANG UNDANG NO. 24 TAHUN 2011 TENTANG BADAN PENYELENGGARA JAMINAN SOSIAL. S1 thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.
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Abstract
BPJS Kesehatan, as a public legal entity, administers the National Health Insurance (JKN) program based on the principle of mutual cooperation (gotong royong). This principle reflects the value of solidarity between between healthier members and those needing medical care, as well as between the financially stable and the financially vulnerable. At the BPJS Kesehatan Branch in Tangerang City, the implementation of this principle has not been fully effective. Issues such as a high number of delinquent participants and unequal service quality remain major obstacles that require further examination. This study employs an empirical juridical method with a descriptive-analytical specification. Primary data were collected through interviews with officials at BPJS Kesehatan Tangerang City Branch, while secondary data were obtained from a literature review of relevant regulations and legal references. The research is grounded in two theoretical frameworks: the theory of social security and the theory of legal effectiveness. The findings indicate that the principle of mutual cooperation has been implemented through a mandatory participation system and a cross-subsidy contribution mechanism. However, its effectiveness is hindered by low participant awareness, a large number of premium arrears, and suboptimal healthcare service quality. Therefore, improvements in administrative supervision, participant education, and service quality are necessary. These measures are crucial for ensuring the sustainability of a fair and effective national health insurance system.
| Item Type: | Thesis (S1) | |||||||||
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| Additional Information: | BPJS Kesehatan sebagai badan hukum publik menyelenggarakan program Jaminan Kesehatan Nasional (JKN) berdasarkan prinsip kegotongroyongan. Prinsip ini mencerminkan semangat solidaritas antara peserta yang sehat dan sakit, serta antara yang mampu dan kurang mampu. Di BPJS Kesehatan Cabang Kota Tangerang, pelaksanaan prinsip tersebut belum sepenuhnya berjalan efektif. Permasalahan seperti tingginya peserta menunggak dan pelayanan yang belum merata menjadi hambatan utama yang perlu dikaji lebih lanjut. Penelitian ini menggunakan metode pendekatan yuridis empiris dengan spesifikasi deskriptif analitis. Data primer diperoleh melalui wawancara langsung dengan pihak BPJS Kesehatan Cabang Kota Tangerang, dan data sekunder melalui studi kepustakaan dari berbagai peraturan dan literatur hukum. Penelitian ini menggunakan dua teori, yaitu teori jaminan sosial serta teori efektivitas hukum. Hasil penelitian menunjukkan bahwa prinsip kegotongroyongan telah diimplementasikan melalui sistem iuran berbasis subsidi silang dan kepesertaan wajib. Namun, efektivitasnya masih terhambat oleh rendahnya tingkat kesadaran peserta, jumlah penunggak yang tinggi, serta belum optimalnya kualitas pelayanan kesehatan. Oleh karena itu, diperlukan peningkatan pengawasan administratif, edukasi kepada peserta, dan perbaikan layanan secara menyeluruh. Langkah-langkah tersebut penting untuk mewujudkan keberlangsungan sistem JKN yang berkeadilan dan berkelanjutan. | |||||||||
| Uncontrolled Keywords: | Social Security Administrator, Principle of Mutual Cooperation, National Health Insurance. BPJS Kesehatan, Prinsip kegotongroyongan, Jaminan sosial, Jaminan Kesehatan Nasional. | |||||||||
| Subjects: | K Law > K Law (General) | |||||||||
| Divisions: | 01-Fakultas Hukum 01-Fakultas Hukum > 74201-Program Studi Ilmu Hukum |
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| Depositing User: | Rheinanda Afgha Islam | |||||||||
| Date Deposited: | 25 Aug 2025 03:47 | |||||||||
| Last Modified: | 25 Aug 2025 03:47 | |||||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/52663 |
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