Zahrotunnisa, Imelda (2025) PENGAWASAN BPJS KESEHATAN RANGKASBITUNG TERHADAP PEMENUHAN HAK PELAYANAN KESEHATAN KEPADA PESERTA BPJS DI RS KARTINI. S1 thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.
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Abstract
BPJS Kesehatan holds the authority to oversee the fulfillment of participants' rights to health services, in accordance with Article 11 Letter c of Law Number 24 of 2011 concerning BPJS. However, in practice, the implementation of this oversight still faces various challenges, particularly at Kartini Hospital in Rangkasbitung. The research problem centers on how BPJS Kesehatan Rangkasbitung conducts and evaluates its oversight of the fulfillment of BPJS participants' rights to healthcare services at Kartini Hospital. This study applies Supervision Theory and Effectiveness Theory, using an empirical juridical method with a descriptive qualitative approach involving interviews and data analysis. The findings indicate that BPJS Kesehatan has conducted structured oversight through the Quality of Health Facilities Division, in accordance with Article 11 Letter c of Law Number 24 of 2011. The oversight is also systematic, utilizing programs such as SIBLING (Supervision, Verification, and Direct Observation), KESSAN (Service Feedback), PIPP (Information Provision and Complaint Handling), SIPP (Participant Complaint Information System), and compliance scoring for FKRTL (Advanced Referral Health Facilities). Evaluation results show a compliance rate of 99.45% as of February 2025. The study concludes that structured and systematic supervision is essential to ensure the fulfillment of participants ’ rights in healthcare facilities. Recommendations include optimizing technology, enhancing facilities, strengthening staff education, and developing a more effective complaints system to improve healthcare services.
| Item Type: | Thesis (S1) | |||||||||
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| Additional Information: | BPJS Kesehatan berwenang mengawasi pemenuhan hak layanan kesehatan peserta, sesuai Pasal 11 Huruf c dalam Undang-Undang Nomor 24 Tahun 2011 tentang BPJS. Namun, di lapangan, pelaksanaan pengawasan ini masih menghadapi berbagai tantangan, khususnya di Rumah Sakit Kartini Rangkasbitung. Identifikasi masalah meliputi bagaimana Pengawasan dan evaluasi terhadap pelaksanaan pengawasan BPJS Kesehatan Rangkasbitung terhadap pemenuhan hak pelayanan kesehatan kepada peserta BPJS di RS Kartini. Penelitian ini menggunakan Teori Pengawasan dan Teori Efektivitas. Dengan metode yuridis empiris dan pendekatan deskriptif kualitatif, melibatkan wawancara dan analisis data. Hasil penelitian menunjukkan bahwa BPJS Kesehatan telah melakukan pengawasan secara struktural melibatkan divisi Mutu Layanan Fasilitas Kesehatan yang berdasarkan Pasal 11 Huruf c dalam Undang- Undang Nomor 24 Tahun 2011 tentang BPJS. Dan sistematis dengan Program pengawasannya yaitu SIBLING (Supervisi, Buktikan, Lihat Langsung), KESSAN (Kesan Pesan Setelah Pelayanan), PIPP (Pemberian Informasi, Penanganan Pengaduan), SIPP (Sistem Informasi Pengaduan Peserta), dan nilai kepatuhan FKRTL (Fasilitas Kesehatan Rujukan Tingkat Lanjutan). Hasil evaluasi mencapai 99,45% pada Februari 2025. Kesimpulan penelitian ini menekankan pentingnya pengawasan yang terstruktur dan sistematis untuk memastikan hak-hak peserta terpenuhi di fasilitas kesehatan. Saran yang diberikan meliputi optimalisasi teknologi, peningkatan fasilitas, penguatan edukasi staf, dan pengembangan sistem pengaduan untuk layanan kesehatan semakin optimal. | |||||||||
| Uncontrolled Keywords: | BPJS Kesehatan, Supervision, Kartini Hospital. BPJS Kesehatan, Pengawasan, Rumah Sakit Kartini. | |||||||||
| Subjects: | K Law > K Law (General) | |||||||||
| Divisions: | 01-Fakultas Hukum 01-Fakultas Hukum > 74201-Program Studi Ilmu Hukum |
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| Depositing User: | Imeldazahr Imelda Zahrotunnisa | |||||||||
| Date Deposited: | 03 Sep 2025 04:00 | |||||||||
| Last Modified: | 08 Sep 2025 06:00 | |||||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/53615 |
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