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Pengaruh Variasi Metode Pembayaran Kapitasi Kepada Dokter Keluarga terhadap Effisiensi Biaya dan Kualitas Pelayanan (Effect of Variation in Capitation Payment Method for Family Doctors on the Cost Efficiency and Service Quality)

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Payment method may influence the behavior of doctors, so it may affect efficiency quality of health services, and population health status. In the UU no 401/2004 on National Social security System (SISN), the government aims to develop the role of family ductors. Accordingly there to a need to investigate the most appropriate method to the family doctors on cost efficiency and quality of health care. This was an analytic study using cross sectional design. It was conducted in Surakarta municipality and Sukoharjo district, from October to November 2007. The target population was family doctors and Sukoharjo dsitrict, from October to November 2007. The target population was family doctors and participants of the compusory health insurance scheme of PT Askes. The independent variable under study were capitation method for paying doctors fee with or without drug cost. Te dependent variables included cost per member per month, cost effectiveness ratio, referal per visit ratio, and the quality of health care. This study collected primary data using a pre-tested questionnaire and secondary data available at the PT Askes office. The data was analysed by t test and Mann whitney, which were run under SPSS v. 15. Results showed that there was no statistially significant difference between capitation method for paying doctors fee with and without drug cost in cost per member per month (p=0.940), cost effectiveness ratio (p=0.604), referal per visit ratio (p=0.148); and the quality of health care (p=0.073). This study concludes that there is no singnificant difference between capitation method for laying doctors fee with and without drug cost in performance measures such as efficiency and quality of health care. It is suggested that similar studies be conducted using longer time and lager sample size.

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Jurnal Kedokteran Indonesia: 1(2): 185-192

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Surakarta : FK Kedokteran Universitas Sebelas Maret., 2009

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2086-5171

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