Article Sidebar

Submitted
5 September 2022
Accepted
11 November 2022
Published
5 December 2022
Download
PDF
Statistic
Read Counter : 1287 Download : 1807

Main Article Content

Abstract

In 2018, BPJS Kesehatan initiated a pilot project to integrate the INA CBGs and Global Budget mixed-method hospital payment system (global budget). Purworejo Regency is one of the areas designated as a pilot for the Global Budget payment system's deployment. The outcomes of the Hospital performance indicators in the first-semester review were less than ideal. Consequently, it is required to study the Hospital's readiness to implement the Global budget Payment System. This study set out to determine how prepared the hospitals in Purworejo Regency were to implement the Global Budget payment scheme. A descriptive design and a qualitative methodology were used in the research. The management of four hospitals in Purworejo Regency is the topic of the study.  Observations and interviews were used to explore hospitals’ readiness to implement the Global Budget payment system in terms of health facilities’ perception, Quality Control and Cost Control strategies, Global Budget calculations, and patient satisfaction through the results of the Walk Through Audit.  Through the four key variables mentioned above, the scoring technique is used to evaluate the readiness of hospitals to implement the Global Budget payment system.  The modified CCCEAR (California Community Clinic EHR Evaluation and Readiness) tool is used for the readiness assessment, which has three readiness levels: 1) not ready (score 0-33), 2) moderately ready (34-66), and 3) ready (67-100).  Result:  According to a qualitative examination of data from observations and interviews, the hospital scored 26 from assessor II and 24 from assessor I, positioning it in the second range. This demonstrates that the hospital is not ready and has not considered developing a more comprehensive and in-depth plan for implementing the Global Budget payment system, nor how to create capacity to enable successful adoption and implementation.  Conclusion: The hospital is not yet at its highest level of readiness to adopt the Global Budget payment system in Purworejo Regency, according to the scoring findings on four variables of hospital readiness.

Keywords

Global Budget readiness hospital JKN Global Budget hospital readiness hospital perception global budget calculation patient satisfaction

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite
Anjayani, D., Meliala, A. ., & Hendrartini, Y. (2022). Kesiapan Rumah Sakit dalam Implementasi Sistem Pembayaran Global Budget di Kabupaten Purworejo. Jurnal Jaminan Kesehatan Nasional, 2(2), 123–141. https://doi.org/10.53756/jjkn.v2i2.89
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. Annear, P. L. (2015). Case-based payment systems for hospital funding in Asia: an investigation of current status and future directions. Comparative Country Studies, 1(2), 27–47.
  2. Berenson, R. A., Upadhyay, D. K., Delbanco, S. F., & Murray, R. (2016). Global Budgets for Hospitals. Milbank Quarterly, 94(2), 255–259. https://doi.org/10.1111/1468-0009.12192
  3. Chang, L., & Hung, J. H. (2008). The effects of the global budget system on cost containment and the quality of care: Experience in Taiwan. Health Services Management Research, 21(2), 106–116. https://doi.org/10.1258/hsmr.2008.007026
  4. Chen, B., & Fan, V. Y. (2014). Strategic Provider Behavior Under Global Budget Payment With Price Adjustment in Taiwan. 1131(2014), 1127–1131. https://doi.org/10.1002/hec
  5. Chen, B., & Fan, V. Y. (2016). Global budget payment: Proposing the CAP framework. Inquiry (United States), 53. https://doi.org/10.1177/0046958016669016
  6. Chen, F. J., Laditka, J. N., Laditka, S. B., & Xirasagar, S. (2007). Providers’ responses to global budgeting in Taiwan: What were the initial effects? Health Services Management Research, 20(2), 113–120. https://doi.org/10.1258/095148407780744624
  7. Cheng, S. H., Chen, C. C., & Chang, W. L. (2009). Hospital response to a global budget program under universal health insurance in Taiwan. Health Policy, 92(2–3), 158–164. https://doi.org/10.1016/j.healthpol.2009.03.008
  8. de Oliveira, R. F. (2018). A Theory of Organizational Readiness for Change. In Nature (Vol. 388, pp. 539–547).
  9. Gaspar, K., Portrait, F., van der Hijden, E., & Koolman, X. (2020). Global budget versus cost ceiling: a natural experiment in hospital payment reform in the Netherlands. European Journal of Health Economics, 21(1), 105–114. https://doi.org/10.1007/s10198-019-01114-6
  10. Holahan, J., Blumberg, L. J., & Zuckerman, S. (1994). Strategies for Implementing Global Budgets. The Milbank Quarterly, 72(3), 399. https://doi.org/10.2307/3350264
  11. Holt, D. T., Armenakis, A. A., Feild, H. S., & Harris, S. G. (2007). Readiness for organizational change: The systematic development of a scale. Journal of Applied Behavioral Science, 43(2), 232–255. https://doi.org/10.1177/0021886306295295
  12. Hudson, M. E. (2015). Preparing for budget-based payment methodologies: Global payment and episode-based payment. Current Opinion in Anaesthesiology, 28(5), 610–614. https://doi.org/10.1097/ACO.0000000000000239
  13. Hwang, L. (2005). Exploring the Strategies of Hospitals Facing a Global Budget and Evaluating its Effects in Taiwan. Proceedings of the 23rd International Conference of the System Dynamics Society, 83–84.
  14. Idris, F., Nurwahyuni, A., Mundiharno, Saut, B., Jaya, C., & Baros, W. A. (2021). Sistem Pembayaran Mixed Method INA-CBGs Dan Global Budget Di Rumah Sakit: Tahap I Uji Coba Mixed Method INA-CBGS-Global Budget Di Indonesia. Jurnal Ekonomi Kesehatan Indonesia, 5(2), 72–88. https://doi.org/10.7454/eki.v5i2.4819
  15. Kopalle, P. K., & Lehmann, D. R. (1995). The Effects of Advertised and Observed Quality on Expectations about New Product Quality. Journal of Marketing Research, 32(3), 280. https://doi.org/10.2307/3151981
  16. Nouraie S , Amir Ali Akbari S , Vameghi R, A. B. A. . (2019). Original Article : The Need to Reform The Hospital Payment System in Indonesia. Malaysian Journal of Public Health Medicine, 4(1), 1–7. http://kiss.kstudy.com/journal/thesis_name.asp?tname=kiss2002&key=3183676
  17. Pannarunothai, S. (2017). Lesson learned from Thailand DRG and Global budget ( mixed payment ).
  18. Randall, C. L., Hort, K., Huebner, C. E., Mallott, E., Mancl, L., Milgrom, P., Nelson, L., Senturia, K., Weiner, B. J., & Cunha-Cruz, J. (2020). Organizational Readiness to Implement System Changes in an Alaskan Tribal Dental Care Organization. JDR Clinical and Translational Research, 5(2), 156–165. https://doi.org/10.1177/2380084419871904
  19. Sharma, N., Herrnschmidt, J., Claes, V., Bachnick, S., De Geest, S., & Simon, M. (2018). Organizational readiness for implementing change in acute care hospitals: An analysis of a cross-sectional, multicentre study. Journal of Advanced Nursing, 74(12), 2798–2808. https://doi.org/10.1111/jan.13801
  20. Wolfe, P. R., & Moran, D. W. (1993). Global budgeting in the OECD countries. Health Care Financing Review, 14(3), 55–76.