A Study of Managed Care Health System During Pandemic
Abstract
The present study reports the comprehensive study on managed care during the pandemic, regarding to the cases of the covid-19 outbreak increased every day, even reaching 2,000 cases per day in Indonesia. The surge in the cost of handling covid-19 patients and delays in payment of covid-19 claims by the Indonesian Ministry of Health have worsened the situation and the handling of the quality of services by health service providers. For this reason, the role of managed care is needed in these conditions. The purpose of this study is to analyze and find out the pattern and course of managed care in Indonesia by comparing it with several countries that have also been infected with covid-19. This research method is a literature review study with an online database search strategy or search engine in the form of related research journals from the year 2020-2023. The results obtained by researchers are the lack of health human resources, medical devices and "pandemic fatigue" which are problems that contribute to the course of managed care in almost every region in Indonesia. The role of society and government policies affect the overall implementation of managed care programs. When the community complies with the policies that apply in the pandemic era and the government provides policies in collaboration with health experts. Managed care program one of prospective plan for Indonesia healthcare industry development in the future.
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References
[2] WHO, “Coronavirus Disease 2019 Situation Report,” Indonesia, Mar. 2020.
[3] M. Y. Wang, R. Zhao, L. J. Gao, X. F. Gao, D. P. Wang, and J. M. Cao, “SARS-CoV-2: Structure, Biology, and Structure-Based Therapeutics Development,” Frontiers in Cellular and Infection Microbiology, vol. 10. Frontiers Media S.A., Nov. 25, 2020. doi: 10.3389/fcimb.2020.587269.
[4] covid19 STP, “Peta Sebaran covid19,” https://covid19.go.id/ peta-sebaran, Aug. 21, 2020.
[5] Worldometers, “Pandemi Virus Corona covid19,” Worldometers, 2020.
[6] M. Pane, I. A. Isturini, and M. Wahidin, “Penanggulangan Krisis Kesehatan di Indoensia,” Media Penelitian dan Pengembangan Kesehatan, vol. 28, no. 3, pp. 147–156, 2018.
[7] R. Giusman and A. Nurwahyuni, “Evaluation of Hospital Outpatient Services Through Segmenting, Targeting Positioning,” Jurnal Manajemen Kesehatan Yayasan RS.Dr.Soetomo, vol. 7, no. 1, pp. 72–77, 2021.
[8] W. Ambarwati, “covid19 Patient Payment and Financial Implication on Hospitals Serving covid19 Patients in Indonesia Analysis for The Period March 2020-Desember 2020,” Jurnal Ekonomi Kesehatan Indonesia, vol. 6, no. 1, pp. 23–37, 2021.
[9] Badan Pusat Statistik, “Tingkat Pengangguran Terbuka,” Badan Pusat Statistik, May 05, 2021.
[10] A. P. Galvani et al., “Universal Healthcare As Pandemic Preparedness: The Lives Andcosts That Could Have Been Saved during The covid19 Pandemic,” The Proceedings of The National Academy of Sciences, vol. 119, no. 25, pp. 1–6, 2022, doi: https://doi.org/10.1073/pnas.2200536119.
[11] R. Sembiring, Saidin, and Z. Chairi, “Peningkatan Pemahaman Peran BPJS Kesehatan pada Masyarakat di Masa Pandemi covid19,” Jurnal Hukum dan Dinamika Masyarakat, vol. 18, no. 1, pp. 41–51, 2020.
[12] Z. V. Chumaida, B. Sugeng, F. Silvia, T. P. Usanti, and I. R. Aryatie, “Kepesertaan Program BPJS Kesehatan di Tengah Wabah Pandemi covid19,” Jurnal Kajian Hukum dan Keadilan, vol. 4, no. 2, 2020.
[13] S. Handayani, Buku Ajar Aspek Sosial Kedokteran, 2nd ed. Jawa Timur: Airlangga, 2020.
[14] S. Notoatmodjo, Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta, 2018.
[15] A. Shah, “Digital Library: Services and its Applications in the Information Age,” Int J Adv Innov Res, vol. 6, no. 1, pp. 51–55, 2019, [Online]. Available: www.iaraedu.com
[16] E. Saputri, “Strategi Penelusuran Informasi Melalui Search Engine (Google),” Jurnal Adabiya, vol. 23, no. 2, p. 232, Aug. 2021, doi: 10.22373/adabiya.v23i2.10137.
[17] Taswin et al., Buku Ajar Asuransi Kesehatan, 1st ed. Bandung: Feniks Muda Sejahtera, 2022.
[18] J. Sukmanee et al., “Pattern of OPD utilisation during the covid19 pandemic under the Universal Coverage Scheme in Thailand: what can 850 million records tell us?,” BMC Health Serv Res, vol. 23, no. 116, pp. 1–7, 2023, doi: 10.1186/s12913-023-09121-3.
[19] L. Unruh et al., “A Comparison of 2020 Health Policy Responses to The covid19 Pandemic in Canada, Ireland, The United Kingdom and The United States of America,” Elsevier, vol. 126, no. 5, pp. 427–437, May 2021, doi: 10.1016/j.healthpol.2021.06.012.
[20] B. Nugraha, L. K. Wahyuni, H. Laswati, P. Kusumastuti, A. B. M. Tulaar, and C. Gutenbrunner, “covid19 Pandemic in Indonesia: Situation and Challenges of Rehabilitation Medicine in Indonesia,” Acta Medica Indonesia, vol. 52, no. 3, pp. 299–305, Jul. 2020.
[21] M. I. Firmansyah, F. Rahmanto, and D. Setiawan, “The Preparedness for The covid19 Pandemic Management in Indonesia,” Jurnal Administrasi Kesehatan Indonesia, vol. 8, no. 2, p. 188, Dec. 2020, doi: 10.20473/jaki.v8i2.2020.188-201.
