TY - JOUR
T1 - Disposition of policy implementers
T2 - Study on the hospitals payment system change in the indonesian national health insurance era
AU - Khoiri, Abu
AU - Hidayat, Widi
AU - Chalidyanto, Djazuly
AU - Suhariadi, Fendy
N1 - Publisher Copyright:
© 2020, Institute of Medico-Legal Publications. All rights reserved.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Background: Disposition of implementers to changes in hospitals payment system policies has become an important issue in the implementation of the Indonesia National Health Insurance (NHI) program. The change from fee for services to a prospective payment system in the form of the Indonesia Case Based Group (INA-CBG) have caused low acceptance from clinicians. On the other side there was potential for fraud in the hospitals claim collection scheme published by the corruption eradication commission. The objective of this study was to analyze the effect of disposition of implementers on financial pressure and fraud intention. Methods: The study used an observational analytic approach with a survey method, where researchers conducted observations, interviews and questionnaires. The research variables consist of disposition of implementers, financial pressure, and fraud intention. The research respondents were 110 physicians in charge of patients in 12 hospitals in East Java Indonesia. Data were analyzed by path analysis. Result: The direct causal effect of the disposition of implementers regarding the INA-CBG payment system in hospitals to financial pressure had a value of p = 0.001 and B =-0.332. Conclussion: Disposition of implementers to changes in hospitals payment systems had a significant effect on financial pressure and fraud intention. A negative beta indicated that the disposition of implementers will have an effect on increasing financial pressure.
AB - Background: Disposition of implementers to changes in hospitals payment system policies has become an important issue in the implementation of the Indonesia National Health Insurance (NHI) program. The change from fee for services to a prospective payment system in the form of the Indonesia Case Based Group (INA-CBG) have caused low acceptance from clinicians. On the other side there was potential for fraud in the hospitals claim collection scheme published by the corruption eradication commission. The objective of this study was to analyze the effect of disposition of implementers on financial pressure and fraud intention. Methods: The study used an observational analytic approach with a survey method, where researchers conducted observations, interviews and questionnaires. The research variables consist of disposition of implementers, financial pressure, and fraud intention. The research respondents were 110 physicians in charge of patients in 12 hospitals in East Java Indonesia. Data were analyzed by path analysis. Result: The direct causal effect of the disposition of implementers regarding the INA-CBG payment system in hospitals to financial pressure had a value of p = 0.001 and B =-0.332. Conclussion: Disposition of implementers to changes in hospitals payment systems had a significant effect on financial pressure and fraud intention. A negative beta indicated that the disposition of implementers will have an effect on increasing financial pressure.
KW - Disposition of implementers
KW - Financial pressure
KW - Indonesia Case Based Group
UR - http://www.scopus.com/inward/record.url?scp=85100182373&partnerID=8YFLogxK
U2 - 10.37506/ijfmt.v14i4.11568
DO - 10.37506/ijfmt.v14i4.11568
M3 - Article
AN - SCOPUS:85100182373
SN - 0973-9122
VL - 14
SP - 689
EP - 696
JO - Indian Journal of Forensic Medicine and Toxicology
JF - Indian Journal of Forensic Medicine and Toxicology
IS - 4
ER -