Implementation of Health Insurance System in Independent Practice Midwives (Bpm) in the Framework of Maternal and Child Health According to Law Number 40 Year 2004 (Study in Surabaya City)


Abstract

Abstract
Introduction to the Problem: Health is a basic right guaranteed by the Indonesian constitution. The government, through BPJS Kesehatan, seeks to provide access to health services for all, including mothers and children. However, Independent Practitioner Midwives (BPM) often face obstacles in cooperation with BPJS.
Purpose/Study Objectives: This study examines the implementation and constraints of the BPM health insurance system according to Law No. 40 of 2004.
Design/Methodology/Approach: Primary data was obtained through observation and interviews with independent practicing midwives (BPM) in Surabaya. Secondary data came from legislation and legal literature. The analysis is done qualitatively by integrating empirical data and literature study to get a systematic conclusion.
Findings: The health insurance system in independent midwives (BPM) provides access to maternal and child health in accordance with Law No. 40 Year 2004. BPMs are obliged to cooperate with BPJS Health to ensure affordable and quality health services. However, BPMs often face administrative and technical obstacles in establishing cooperation with BPJS, affecting the effectiveness of services.The implementation of the health insurance system in Independent Practitioner Midwives (BPM) in accordance with Law No. 40/2004 has improved access to maternal and child health in Indonesia. BPMs that cooperate with BPJS Health help reduce maternal and infant mortality rates. However, administrative, technical and financial constraints remain. Solutions include simplifying administration, improving facilities, and improving the claims payment system.
Paper Type: Research Article

Downloads

Download data is not yet available.

References

Indria Nuraini, “Mutu Pelayanan Bidan Praktek Mandiri Kota Surabaya,” Embrio jurnal kebidanan 7 (2015): 22-43, https://doi.org/10.36456/embrio.vol7.no.a1311

Siti Solekah dkk, “Persepsi Bidan Praktek Mandiri (BPM) terhadap Paket Persalinan BPJS dalam Keberlanjutan Kerjasama menjadi Provider Dalam Jejaring Dokter Keluarga di Kota Bengkulu”, Jurnal Kebijakan Kesehatan Indonesia 06, No.1 (2017): 38-46, https://core.ac.uk/download/pdf/295415823.pdf

Riyanti dkk, “Faktor – Faktor yang Mempengaruhi Keikutsertaan Bidan Praktik Mandiri pada Program Jaminan Kesehatan Nasional di Kota Palangka Raya,” Jurnal Surya Medika 2, No. 2 (2017): 1-12, https://doi.org/10.33084/jsm.v2i2.355

Mangatas Silaen dkk, “Analisis kebijakan hubungan klinik provider BPJS Kesehatan dan Praktek Mandiri Bidan sebagai jejaring,” Jurnal Prima Medika Sains 02, No. 1 (2020): 1-6, https://doi.org/10.34012/jpms.v2i1.974

Sendy Asri Ramadani dkk, “Hubungan Pendidikan, Pekerjaan, dan Kepemilikan Jaminan Kesehatan Dengan Pelaksanaan Continuity of Care di Bidan Praktik Mandiri,” Lentera Perawat 5, No. 1 (2024): 1-7, https://doi.org/10.52235/lp.v5i1.272

Hadriah Oesman, “Pola Pemakaian Kontrasepsi Dan Pemanfaatan Kartu Badan Penyelengara Jaminan Sosial (Bpjs) Kesehatan Dalam Pelayanan Keluarga Berencana Di Indonesia,” Jurnal Kesehatan Reproduksi 8 No. 1 (2017): 15-29, 10.22435/kespro.v8i1.6386.15-29

Ariuni Suparman, “Implementasi Kebijakan Program Pelayanan Kesehatan Dalam Rangka Menurunkan Aki Dan Akb Di Puskesmas Sukaraja Kabupaten Sukabumi (Studi Empiris Pada Puskesmas Sukaraja Kabupaten Sukabumi),” Jurnal Moderat 6, No. 4 (2020): 868-891, https://jurnal.unigal.ac.id/moderat/article/view/3609/3578#

Ela Rohaeni dkk, “Alternatif Kebijakan Operasional Penggunaan Sms Gateway Pada Rujukan Kegawatdaruratan Maternal,” Jurnal Kesehatan 8, No. 02 (2017): 34-48, https://doi.org/10.38165/jk.v8i2.112

Astri Nurdiana dkk, “Perbedaan Tarif Asuhan Kehamilan Dan Persalinan Antara Peserta Bpjs Kesehatan Dan Non-Bpjs Kesehatan,” Jurnal kesehatan Al-Irsyad 13, No. 1 (2020): 73 83,https://www.researchgate.net/profile/AstriNurdiana/publication/344090390_PERBEDAAN_TARIF_ASUHAN_KEHAMILAN_DAN_PERSALINAN_ANTARA_PESERTA_BPJS_KESEHATAN_DAN_NONBPJS_KESEHATAN/links/6098d098a6fdccaebd1d8f5c/PERBEDAAN-TARIF-ASUHAN-KEHAMILAN-DAN-PERSALINAN-ANTARA-PESERTA-BPJS-KESEHATAN-DAN-NON-BPJS-KESEHATAN.pdf

Dwi Setyorini, “Pengaruh Pelatihan Soft SkillsTerhadap Mutu Pelayanan Asuhan KehamilanBidan Praktik Mandiri,” Jurnal Ilmu Kesehatan 13, No. 2 (2022): 200-207, https://doi.org/10.35966/ilkes.v13i2.259

Hasbullah Thabrany, 2015, Jaminan Kesehatan Nasional, Edisi Kedua, Jakarta, PT Raja Grafindopersada

Soerjono Soekanto. 2019. Efektivitas Hukum dan Peranan Sanksi. Bandung: Remadja Karya CV

Mona, 2015, Himpunan Peraturan Perundang-Undangan Repubik Indonesia Undang-Undang Keperawatan dan Tenaga Kesehatan, Bantul, Pustaka Mahardika

Bambang Sunggono, 2016. Metodologi Penelitian Hukum, PT RajaGrafindo Persada, Jakarta

Undang-Undang Dasar Negara Republik Indonesia Tahun 1945

Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional

Undang-Undang Nomor 36 Tahun 2009 tentang Kesehatan

Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial

Peraturan Presiden Nomor 111 Tahun 2012 tentang Perubahan atas Peraturan Presiden Nomor 12 Tahun 2013 tentang Jaminan Kesehatan

Peraturan Presiden Nomor 12 Tahun 2013 tentang Jaminan Kesehatan

Permenkes Nomor 71 Tahun 2013 tentang Pelayanan Kesehatan pada JKN

Permenkes Nomor 1464 Tahun 2010 tentang Izin dan Penyelenggaraan Praktik Bidan

Peraturan Menteri Kesehatan Repubik Indonesia Nomor 71 Tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional


Title Implementation of Health Insurance System in Independent Practice Midwives (Bpm) in the Framework of Maternal and Child Health According to Law Number 40 Year 2004 (Study in Surabaya City)
Issue: Vol. 10 No. 2 (2024): JURNAL YUSTISIA MERDEKA
Section Articles
Published: Dec 3, 2024
DOI: https://doi.org/10.33319/yume.v10i2.270
Keywords: Independent Practicing Midwife (BPM); , National Health Insurance (JKN); , BPJS Health; , Maternal and Child Health; , Law Number 40 of 2004.
Author
  • Diana Rahima
  • Mas Anienda Tien Fitria