THE NEED TO REFORM THE HOSPITAL PAYMENT SYSTEM IN INDONESIA

  • Nur Hidayah Hospital Management, Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Kasihan, Bantul, Yogyakarta, 55183, Indonesia
  • Arlina Dewi Hospital Management, Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Kasihan, Bantul, Yogyakarta, 55183, Indonesia
  • OU Jen-ho Department of Finance, College of Management, Asia University Taiwan, 500, LIOUFENG rd., Wufeng Dist., Taichung City 41354, Taiwan
  • Qurratul Aini Department of Finance, College of Management, Asia University Taiwan, 500, LIOUFENG rd., Wufeng Dist., Taichung City 41354, Taiwan
Keywords: Physician payment, method, remuneration, hospital performance

Abstract

One of the crucial health policies in hospitals is about physician payment methods. Indonesia had implemented the National Health Assurance since 2014 to achieve Universal Health Coverage by 2019. Most of hospital revenue is packaging from the National Health Insurance Agent (called BPJS). However, Fee-for-service (FFS) payment method is still dominant in many hospitals. How can hospitals make policy to rearrange the payment method to attain hospital performance? The purpose of this research is to analyze the payment system that can improve employee satisfaction and performances. Mix method was used to collect data and make an interpretation. Data collected from 185 respondents and four key informants. The result showed that the policy in private and public hospitals in Indonesia of the physician payment is diverse. Most of the hospitals use the pure FFS for self-employee physicians (part timer employee). For full time employee, they applied FFS mixed with salary, or remuneration. To improve employee satisfaction and performance, the hospitals should make a policy to link the FFS to pay for performances. The hospital should make the tailoring program by involving the physician in a designing method of the hospital remuneration.

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Published
2019-08-31
How to Cite
Nur Hidayah, Arlina Dewi, OU Jen-ho, & Qurratul Aini. (2019). THE NEED TO REFORM THE HOSPITAL PAYMENT SYSTEM IN INDONESIA. Malaysian Journal of Public Health Medicine, 19(2), 132-140. Retrieved from http://mjphm.org/index.php/mjphm/article/view/197