The Obstacles of Taluk Kuantan Regional Hospital in Serving the Participants of a Social Security Organising Agency (BPJS) in Kuantan Singingi

Hamzah, Rosyidi and Gea, Alfiansyah and Syafrinaldi, Syafrinaldi and Halik, Annisa (2020) The Obstacles of Taluk Kuantan Regional Hospital in Serving the Participants of a Social Security Organising Agency (BPJS) in Kuantan Singingi. International Journal of Innovation, Creativity and Change (IJICC), 13 (4). pp. 1273-1285. ISSN 2201-1323

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Abstract

Based on the results of this study, this case clearly violated the provisions of Article 25, Paragraph (1), letter d of the Regulation of the Health Social Security Organising Agency Number 1 of 2014 concerning health insurance providers. In this article it was said that each participant was entitled to obtain health insurance benefits. The intended health insurance is what is stated in Article 25, Paragraph (2) of the Regulations of the Health Social Security Organising Agency Number 1 of 2014 concerning Health Insurance Providers. The obstacles faced by the management of the regional hospital of Teluk Kuantan in providing services to patients participating in the Health BPJS are due to several factors: a. The doctor on duty was not in their place; b. claim issues from BPJS; c. arrears card payments by patients participating in BPJS; d. trauma to the patient due to injury (outside of a traffic accident); e. constraints when referring patients who need ICU space.

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