OPTIMALISASI PELAKSANAAN PROGRAM JAMINAN KESEHATAN NASIONAL MELALUI PENINGKATAN DAN PENGUATAN LAYANAN FASILITAS KESEHATAN PRIMER DENGAN PENDEKATAN GATE KEEPER IN MANAGED CARE DALAM RANGKA PENCAPAIAN UNIVERSAL HEALTH COVERAGE DI KOTA MALANG

Abstract

As the site of�the first�level of�health care,�Puskesmas�has�a�role�that is essential for�the success of�JKN�in�Indonesia.�Therefore,�the success of JKN largely determined by�Puskesmas, in particular�towards healing�a patient�that can covered�in�Puskesmas, which�do not need to�get�a reference�to the�hospital (Rumah Sakit). The main purpose of�this study�is :� the first,�identify �the availability of�medical�and non-medical personnel�at�the primary�level�health facility, identify�the characteristics of�the�national�healthcare�services�at�the primary�level�health facility, identify�the conditions of�the�existance �health service of �facilities and infrastructure�at�the primary�level�health facilities.�Second,�identify �procedure and�delivery�system capital �funding� on�the primary�level�health facility,�identify the�constraints and�barriers to�health services�at�the primary�level�health facility,�identify the�membership�of national�health coverage, identify�related�community�perceptions of�health services�at�the primary�level�health facility,�based on�these�two steps, then�strategize�implementation of�optimization of�national health�Assurance Program�through the�enhancement and�strengthen of�primary health�facilities�services�with the�approach of the�Gate�Keeper�in�Managed Care�in the framework of�the attainment of�Universal�Health Coverage�in Malang City. The design of this research is the combination of various research methods which include descriptif research, policy research� and action research.��Based on the� research results, there are still some obstacles and constraints of Puskesmas as the first level health facilities��������� : a) aspects of the service , b) aspects of human resources,�� c) aspects of management,� d) aspects of facilities and infrastructure.�