Management of JKN Medicine: The Role of Social Security Agency of Health (BPJS-K) in Strategic Health Purchasing

  • Yusi Anggriani Faculty of Pharmacy, Universitas Pancasila, South Jakarta, Jakarta, 12460, Indonesia
  • Nurita Andayani Faculty of Pharmacy, Universitas Pancasila, South Jakarta, Jakarta, 12460, Indonesia
  • Mawaddati Rahmi Faculty of Pharmacy, Universitas Pancasila, South Jakarta, Jakarta, 12460, Indonesia
  • Rasta Naya Pratita Faculty of Pharmacy, Universitas Pancasila, South Jakarta, Jakarta, 12460, Indonesia
  • Prih Sarnianto Faculty of Pharmacy, Universitas Pancasila, South Jakarta, Jakarta, 12460, Indonesia
  • Atmiroseva Atmiroseva Social Security Agency of Health (BPJS-K)
  • Erfan Chandra Nugraha Social Security Agency of Health (BPJS-K)
  • Citra Jaya Social Security Agency of Health (BPJS-K)
DOI: https://doi.org/10.35814/jifi.v21i1.1371

Abstract

The National Health Insurance System (JKN) has social and equity insurance principles aiming participants receive basic health benefits. This raises must-have other requirements for circulated medicine, namely availability and accessibility. Thus, this must meet the elements of safety, efficacy/ benefits, good quality, market availability, and easy accessibility. However, drug shortages problem still occurs and ranks 3rd for BPJS Kesehatan services complaints. This study is to identify opportunities and constraints of BPJS in strategic health purchasing to increase access to JKN medicine . This is a crosssectional study using quantitative and qualitative methods. Quantitative research uses Structural Equation Modelling (SEM), while qualitative uses Focus Group Discussion (FGD). This found the problem roots related to JKN medicine shortages, including limited human resource capabilities, in optimal planning processes, e-purchasing method constraints, e-purchasing system and manual purchases medicine prices differences, medicines ordering long lead time, and in optimal BPJS Kesehatan role as a strategic health purchaser. Therefore, it is to increase BPJS Kesehatan’s role as an active purchaser by making an information system for all medicine use in JKN services, forming a Drugs Advisory Board/JKN drug working group and coordination between policy-making institutions to optimize BPJS Kesehatan role in ensuring JKN medicines access.

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Published
2023-04-29
How to Cite
ANGGRIANI, Yusi et al. Management of JKN Medicine: The Role of Social Security Agency of Health (BPJS-K) in Strategic Health Purchasing. JURNAL ILMU KEFARMASIAN INDONESIA, [S.l.], v. 21, n. 1, p. 57-64, apr. 2023. ISSN 2614-6495. Available at: <http://jifi.farmasi.univpancasila.ac.id/index.php/jifi/article/view/1371>. Date accessed: 26 dec. 2024. doi: https://doi.org/10.35814/jifi.v21i1.1371.
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Vol 21 No 1 (2023): JIFI
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