Performance-Based Capitation (PBK) at PUSKESMAS in East Kolaka

Authors

  • Desya Dillachsyadina Mokke Magister Kesehatan Masyarakat, Universitas Mandala Waluya Kendari, Indonesia
  • Siti Nur Janna Magister Kesehatan Masyarakat, Universitas Mandala Waluya Kendari, Indonesia
  • Juliatin Magister Kesehatan Masyarakat, Universitas Mandala Waluya Kendari, Indonesia
  • Hasniar Magister Kesehatan Masyarakat, Universitas Mandala Waluya Kendari, Indonesia
  • Asmiati Magister Kesehatan Masyarakat, Universitas Mandala Waluya Kendari, Indonesia
  • Sartini Risky Magister Kesehatan Masyarakat, Universitas Mandala Waluya Kendari, Indonesia

DOI:

https://doi.org/10.38035/jim.v4i6.1722

Keywords:

Kapitasi Berbasis Kinerja, Fasilitas Kesehatan Tingkat Pertama, Angka Kontak, Rasio Rujukan Non-Spesialistik, Rasio Peserta Prolanis Terkendali

Abstract

Penelitian ini mengevaluasi penerapan Kapitasi Berbasis Kinerja (KBK) di Fasilitas Kesehatan Tingkat Pertama (FKTP) di Kabupaten Kolaka Timur, Indonesia. Skema KBK, sebagai kebijakan utama dalam program Jaminan Kesehatan Nasional (JKN), menyesuaikan pembayaran fasilitas berdasarkan pencapaian tiga indikator layanan utama: Angka Kontak (AK), Rasio Rujukan Non-Spesialistik (RRNS), dan Rasio Peserta Prolanis Terkendali (RPPT). Latar belakang menggarisbawahi peran kunci FKTP sebagai gatekeeper sistem dan penggunaan KBK untuk menjamin mutu layanan serta efisiensi keuangan. Penelitian menggunakan pendekatan deskriptif kuantitatif dengan metode total sampling terhadap seluruh FKTP yang memenuhi kriteria. Data dari Januari dan Agustus 2025, yang mencakup laporan kinerja sekunder, kuesioner, dan wawancara, dianalisis secara deskriptif. Hasil penelitian menunjukkan kinerja yang beragam. RRNS (0,54%) berhasil dikendalikan, mengindikasikan fungsi gatekeeper yang efektif. Namun, tantangan besar teridentifikasi: AK (70,54‰) masih jauh di bawah target 150‰, mencerminkan rendahnya akses layanan atau pencatatan yang kurang optimal, dan RPPT (1,08%) sangat di bawah target 5%, menandakan pengelolaan penyakit kronis yang belum optimal. Pembahasan menghubungkan temuan ini dengan masalah sistemik seperti beban peserta yang tinggi, keterbatasan sumber daya manusia, serta kelemahan dalam pencatatan data dan keterlibatan masyarakat dalam Prolanis. Disimpulkan bahwa meskipun fungsi rujukan berjalan efektif, diperlukan peningkatan signifikan dalam aksesibilitas layanan dan perawatan kronis. Rekomendasi yang diajukan meliputi penguatan sistem pencatatan layanan, peningkatan monitoring rutin multipihak, optimalisasi kegiatan Prolanis berbasis komunitas, serta peningkatan kapasitas tenaga kesehatan untuk memperbaiki hasil pencapaian KBK secara keseluruhan.

References

Ardhiasti, A., & Setiawan, E. R. (2021). Performance-Based Capitation Payment At First Level Health Facility In Malang. Jurnal Pendidikan Kesehatan, 10(2), 209. https://doi.org/10.31290/jpk.v10i2.2268

Aryani, A. D. (2022). Factors Affecting the Achievements of Performance-Based Capitation: A Scoping Review. Jurnal Jaminan Kesehatan Nasional, 2(1). https://doi.org/10.53756/jjkn.v2i1.52

Aryani, A. D., Bachtiar, A., & Candi, C. (2023). Primary Health Care Performance Indicators Model In A Performance-Based Capitation Scheme To Measure National Health Insurance Health Service Equity (Protocol Study). MedRxiv. https://doi.org/10.1101/2023.06.06.23291020

Aryani, A. D., Bachtiar, A., & Candi, C. (2024). The Structural Equation Modelling of First Level Health Facilities’ Performance-Based Capitation Payment in National Health Service. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 19(1), 35. https://doi.org/10.21109/kesmas.v19i1.7340

Astuti, J., Solida, A., Augina Mekarisce, A., Noerjoedianto, D., & Wardiah, R. (2023). Analysis of Efforts to Achieve Performance-Based Capitation Indicators Talang Banjar Public Health Center. KESANS : International Journal of Health and Science, 3(3), 267–287. https://doi.org/10.54543/kesans.v3i3.269

Ardhiasti, A., & Setiawan, E. R. (2021). Performance-Based Capitation Payment At First Level Health Facility In Malang. Jurnal Pendidikan Kesehatan, 10(2), 209. https://doi.org/10.31290/jpk.v10i2.2268

Aryani, A. D. (2022). Factors Affecting the Achievements of Performance-Based Capitation: A Scoping Review. Jurnal Jaminan Kesehatan Nasional, 2(1). https://doi.org/10.53756/jjkn.v2i1.52

Aryani, A. D., Bachtiar, A., & Candi, C. (2023). Primary Health Care Performance Indicators Model In A Performance-Based Capitation Scheme To Measure National Health Insurance Health Service Equity (Protocol Study). MedRxiv. https://doi.org/10.1101/2023.06.06.23291020

Aryani, A. D., Bachtiar, A., & Candi, C. (2024). The Structural Equation Modelling of First Level Health Facilities’ Performance-Based Capitation Payment in National Health Service. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 19(1), 35. https://doi.org/10.21109/kesmas.v19i1.7340

Astuti, J., Solida, A., Augina Mekarisce, A., Noerjoedianto, D., & Wardiah, R. (2023). Analysis of Efforts to Achieve Performance-Based Capitation Indicators Talang Banjar Public Health Center. KESANS : International Journal of Health and Science, 3(3), 267–287. https://doi.org/10.54543/kesans.v3i3.269

Augustian, R., & Ayuningtyas, D. (2023). Analisis Capaian Kapitasi Berbasis Kinerja Fasilitas Kesehatan Tingkat Pertama di Wilayah Jakarta Timur pada Masa Pandemi Covid-19. Syntax Literate ; Jurnal Ilmiah Indonesia, 8(7), 5205–5222. https://doi.org/10.36418/syntax-literate.v8i7.13116

Bali, A. S., & Ramesh, M. (2021). Governing healthcare in India: a policy capacity perspective. International Review of Administrative Sciences, 87(2), 275–293. https://doi.org/10.1177/00208523211001499

Budiarto, W., & Kristiana, L. (2016). The Use Capitation Funds in the First Level Health Facility (FKTP) the Implementation JKN. https://doi.org/10.22435/BPSK.V18I4.4577

Den, E. Van, Maharani, C., Fauzi, L., & Indrawati, F. (2025). Analisis Karakteristik Fktp Yang Bermitra Dengan Bpjs Kesehatan Semarang Terhadap Indikator Kapitasi Berbasis Kinerja 2024. Jurnal Manajemen Kesehatan Indonesia. https://doi.org/10.14710/jmki.13.2.2025.161-174

Geodesi, M., & Wardani, R. (2022). Performance of Health Facilities in Relation to Capitation Payments. KnE Life Sciences. https://doi.org/10.18502/kls.v7i2.10377

Implementing High-Quality Primary Care, C., Health Care Services, B., Medicine Division, H., & National Academies of Sciences Engineering, and M. (2021). Implementing High-Quality Primary Care. National Academies Press. https://doi.org/10.17226/25983

Kurniawan, M. F., Siswoyo, B., Mansyur, F., Aisyah, W., Revelino, D., & Gadistina, W. (2016). Pengelolaan dan Pemanfaatan Dana Kapitasi (Monitoring dan Evaluasi Jaminan Kesehatan Nasional di Indonesia). https://doi.org/10.22146/JKKI.V5I3.30663

Pertiwi, D. R., Suryoputro, A., & Adiz, M. S. (2025). Pembayaran kapitasi berbasis kinerja terhadap kualitas pelayanan pasien bpjs kesehatan di fasilitas kesehatan tingkat pertama: A scoping review. Holistik Jurnal Kesehatan, 19(5), 960–967. https://doi.org/10.33024/hjk.v19i5.927

Ridwan, R., & Ramadhan, S. (2025). Influencing Factors in Patient Referrals: A Doctor’s Perspective on Primary Health Care Facilities. Jurnal Jaminan Kesehatan Nasional, 5(1), 89–100. https://doi.org/10.53756/jjkn.v5i1.255

Sukohar, A., Suryawinata, A., & Mediansyah, A. (2020). Quality of Health Services in the First Level Health Facilities and the Role of Quality and Cost Control Team in Lampung Province. Review of Primary Care Practice and Education (Kajian Praktik Dan Layanan Primer), 3(1), 8. https://doi.org/10.22146/rpcpe.54162

Tan, X. (2023). A review of China’s national policies to strengthen primary care 2003–2018. Global Public Health, 18(1). https://doi.org/10.1080/17441692.2023.2252049

Umakaapa, M., & Sjaaf, A. C. (2021). Evaluation of the Implementation of the Performance-Based Capitation Policy (KBK) at the Merial Health Clinic of DKI Jakarta City in 2020. Journal of Indonesian Health Policy and Administration, 6(2). https://doi.org/10.7454/ihpa.v6i2.4639

Wahidah, M., Yuliana Sari, A. R., Prasetiya, I., Firdaus, F., & Ahmad, St. M. (2025). Enhancing The Quality and Cost Control Team’s Role in Improving Primary Care Referrals in Bantaeng. Jurnal Jaminan Kesehatan Nasional, 5(1), 157–168. https://doi.org/10.53756/jjkn.v5i1.30

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Published

2026-03-20

How to Cite

Mokke, D. D., Janna, S. N., Juliatin, Hasniar, Asmiati, & Risky, S. (2026). Performance-Based Capitation (PBK) at PUSKESMAS in East Kolaka. Jurnal Ilmu Multidisiplin, 4(6), 4718–4730. https://doi.org/10.38035/jim.v4i6.1722

Issue

Vol. 4 No. 6 (2026): Jurnal Ilmu Multidisplin (Februari - Maret 2026)

Section

Articles

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Copyright (c) 2026 Desya Dillachsyadina Mokke, Siti Nur Janna, Juliatin, Hasniar, Asmiati, Sartini Risky

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