Tanggapan Pegawai Negeri Sipil di lingkungan Sekretariat Daerah Kabupaten Gunungkidul terhadap pelayanan Jaminan Pemeliharaan Kesehatan oleh PT. Askes (Persero)

SUBAGYO, Drs. Djoko Suseno, SU

2004 | Tesis | S2 Sosiologi

Salah satu perusahaan pemerintah yang bergerak di bidang asuransi, yaitu PT. Askes (persero) melayani masyarakat yang ingin mendapat perlindungan di bidang kesehatan, namun PT. Askes (persero) sebagai penyelenggara pelayanan asuransi kesehatan sejak dulu dipertanyakan kualitas pelayanannya. Ketidakpuasan dari PNS sebagai peserta wajib menjadi realita yang sering didengar. Sehubungan dengan hal tersebut, penulis tertarik untuk meneliti tanggapan pegawai negeri sipil (PNS) dilingkungan Sekretariat Daerah Kabupaten Gunungkidul terhadap pelayanan jaminan pemeliharaan kesehatan PT. Askes (persero) melalui perumusan masalah; Bagaimana tanggapan pegawai negeri sipil di lingkungan Sekretariat Daerah Kabupaten Gunungkidul terhadap kualitas pelayanan pemeliharaan kesehatan PT. Askes (persero) dan; Sejauhmana pemanfaatan pelayanan jaminan pemeliharaan kesehatan PT. Askes (persero) oleh pegawai negeri sipil di lingkungan Sekretariat Daerah Kabupaten Gunungkidul. Parameter yang dipakai sebagai alat analisis meliputi kualitas pelayanan; parameter tanggapan tentang pelayanan PT. Askes (persero). Metode yang digunakan melalui pendekatan kualitatif, dengan informan pegawai negeri sipil di lingkungan Sekretariat Daerah Kabupaten Gunungkidul yang terdiri dari; golongan IV sebanyak 3 orang, golongan III sebanyak 7 orang dan golongan II sebanyak 10 orang. Dalam penelitian ini data yang dikumpulkan meliputi data primer dan sekunder dengan teknik analisis data dengan model interaktif terdiri dari tiga komponen analisis yaitu reduksi data, penyajian data dan penarikan kesimpulan. Kesimpulan dari penelitian ini antara lain : kualitas pelayanan di tingkat provider secara umum termasuk rendah sedang pelayanan di PT. Askes (persero) sedang; tanggapan informan terhadap provider tingkat pertama yaitu Puskesmas dan Rumah Sakit Daerah/Negeri memperoleh respon evaluatif buruk. Namun respon evaluatif terhadap Rumah sakit Swasta dinilai cukup baik. Sedang respon yang berkaitan dengan administrasi dinilai sedang; pemanfaatan pelayanan asuransi kesehatan diperoleh hasil bahwa sebagian besar informan merasa tidak puas atas pelayanan di provider. Rekomendasi untuk PT. Askes (persero) antara lain : agar DPHO (Daftar Plafon Harga Obat) disampaikan secara transparan sehingga peserta mengetahui besaran klaim yang menjadi haknya; agar ada kenaikan besaran klaim meskipun dengan cara menaikkan besaran premi namun dengan konsekuensi peningkatan kualitas pelayanan; mekanisme rujukan harus lebih fleksibel; perlu sosialisasi yang intensif pada peserta Askes sehingga akan mendapatkan kejelasan informasi mengenai mekanisme serta sistem dan prosedur asuransi kesehatan.

One of Government Company is PT. ASKES (Ltd), which is on the insurance field to serve people who need to get protection in health, but PT. ASKES (Ltd.) as caretaker of services on health insurance is always questioned about its quality of services. We can hear a lot dissatisfaction among the civil servant as main member of this government company. So, in this case, the writer is interested to make a research about the civil servant respond in the Region Secretariat on the Gunungkidul Regency towards the services among health care insurance of PT. ASKES (Ltd.) through the main problem: How is the civil servant respond in the Region Secretariat on the Gunungkidul Regency towards the services among health care insurance of PT. ASKES (Ltd.) and how far is the advantage of PT. ASKES’ (Ltd.) health care insurance services for he civil servants in the Region Secretariat on the Gunungkidul Regency. As an analysis tool, the parameter which is applied include quality of service’ the parameter of the respond towards the service of PT. ASKES (Ltd.) and the service advantage of PT. ASKES (Ltd.). The writer applied qualitative approach method, with civil servants’ informant respond in the Region Secretariat on the Gunungkidul Regency which is comprises 3 people from IV degree; 7 people from III degree; and 10 people from II degree. In this research, data was collected is include primer and secondary data with interactive analysis model of data analysis technique which is include of three analysis components, they are data reduction, data presentation and conclusion pulling. The conclusion of this research, such as the quality of the services on the provider level is low generally, but in the meanwhile the services of PT. ASKES (Ltd.) is medium; the informants’ respond towards the first level provider that is Puskesmas (Society Health Center) and Region/State Hospital have bad evaluative responds. But Evaluative respond towards Private Hospital is good enough. And the respond, which is related to the administration, is medium; and the result from the advantage of services of health insurance is most of informants feel dissatisfied towards the service from he provider. Recommendation for PT. ASKES (Ltd.) is include : the transparency of DPHO (Daftar Plafond Harga Obat/Medicine Price Plafond List) so the member of PT. ASKES knew how much is their claim value which is belong to them, and also claim value raising by increasing prime value with the increasing of quality service consequences; the flexibility of reference mechanism; intensive socialization necessity for ASKES member so it will get the information clearly about mechanism and also health insurance procedure and system itself.

Kata Kunci : Kesejahteraan Sosial,Jaminan Pemeliharaan Kesehatan,PNS, Health Insurance; Respond; the advantage of service