Readiness Analysis of Electronic Information System in Public Health Center as Supporting Tools in Implementation of Fraud Prevention System on UHC Program: Literature Review

DOI

10.2991/ahsr.k.201125.019How to use a DOI?

Keywords

JKN, fraud prevention, fraud detection, system information

Abstract

Background: Fraud in healthcare become one of the obstacles for health system sustainability, including for the UHC Program in Indonesia. This article aims to know the readiness of the electronic information system in the Public Health Center in Indonesia, as supporting tools for policy implementation of The Fraud Prevention System in The UHC Program. Methods: This article is a situation analysis using literature review. Results: In the policy aspect, applying electronic information system is not yet an obligation. Some Public Health Centre workers are still not using the application even though it is already provided. The implementation of electronic information systems in the Public Health Center can reduce potential fraud related to patient referrals and detect fraud related to non-capitation claims. However, the electronic information system still not able to give fully efficient services and completely filled data due to technical obstacles in the implementation and fragmentation in the system. Inequality in supporting resources are also still occurs. Conclusions: Electronic information system in Public Health Center in Indonesia is not fully ready in supporting Fraud Prevention System. The Government need to make strict rules to ensure public health centers with ready supporting facilities are required to use an electronic information system. They also need to equalize supporting resources, hold persuasive socialization, continuous improvement in providing supporting resources, and also improve data integration. By taking these actions, hopefully the electronic information system in Public Health Centre can be fully prepared to support fraud prevention in the UHC program.

Copyright

© 2020, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Andina Sri Fahmi
AU  - Dumilah Ayuningtyas
PY  - 2020
DA  - 2020/11/25
TI  - Readiness Analysis of Electronic Information System in Public Health Center as Supporting Tools in Implementation of Fraud Prevention System on UHC Program: Literature Review
BT  - Proceedings of the International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020)
PB  - Atlantis Press
SP  - 100
EP  - 109
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.201125.019
DO  - 10.2991/ahsr.k.201125.019
ID  - Fahmi2020
ER  -