Readiness Analysis of Electronic Information System in Public Health Center as Supporting Tools in Implementation of Fraud Prevention System on UHC Program: Literature Review
Andina Sri Fahmi, Dumilah Ayuningtyas
Andina Sri Fahmi
Available Online 25 November 2020.
- https://doi.org/10.2991/ahsr.k.201125.019How to use a DOI?
- JKN, fraud prevention, fraud detection, system information
- 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.
- Open Access
- This is an open access article distributed under the CC BY-NC license.
Cite this article
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 - https://doi.org/10.2991/ahsr.k.201125.019 ID - Fahmi2020 ER -