Komparasi Model Pembagian Jasa Pelayanan Sistem Konversi di Rumah Sakit Bhayangkara H.S. Samsoeri Mertojoso Surabaya
DOI:
https://doi.org/10.47747/jnmpsdm.v7i3.3725Keywords:
jasa pelayanan, sistem konversi, bobot nilai konversi, Relative Value Unit, remunerasi rumah sakitAbstract
Service distribution is an important component of hospital remuneration because it reflects the recognition of health workers' contributions. This study aims to identify and compare the methods and conversion-value weights used in the service distribution system at Bhayangkara H.S. Samsoeri Mertojoso Hospital, Surabaya, with the conversion and proportion model proposed by Hani (2019). The study employed a mixed-methods approach with a sequential explanatory design and a descriptive-comparative orientation, without statistical hypothesis testing. Data were obtained by reviewing hospital policy documents and standard operating procedures, extracting data from the MediFee/Hospital Management Information System (SIMRS), and interviewing hospital management informants. The results show that the hospital system integrates a conversion mechanism with overbilling adjustments to Indonesian Case-Based Groups (INA-CBG) claims, whereas the Hani (2019) model focuses on establishing relative values (Relative Value Units/RVU) and proportional distribution. Both systems apply weighting, direct and indirect service components, and individual indices, but they differ in orientation, the basis for value formation, and distribution mechanisms. A comparison of weights for three service types physician examinations, physician visits, and laboratory services shows differences in 12 of 18 components, while identical weights occur only for structural and employee indirect-service components. The Hani (2019) model is therefore more appropriately positioned as an evaluative benchmark for assessing the rationality of the hospital system's components and weights rather than as a replacement formula.
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