Menkes delays the BPJS health decision, hospital stop physiotherapy service

INDOPOS.CO.ID – The impact of the regulation of the director of the health service guarantee (Perdiyan) BPJS Health began to be felt. At least 186 pharmacist hospitals BPJS Kesehatan have stopped service since yesterday at 18:00

Since last Thursday (26/7), the Indonesian Association of Physical Therapy (IFI) has asked its members not to perform physiotherapy.

The central IFI president, Ali Imron, said that the letter of appeal addressed to the member was in response to Perdiyan BPJS Health No. 5/2018. BPJS Health seemed to want to eliminate physiotherapy services. "There is a misconception of direction.Freud's great potential," said Imron Ali.

Imron continued, the number of medical rehabilitation doctors in the country is not enough. The condition, according to Imron, is cheating. one day met a medical rehabilitation doctor in Jakarta having five practice sites. "Coming only virgin BPJS signature," he said.

In fact, for type C hospitals, the cost of specialized services around Rp 140 thousand According to the regulation of the Minister of Health (Menkes) No. 65 2015, serving specialists who believe that his patients need physiotherapy services will refer directly.Who does the therapy. "However, BPJS Health needs to refer to a doctor in medical rehabilitation, "he said.

He cited stroke patients treated by nerve specialists. While at the hospital and patients are considered to be in need of a therapy because they can not move, so this will handle the physiotherapy of the therapist. Then, when the patient is allowed to go home and needs a transition to his social life, then there is the role of the medical rehab doctor. "For example when the office can not because the office uses the scale, it's the role of the rehabilitation doctor," he said.

If BPJS wants to do efficiency, should not be like that. Because it's against clinical logic. New regulations BPJS Health, according to Imron is not a solution to make efficiency. "Medication deals in all circumstances, not because they have or do not have money," he added.

Imron also commented on the limitation of physiotherapy services. Dalan Perdiyan No. 5/2019, physiotherapy service is given twice a week or a maximum of eight times in a month. Imron compares the physiotherapy service with medicine. "If the dose is given below the prescription, then the pain becomes longer," he said.

Since the National Health Insurance Program was launched, Imron said that his agency had never spoken. Included in the time of Perdiyan nomo 5/2018 issued. "Maybe because physiotherapy is the responsibility of the medical reeducation specialist," he said.

Meanwhile, Minister of Health (Minister) Nila Moeloek has requested the implementation of Perdiyan BPJS Health postponed. The decision received a positive response from the Chairman of the Board of Directors of the Indonesian Medical Association (PB IDI) Ilham Oetama Marsis SpOG (K). Kesehatan Nopi Hidayat, public relations director of BPJS, said yesterday that the promulgation of three Perdiyan does not mean that the guarantee of health services for cataract, physiotherapy and healthy newborns is rejected or revoked. "The fate has been released aimed at optimizing the quality of service and the effectiveness of health insurance," Nopi said.

Nopi explained in the Cataract Service Regulation that BPJS Health will guarantee cataract surgery services. Participants with cataracts with visus (field of vision) on certain criteria with medical indication and the need to obtain cataract surgery, will always be guaranteed BPJS Health. The guarantee also concerns the capacity of health facilities such as the number of competent ophthalmologists and ophthalmologists who have a certification of competence.

Nopi also explained that BPJS Health will guarantee all types of work both normal labor with complications or uncomplicated, Red) and cesarean section. Includes services for newborns that may be billed by health facilities in a package of deliveries for their mothers. "However, if the baby needs special services or resources, then it is stipulated in Perdirjampelkes number 3, faskes may charge for claims outside the delivery package," he said. With regard to the regulation of medical rehabilitation or physiotherapy, these services are still guaranteed by the maximum frequency criteria set out in Perdiryan number 5.

"We must insist on the implementation of these three rules. JKN-KIS participants, "he said, adding that BPJS Health's funding is adjusted to the current financial capacity of BPJS Health BPJS Health will continue to ensure that JKN-KIS participants benefit of health services guaranteed in accordance with the provisions.

(lyn)

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