ANALISIS KEBIJAKAN SURAT PERNYATAAN MISKIN PADA PROGRAM JAMINAN KESEHATAN DAERAH DI KABUPATEN JEMBER

Background: Utilization of funds Regional Health Insurance Program (Jamkesda) in the first quarter of 2012 reached 57% of the total budget provided for a year, where most of the people who need health care use Poor Statement Letter (SPM). Utilization of SPM in first quarter of 2012 has increased higher than the previous year, it is this which encourages researchers to do research. Objective: This study aimed to identify the cause of the increased use of SPM in the Regional Health Insurance Program in Jember by conducting policy analysis Poor Statement Letter (SPM) on the Regional Health Insurance Program (Jamkesda) in Jember District. Methods: The study was a descriptive research design of a case study involving two data sources, primary and secondary data. The primary data obtained through interviews with respondents and secondary data obtained through from report of the Regional Health Insurance Program in Jember District. Results: There were several causes of the high use of SPM in Jamkesda Program in Jember during the year 2012 one of them is because there are many people who are below the poverty line are not covered Jamkesmas and not have a Jamkesda card, this is due to poor data collection system is not running better. The results also showed that the accuracy of the SPM user in Jember is 91%. Conclusion: There are many issues associated with the Jamkesda card be one cause of the high use of SPM in Jamkesda Program in Jember during the year 2012. Utilization of SPM in Jember really actually used by the poor so right on target