"SMILE-Approach" Model in Implementation of NHI Policy in North Gorontalo District

Abstract

This research aim is to analyze and to know the National Health Insurance (NHI) Policy Implementation Strategy to improve Public Health Service Quality in North Gorontalo District. It consists of planning, implementation and supervision and determining success factors of NHI policy implementation to improve the public health service quality in North Gorontalo District consisting of mentality, system, networking, organizational support, interpretation ability, and application capability. This research uses qualitative approach with explanatory survey method. The data is collected by observation, interview and documentation. The data analysis is done through data reduction, data presentation, data verification and conclusion. The research population is NHI implementer at BPJS, DIKES and Puskesmas in North Gorontalo District, totaling 37 people. The study findings are follows. First, the implementation strategy of NHI policy in public health service started from planning, implementation, supervision and will be more qualified if that stage is companied by reward and punishment. Second, the determining success factors of NHI policy implementation to improve the public health service quality are mentality, system, networking, organizational support, interpretation ability and application ability; they will be more successful if integrated with skill, loyalty and education. This research analyzes and integrates the theory of public policy implementation models, especially MSN YK and Charles Jones models. The researchers offer the development of a public policy implementation model concept called the "SMILE Approach Model" in Public Policy Implementation. The SMILE consists of Skill, Mentality, Interpretation, Loyalty and Education

Keywords: implementation of NHI policy, SMILE-Approach model.