Critical Review Form - Qualitative Studies

(Version 2.0)
Letts, L., Wilkins, S., Law, M., Stewart, D., Bosch, J., & Westmorland, M., 2007
McMaster University

CITATION:

Raharjo, P, 2016, Research Article: The Implementation of Health Insurance By Social Security Agency
(BPJS), International Journal of Advanced Research, vol.4, no. 4, pp. 480-488. Available
from:http://www.irjes.com/Papers/vol4-issue4/D442628.pdf [26 September 2016]

Comments
STUDY PURPOSE: Outline the purpose of the study and/or research question.
This study explain clearly about this study focuses on the problems of implementation of
Was the purpose and/or research Law No. 24 of 2011 on the Social Security Agency and Law No. 36 of 2009 on Health in the
question stated clearly? administration of health insurance at the District General Hospital of East Jakarta,
yes BudhiAsih.
no

LITERATURE: Describe the justification of the need for this study. Was it clear and compelling?
The justification of this study is in order to provide clarity to the issues to be discussed, the
Was relevant background problem in this study is limited to the Implementation of Law No. 36 of 2009 on Health in
literature reviewed? the administration of health insurance in the District General Hospital of East Jakarta,
yes BudhiAsih. It is clear and compelling
no

How does the study apply to your practice and/or to your research question? Is it worth
continuing this review?1
The study can be give an advice to practice about the Laws on BPJS and Health are
implemented by providing counseling and empowerment, through health education to the
community with the aim of raising public awareness to be more concerned about health and.
it's woth to continuing this review

1 When doing critical reviews, there are strategic points in the process at which you may decide the research is not applicable to your
practice and question. You may decide then that it is not worthwhile to continue with the review.

Letts et al., 2007 Qualitative Review Form 1.

 STUDY DESIGN: Was the design appropriate for the study question? (i.e., rationale) Explain.
This study uses descriptive qualitative approach, with the design of rapid assessment
What was the design? procedure, which is a way to improve and understand the problems encountered in
phenomenology implementing health programs by using a qualitative approach. To check on the data validity,
ethnography triangulation technique is used, i.e. comparing the data obtained from one source with other
grounded theory data from other sources in a different period of time, or comparing the data obtained from
one source using different methods.
participatory action research
other
_Rapid Assesment Procedure
_____________

Was a theoretical perspective Describe the theoretical or philosophical perspective for this study e.g., researchers
identified? perspective.
yes The theoretical or philosophical perspective for this study is the establishment of Social
no Security Agency (BPJS), that includes Healthcare BPJS and Workers BPJS, is aimed to
provide insurance for the fulfillment of each persons essential need to live a decent life, and
for the provision of social welfare for Indonesian people.The provision of health insurance
through Healthcare BPJS basically has not been optimal; the policy has not improved
peoples health

Method(s) used: Describe the method(s) used to answer the research question. Are the methods congruent
participant observation with the philosophical underpinnings and purpose?
interviews yes, the methods is congruent with the philosophical and the purpose of this study
document review
focus groups
other
______________

SAMPLING: Describe sampling methods used. Was the sampling method appropriate to the study purpose
or research question?
Was the process of purposeful -
selection described?
yes
no

Was sampling done until Are the participants described in adequate detail? How is the sample applicable to your
redundancy in data was reached?2 practice or research question? Is it worth continuing?
yes In this article it's not addresed
no
not addressed

Was informed consent obtained? -

yes
no
not addressed

2 Throughout the form, no means the authors explicitly state reasons for not doing it; not addressed should be ticked if there is
no mention of the issue.

Letts et al., 2007 Qualitative Review Form 2.

 DATA COLLECTION:
Describe the context of the study. Was it sufficient for understanding of the whole picture?
Descriptive Clarity the context of the study is about implementation of Law No. 36 of 2009 on Health in the
administration of health insurance in the District General Hospital of East Jakarta,
Clear & complete description of
BudhiAsih
site: yes
no
participants: yes
no

Role of researcher & relationship What was missing and how does that influence your understanding of the research?
with participants: -
yes
no

Identification of assumptions and

biases of researcher:
yes no

Procedural Rigour
Procedural rigor was used in data Do the researchers provide adequate information about data collection procedures e.g.,
collection strategies? gaining access to the site, field notes, training data gatherers? Describe any flexibility in the
yes design & data collection methods.
this study not using data but they used some article to provide clarity to the issues to be
no
discussed, the problem in this study is limited to the Implementation of Law No. 36 of 2009
not addressed on Health in the administration of health insurance in the District General Hospital of East
Jakarta, BudhiAsih

DATA ANALYSES: Describe method(s) of data analysis. Were the methods appropriate? What were the findings?
This study uses descriptive qualitative approach, with the design of rapid assessment
procedure, which is a way to improve and understand the problems encountered in
Analytical Rigour implementing health programs by using a qualitative approach. To check on the data validity,
Data analyses were inductive?
triangulation technique is used, i.e. comparing the data obtained from one source with other
yes no not data from other sources in a different period of time, or comparing the data obtained from
addressed one source using different methods
Findings were consistent with &
reflective of data?
yes no

Letts et al., 2007 Qualitative Review Form 3.

 Auditability Describe the decisions of the researcher re: transformation of data to codes/themes. Outline
Decision trail developed? the rationale given for development of themes.
yes no not addressed -

Process of analyzing the data was

described adequately?
yes no not addressed

Theoretical Connections
Did a meaningful picture of the How were concepts under study clarified & refined, and relationships made clear? Describe
phenomenon under study any conceptual frameworks that emerged.
emerge? Look in page 482-483 in article
yes
no

OVERALL RIGOUR For each of the components of trustworthiness, identify what the researcher used to ensure
Was there evidence of the four each.
components of trustworthiness?
-
Credibility yes no
Transferability yes no
Dependability yes no
Comfirmability yes no

What meaning and relevance does this study have for your practice or research question?
for the practice from the article overall the services for members of BPJS have been enjoyed
by the public at large, because BudhiAsih Hospital in East Jakarta has been earnest in
providing social security for all people because it is mandated by the 1945 Constitution.

Letts et al., 2007 Qualitative Review Form 4.

 CONCLUSIONS & What did the study conclude? What were the implications of the findings for occupational
IMPLICATIONS therapy (practice & research)? What were the main limitations in the study?
The policies set in dealing with health issues as stipulated in Laws on BPJS and on Health
Conclusions were appropriate are among others:
given the study findings? a. Improving the overall and continuous health care effort through collaboration among
yes no families, communities and government.
b. Encourages the government to play more intensive role in providing health services both
The findings contributed to preventive and curative.
theory development & future OT c. Improving the inter- and intra-sectors integration, including government, SOEs, NGOs,
practice/ research? and institutions of civil society.
yes no
d. Improving and streamlining the partnership with universities, private sector, political
parties, civil society organizations in monitoring the implementation of health insurance
organized both by BPJS and government.

The implementation of Laws on BPJS and on Health in providing public health services are
among others:
a. Extension and empowerment, implemented through public health education with the aim
of raising public awareness to be more concerned about health.
b. Protection, implemented through activities of prevention against possible diseases that can
cause public health problems.
c. Services, implemented through the provision of health care facilities for the needing
people both members and non-members of Healthcare BPJS.
d. Services for members of Healthcare BPJS have been enjoyed by the public at large,
because BudhiAsih Hospital in East Jakarta is earnest in providing social security to all
people because it is mandated by the 1945 Constitution

Letts et al., 2007 Qualitative Review Form 5.