Sapporo Medical Journal

Abstract : Hospital readmissions which could indicate low quality of hospital services have been an on-going issue during the implementation of the Indonesian National Health Insurance (JKN) program. A systematic review of 20 eligible articles to assess the factors related to hospital readmissions was carried out from around 290.000 screened articles published from 2000 until 2019 with the inclusion criteria of full-text articles, non-duplicated and published in either English or Indonesian articles were. It was found that inpatient discharge management in hospitals is arranged based on the payment system. An early discharge may occur from insufficient hospital payment tariff. JKN should model its readmission criteria and rearrange its payment system to reduce readmission and improve the quality of healthcare services.