DEMAND AND SUPPLY OF PRIMARY HEALTHCARE SERVICES ANALYSIS AND ITS IMPACT TO THE FINANCIAL PERFORMANCE FINAL PROJECT In partial fulfilment of the requirements for the master’s degree from Institut Teknologi Bandung By RIZKI AMALIA RAHMAH Student ID: 29122123 (Master of Business Administration Program) INSTITUT TEKNOLOGI BANDUNG December 2023 i ABSTRACT DEMAND AND SUPPLY OF PRIMARY HEALTHCARE SERVICES ANALYSIS AND ITS IMPACT TO THE FINANCIAL PERFORMANCE By Rizki Amalia Rahmah Student ID: 29122123 (Master of Business Administration Program) The First-Level Health Facilities (FKTP) play a role as providers of primary health services in the Indonesian healthcare system. The community's need for primary health services can be well met if the available service capacity is adequate. This study aims to analyze the gap between the needs and capacities of primary health facilities in the Bandung District. Out of the 185 FKTPs analyzed, 125 FKTPs were found to be overcapacity, 58 FKTPs were undercapacity, and 4 FKTPs were deemed optimal. The gap between needs and capacities needs to be addressed by redistributing the number of participants registered with the ratio GP and number of member is 1 : 6.250 so that the primary health service needs of the community in the Bandung District can be fulfilled. The existence of a gap is expected to encourage the equal distribution of members in the government and private healthcare facilities under the National Health Insurance (BPJS) in the Bandung District. The equal distribution will have a positive impact on clinic revenue, but it needs to be balanced with the clinic's ability to manage costs and the quality of services provided. Financial simulations were conducted using the financial data of the Klinik Pratama KITA to obtain an overview of potential revenue, costs, and profitability ratios in the future. To determine the appropriate strategy for managing the potential revenue and costs, scenario planning was carried out with a key focal issue on the clinic's sustainability over the next 10 years with a healthy profitability ratio. To establish driving forces, analyses were conducted using SWOT, PESTEL external analysis, and McKinsey 7S for internal analysis. Three critical uncertainties were identified based on those analyses are governance policy, consumer behavior and lifestyle, and asset utilization, giving rise to four scenarios: affluent optimization, affluent equilibrium, frugal challenges, and frugal paradox. To assess the clinic's condition and potential challenges, the business strategy adopted was to transform the frugal paradox scenario into frugal challenges and gradually move towards affluent optimization. Government policies addressing the demand and supply gap could expedite the achievement of the affluent optimization scenario, but Klinik Pratama KITA needs to be prepared to manage all its resources in facing these conditions. Keywords: Primary healthcare facilities, Demand, Supply, Financial Performances, Scenario Planning ii ABSTRAK ANALISIS PERMINTAAN DAN PENAWARAN PELAYANAN KESEHATAN PRIMER DAN DAMPAKNYA TERHADAP KINERJA FINANSIAL Oleh Rizki Amalia Rahmah 29122123 (Program Studi Magister Administrasi Bisnis) Fasilitas Kesehatan Tingkat Pertama (FKTP) berperan sebagai penyedia layanan kesehatan primer dalam sistem kesehatan Indonesia. Kebutuhan masyarakat terhadap pelayanan kesehatan primer dapat terpenuhi dengan baik apabila kapasitas pelayanan yang tersedia memadai. Penelitian ini bertujuan untuk menganalisis gap antara kebutuhan dan kapasitas dari fasilitas kesehatan primer yang ada di Kabupaten Bandung. Dari 185 FKTP yang dianalisa, terdapat 125 FKTP yang mengalami overcapacity, 58 FKTP mengalami undercapacity, dan 4 FKTP dinilai optimal. Adanya gap antara kebutuhan dan kapasitas perlu diatasi dengan adanya pemerataan jumlah peserta BPJS yang terdaftar di FKTP dengan rasio dokter dan jumlah peserta BPJS 1 : 6250. agar kebutuhan pelayanan kesehatan primer bagi masyarakat di Kabupaten Bandung dapat terpenuhi. Adanya gap yang terjadi saat ini diharapkan dapat mendorong pemerataan jumlah peserta BPJS kesehatan di FKTP pemerintah dan swasta dalam memenuhi kebutuhan kesehatan masyarakat.