Analisis Kebijakan Regionalisasi Rujukan Terhadap Jumlah Kunjungan Dan Kepuasan Peserta JKN Di Faskes Rujukan Tingkat Lanjutan

Mustofa, Amirul; Dewi, Arlina

doi:10.31101/jhes.338

Cited by 3 publications

(2 citation statements)

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“…Research demands that patients want a referral because they lack trust in health services at the first level of health facilities so that even though it is explained repeatedly that the disease can be treated at the Public Health Center but insists on continuing to ask for a referral by threatening to leave the Public Health Center [13]. Similar to the research which said that in the Siko Community Health Center, the operational service standards about the referral system is not yet complete, the contents of which are the patient service flow operational service standards, the process of referring patients from the health center to the hospital as referrers, while the operational service standards in receiving referrals forth are not yet available [14].…”

Section: Discussionmentioning

confidence: 84%

Implementation of the National Health Insurance Referral System at the Public Health Center in the Pangkajene Kepulauan District in 2019

Istiqamah

Darmawansyah

Syafar

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: The health service referral system is the organization of health services that regulate the mutual assignment of tasks and responsibilities of health services both vertically and horizontally. AIM: The purpose of this study was to determine the appropriateness of referral service operational standards at the Kalabbirang Public Health Center in Pangkajene Kepulauan district. METOHDS: This research method uses a qualitative with a phenomenological. The location of this study is in the Kalabbirang Public Health Center. The informants in this study were the Head of Medical Records Installation, the medical records installation staff of registration, doctors, and nurses. Data collection techniques using in-depth interviews, document review, and observation. The data obtained analyzed using the content analyze. RESULTS: The results showed that the Kalabbirang Public Health Center, no operational service standards were governing the procedures of the Public Health Center when receiving patients to be referred back. In addition, doctors do not explain in full to patients information about the referral. The conclusion of this research is the implementation of the referral system at the Kalabbirang Public Health Center in terms of the requirements for referring to be in accordance with the national referral system. CONCLUSION: We need socialization to understand more deeply about the referral system and equate perceptions among health workers about the referral mechanism in the Kalabbirang Public Health Center.

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Section: Discussionmentioning

confidence: 84%

Implementation of the National Health Insurance Referral System at the Public Health Center in the Pangkajene Kepulauan District in 2019

Istiqamah

Darmawansyah

Syafar

et al. 2020

Open Access Maced J Med Sci

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“…Sejalan dengan kajian ini, Mustofa & Dewi, (2017) mengungkapkan, kebijakan akan berpengaruh terhadap jumlah kunjungan peserta dan kepuasan peserta JKN. Pemerintah Jawa Timur kemudian menetapkan regionalisasi sistem rujukan dibagi ke dalam delapan regional, di antaranya: 1).…”

Section: E Proses Penataan Dan Regionalisasi Sistem Rujukan DI Jawa unclassified

Layanan Badan Penyelenggara Jaminan Sosial (BPJS) Di Rumah Sakit Milik Pemerintah Provinsi Jawa Timur

Timur

Aruan

et al. 2018

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BPJS service has been considered not maximal, even far from the ideals of the government as stipulated in the 1945 Constitution Article 28 and Act No. 23 of 1992 on Health. This research about BPJS service in two hospitals in East Java that is RSUD Dr. Saiful Anwar Malang and Dr. Soedono Madiun. The purpose of this study was to analyze BPJS service in both hospitals to the poor and incapable, research also to �ind out what kind of service BPJS patients in both hospitals. The study method uses a qualitative approach, with descriptive method. This method is done by interview and observation and direct survey to RSUD Dr. Saiful Anwar Malang and Dr. Soedono Madiun. The �indings of this research conclude that BPJS services in both hospitals have not been effective since apart from the weak coordination between puskesmas and referral hospitals managed by BPJS, the coverage area of referral hospitals in both areas is so wide that they can not accommodate patients service BPJS.

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The Implementation of Clinical Procedures in the Vertical Referral System in a Primary Healthcare Center

Soeripto

2019

JAKI

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Background: A referral system in the era of National Health Insurance starts from first-level primary health facility. The high number of referral in one of primary healthcare centers in Surabaya indicates that the implementation of the vertical referral system has not gone well.Aim: To determine the conformity of the vertical referral system to the clinical procedures at the general outpatient clinics of the the primary healthcare center based on the National Referral System Guidelines.Methods: This study was an observational descriptive study and used implementation research method, which conducted in August 2018. This study was conducted in one of primary healthcare centers in Surabaya. This study used triangulated data, such as the review of reference documents, interviews with referral officers, and direct observation.Results: Out of 7 regulations in the clinical procedures of referral system according to the National Referral System Guidelines, only 2 regulations were not run by the at the general outpatient clinics of the primary healthcare center. For example, patients being referred did not come to the primary healthcare center on their own instead of requesting their family to come. Also, the doctors in the primary healthcare center referred the patients by themselves. However, according to the guidlines, before referring patients, the doctors should contact the referred health facilities.Conclusion: The implementation of clinical procedures in the vertical referral system in the primary healthcare center in Surabaya is broadly in accordance with the existing regulations and guidelines. However, it is necessary to do some improvement. It is recommended that they should re-contact the referral health facility before referring the patients to improve the quality of communication and provide more education to the patients’ family so that they bring the patients to do check-up when the the referral is extended. Keywords: Clinical procedure, Primary healthcare center, Vertical referral system.

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Analisis Kebijakan Regionalisasi Rujukan Terhadap Jumlah Kunjungan Dan Kepuasan Peserta JKN Di Faskes Rujukan Tingkat Lanjutan

Cited by 3 publications

References 0 publications

Implementation of the National Health Insurance Referral System at the Public Health Center in the Pangkajene Kepulauan District in 2019

Implementation of the National Health Insurance Referral System at the Public Health Center in the Pangkajene Kepulauan District in 2019

Layanan Badan Penyelenggara Jaminan Sosial (BPJS) Di Rumah Sakit Milik Pemerintah Provinsi Jawa Timur

The Implementation of Clinical Procedures in the Vertical Referral System in a Primary Healthcare Center

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