Basic Study on the Implementation of Outpatient Referral of BPJS Health Members in the First Health Facility at Makassar
Abstract
The health insurance program in Indonesia shows efforts to continue to be optimized, one of which is through the implementation of a tiered referral system starting from the First Level Health Facility (FKTP). The purpose of this study was to determine the implementation of BPJS Health Outpatient referral at First Level Health Facilities (FKTP) in Makassar City. In this study using a mixed method, the population in this study was 146 people with 60 samples drawn. Quantitative data analysis namely univariate analysis, bivariate analysis and multivariate analysis used in this study is logistic regression analysis. While qualitative data analysis includes organizing / structuring data, conducting coding and categorizing, looking for patterns and research propositions, interpreting data, and evaluating interpretations. The results showed that there was an influence between health human resources on the implementation of outpatient referrals, there was an influence between facility facilities on the implementation of outpatient referrals. There is no influence between the availability of medicines on the implementation of first-degree outpatient referrals for BPJS Health patients at FKTP in the city of Makassar. There is no influence between the understanding of health workers about the tiered referral system and the implementation of first-degree outpatient referrals for BPJS Health patients at FKTP in Makassar city.
Keywords
Full Text:
PDFReferences
Abdullah, F., & Kandou, A.G.D. (2014). Analisis Pelaksanaan Rujukan Rawat Jalan Tingkat Pertama Peserta Program Jaminan Kesehatan Nasional (JKN) di Puskesmas Siko dan Puskesmas Kalumata Kota Ternate Tahun 2014, JIKMU, 5(2), 221-237.
Abrahim, O., Linnander, E., Mohammed, H., Fetene, N., & Bradley, E. (2015). A patient-centered understanding of the referral system in ethiopian primary health care units. PloS one, 10(10), e0139024.
Adisasmito, W. 2014. Sistem Kesehatan. Jakarta: Rajawali Pers.
Alawi, M., Junadi, P., & Latifah, S. N. (2017). Analisis Faktor-Faktor yang Berhubungan dengan Tingginya Rujukan Kasus Non Spesialistik Pasien Jaminan Kesehatan Nasional pada Puskesmas di Kabupaten Sukabumi Tahun 2015. Jurnal Ekonomi Kesehatan Indonesia, 2(1).
AlGhamdi, O. M., Al-Malki, B. M., Nahhas, A. E., & Al-Malki, A. D. (2015). Rate of referral from primary health care to secondary health care among governmental hospitals in Taif governorate, KSA. International Journal of Medical Science and Public Health, 4(10), 1457-1464.
Caesaria, R., Sulistiadi, W., Lestari, A. D., & Murtafia, F. (2018). Policy Analysis toward the Effectiveness of Implementation of a Referral Program on Indonesia Social Health Insurance: Lessons Learned from Depok City Hospital in Indonesia. KnE Life Sciences, 4(1), 222-228.
Creswell, J.W. (2013). Research Design, Pendekatan Kualitatif, Kuantitatif, dan Mixed (Ketiga). California.SAGE.
Doaly, G., Kandou, G. D., & Abeng, T. D. (2018). Analisis Pelaksanaan Sistem Rujukan Pasien di Rumah Sakit Umum Daerah (RSUD) Dr. Sam Ratulangi Tondano Kabupaten Minahasa. Community Health, 2(5).
Dosi, N. P., Suhadi, S., & Lisnawaty, L. (2019). Studi Pelaksanaan Sistem Rujukan Berjenjang Di Rumah Sakit Bahteramas Tahun 2018. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 3(3).
Faulina, A. C., Khoiri, A., & Herawati, Y. T. (2017). Kajian Pelaksanaan Sistem Rujukan Berjenjang dalam Program Jaminan Kesehatan Nasional (JKN) di UPT. Pelayanan Kesehatan Universitas Jember. IKESMA, 12(2).
Hermiyanty, H., Wandira, B. A., & Nelianti, F. (2019). Implementasi Rujukan Pasien Jaminan Kesehatan Nasional (JKN) Badan Penyelenggara Jaminan Sosial (Bpjs) Di Puskesmas Singgani Kecamatan Palu Timur Kota Palu. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 5(1), 32-38.
Ispandiyah, W., & Endartiwi, S. S. (2019). Pelaksanaan Kebijakan Rujukan Berjenjang Bagi Peserta BPJS Kesehatan. Wawasan Kesehatan: Jurnal Ilmiah Ilmu Kesehatan, 5(1).
Maidin, A., & Palutturi, S. (2016). Kajian Implementasi Jaminan Kesehatan Nasional Lintas Provinsi (Sulawesi Selatan, Sulawesi Tenggara, Sulawesi Barat) Tahun 2014. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 5(3), 96-100.
Majid, R., & Lisnawaty, L. (2017). Studi Pelaksanaan Sistem Rujukan Rawat Jalan Tingkat Pertama (Rjtp) Padapeserta Bpjs Kesehatan di Puskesmas Perumnas Kota Kendari Tahun 2016. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 2(5).
Mutia, D. (2015). Analisis Pelaksanaan Rujukan Peserta Jaminan Kesehatan Nasional (JKN) Pada Puskesmas Susoh dan Puskesmas Blangpidie di Kabupaten Aceh Barat Daya. Master's thesis.
Nazriati, E., Iskandar, S., & Rinawan, F. (2017). Evaluasi pelatihan dokter puskesmas sebagai upaya peningkatan pengetahuan tentang rujukan penyakit non-spesialistik di Pekanbaru. Majalah Kedokteran Andalas, 40(2), 71-81.
Primasari, K. L. (2015). Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD. Dr. Adjidarmo Kabupaten Lebak. Jurnal Administrasi Rumah Sakit Indonesia, 1(2).
Purwati, E. I. I., Nuryadi, N., & Herawati, Y. T. (2017). Pengambilan Keputusan dalam Pelaksanaan Rujukan Puskesmas sebagai Fasilitas Kesehatan Tingkat Pertama (Decision Making in the Refferal Implementation at Public Health Center as First Level Health Facility). Pustaka Kesehatan, 5(2), 231-238.
Senitan, M., Alhaiti, A., Gillespie, J., Alotaibi, B., & Lenon, G. (2017). The referral system between primary and secondary health care in Saudi Arabia for atients with Type 2 Diabetes: A Systematic Review. Journal of Diabetes Research, 2017, 1-8.
Soeripto, N. D. (2019). The Implementation of Clinical Procedures In The Vertical Referral System In A Primary Healthcare Center. Jurnal Administrasi Kesehatan Indonesia, 7(1), 73-80.
Taher, A. (2013). Kesiapan Implementasi JKN dan peran Fakultas Kedokteran dalam Penyediaan Dokter Layanan Primer. Materi Seminar Kesiapan Implementasi JKN di Provinsi Jawa Barat Bandung, 21 Desember 2013. Direktorat Jenderal Bina Upaya Kesehatan Kementrian Kesehatan Republik Indonesia.
Umami, L.S., Soeharto, B.P., & Wulandari, D.R. (2017). Analisis Pelaksanaan Rujukan Rawat Jalan Tingkat Pertama Peserta BPJS di Puskesmas. Jurnal Kedokteran Undip, 6(2).
Wahyuddin, M. (2017). Faktor yang Mempengaruhi Peningkatan Rujukan Pasien Rawat Jalan Peserta BPJS Kesehatan di Wilayah Puskesmas Kota Poso Tahun 2017. Makassar: Tesis. Program Magister Administrasi Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Hasanuddin.
DOI: http://dx.doi.org/10.18415/ijmmu.v6i5.1175
Refbacks
- There are currently no refbacks.
Copyright (c) 2019 International Journal of Multicultural and Multireligious Understanding
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
https://ijmmu.com
editor@ijmmu.com
facebook.com/ijmmu
Copyright © 2014-2018 IJMMU. All rights reserved.