EVALUASI PELAKSANAAN SISTEM RUJUKAN RAWAT JALAN NON-SPESIALISTIK BAGI PESERTA BPJS DI PUSKESMAS RAMBAH HILIR I KABUPATEN ROKAN HULU

https://doi.org/10.35907/bgjk.v11i2.143

Authors

  • Jihan Natassa Program Studi Teknik Gigi STIKes Hang Tuah Pekanbaru
  • Ummil Munawaroh Kesehatan

Keywords:

Evaluation, Human Resources, Facilities and infrastructure, drugs, reference

Abstract

Referral health is changing authority and responsibilities in reciprocal , both horizontal and vertical synchronization and structural and functional on the disease or problem. Based on data obtained from Health Sosial Security Organizer that the number of non-specialist outpatient referrals for sosial Security administrator participants in the Public Health Center Reaching Downstream I falls into the unsafe zone. This is because the number of referrals exceeds the predetermined target, which is 5.95% while the achievement target is 5%. This will affect the performance and service of the Puskesmas itself. The purpose of this study was to find out how the evaluation of the implementation of the Sosial Security Administrator program, especially in the non-specialist outpatient referral system for BPJS participants in the Public Health Center of Rambah Hilir I in Rokan Hulu Regency in 2018. The results of the study found that the availability of human resources is still lacking and not evenly distributed, the facilities and infrastructure are still incomplete, medicines are still not available, the outpatient referral is in accordance with the referral flow but there are still many references from the patient's own request. Follow-up has been done by the Public Health Center in the form of socialization to across sectors and communities. The conclusion of this study is that the availability of human resources, infrastructure and medicines at the Public Health Center is downstream I not in accordance with Minister of Health Regulation Number 75 of 2014 concerning Public Health Center, there are still many that need to be equipped and provided at Public Health Center of Rambah Hilir I. Regarding the implementation of outpatient referral systems for BPJS participants at the Public Health Center of Rambah Hilir I are in accordance with the set path, but because of the many referrals originating from the patient's own request resulting in a high number of referrals at the Public Health Center of Rambah Hilir I.

 

Bibliography   :  22 (2014-2017)

Keywords        :  Evaluation, Human Resources, Facilities and infrastructure, drugs, reference

Downloads

Download data is not yet available.

References

Ayuningtyas Dumilah, (2015). Kebijakan Kesehatan. Jakarta: Rajawali Pers
BPJS Kesehatan. (2014). Dana Kapitasi BPJS Kesehatan.
BPJS Kesehatan. Panduan Praktis Sistem Rujukan Berjenjang.
Budiono Agus. Evaluasi Implementasi Pelayanan Jaminan Kesehatan Nasional Pada Balai Kesehatan Paru Masyarakat (BKPM) Wilayah Semarang Terikat Kerja Sama dengan Badan Penyelenggara Jaminan Sosial (BPJS Kesehatan). Jurnal Manajemen Kesehatan Indonesia Vol.04 No.01. (2016). Fakultas Kesehatan Masyarakat Universitas Diponegoro.
Hastuti Permata R, dkk. (2016). Asuransi Konvensional Syariah dan BPJS. Yogyakarta: Parama Publishing.
Indrianingrum Irawati, dkk. Input System Rujukan Badan Penyelenggara Jaminan Social (BPJS) Kesehatan Fasilitas Kesehatan Tingkat Pertama (FKTP) Kabupaten Jepara Vol 2 No. 2 (2017). STIKes Muhammadiyah Universitas Negeri Semarang
Kementerian Kesehatan Republik Indonesia. (2015). Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional (JKN) dalam Sistem Jaminan SosialNasional.
Kurnia Roni. (2018). Penerapan KBK pada FKTP JKN. Jakarta: BPJS Kesehatan.
Notoatmodjo Soekidjo. (2012). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 10 Tahun 2017 Tentang Petunjuk Operasional Penggunaan Dana Alokasi Khusus Fisik Bidang kesehatan Tahun Anggaran 2017.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014 Tentang Pusat Kesehatan Masyarakat.
Peraturan Bersama Sekretaris Jenderal Kementerian Kesehatan Republik Indonesia dan Direktur Utama Badan Penyelenggara Jaminan Sosial Kesehatan Nomor HK.01.08/ III/ 980/ 2017 Nomor 2 tahun 2017 tentang Petunjuk Teknis Pelaksananaan Pembayaran Kapitasi Pemenuhan Komitmen Pelayanan pada Fasilitas Kesehatan Tingkat Pertama.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 Tahun 2013 Tentang Pelayanan Kesehatan Pada Jaminan Kesehatan Nasional.
Simatur Zulfa R, dkk. (2014). Panduan Resmi Memperoleh Jaminan Kesehatan dari BPJS. Jakarta: Visimedia
Stikes Hangtuah. (2018). Panduan Skripsi. Pekanbaru: Program Studi Ilmu Kesehatan Masyarakat.
Suprianto Arip. Evaluasi Pelaksanaan Jaminan Kesehatan Nasional. Journal of Government and Public Policy Vol.4 No.1. (2017). Magister Ilmu Pemerintahan Universitas Muhammadiyah Yogyakarta.
Tristanto Yudhapura. Kebijakan Sistem Rujukan Dalam Rangka Menyongsong Jaminan Kesehatan Nasional. Jakarta: RS Pendidikan BUKR Kementerian Kesehatan.
Umami Shafiatul L, dkk. Analisis Pelaksanaan Rujukan Rawat Jalan Tingkat Pertama Peserta BPJS Kesehatan Di Puskesmas Vol 6 No.2 (2017). Fakultas Kedokteran Universitas Diponegoro.

Published

2020-03-17

How to Cite

1.
Natassa J, Ummil Munawaroh. EVALUASI PELAKSANAAN SISTEM RUJUKAN RAWAT JALAN NON-SPESIALISTIK BAGI PESERTA BPJS DI PUSKESMAS RAMBAH HILIR I KABUPATEN ROKAN HULU. BIGES JUKES [Internet]. 2020 Mar. 17 [cited 2024 Mar. 29];11(2):67-7. Available from: https://ejurnal.biges.ac.id/kesehatan/article/view/143