ANALISIS DAMPAK KEBIJAKAN PROGRAM RUJUKAN ONLINE BERJENJANG BPJS TERHADAP PELAYANAN RAWAT JALAN DI POLI PENYAKIT DALAM RSUD DELI SERDANG TAHUN 2019
Abstract
The era of National Health Security (NHS) enacted tiered referral system start in first level health services, then the hospital type D, type C, type B and type A. Community complaints and a significant decrease in the number of patients in type B hospital especially in outpatient services, the occurrence of patient accumulation and long queues in hospital type C, this indicates that the implementation of this tiered referral system policy program has not run well. The purpose of this study was to look at the impact of the implementation of this tiered referral program policy on outpatient care in poly Internal medicine at the Regional General hospital Deli Serdang Lubuk Pakam. This research is a qualitative research with a prosfective case study approach and uses a fixed case design. This study triangulation to obtain in-depth information on document from SIMRS data, in-depth interviews, Focus Group Discussion (FGD), direct observation in the field without intervention. This reseach was carried out at the Regional General Hospital Deli Serdang Lubuk Pakam , start from January until April 2019. The result of the study show that the implementation of the program has been carried out in accordance with the regulation of Director of Health Service No. 4 of 2014 regarding the referral system for health services carried out in stages. But there were several impacts from the implemention of the program, namely there was a decrease in the number of patient visits, patients cannot get the doctor’s service they want, patients service time is long because the patient must go through several referral procedur first. Recommendation for BPJS as The National Health Insurance Organizing Body to evaluate and improve existing regulations. If it is necessary to make new regulations so that people do not feel like they are being complicated to get services. Recommendation for the hospital to provide better facilities, both facilities and infrastructure, more competent medical personnel and paramedics.
References
Endraswara, suwardi, 2012.
Metodologi Penelitian Kebudayaan, Yogyakarta : Gajah Mada University Press.
Gunawan Kecamatan Sesayap Kabupaten Tana Tidung , Jurnal Ilmu Pemerintahan Vol. 2 (1), No. 1925-1936 ISSN
2338-3615.
Hariati, H. (2021). Decreasing Of Pain Scale Through Warm Compress Among Elderly With Rheumatoid Arthritis. Jurnal Penelitian Keperawatan Medik, 3(2), 1-6.
Hariati, H., Suza, D. E., & Tarigan,
R. (2019). Faktor Resiko Infeksi Saluran Kemih Akibat Penggunaan Kateter. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 9(4), 401-406.
Hasfika, I., Erawati, S., & Sitorus,
F. E. (2020). Pengaruh Senam Prolanis Terhadap Pengendalian Kadar Glukosa Darah dan Tekanan Darah Pada Pasien Diabetes Melitus Tipe II dan Hipertensi. BEST Journal (Biology Education,
Sains and Technology), 3(2), 184-190.
Konlin, Steven. 2014. Pelayanan Kesehatan Masyarakat di Puskesmas Desa
Manalu, S. M. H., Lubis, F. H., Sitorus, F. E., & Butarbutar, A.
F. (2020). Test the Effectiveness of Durian Skin Briquettes in Reducing Zinc Content (Zn) in Well Water.
Marlina, S., Silalahi, N., Insani, S. D., Tarigan, H. N., & Sitorus,
F. E. (2020). HUBUNGAN STATUS AKREDITASI PUSKESMAS DENGAN MUTU PELAYANAN DI KABUPATEN SIMALUNGUN. Jurnal Penelitian Keperawatan Medik, 2(2), 45-53.
Marlina, S., Silalahi, N., Insani, S. D., Tarigan, H. N., & Sitorus,
F. E. (2020). The Effects of Simple Inhalation using Mint (Mentha Piperita) Aromatherapy on Decreased Shortness of Breath in Lung Tuberculosis Patients.
Mulyana, Dedy, dan Solatun, 2007, Metodologi Penelitian Kualitatif, Paradigma Baru IlmuKomunikasi dan Ilmu Sosial Lainnya. Bandung : PT. Remaja Rosdakarya.
Muninjaya, A. A. Gde. 2004, Manajemen Kesehatan Edisi 2: EGC .
Nasution, S. S., Erniyati, E., & Hariati, H. (2019). Effectiveness of Health Education in Increasing Knowledge and Attitude
Towards Free Sex in Medan. Jurnal Keperawatan Soedirman, 14(2).
Notoatmodjo , Soekidjo , 2000. Metodologi Penelitian Kesehatan Catatan Kedua , Jakarta : Rineka Cipta.
Notoatmodjo , Soekidjo , 2003. Prinsip – Prinsip Dasar Ilmu Kesehatan Masyarakat , Jakarta : Rineka Cipta
Notoatmodjo , Soekidjo , 2007. Kesehatan Masyarakat Ilmu dan Seni , Jakarta : Rineka Cipta 179.
Peraturan BPJS Nomor 1 Tahun 2014 “Tentang
Penyelenggaraan Jaminan Kesehatan.”
Peraturan Direktur Jaminan Pelayanan Kesehatan (Perdirjampelkes) Nomor 4 Tahun 2014 tentang sistem rujukan pelayanan kesehatan dilaksanakan secara berjenjang.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 001 Tahun 2012 .tentang Sistem Rujukan Pelayanan Kesehatan Perorangan.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 340/Menkes/Per/III/2010 Tentang Klasifikasi Rumah Sakit.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 Tahun 2013 Tentang Pelayanan Kesehatan Pada Jaminan Kesehatan Nasional.
Purba, B. B., & Sitorus, F. E. PENGARUH DETERMINAN SISTEM INFORMASI TERHADAP KUALITAS DATA DOTS PROGRAM DI PUSKESMAS KABUPATEN DELI SERDANG.
Sembiring, A., Sitorus, F. E., & Butar-Butar, R. A. (2020). HUBUNGAN PERILAKU HIDUP BERSIH DAN SEHAT DALAM TATANAN RUMAH TANGGA DENGAN KEJADIAN
DIARE. Jurnal Penelitian Keperawatan Medik, 2(2), 39-
44.
SIHOMBING, R. J., MANALU, E. D., & SITORUS, F. E. (2020). THE INFLUENCE OF
CHARACTERISTICS AND SOURCES OF INFORMATION ON PREMARITAL SEXUAL BEHAVIOR IN STUDENTS IN THE NURSING ACADEMY FROM
MEDAN IN 2019. Jurnal Ilmiah Maksitek, 5(2), 177-184.
Sitorus, F. E. (2020). Hubungan Penerapan Manajemen Dengan Kinerja Petugas
Kesehatan. BEST Journal (Biology Education, Sains and Technology), 3(2), 167-175.
Sitorus, F. E. (2020). PENGARUH AIR REBUSAN DAUN KEMANG PENGARUH AIR REBUSAN DAUN KEMANGI (Ocinum
basilicum) TERHADAP KADAR ASAM URAT DARAH PADA PENDERITA
HIPERURISEMIA. Jurnal
Penelitian Keperawatan Medik, 3(1), 38-43.
Sitorus, F. E., & Barus, D. T. (2018). Hubungan koping stres dengan kepatuhan minum obat pada penderita tuberkulosis paru. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 1(1), 1-6.
Sitorus, F. E., & Purba, B. B. (2019). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN TINDAKAN SECTIO CAESAREA TANPA INDIKASI DI RSU SEMBIRING DELITUA. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 1(2), 42-
47.
Sitorus, F. E., & Purba, B. B. (2019). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN TINDAKAN SECTIO CAESAREA TANPA INDIKASI DI RSU SEMBIRING DELITUA. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 1(2), 42-
47
Sitorus, F. E., Girsang, R., Zuliawati, Z., & Nasution, W. (2020). PENGARUH PENDIDIKAN KESEHATAN DENGAN METODE AUDIO VISUAL TERHADAP PENGETAHUAN
PERTOLONGAN PERTAMA PADA SISWA YANG MENGALAMI SINKOP. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 2(2),
147-152.
Sitorus, F., & Wati, E. (2019). PENGARUH KOMPRES ALOE VERA TERHADAP FLEBITIS AKIBAT PEMASANGAN INFUS (IV LINE). JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 2(1), 74-
81.
https://doi.org/10.35451/jkf. v2i1.265
UU Nomor 40 Tahun 2004, tentang Sistem Jaminan Sosial Nasional (SJSN) di bidang kesehatan dengan konsep Universal Health Coverage (UHC).
Yin, Robert K. 1994. Case Study research. Thousand oaks, London, New Delhi : SAGE Publications.
