THE IMPLEMENTATION OF CLINICAL PROCEDURES IN THE VERTICAL REFERRAL SYSTEM IN A PRIMARY HEALTHCARE CENTER

Nadia Damayanti Soeripto

= http://dx.doi.org/10.20473/jaki.v7i1.2019.73-80
Abstract views = 325 times | views = 109 times

Abstract


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.

 


Full Text:

PDF

References


AlGhamdi, O. M. et al. (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), pp. 1457–1463. doi: 10.5455/ijmsph.2015.19062015302.

Ali, F., Kandou, G. D. and Umboh, J. M.L (2015) ‘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), pp. 221–237. Available at: http://ejournal.unsrat.ac.id/index.php/jikmu/article/view/7439.

Aliu, O. et al. (2014) ‘Specialist participation in healthcare delivery transformation: Influence of patient self-referral’, Teh American Journal of Managed Care, 20(1), pp. 22–26. doi: 10.1103/PhysRevD.44.3935.

BPJS Kesehatan (2016) Ringkasan Eksekutif Laporan Pengelolaan Program Dan Laporan Keuangan Jaminan Sosial Kesehatan Tahun 2016. Jakarta. Available at: https://bpjs-kesehatan.go.id/BPJS/index.php/arsip/detail/951.

Frunză, A. and Sandu, A. (2017) ‘Values grounding teh informed consent in medical practice: theory and practice’, SAGE Open, pp. 1–14. doi: 10.1177/2158244017740397.

Hartveit, M. et al. (2017) ‘Quality indicators for teh referral process from primary to specialised mental health care: an explorative study in accordance wif teh RAND appropriateness method’, BMC Health Services Research. BMC Health Services Research, 17(4), pp. 1–13. doi: 10.1186/s12913-016-1941-1.

Indrianingrum, I. and Handayani, O. W. K. (2017) ‘Input Sistem Rujukan Badan Penyelanggara Jaminan Sosial ( BPJS ) Kesehatan di Fasilitas Kesehatan Tingkat Pertama ( FKTP ) Kabupaten Jepara STIKES Muhammadiyah Kudus , Indonesia Abstrak’, Scientific Journal of Unnes, 2(2), pp. 140–147.

Kamau, K. J., Osuga, B. O. and Njuguna, S. (2017) ‘Challenges Facing Implementation Of Referral System For Quality Health Care Services In Kiambu County, Kenya’, Health Systems and Policy Research, 4(1), pp. 1–8. doi: 10.21767/2254-9137.100067.

Kavosi, Z. and Siavashi, E. (2018) ‘A Study of teh Performance of Referral System in Urban Family Physician Program in Fars Province, Iran’, Journal of Health Management and Informatics, 5(3), pp. 88–95.

Kumar Gupta, A. et al. (2017) ‘Health System Strengthening-Focussing on Referrals: An Analysis from India’, JOJ Nursing & Health Care, 2(4), pp. 1–3. doi: 10.1561/2200000016.

Mas’udin (2017) ‘Identifikasi permasalahan finansial pada jaminan sosial kesehatan nasional’, Info Artha, I(2), pp. 111–119.

Mustofa, A. and Dewi, A. (2017) ‘Analisis Kebijakan Regionalisasi Rujukan Terhadap Jumlah Kunjungan dan Kepuasan Peserta JKN di Faskes Rujukan Tingkat Lanjutan’, Journal of Health Studies, 1(2), pp. 186–193.

Parman, Majid, R. and Lisnawati (2017) ‘Studi Pelaksanaan Sistem Rujukan Rawat Jalan Tingkat Pertama (RJTP) Pada Peserta BPJS Kesehatan Di Puskesmas Perumnas Kota Kendari Tahun 2016’, Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 2(5), pp. 1–6.

Ratnasari, D. (2017) ‘Analisis Pelaksanaan Sistem Rujukan Berjenjang Bagi Peserta JKN di Puskesmas X Kota Surabaya’, Jurnal Administrasi Kesehatan Indonesia, 5(2), pp. 145–154. doi: 10.20473/jaki.v5i2.2017.145-154.

Senitan, M. et al. (2017) ‘Teh referral system between primary and secondary health care in Saudi Arabia for patients wif type 2 diabetes: A systematic review’, Journal of Diabetes Research, 2017, pp. 1–8. doi: 10.1155/2017/4183604.

Skagerström, J. et al. (2017) ‘Patient involvement for improved patient safety: A qualitative study of nurses’ perceptions and experiences’, Nursing Open, 4(4), pp. 230–239. doi: 10.1002/nop2.89.

Utami, A. N. F. and Mutiarin, D. (2017) ‘Evaluasi Program Jaminan Kesehatan Nasional Pada Fasilitas Kesehatan Tingkat I Kabupaten Sleman Tahun 2016’, Journal of Governance and Public Policy, 4(1), pp. 39–70. doi: 10.18196/jgpp.4171.

Vermeir, P. et al. (2015) ‘Communication in healthcare: A narrative review of teh literature and practical recommendations’, International Journal of Clinical Practice, 69(11), pp. 1257–1267. doi: 10.1111/ijcp.12686.

Widiastuti, I. (2017) ‘Pelayanan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di Jawa Barat’, Public Inspiration, 2(2), pp. 91–

Widyaningrum, L., Tamtomo, D. and Suryono, A. (2014) ‘Evaluation on teh Implementation of Regional Mapping Referral System in teh National Health Insurance Primary Care Services in Boyolali, Central Java’, Journal of Health Policy and Management, 1, pp. 95–101. doi: 10.26911/thejhpm.2016.01.02.04.

Winpenny, E. M. et al. (2017) ‘Improving teh effectiveness and efficiency of outpatient services: A scoping review of interventions at teh primary-secondary care interface’, Journal of Health Services Research and Policy, 22(1), pp. 53–64. doi: 10.1177/1355819616648982.

Yandrizal et al. (2014) ‘Analisis ketersediaan fasilitas kesehatan dan pemerataan pelayanan pada pelaksanaan jaminan kesehatan nasional di kota Bengkulu, kebupaten Seluma dan kabupaten Kaur’, Jurnal Kebijakan Kesehatan Indonesia, 3(2), pp. 103–112.


Refbacks

  • There are currently no refbacks.




Web
Analytics

Views JAKI Stats

 

This journal is indexed by:

   

     

And many more...

We follow the ICMJE recommendations and Listed on 

 

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.