ANALYSIS IMPLEMENTATION OF BACK REFERRAL PROGRAM DIABETES MELLITUS AND HYPERTENSION IN HOSPITAL X, JAKARTA

Riza Ambari, Mieke Savitri

Abstract

Background: Since morbidity rate of Diabetes Mellitus and Hypertension in Indonesia increased, the number of referral in hospital automatically high. National Health Insurance and hospital burden also increase if the Back- Referral Program (BRP) has not been implemented yet. The impact of the ineffectiveness of Back-Referral Program also felt by Hospital "X" in Jakarta. This study aims to analyze the effectiveness implementation of Back-Referral Program (BRP) Diabetes Mellitus and Hypertension in Hospital "X".

Methods: This research was conducted in Hospital "X" of East Jakarta by using Qualitative Method. The informant are considered influential with Back-Referral Program (BRP) in Hospital "X" , consisting of Head of Medical Service Section, Internist Doctors, Nurses in internist station, Diabetes mellitus and Hypertension patients in Hospital “X”, Doctor’s in first health facility (FKTP) , BPJS pharmacy partner and Head of Health Services Primary Management Unit (MPKP) BPJS East Jakarta.

Results: This study found an indication of medicine shortage in first health facility (FKTP). Lack of communication and coordination between BPJS, Hospitals, FKTP and BPJS pharmacy partner, and also less of monitoring and evaluation of Back-Referral Program (BRP) in hospital.
Conclusions: Since Back-Referral Program (BRP) has not been implemented yet in Hospital “X” will induce long queue in internist station and caused the internist cannot examine and verify patients with properly. 

Full Text:

PDF

References

Nasrul Effendy, Dasar-Dasar Kesehatan Masyarakat.Jakarta:Penerbit Buku Kedokteran EGC,1998

Undang-Undang Republik Indonesia No. 40 tahun 2004 tentang Sistem Jaminan Sosial Nasional, Jakarta, 2004

Undang-Undang Republik Indonesia No. 24 tahun 2011 tentang Badan Penyelenggara Jaminan Sosial, Jakarta, 2011

Kemenkes RI. Permenkes RI No 71 Tahun 2013 Tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional.Jakarta:

Depkes RI, 2013

Badan Perencanaan Pembangunan Nasional. Rencana Pembangunan Jangka Panjang 2005-2025. Jakarta: Badan Perencanaan Pembangunan Nasional, 2009

Atun, R & et.al,. Universal Health Coverage in Turkey : Enchancement of Equity, The Lancet; 2013 Vol. 382 (2013), 65-99

Peraturan Menteri Kesehatan Nomor 28 tahun 2014 Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan

Nasional.2014

BPJS Kesehatan. Info BPJS Kesehatan Edisi XI, BPJS Kesehatan, Jakarta, hlm. 7, 2014

American Diabetes Association, 2010, Diagnosis and Classification of Diabêtes Mellitus. Diabetes Care : 33(1): 562 -9.

Sujaya, I Nyoman. Pola Konsumsi Makanan Tradisional Bali Sebagai Faktor Risiko Diabetes Melitus Tipe 2 di Tabanan.

Jurnal Skala Husada; 2009 .6(1) :

McMillan, James H, & Sally Schumacher. Research in Education. New Jersey: Pearson. 2003

Strauss, Ansem dan Juliet Corbin. Dasar-Dasar Penelitian Kualitatif, Tata Langkah, dan Teknik-Teknik Teorisasi Data .

Yogyakarta: Pustaka Pelajar, 2003

Badan Penyelenggara Jaminan Kesehatan. Potensi Peserta PRB diolah dari data Kunjungan RJTL. Jakarta Timur, 2017

Refbacks

  • There are currently no refbacks.