Relationship of Doctor Ratio with Non-Specialistic Referrals Status in Social Security Agency on Health, Pamekasan

Zetiawan Trisno, Wardatul Raihan, Qorinatus Zahroh

Abstract


Increased access to health services after universal health coverage has not been matched by the fulfillment of the ratio of doctors will disrupt the resilience of national health insurance. The role of doctors in first-level health facilities as health service providers and referral screeners (gate keepers). This gap in the ratio of doctors can lead to high rates of non-specialistic referrals. This study aims to analyze the relationship between the ratio of doctors to Non-Specialistic Referrals (RNS) at BPJS Kesehatan Pamekasan Branch Office. The research method used was quantitative with an observational analytic approach using cross sectional and secondary data derived from all Status in Social Security Agency on Health, Pamekasan and Sumenep districts, and analyzed with the chi-square test (α=0.05). The results of this study indicate the existence of a doctor's ratio on the status of non-specialistic referrals, namely there is a relationship with a p-value of 0.001<0.05; OR=2.381 CI= 1.099-3.574. The conclusion of this study shows that there is a relationship between the ratio of doctors to the status of non-specialistic referrals. Local governments are expected to develop strategies to fulfill the ratio of doctors, especially in first-level facilities to achieve quality and standardized health services

Keywords


doctor ratio; non-specialistic referrals; Social Security Agency on Health of Pamekasan

Full Text:

PDF

References


DAFTAR RUJUKAN

Peraturan Presiden RI Nomor 18 Tahun 2020, “Rencana Pembangunan Jangka Menengah Nasional,” Peratur. Pres. Republik Indones. Nomor 18 Tahun 2020, pp. 2020–2024, 2020.

D. Ratnasari, “Analisis Pelaksanaan Sistem Rujukan Berjenjang Bagi Peserta JKN di Puskesmas X Kota Surabaya,” J. Adm. Kesehat. Indones., vol. 5, no. 2, p. 145, 2018, doi: 10.20473/jaki.v5i2.2017.145-154.

Who, “Improving health systems and services for mental health,” World Health, p. 112, 2009, [Online]. Available: http://www.who.int/mental_health/policy/services/mhsystems/en/index.html

BPJS Kesehatan, Roso Telo Dadi Duren. BPJS Kesehatan, 2024.

2WHO and World Bank, Tracking Universal Health Coverage: 2021 Global Monitoring Report. 2021. [Online]. Available: https://www.who.int/publications/i/item/9789240040618%0Ahttps://openknowledge.worldbank.org/handle/10986/36724%0Ahttp//:www.who.int/about/licensing/copyright_form/en/index.html

R. R. Ruslang and Diah Ayu Puspandari, “Korelasi Disparitas Tenaga Kesehatan Puskesmas Terhadap Pelayanan Kesehatan Primer Peserta Jaminan Kesehatan Nasional Kabupaten Poso,” J. Jaminan Kesehat. Nas., vol. 3, no. 2, pp. 121–133, 2023, doi: 10.53756/jjkn.v3i2.162.

H. Syapitri, Amila, and J. Aritonang, Metodologi Penelitian Kesehatan. 2021.

Self Service Business Intelligence (SSBI) BPJS Kesehatan, “Standar Evaluasi Minimal Utilization Review Rujukan Area Kantor Kabupaten Kota (Cabang) 2023.” 2022. [Online]. Available: https://bi.bpjs-kesehatan.go.id/

W. O. S. Asma, Y. Sartika, N. E. Benly, and F. Kurniawan, “Analysis of Factors that Influence the High Reference Rate in the Health Center in the Era of National Health Insurance,” Int. J. Pap. Adv. Sci. Rev., vol. 3, no. 2, pp. 35–46, 2022, doi: 10.47667/ijpasr.v3i2.179.

L. Trisnantoro et al., “Draft Working Paper Evaluasi 8 Sasaran Peta Jalan JKN dengan Pendekatan Realist Evaluation 2018 Draft : Working Paper,” 2018, [Online]. Available: https://www.ksi-indonesia.org/old/document/material/Riset-Kebijakan-JKN-Realist-Rev.pdf

World Health Organization, “Global strategy on human resources for health: Workforce 2030,” Who, p. 64, 2016, [Online]. Available: https://www.who.int/hrh/resources/global_strategy_workforce2030_14_print.pdf?ua=1

R. D. Wulandari and A. D. Laksono, “Urban-Rural Disparity: the Utilization of Primary Healthcare Centers Among Elderly in East Java, Indonesia,” Indones. J. Heal. Adm., vol. 7, no. 2, pp. 147–154, 2019, doi: 10.20473/jaki.v7i2.2019.147-154.

V. Tangcharoensathien, A. Mills, and T. Palu, “Accelerating health equity: The key role of universal health coverage in the Sustainable Development Goals,” BMC Med., vol. 13, no. 1, pp. 1–5, 2015, doi: 10.1186/s12916-015-0342-3.

R. D. Wulandari, S. Supriyanto, B. Qomaruddin, and A. D. Laksono, “Socioeconomic disparities in hospital utilization among elderly people in Indonesia,” Indian J. Public Heal. Res. Dev., vol. 10, no. 11, pp. 2192–2196, 2019, doi: 10.5958/0976-5506.2019.03885.3.

S. N. Ramadhani, “Analysis of Factors Causing High Referral Rates at Primary Health Center in the JKN Era: A Literature Review,” Media Gizi Kesmas, vol. 9, no. 2, p. 57, 2020, doi: 10.20473/mgk.v9i2.2020.57-66.

Suharmiati, A. D. Laksono, and W. D. Astuti, “Review Kebijakan Tentang Pelayanan Kesehatan Puskesmas di Daerah Terpencil Perbatasan,” Bul. Penelit. Sist. Kesehat., vol. 16, no. 2, pp. 109–116, 2013, [Online]. Available: https://www.researchgate.net/profile/Agung-Laksono-2/publication/315935222_REVIEW_KEBIJAKAN_TENTANG_PELAYANAN_KESEHATAN_PUSKESMAS_DI_DAERAH_TERPENCIL_PERBATASAN_Policy_Review_on_Health_Services_in_Primary_Health_Center_in_the_Border_and_Remote_Area/links/

M. Alameddine, H. Khodr, Y. Mourad, R. Yassoub, and J. Abi Ramia, “Upscaling the recruitment and retention of human resources for health at primary healthcare centres in Lebanon: A qualitative study,” Heal. Soc. Care Community, vol. 24, no. 3, pp. 353–362, 2016, doi: 10.1111/hsc.12210.

M. P. Bertone, G. Lurton, and P. B. Mutombo, “Investigating the remuneration of health workers in the DR Congo: Implications for the health workforce and the health system in a fragile setting,” Health Policy Plan., vol. 31, no. 9, pp. 1143–1151, 2016, doi: 10.1093/heapol/czv131.

A. Honda et al., “For more than money: Willingness of health professionals to stay in remote Senegal,” Hum. Resour. Health, vol. 17, no. 1, pp. 1–11, 2019, doi: 10.1186/s12960-019-0363-7.

W. Mashange et al., “Flexibility of deployment: Challenges and policy options for retaining health workers during crisis in Zimbabwe,” Hum. Resour. Health, vol. 17, no. 1, pp. 1–9, 2019, doi: 10.1186/s12960-019-0369-1.

A. D. Laksono, I. A. Ridlo, and Ernawaty, “Distribution Analysis of Doctors in Indonesia,” Indones. J. Heal. Adm., vol. 8, no. 1, pp. 29–39, 2020, doi: 10.20473/jaki.v8i1.2020.29-39.

R. Fadila and A. F. Purnomo, “Analisis Faktor Penyebab Tingginya Rasio Rujukan Non Spesialistik Puskesmas Rawat Inap,” J. Kesehat. Komunitas, vol. 7, no. 2, pp. 144–149, 2021.

Peraturan Menteri Kesehatan RI No 43 tahun 2019, “Peraturan Menteri Kesehatan RI No 43 tahun 2019 tentang Puskesmas,” Peratur. Menteri Kesehat. RI No 43 tahun 2019 tentang Puskesmas, vol. Nomor 65, no. 879, pp. 2004–2006, 2019.

I. N. G. Semarajana, “Faktor-Faktor Yang Berhubungan Dengan Tingginya Rujukan Kasus Non Spesialistik Oleh Fasilitas Kesehatan Tingkat Pertama Di Era Jaminan Kesehatan Nasional: Systematic Review,” J. Adm. Rumah Sakit Indones., vol. 8, no. 3, 2022, doi: 10.7454/arsi.v8i3.3486.

R. S. Ode Arli, R. F. Syamsu, and A. Makmun, “Faktor Penyebab Tingginya Angka Rujukan Di Fasilitas Kesehatan Tingkat Pertama Pada Era Jkn: Literature Review,” Prepotif J. Kesehat. Masy., vol. 7, no. 3, pp. 16594–16611, 2023, doi: 10.31004/prepotif.v7i3.20704.

N. Sarina, A. R. Amelia, and W. Hamzah, “Analisis Rujukan Penyakit Non Spesialistik Ke Fasilitas Kesehatan Tingkat Lanjut Pada Puskesmas di Kabupaten Polewali Mandar,” Download.Garuda.Kemdikbud.Go.Id, vol. 2, no. 2, pp. 64–72, 2021, [Online]. Available: http://download.garuda.kemdikbud.go.id/article.php?article=2548028&val=23985&title=Work Fatigue Analysis on Gas Station Operators

T. C. Pertiwi and M. Basabih, “an Analysis on Non-Specialist Outpatient Referrals At Beji and Depok Jaya Health Centers in 2018,” J. Indones. Heal. Policy Adm., vol. 3, no. 2, 2018, doi: 10.7454/ihpa.v3i2.2473.




DOI: https://doi.org/10.35308/j-kesmas.v11i2.10565

Refbacks

  • There are currently no refbacks.


Managed by Fakultas Kesehatan Masyarakat

Published by Universitas Teuku Umar
Website: http://jurnal.utu.ac.id/jkesmas
Email: jkemas@utu.ac.id

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