ANALYSIS OF THE IMPLEMENTATION OF THE SOCIAL SECURITY ADMINISTERING AGENCY'S (BPJS) PATIENT REFERRAL SYSTEM AT PIDIE DISTRICT HEALTH CENTER.

Abstract

Background: The referral system is still a problem in the health sector and its implementation is still not in accordance with existing regulations. This can be seen from the still high number of referrals at community health centres. There are several things that cause the referral rate to remain high, such as a lack of understanding by health workers regarding the vertical referral system and horizontal referral system. Many patients also lack information about referrals, which results in these patients tending to prefer to receive secondary services. Objective: To find out how to implement the Health Insurance Administering Agency (BPJS) patient referral system at the Pidie Regency health centre. Research Method: This research is qualitative research. As for There were 12 informants related to the implementation of the referral system determined in this research. Results: The referral implementation that has been carried out at 3 community health centres in the Aceh Pidie area is a tiered referral from the community health centre to the hospital with a choice of hospitals according to the needs of the patient's medical condition and the hospital contained in the P Care application. Obstacles faced by community health centres in implementing the referral system include requests for referrals by patients and the referral process not yet running optimally from specialist doctors on duty at the hospital. Suggestion: Researchers suggest that the head of the community health centre should carry out monitoring and evaluation every month to be able to take intervention measures in an effort to provide training for the P Care application staff at the health centre and supporting community health centres so that the P Care application data input will be controlled every month in inputting patient visit data so that the ratio can be achieved. referrals as expected, namely 15% every month.