scholarly journals EVALUASI PELAKSANAAN SISTEM RUJUKAN RAWAT JALAN NON-SPESIALISTIK BAGI PESERTA BPJS DI PUSKESMAS RAMBAH HILIR I KABUPATEN ROKAN HULU

2020 ◽  
Vol 11 (2) ◽  
pp. 67-77
Author(s):  
Jihan Natassa ◽  
Ummil Munawaroh

Referral health is changing authority and responsibilities in reciprocal , both horizontal and vertical synchronization and structural and functional on the disease or problem. Based on data obtained from Health Sosial Security Organizer that the number of non-specialist outpatient referrals for sosial Security administrator participants in the Public Health Center Reaching Downstream I falls into the unsafe zone. This is because the number of referrals exceeds the predetermined target, which is 5.95% while the achievement target is 5%. This will affect the performance and service of the Puskesmas itself. The purpose of this study was to find out how the evaluation of the implementation of the Sosial Security Administrator program, especially in the non-specialist outpatient referral system for BPJS participants in the Public Health Center of Rambah Hilir I in Rokan Hulu Regency in 2018. The results of the study found that the availability of human resources is still lacking and not evenly distributed, the facilities and infrastructure are still incomplete, medicines are still not available, the outpatient referral is in accordance with the referral flow but there are still many references from the patient's own request. Follow-up has been done by the Public Health Center in the form of socialization to across sectors and communities. The conclusion of this study is that the availability of human resources, infrastructure and medicines at the Public Health Center is downstream I not in accordance with Minister of Health Regulation Number 75 of 2014 concerning Public Health Center, there are still many that need to be equipped and provided at Public Health Center of Rambah Hilir I. Regarding the implementation of outpatient referral systems for BPJS participants at the Public Health Center of Rambah Hilir I are in accordance with the set path, but because of the many referrals originating from the patient's own request resulting in a high number of referrals at the Public Health Center of Rambah Hilir I.   Bibliography   :  22 (2014-2017) Keywords        :  Evaluation, Human Resources, Facilities and infrastructure, drugs, reference

Author(s):  
Ria Hartaty ◽  
Sri Lestari Ramadhani Nasution ◽  
Ali Napiah Nasution ◽  
Ermi Girsang

This study aims to determine the factors that influence BPJS users of the Tiered Referral System in the Work Area of Pokenjior Health Center, Padangsidimpuan City. This research is an analytical research type with explanatory research type. The populations in this study were all BPJS users or patients undergoing health services at the Pokenjior Public Health Center in Padang Sidempuan City with a sample of 98 patients participating in the Health BPJS. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was an influence of BPJS user knowledge (p = 0.007), officer attitudes (p = 0.003), availability of infrastructure and human resources (p = 0.002), and referral information (p = 0.003) to the tiered referral system at Pokenjior Public Health Center. The results of multivariate analysis and modeling show that BPJS user knowledge, availability of infrastructure, and human resources and referral information are the dominant factors influencing the tiered referral system. Thus it was concluded that the knowledge factor of BPJS users, the availability of infrastructure and human resources as well as the referral information had a significant effect on the tiered referral system in Pokenjior Public Health Center, and the availability of infrastructure and human resources was the biggest or most dominant factor affecting the tiered referral system in the work area Pokenjior Public Health Center in Padangsidimpuan City


2020 ◽  
Vol 4 (1) ◽  
pp. 258-264
Author(s):  
Dwi Ratna ◽  
Sandu Siyoto ◽  
Byba Melda Suhita

Background: Ngantang Public Health Center, being a public health center, always tries to apply minimum service standards. Services provided are a form of effort organized to meet community needs. Purpose: The research objective was to explore customer perceptions about the quality of buildings, equipment, human resources at Public Health Center Ngantang. Methodhs: The design used in this research is a qualitative descriptive study with a case study design, which describes customer perceptions about infrastructure; quality of buildings, equipment, human resources at the Public Health Center Ngantang. The sampling technique of this research is purposive sampling technique. The informants in this study consisted of 21 people, namely 5 BPJS PBI, 5 General, 5 Independent BPJS and 6 patient companions as triangulation informants. Data collection techniques using observation, interviews and documentation. Results: The results of the research on customer perceptions about the Public Health Center Ngantang building are the contours of lands prone to landslides, adequate parking facilities, unsafe security facilities, building components and materials are good enough, facilities for persons with disabilities and the elderly are incomplete, consumables are not yet available, furniture is less structured, human resources or labor lack of sympathy and empathy. Conclusion: By conducting this research, it can be used as a reference for Public Health Center Ngantang in improving the quality of infrastructure. consumables are not yet available, water furniture is less structured, human resources or labor lack sympathy and empathy. By conducting this research, it can be used as a reference for Public Health Center Ngantang in improving the quality of infrastructure.


2020 ◽  
Vol 8 (T2) ◽  
pp. 27-31
Author(s):  
Nurul Fajriah Istiqamah ◽  
Darmawansyah Darmawansyah ◽  
Muhammad Syafar ◽  
Anwar Mallongi

BACKGROUND: The health service referral system is the organization of health services that regulate the mutual assignment of tasks and responsibilities of health services both vertically and horizontally. AIM: The purpose of this study was to determine the appropriateness of referral service operational standards at the Kalabbirang Public Health Center in Pangkajene Kepulauan district. METOHDS: This research method uses a qualitative with a phenomenological. The location of this study is in the Kalabbirang Public Health Center. The informants in this study were the Head of Medical Records Installation, the medical records installation staff of registration, doctors, and nurses. Data collection techniques using in-depth interviews, document review, and observation. The data obtained analyzed using the content analyze. RESULTS: The results showed that the Kalabbirang Public Health Center, no operational service standards were governing the procedures of the Public Health Center when receiving patients to be referred back. In addition, doctors do not explain in full to patients information about the referral. The conclusion of this research is the implementation of the referral system at the Kalabbirang Public Health Center in terms of the requirements for referring to be in accordance with the national referral system. CONCLUSION: We need socialization to understand more deeply about the referral system and equate perceptions among health workers about the referral mechanism in the Kalabbirang Public Health Center.


Author(s):  
Aryo Wibisono ◽  
R. Amilia Destryana

This study aims to determine the index of public satisfaction in public health center services in Sumenep Regency and the relationship between the services to the public satisfaction. The analysis measured the index of public satisfaction and logistic regression methods to determine the effect of the relationship on total satisfaction in the health services of Public Health Center. The results of the study are the alignment between interests and patient satisfaction is still not aligned, there are still differences between interests and satisfaction, the pattern of the result is the relationship between the assurance dimension to the service satisfaction of the public health center, and the results of the index of public satisfaction  values show that the results of the community assess the public health center performance is very good by getting an A grade. Keywords: public service, logistic regretion, index of public satisfaction


Author(s):  
Idasugiarti ◽  
Arief Tarmansyah Iman ◽  
Fadil Ahmad Junaedi

Management of medical records and health information is one of the elements in the assessment of Public Health Center accreditation. Medical records play an important role in collecting accurate and comprehensive data for targeted health policies. The most appropriate management of medical records at the Public Health Center is the regional storage system or often referred to as the family folder system. Community service activities at the Cibeureum Health Center are carried out using consultation, training, and mentoring methods. Compiled 10 quality documents and the implementation of the e-family folder in stages. Furthermore, continuous data migration was carried out assisted by RMIK students. Activities carried out well.


2017 ◽  
Vol 3 (3) ◽  
pp. 131-137
Author(s):  
Syukra Alhamda

Background: Dengue fever in Tigo baleh Bukittinggi community is one of the infectious diseases resulting in serious health problems. Understanding the factors associated with the disease is necessity.Objective: To determine the relationships of the implementation of 3M plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia.Methods: This was a case control study conducted between January and December 2016 in the Public Health Center of Tigo Baleh Bukittinggi. There were 78 samples recruited by total sampling, with 39 were assigned in the case and control group. House index (HI) and Container index (CI) were used to measure the presence of Aedes aegypti larvae. The implementation of 3M plus program was measured using questionnaire developed by the researcher. Chi Square was performed for data analysis. Result: Findings showed that house index value was 43.6% and container index was 17.9%. The presence of larvae at home contributes to 24 (61.5%) cases of DHF in the case group and 10 (25.6%) cases in the control group. Poor implementation of the program contributes to 27 (69.2%) cases in the case group and 17 (43.6%) in the control group. Chi square test showed p 0.040 (0.05) for the 3M plus implementation and p 0.03 (0.05) for the presence of Aedes aegypti. Conclusion: There were significant associations between the implementation of 3m plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia. It is suggested that the community should do more efforts to prevent the occurrence of DHF through mosquito nest eradication, such as the implementation of 3M Plus and sanitation efforts, and pay attention to any places that potentially become a breeding ground for Aedes aegypti mosquitoes.


Author(s):  
Simon Siregar ◽  
Muhammad Ikhsan Sani

Public Health Center is one of governments' facilities for society that always needs to be improved so it can serve the society with maximum performance to keep the society's health quality good. Queue system at public health center that not perform maximally can caused the public health center's perform ineffectively. In this study, a system consists of a single Board Computer (Radxa Rock), an object oriented programming, Gambas, and a module of a queuing systemis proposed. This system works as a display and voice calling audio module, and a trigger switching module. The outcome of this research for design and implementation of patient's queue number display and voice calling audio system, button system for employee/doctor, communication protocol between button and server have run accordance the proposed design.


2018 ◽  
Vol 6 (2) ◽  
pp. 149
Author(s):  
Nurul Hidayatul Ulumiyah

Background: Patient safety is an indicator of health service quality that becomes an important issue although data of patient safety incident at primary health care are not always accurate in Indonesia. Public health center is a health service facility that implements patient safety to improve the health service quality as stated in Health Ministry Law Republic of Indonesia Number 36 Year 2009.Aim: The aim of this study was to identify the implementation of patient safety to improve the service quality.Method: Data collection techniques used were observation, interview, and literature study. The research was done at a public health center in Surabaya from January to February 2018.Results: The results showed that the implementation of patient safety at the public health center was adjusted to the accreditation standard of the public health center. However, there are still some obstacles and shortcomings in the fulfillment of patient safety standards, so it is necessary to optimize the implementation of patient safety from all stakeholders.Conclusion: It can be concluded that public health centers should provide safe and qualified services to achieve healthy disctrict. The public health centers also need to improve the patient safety according to Health Ministry Law Republic of Indonesia Number 36 Year 2009.Keywords: health service quality, patient safety, public health center


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