Factors Influencing BPJS Patients' Lack of Understanding of the Outpatient Referral System

Authors

  • Dilla Fitria Hospital Administration Undergraduate Study Program, Faculty of Public Health, Helvetia Health Institute, Medan
  • Aida Sulisna Hospital Administration Undergraduate Study Program, Faculty of Public Health, Helvetia Health Institute, Medan
  • Rizka Putri Dermawan Hospital Administration Undergraduate Study Program, Faculty of Public Health, Helvetia Health Institute, Medan

DOI:

https://doi.org/10.61963/jpkt.v3i2.125

Keywords:

Outpatient, Referral System, Understanding

Abstract

Introduction: Referrals are carried out based on medical indications so that community health centers and their networks can filter referrals. The problem that occurs in patients' understanding of referral services is that socialization to the community is still very limited. The results of interviews with 10 outpatients at the UPT Puskesmas Sawit Seberang showed that 6 patients (60%) still did not understand the referral criteria, while the other 4 patients (40%) clearly understood the outpatient referral system. Objective; to determine the factors that influence BPJS patients' lack of understanding of the outpatient referral system at the Sawit Seberang Community Health Center UPT, Langkat Regency. Methods: This type of research is quantitative using an analytical survey design with a cross-sectional approach. The research population was all 781 BPJS patients with a sample of 89 people taken using accidental sampling technique. Data analysis used univariate, bivariate analysis with the chi-square statistical test and multivariate analysis with the logistic regression test. Results: The results of the research show that the p value for the knowledge variable is p = 0.020, attitude p = 0.017, information p = 0.012 and health workers p = 0.025, which means that there is an influence of knowledge, attitudes, information and health workers on BPJS patients' understanding of the outpatient referral system. Conclusion: The research conclusion is that there is an influence of knowledge, attitudes, information and health workers on BPJS patients' understanding of the outpatient referral system at the UPT Puskesmas Sawit Seberang, Langkat Regency.

References

A.W., M., & Dewi, M. (2019). Teori dan Pengukuran Pengetahuan, Sikap dan Perilaku Manusia: Dilengkapi Contoh Kuesioner. Yogyakarta: Nuha Medika.

Afiyani, D. N., Dwimawati, E., & Pujiati, S. (2020). Evaluasi Pelaksanaan Sistem Rujukan di Puskesmas Bogor Utara Kota Bogor Provinsi Jawa Barat Tahun 2019. Promotor, 3(1), 28-40. https://doi.org/10.32832/pro.v3i1.3132

Bhojani, U., Thriveni, B., & Devadasan, N. (2021). Understanding health system complexity and referral pathways: A mixed-methods study. BMJ Global Health, 6(5), e007389. https://doi.org/10.1136/bmjgh-2021-007389

BPJS. (2014). Tanpa Sistem Rujukan Berjenjang Rumah Sakit Bakal Kewalahan. Jakarta: BPJS.

BPJS. (2020). Data Kepesertaan. Jakarta: BPJS.

Ginting, J. B. (2024). The Effect of BPJS Online Tiered Referral System Health on Patient Satisfaction at Royal Prima Hospital. Jurnal Prima Medika Sains, 6(1), 102-108. https://doi.org/10.34012/jpms.v6i1.5768

Harlan, J., & Johan, R. S. (2018). Metodologi Penelitian Kesehatan. Depok: Universitas Gunadarma.

Hart, L. G., Salsberg, E., Phillips, D. M., & Lishner, D. M. (2022). Rural health care providers and referral networks: A comprehensive review. BMC Health Services Research, 22, 154. https://doi.org/10.1186/s12913-022-07324-4

Janis, F. (2020). Pengaruh Faktor-Faktor Pelaksanaan Rujukan Pasien JKN Terhadap Sistem Rujukan di Puskesmas Tilango. Skripsi Program Studi Kesehatan Masyarakat Fakultas Olahraga dan Kesehatan Universitas Negeri Gorontalo. Gorontalo: Universitas Negeri Gorontalo.

Kementerian Kesehatan Republik Indonesia. (2014). Undang-Undang No. 36 Tahun 2014 tentang Tenaga Kesehatan. Jakarta: Kementerian Kesehatan Republik Indonesia.

Muhammad, I. (2016). Panduan Penyusunan Karya Tulis Ilmiah Bidang Kesehatan Menggunakan Metode Ilmiah. Bandung: Cipta Pustaka Media Perintis.

Muhammad, I. (2017). Pemanfaatan SPSS dalam Penelitian Bidang Kesehatan dan Umum. Bandung: Cipta Pustaka Media Perintis.

Murniati, N. (2015). Utilisasi PPK II BPJS Kesehatan: Analisis Perbandingan Perilaku Warga Komplek Perumahan dan Warga Perkampungan di Depok. Jurnal Vokasi Indonesia, 3(2).

Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Notoatmodjo, S. (2016). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Nurhani, N., & Rahmadani, S. (2020). Analisis Pelaksanaan Sistem Rujukan Pasien BPJS Kesehatan di Puskesmas Mamasa, Puskesmas Malabo dan Puskesmas Balla Kabupaten Mamasa. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 7(2), 101-110.

https://doi.org/10.20527/jpkmi.v7i2.10168

Nurhayani, & Rahmadani, S. (2019). Analisis Pelaksanaan Sistem Rujukan Pasien BPJS Kesehatan di Puskesmas Mamasa, Puskesmas Malabo dan Puskesmas Balla Kabupaten Mamasa. Jurnal Publikasi Kesehatan Masyarakat, 7(2), 15–22.

Peraturan Menteri Kesehatan Republik Indonesia. (2012). Permenkes Nomor 001 Tahun 2012 tentang Sistem Rujukan Pelayanan Kesehatan Perorangan. Jakarta: Kementerian Kesehatan Republik Indonesia.

Permata, E. D., Parinduri, S. K., & Fathimah, R. (2021). Faktor-Faktor yang Memengaruhi Besarnya Angka Rujukan Pasien Peserta BPJS di Puskesmas Sindang Barang Kota Bogor. Promotor, 5(1), 12.

Prasetyo, Y. T., & Arman, A. A. (2018). Health Referral System User Acceptance Model in Indonesia. International Journal of Medical Informatics, 115, 128-140. https://doi.org/10.1016/j.ijmedinf.2018.04.007

Rudd, R. E. (2020). The role of health literacy in patient understanding and adherence to referral systems. Journal of Advanced Nursing, 76(9), 14447. https://doi.org/10.1111/jan.14447

Salsabila, C., Hidayani, K. R., Subagio, Y. P., & Gurning, F. P. (2022). Gambaran Pelaksanaan Rujukan Berjenjang BPJS Kesehatan di Indonesia. Glosains: Jurnal Sains Global Indonesia, 3(2), 42-48. https://doi.org/10.36418/glosains.v3i2.87

Saputri, D. E., & Muchsam, Y. (2021). Analisis Pemahaman Pasien Terhadap Sistem Rujukan Berjenjang Peserta Jaminan Kesehatan Nasional (JKN). Jurnal Nasional Indonesia, 1, 60-70. http://fusion.rifainstitute.com/index.php/fusion/article/view/60

Sayuti, M., Anwary, A. Z., & Hadi, Z. (2021). Faktor-Faktor yang Berhubungan dengan Rujukan Pasien BPJS Kesehatan di Puskesmas Sungai Ulin. Jurnal Kesehatan, 1(1).

Siregar, N. A. S. (2018). Faktor-Faktor yang Mempengaruhi Rujukan Pasien BPJS di Puskesmas Sigambal Kabupaten Labuhanbatu. Skripsi Universitas Sumatera Utara. Medan: Universitas Sumatera Utara.

Trisnawati, M., & Afrita, I. (2024). Dampak Sistem Rujukan Berjenjang dan Solusi Pemecahannya Bagi Pasien Peserta BPJS Kesehatan di Kota Pekanbaru. Journal of Social Science Research, 4, 7854-7864. https://doi.org/10.36418/jssr.v4i1.1234

Undang-Undang Nomor 24 Tahun 2011. (2011). Badan Penyelenggara Jaminan Sosial (BPJS). Jakarta: Kementerian Republik Indonesia.

Undang-Undang Nomor 40 Tahun 2004. (2004). Sistem Jaminan Sosial Nasional. Jakarta: Kementerian Republik Indonesia.

Utami, P. B., & Muhlizardy. (2023). Analisis Tingkat Kepahaman Sistem Rujukan Berjenjang Terhadap Kepuasan Pasien BPJS di Rumah Sakit Umum Daerah Ir. Soekarno Kabupaten Sukoharjo. Jurnal Mahasiswa Ilmu Kesehatan, 2(4), 1-10. https://doi.org/10.59841/jumkes.v2i4.1671

World Health Organization (WHO). (2018). Definisi Sehat. Geneva: World Health Organization. Retrieved from https://www.who.int

Wulandari, R. D., Pratiwi, D., & Handayani, W. (2021). Health workers’ role in improving BPJS referral system understanding: A case study in primary healthcare. Journal of Family Medicine and Primary Care, 10(3), 1199-1205. https://doi.org/10.4103/jfmpc.jfmpc_1199_20

Yusup, P. M. (2019). Ilmu Informasi, Komunikasi dan Kepustakaan. Jakarta: PT Bumi Aksara.

Zuhri, M. A., Saleh, A., Tahir, T., Yunus Kanang, S. W., Isriani, N., & Kasmawati. (2022). Pelaksanaan Sistem Rujukan Berbasis Pemerintah di Pelayanan Kesehatan: Tinjauan Literatur. Jurnal Ilmiah Keperawatan, 8(1), 51-60. https://doi.org/10.33023/jikep.v8i1.817

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Published

2024-12-24

How to Cite

Fitria, D., Sulisna, A. ., & Dermawan, R. P. (2024). Factors Influencing BPJS Patients’ Lack of Understanding of the Outpatient Referral System. Jurnal Perilaku Kesehatan Terpadu, 3(2), 108–120. https://doi.org/10.61963/jpkt.v3i2.125