National health coverage programs and quality of referral obstetrics and gynaecology clinic in Dr Cipto Mangunkusumo Hospital Jakarta

https://doi.org/10.22146/bkm.38067

Eka Rusdianto Gunardi(1*), Arresta Vitasatria Suastika(2), Hanevi Djasri(3), Adi Utarini(4)

(1) Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital
(2) Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital
(3) Center for Health Policy and Management, Faculty of Medicine, Universitas Gadjah Mada
(4) Department of Health Policy and Management, Faculty of Medicine, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Purpose: Implementation of national health coverage contributes to the increasing number of outpatient visits in Obstetrics and Gynecology Department, Dr. Cipto Mangunkusumo Hospital. It may be caused by improper referral system or number of government insurance patients called as BPJS patients. Therefore, this study aims to analyse the pattern and quality of referral system in the implementation of national health coverage.

Method: The quasi experimental study was conducted using pre and post analysis of the cases pattern and referral quality. It included accuracy of referred case diagnosis, accuracy of referring health facility, and consistency of referred case diagnosis.

Results: There was an increasing number of referral visits in the early implementation of  national health program; however, it declined overtime. There was reduction of general obstetrics and gynaecology cases and increase of sub-specialistic cases. It was in appropriate to the role of centre referral hospital in Indonesia. Around 98% referral diagnosis was correct to be referred, 82% cases came from correct health facility, and 98% referral diagnosis was consistent to Dr. Cipto Mangunkusumo hospital.

Conclusion: The quality referral cases improves with the implementation of national health coverage program.


Keywords


national health coverage; diagnosis; quality of referral case

Full Text:

PDF


References

  1. Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia-RSUPN Dr. Cipto Mangunkusumo. Laporan Kunjungan Pasien Poliklinik Kebidanan Unit Rawat Jalan Terpadu RSCM Tahun 2013. Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia - RSUPN Dr. Cipto Mangunkusumo, 2013.
  2. Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia-RSUPN Dr. Cipto Mangunkusumo. Laporan Kunjungan Pasien Poliklinik Kebidanan Unit Rawat Jalan Terpadu RSCM Tahun 2014. Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia - RSUPN Dr. Cipto Mangunkusumo, 2014.
  3. Badan Penyelenggara Jaminan. Sistem Rujukan Berjenjang. [Online] Badan Penyelenggara Jaminan Sosial Kesehatan., 2014. Available from: https://bpjs-kesehatan.go.id
  4. Kementerian Koordinator Bidang. BPJS tak Kurangi Manfaat Peserta Askes.
  5. Badan Penyelenggara Jaminan. Jumlah Peserta BPJS. [Online] Badan Penyelenggara Jaminan Sosial Kesehatan. Available from: www.bpjs-kesehatan.go.id [Accessed: 2015]
  6. Peraturan Menteri Kesehatan Republik Indonesia Nomor 001 Tahun 2010 Tentang Sistem Rujukan Pelayanan Kesehatan Perorangan.
  7. Kolegium Obstetri Ginekologi Indonesia. Modul Pendidikan Spesialis Obstetri dan Ginekologi. Kolegium Obstetri Ginekologi Indonesia, 2015.
  8. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter Indonesia. Konsil Kedokteran Indonesia, 2012.
  9. Christopher Lovelock LWK. Manajemen Pemasaran Jasa. Gramedia; 2005.
  10. Goetsch DL, Davis SM. Introduction to Total Quality: Quality, Productivity, Competitiveness. Simon & Schuster Books For Young Readers; 1994. 606 p.
  11. Kotler P, Keller KL. Marketing Management. Prentice Hall; 2009. 816 p.
  12. Lupiyoadi R. Pemasaran Jasa. Salemba Empat, 2001.



DOI: https://doi.org/10.22146/bkm.38067

Article Metrics

Abstract views : 289 | views : 144

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Berita Kedokteran Masyarakat

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

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter