Academic Journal
Audit Mutu Layanan Rujukan Primer Guna Mengurangi Jumlah Rujukan ke Layanan Sekunder. Studi Kasus pada Provinsi DKI Jakarta
| العنوان: | Audit Mutu Layanan Rujukan Primer Guna Mengurangi Jumlah Rujukan ke Layanan Sekunder. Studi Kasus pada Provinsi DKI Jakarta |
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| المؤلفون: | Hardhantyo, Muhammad, Armiatin, Armiatin, Utarini, Adi, Djasri, Hanevi |
| المصدر: | Jurnal Kebijakan Kesehatan Indonesia : JKKI; Vol 5, No 4 (2016); 158 - 162 ; Jurnal Kebijakan Kesehatan Indonesia; Vol 5, No 4 (2016); 158 - 162 ; 2620 4703 ; 2089 2624 |
| بيانات النشر: | Center for Health Policy and Management |
| سنة النشر: | 2016 |
| المجموعة: | Universitas Gadjah Mada Online Journals |
| مصطلحات موضوعية: | Referral and conultation, gate keeper, quality assurance |
| الوصف: | Background: Cost control care was sensitive issue in Universal Health Coverage (UHC) era. Some assume it could be achieved by reduce the quality given or service fee for functional staff. However, optimizing primary care services to avoid hospitalization could be another form of cost controlled careMethod: Retrospective audit was performed to 1025 medical record from 15 primary health office in DKI Jakarta Province. Sample was patient referred to hospital from Januari 1st until June 30th 2015. W e monitored percentage of complete documentation, accuracy and quality of referred patient specifically for four diagnosis which Diabetes Melitus, Severe Pre Eclamcia, Hypertension and Dengue Fever. Selection of those diagnose was made based on high patient referred with low quality (60,2%). Result of audit was use to made effective refferal system guidance that contained referral manual for four case and revision of referral form.Result: Patient referred were 0-87 year old. Majorly range from 60-70 year old (25,9%), 43,2% were men and 56,8% were woman, and most of them 54,5% used universal health coverage BPJS PBI. Medical record audit showed there is only 69,5% (SD ± 13.26) patient deserved to be referred to hospital from primary health office. After implementation the re-audit result showed significant improvement of referral quality, from 69,5% become 83,4% (SD ± 13.67, P<0.05), including its complete documentation, accuracy, and quality of the referral system.Conclutsion: The innovation for improving quality of referral system need support from various stakeholder. Referral form changes need approval from BPJS because its function not merely for administation, it is a way to communicate between primary doctors and specialist in hospital. Some component was missing in referral form today. Referral guidance revision from Ikatan Dokter Indonesia also needed for 155 cases in primary health office. Cost controlled care in universal health coverage could be achieved by optimizing the function of doctor in ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://jurnal.ugm.ac.id/jkki/article/view/29152/17430; https://jurnal.ugm.ac.id/jkki/article/view/29152 |
| DOI: | 10.22146/jkki.v5i4.29152 |
| الاتاحة: | https://jurnal.ugm.ac.id/jkki/article/view/29152 https://doi.org/10.22146/jkki.v5i4.29152 |
| Rights: | Copyright (c) 2017 Jurnal Kebijakan Kesehatan Indonesia ; http://creativecommons.org/licenses/by-sa/4.0 |
| رقم الانضمام: | edsbas.734CF52E |
| قاعدة البيانات: | BASE |
| DOI: | 10.22146/jkki.v5i4.29152 |
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