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Abstract
Penguatan pelayanan kesehatan primer telah digaungkan sejak lama oleh para pemangku kepentingan dalam rangka meningkatkan efektivitas dan efisiensi pelaksanaan Program Jaminan Kesehatan Nasional. Namun demikian, implementasinya belum optimal. Salah satu tolok ukurnya adalah performa FKTP yang masih belum sesuai dengan target yang ditetapkan. Penelitian ini bertujuan untuk memberikan saran dan rekomendasi guna mewujudkan pelayanan kesehatan primer yang berkualitas. Penelitian ini menggunakan pendekatan kualitatif dengan teknik pengumpulan data desk research (secondary data), serta proses triangulasi untuk memastikan validitas dan reliabilitas data yang digunakan. Temuan penting dalam penelitian ini adalah secara umum Indonesia belum memiliki tata kelola yang komprehensif dalam setiap aspek yang termasuk dalam mata rantai penting yang diperlukan untuk menentukan kualitas pelayanan kesehatan primer. Oleh sebab itu, dibutuhkan pembenahan secara bertahap dan berkesinambungan yang dilakukan secara bersama-sama oleh seluruh stakeholder terkait.
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References
- Institute of Medicine 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. https://doi.org/10.17226/5152.
- National Academies of Sciences, Engineering, and Medicine 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/25983.
- WHO, Global Conference on Primary Health Care: From Alma-Ata towards universal health coverage and the Sustainable Development Goals, 2018
- Starfield,B.,(1998), Primary care: Balancing Health needs, services, and technology, Oxford university care
- Contribution of primary care to health: an individual level analysis from Tibet, China Wang et al. International Journal for Equity in Health (2015) 14:107 DOI 10.1186/s12939-015-0255-y
- National Academies of Sciences, Engineering, and Medicine 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/25983
- Tulchinsky T. H. (2018). Bismarck and the Long Road to Universal Health Coverage. Case Studies in Public Health, 131–179. https://doi.org/10.1016/B978-0-12-804571-8.00031-7
- Starfield, B. (1994). Is primary care essential? The Lancet, 344(8930), 1129–1133. doi:10.1016/s0140-6736(94)90634-3
- WHO and UNICEF. Declaration of Astana, Global Conference on Primary Health Care, Astana, Kazakhstan 25 and 26 October 2018. 2018
- Muldoon, L. K., Hogg, W. E., & Levitt, M. (2006). Primary care (PC) and primary health care (PHC). What is the difference?. Canadian journal of public health = Revue canadienne de sante publique, 97(5), 409–411. https://doi.org/10.1007/BF03405354
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- Van Weel, C., & Kidd, M. R. (2018). Why strengthening primary health care is essential to achieving universal health coverage. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 190(15), E463–E466. https://doi.org/10.1503/cmaj.170784
- Wenhua Wang, Leiyu Shi, Aitian Yin, Zongfu Mao, Elizabeth Maitland, Stephen Nicholas, Xiaoyun Liu, "Primary Care Quality among Different Health Care Structures in Tibet, China", BioMed Research International, vol. 2015, Article ID 206709, 8 pages, 2015. https://doi.org/10.1155/2015/206709
- Foo, C., Surendran, S., Jimenez, G., Ansah, J. P., Matchar, D. B., & Koh, G. (2021). Primary Care Networks and Starfield's 4Cs: A Case for Enhanced Chronic Disease Management. International journal of environmental research and public health, 18(6), 2926. https://doi.org/10.3390/ijerph18062926
- Starfield B. Is primary care essential? Lancet. 1994 Oct 22;344(8930):1129-33. doi: 10.1016/s0140-6736(94)90634-3. PMID: 7934497.
- Lee, Yong-jun, C., Sung, Kim, Chung, S. H., Kim, J.,Park, H. K. (2009). Development of the korean primary care assessment tool--measuring user experience: Tests of data quality and measurement performance. International Journal for Quality in Health Care, 21(2), 103-11. doi:http://dx.doi.org/10.1093/intqhc/mzp007
- Awofeso N . What is the difference between “primary care” and “primary healthcare”? Quality in Primary Care 2004;12:93-94 https://primarycare.imedpub.com/what-is-the-difference-between-primary-care-and-primary-healthcare.pdf
- UU no 36 Tahun 2009 tentang Sistem Kesehatan Nasional, https://peraturan.bpk.go.id/Home/Search?search=uu+no+36+tahun+2009
- Perpres No. 72 Tahun 2012 tentang Sistem Kesehatan Nasional, https://peraturan.bpk.go.id/Home/Details/41327/perpres-no-72-tahun-2012
- Perpres No. 12 Tahun 2013 tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Search?search=perpres+no+12%2F2013
- Perpres No. 111 Tahun 2013 tentang Perubahan atas Peraturan Presiden No. 12 Tahun 2013 tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Details/41481/perpres-no-111-tahun-2013
- Perpres No. 82 Tahun 2018 tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Details/94711/perpres-no-82-tahun-2018
- Perpres No. 19 Tahun 2019 tentang Perubahan Kedua Atas Peraturan Presiden No. 12 Tahun 2013 Tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Details/39833/perpres-no-19-tahun-2016
- Permenkes No. 001 Tahun 2012 tentang Sistem Rujukan Pelayanan Kesehatan Perseorangan, https://www.kemhan.go.id/itjen/2017/03/13/peraturan-menteri-kesehatan-republik-indonesia-nomor-001-tahun-2012-tentang-sistem-rujukan-pelayanan-kesehatan-perorangan.html
References
Institute of Medicine 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. https://doi.org/10.17226/5152.
National Academies of Sciences, Engineering, and Medicine 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/25983.
WHO, Global Conference on Primary Health Care: From Alma-Ata towards universal health coverage and the Sustainable Development Goals, 2018
Starfield,B.,(1998), Primary care: Balancing Health needs, services, and technology, Oxford university care
Contribution of primary care to health: an individual level analysis from Tibet, China Wang et al. International Journal for Equity in Health (2015) 14:107 DOI 10.1186/s12939-015-0255-y
National Academies of Sciences, Engineering, and Medicine 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/25983
Tulchinsky T. H. (2018). Bismarck and the Long Road to Universal Health Coverage. Case Studies in Public Health, 131–179. https://doi.org/10.1016/B978-0-12-804571-8.00031-7
Starfield, B. (1994). Is primary care essential? The Lancet, 344(8930), 1129–1133. doi:10.1016/s0140-6736(94)90634-3
WHO and UNICEF. Declaration of Astana, Global Conference on Primary Health Care, Astana, Kazakhstan 25 and 26 October 2018. 2018
Muldoon, L. K., Hogg, W. E., & Levitt, M. (2006). Primary care (PC) and primary health care (PHC). What is the difference?. Canadian journal of public health = Revue canadienne de sante publique, 97(5), 409–411. https://doi.org/10.1007/BF03405354
Starfield, B. (2009). Toward international primary care reform. Canadian Medical Association Journal, 180, 1091-2. Retrieved from http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-primary-care-policy-center/Publications_PDFs/E79.pdf
Mulyanto, J., Wibowo, Y., & Kringos, D. S. (2021). Exploring general practitioners' perceptions about the primary care gatekeeper role in Indonesia. BMC family practice, 22(1), 5. https://doi.org/10.1186/s12875-020-01365-w
Kringos, D. S., Boerma, W. G., Bourgueil, Y., Cartier, T., Hasvold, T., Hutchinson, A., Lember, M., Oleszczyk, M., Pavlic, D. R., Svab, I., Tedeschi, P., Wilson, A., Windak, A., Dedeu, T., & Wilm, S. (2010). The European primary care monitor: structure, process and outcome indicators. BMC family practice, 11, 81. https://doi.org/10.1186/1471-2296-11-81
Starfield, B. (2009). Toward international primary care reform. Canadian Medical Association Journal, 180, 1091-2. Retrieved from http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-primary-care-policy-center/Publications_PDFs/E79.pdf
Van Weel, C., & Kidd, M. R. (2018). Why strengthening primary health care is essential to achieving universal health coverage. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 190(15), E463–E466. https://doi.org/10.1503/cmaj.170784
Wenhua Wang, Leiyu Shi, Aitian Yin, Zongfu Mao, Elizabeth Maitland, Stephen Nicholas, Xiaoyun Liu, "Primary Care Quality among Different Health Care Structures in Tibet, China", BioMed Research International, vol. 2015, Article ID 206709, 8 pages, 2015. https://doi.org/10.1155/2015/206709
Foo, C., Surendran, S., Jimenez, G., Ansah, J. P., Matchar, D. B., & Koh, G. (2021). Primary Care Networks and Starfield's 4Cs: A Case for Enhanced Chronic Disease Management. International journal of environmental research and public health, 18(6), 2926. https://doi.org/10.3390/ijerph18062926
Starfield B. Is primary care essential? Lancet. 1994 Oct 22;344(8930):1129-33. doi: 10.1016/s0140-6736(94)90634-3. PMID: 7934497.
Lee, Yong-jun, C., Sung, Kim, Chung, S. H., Kim, J.,Park, H. K. (2009). Development of the korean primary care assessment tool--measuring user experience: Tests of data quality and measurement performance. International Journal for Quality in Health Care, 21(2), 103-11. doi:http://dx.doi.org/10.1093/intqhc/mzp007
Awofeso N . What is the difference between “primary care” and “primary healthcare”? Quality in Primary Care 2004;12:93-94 https://primarycare.imedpub.com/what-is-the-difference-between-primary-care-and-primary-healthcare.pdf
UU no 36 Tahun 2009 tentang Sistem Kesehatan Nasional, https://peraturan.bpk.go.id/Home/Search?search=uu+no+36+tahun+2009
Perpres No. 72 Tahun 2012 tentang Sistem Kesehatan Nasional, https://peraturan.bpk.go.id/Home/Details/41327/perpres-no-72-tahun-2012
Perpres No. 12 Tahun 2013 tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Search?search=perpres+no+12%2F2013
Perpres No. 111 Tahun 2013 tentang Perubahan atas Peraturan Presiden No. 12 Tahun 2013 tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Details/41481/perpres-no-111-tahun-2013
Perpres No. 82 Tahun 2018 tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Details/94711/perpres-no-82-tahun-2018
Perpres No. 19 Tahun 2019 tentang Perubahan Kedua Atas Peraturan Presiden No. 12 Tahun 2013 Tentang Jaminan Kesehatan, https://peraturan.bpk.go.id/Home/Details/39833/perpres-no-19-tahun-2016
Permenkes No. 001 Tahun 2012 tentang Sistem Rujukan Pelayanan Kesehatan Perseorangan, https://www.kemhan.go.id/itjen/2017/03/13/peraturan-menteri-kesehatan-republik-indonesia-nomor-001-tahun-2012-tentang-sistem-rujukan-pelayanan-kesehatan-perorangan.html