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Submitted
19 August 2023
Accepted
21 December 2023
Published
29 December 2023
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Abstract

Poso Regency is one of the regions that has achieved universal health coverage. However, based on the data from BPJS Kesehatan in 2022, the percentage of participants referred with non-specialistic diagnoses from Primary Health Care Facilities (FKTP) is still significant. This is related to the role of FKTP as a gatekeeper in primary care services. This research aims to describe the performance of Puskesmas as gatekeepers in controlling referrals by linking the availability of healthcare personnel to referral rates.


This research is a quantitative approach with secondary data sourced from BPJS Kesehatan. It was found that the p-value for the ratio of doctor is very borderline (0.05) concerning the number of referrals. Additionally, there were 586 referrals with specialized diagnoses that were eventually coded as non-specialistic diagnoses in hospitals, with 210 of them coded as H.521, which should have been managed at the Puskesmas.


It is recommended that the central government consider the distribution of healthcare personnel from outside the region through temporary work agreements. Furthermore, based on the significant number of non-specialistic referrals, particular attention should be given to referrals to the eye clinic (Poli mata), which may be indicative of eyeglass services. Therefore, it is advisable to consider policy changes so that participants seeking eyeglasses can undergo examinations at the community health centers according to the standard competency of doctors, supplemented by supporting training to ensure certified practitioners conduct the examinations.

Keywords

UHC Layanan Primer Puskesmas FKTP Poso UHC Primary Services Health Centers Primary Health Care Facilitites Poso

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

How to Cite
Ruslang, R. R., & Diah Ayu Puspandari. (2023). Korelasi Disparitas Tenaga Kesehatan Puskesmas Terhadap Pelayanan Kesehatan Primer Peserta Jaminan Kesehatan Nasional Kabupaten Poso. Jurnal Jaminan Kesehatan Nasional, 3(2), 121–133. https://doi.org/10.53756/jjkn.v3i2.162
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References

  1. Alawi, M., Junadi, P., & Latifah, S. N. (2017). Analisis Faktor-Faktor yang Berhubungan dengan Tingginya Rujukan Kasus Non Spesialistik Pasien Jaminan Kesehatan Nasional pada Puskesmas di Kabupaten Sukabumi Tahun 2015. Jurnal Ekonomi Kesehatan Indonesia, 2(Nomor 1).
  2. Andayani, N. P. S. W., Mulyawan, K. H., & Widarsa, I. K. T. (2017). Analisis Aksesitabilitas Pemilihan Fasilitas Kesehatan Tingkat Pertama pada Peserta JKN Mandiri di Kabupaten Badung Tahun 2016. Arc Com Health, 4(Nomor 2).
  3. Angela, F. A. (2018). Strategi Pengembangan Sarana Dan Prasarana Pariwisata Di Kawasan Objek Wisata Danau Poso Kabupaten Poso (Studi Pada Dinas Pariwisata Kabupaten Poso). Malang: Universitas Brawijaya.
  4. Dai, M., Pavletic, D., Shuemaker, J. C., Solid, C. A., & Phillips, R. L. (2022). Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure. Annals of Family Medicine, 20(6), 535–540. https://doi.org/10.1370/afm.2880
  5. Denawati, T. H., Dhanalvin, E., P Saut, B., & R Siregar, D. (2021). Uji Coba Penjaminan Kacamata di FKTP. Jurnal Jaminan Kesehatan Nasional, 1(1), 44–53. https://doi.org/10.53756/jjkn.v1i1.16
  6. Hidayatullah, A. N., & Gutomo, T. (2017). Acceptability For Poor Family in National Health Assurance Program. Media Informasi Penelitian Kesejahteraan Sosial, 41(Nomor 3).
  7. Karwur, N. T. (2022). Profil Kesehatan Kabupaten Poso Tahun 2021. Dinas Kesehatan Kabupaten Poso.
  8. Lestari, T. R. P. (2016). Analisi Ketersediaan Tenaga Kesehatan di Puskesmas Kota Mamuju Provinsi Sulawesi Barat Tahun 2014. Jurnal DPR, 21.
  9. Maniagasi, Y. G. (2018). Penguatan Kapasitas Puskesmas Sebagai Organisasi Publik (Kajian dalam Perspektif Teori Organisasi). Publik (Jurnal Ilmu Administrasi), 7(1), 70. https://doi.org/10.31314/pjia.7.1.70-79.2018
  10. Prasanti, Ditha., Fuady, Ikhsan., & Indriani, Sri Serti. (2018). Optimalisasi Bidan Desa Dalam Penyebaran Informasi Kesehatan Bagi Masyarakat di Kabupaten Bandung. Jurnal Komunikasi Volume 13 Nomor 1
  11. Rahma, A., Arso, S. P., & Suparwati, A. (2015). Implementasi Fungsi Pokok Pelayanan Primer Puskesmas Sebagai Gatekeeper Dalam Program JKN (Studi di Puskesmas Juwana Kabupaten Pati). Jurnal Kesehatan Masyarakat, 3(3), 2356–3346. http://ejournal-s1.undip.ac.id/index.php/jkm
  12. Ratnawati, Aktariyani, T., Yuliyanti, S., & Khujaefah. (2020). Modifikasi Indikator KBK Sebagai Upaya Pencegahan Fraud & Peningkatan Mutu Pelayanan di Fasilitas Kesehatan Tingkat Pertama (FKTP) (No 18/Oktober/2020).
  13. Salim, D. L. F., Rimbing, N., & Lumunon, T. H. W. (2020). Aksesibilitas Pembiayaan Kesehatan Dalam Program Jaminan Kesehatan Nasional. Lex Et Societatis , Vol. VIII No. 4, 104–114.
  14. Soewondo, P., Johar, M., & Pujisubekti, R. (2021). Healthcare Utilisation by the Economically Disadvantaged Under Jaminan Kesehatan Nasional (JKN). Jurnal Ekonomi Dan Pembangunan Indonesia, 21(Nomor 1).
  15. Trisnantoro, L., Marthias, T., Aktariyani, T., Kurniawan, M. F., Fanda, R. B., Cintyamena, U., Dilla, A. N., Rahma, P. A., Hasri, E. T., & Candra. (2018). Draft Working Paper Evaluasi 8 Sasaran Peta Jalan JKN dengan Pendekatan Realist Evaluation 2018 Draft : Working Paper.
  16. Wahyudi, I. (2020). Pengalaman Perawat Menjalani Peran dan Fungsi Pereawat di Puskesmas Kabupaten Garut. Jurnal Sahabat Keperawatan, 2(1), 2020. https://jurnal.unimor.ac.id/JSK
  17. WHO. (2013). The World Health Report 2013: Research For Universal Health Coverage.
  18. WHO. (2021). Tracking Universal Health Coverage- 2021 Global Monitoring Report. World Health Organization and the International Bank for Reconstruction and Development: The World Bank.
  19. Widodo, P., & Aktariyani, T. (2020). Bagaimana Meningkatkan Kinerja FKTP dalam Menekan Rujukan Non Spesialistik Era JKN? (No 16/Oktober/2020).
  20. Yuliati, N. I., Ramba, O., Ritonga, R. A., Budiani, N. K. S., Puspitasari, T. W., Anindita, R., N, M. C. I., Herlasminar, D., Rahayu, P. S., Ratnafuti, M., Trisnanto, T. A., Tsani, P. N., Fauziah, S., & Ardian, R. (2022). Gambaran Utilisasi Pelayanan Kesehatan Primer BPJS Kesehatan Tahun 2014-2021. BPJS Kesehatan.