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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Berkala Epidemiologi Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Jurnal Rekam Medis dan Informasi Kesehatan Global Health Management Journal Indonesian of Health Information Management Journal (INOHIM) Darmabakti Cendekia: Journal of Community Service and Engagements Jurnal Keluarga Berencana Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) OISAA Journal of Indonesia Emas Mitra Mahajana: Jurnal Pengabdian Masyarakat Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Indonesian Journal of Life Sciences PELS (Procedia of Engineering and Life Science) Public Health and Preventive Medicine Archive Indonesian Journal of Health Information Management Services (IJHIMS) JAKADIKSI: JURNAL VOKASI JOURNAL OF HEALTH MANAGEMENT RESEARCH The Journal of Management Information and Health Technology Journal of Indonesian Health Policy and Administration Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Ilmu Kesehatan Masyarakat Academia Open
Erma Pradnyani, Putu
Faculty Of Medicine Universitas Pembangunan Nasional Veteran Jakarta
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Referral Patterns from Primary Care to Referral Care by ICD-10 Codes in Indonesia: Cross-Sectional Analysis of National Claims Data (2017–2024) Ayu, Della Dwi; Hasibuan, Syarif Rahman; Pradnyani, Putu Erma; Widyasanti, Nisrina
Journal of Indonesian Health Policy and Administration Vol. 11, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each patient visit to a PHC facility. The outcome variable was referral status (referred vs. not referred), with ICD-10 diagnostic codes as the main independent variable, while age and sex were covariates. Descriptive and inferential analyses, including binary logistic regression, were conducted to identify factors associated with referral likelihood. Of 1.2 billion visit episodes, 14% resulted in referrals to higher-level facilities. The most frequent diagnoses were classified under ICD-10 Code J (respiratory system diseases, 21.5%), yet referrals were most common among cases under Code C (neoplasms). Referrals were also more frequent among older adults and male patients.
The Association Between Sociodemographic Factors and The Return Visits Among Pediatric Tuberculosis Patients at Primary Health Care Facilities in DKI Jakarta Province Putu Erma Pradnyani; Syarif Rahman Hasibuan; Gede Wirabuana Putra
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 1 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2026.17.1.12-21

Abstract

Indonesia is the second-largest contributor to global tuberculosis (TB) casesin 2023. Tuberculosis in children can significantly affect a child's nutritional status and growth and development. This study aimed to examine the association between sociodemographic factors and return visits among pediatric TB patients to primary health care facilities in DKI Jakarta Province. This study utilized secondary data obtained from the Indonesian Health Insurance Agency (BPJS Kesehatan) for the years 2021-2022. The sample consisted of BPJS Kesehatan participants aged ≤18 years who had been diagnosed with TB (ICD-10 A15, A16, A17, A18, and A19), had active BPJS Kesehatan membership status, and had visited an primary health care in 2021. After weighting, the sample size was 6,729 participants. The independent variables were age group, place of residence, gender, participant segmentation, and BPJS Kesehatan class. The primary outcome variable was return to visit (identifying whether patients who visited a primary healthcare facility in 2021 returned to the primary care in 2022 for a follow-up or control visit). Analysis using logistic regression. The results showed that of the 6,729 pediatric patients, 5,648 (83.9%) still had TB in 2022. Statistical analysis revealed that sociodemographic factors age category, gender, place of residence, and BPJS care class significantly correlate with return visit childhood TB in Jakarta. The results of this study are expected to serve as a basis for developing policies for the prevention and early detection of TB in children within families and communities.
Co-Authors Afifa Radhina Agustina, Karang Anastasia Septya Titisari Aprilicia, Gita Astiti, Ni Luh Eka Purni Benny Tjahjono Bhoko, Coelestina Astri Bunga Anggreini Sari Coelestina Astri Bhoko Dela Riadi Della Dwi Ayu Desak Putu Y Kurniati Desak Putu Yulita Kurniati Deva Eddy Romansyah Dewi, Kadek Rosi Arista Dwi Arwandi Yogi Saputra Gede Wirabuana Putra Gede Wirabuana Putra Ghanny, Niken Rahmah Harjana, Ngakan Putu Anom Hendra Irawan I Gusti Ngurah Edi Putra I Gusti Ngurah Edi Putra I Gusti Ngurah Edi Putra I Made Subrata I Made Subrata I Wayan Septa Malan Vergantana IBN Swacita Ichwan Baihaki Ida Ayu Putu Feby Paramita Ida Bagus Ngurah Swacita Ida Bagus Putra Mahardika Indrayathi, Ayu Istiana Marfianti Janice Girardi Julyari, Dewa Ayu Vera Kadek Karang Agustina Karang Agustina Karina Samaria Santosa Kate Druhan Kurniati, Desak Putu Y Landang, Yorisno Supardi Laszlo Robert Koloszvari Laszlo Robert Kolozsvari Luh Kadek Ratih Swandewi Luh Kadek Ratih Swandewi Luh Putu S Ulandari Luh Putu Sinthya Ulandari Luh Yulia Adiningsih Luh Yulia Adiningsih Made Subrata Melly Kristanti Monika Sri Yuliarti Monika Sri Yuliarti Monika Sri Yuliarti, Monika Sri Ngakan Putu Anom Harjana Ni Ketut Juliantari Ni Luh Eka Purni Astiti Ni Luh Eka Purni Astiti Ni Luh Eka Purni Astiti Ni Luh Saptiaryati Ni Nyoman Astri Artini Ni Wayan Arya Utami Ni Wayan Arya Utami Ni Wayan Arya Utami, Ni Wayan Arya Pande Putu Januraga Pande Putu Januraga Punarbawa, Ida Bagus Wikrantha Putra, I Gusti Ngurah Edi Putri, Putu Chrisdayanti Suada Putu Ayu Indrayathi Putu Ayu Indrayathi Putu Chrisdayanti Suada Putri Putu Chrisdayanti Suada Putri Rahajeng, Herera Salwa, Assyafiya Sang Gede Purnama sang gede purnama Sang Gede Purnama Santosa, Karina Samaria Soukaina Hilal Sunardiana, I Wayan Agus Swacita, IBN Syarif Rahman Hasibuan Syarif Rahman Hasibuan Syarif Rahman Hasibuan Ulandari, Luh Putu S Widiyanto, Wahyu Wijaya Widyasanti, Nisrina Wirabuana Putra, Gede Yanti Harjono Hadiwiardjo Yorisno Supardi Landang Yuniati, Maria Gabriela