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All Journal Jurnal Pendidikan Anak Usia Dini Undiksha Jurnal Penelitian Pendidikan IPA (JPPIPA) Pendas : Jurnah Ilmiah Pendidikan Dasar OIKOS: Jurnal Kajian Pendidikan Ekonomi dan Ilmu Ekonomi Kappa Journal Jurnal Pendidikan Teknik Mesin Undiksha Edu Research : Jurnal Penelitian Pendidikan Research Horizon AMMA : Jurnal Pengabdian Masyarakat JUPARITA: Jurnal Pariwisata Tawangmangu SENADA : Semangat Nasional Dalam Mengabdi International Journal of English Language and Pedagogy Values: Jurnal Kajian Islam Multidisiplin International Journal of Language, Education, and Literature (IJLEL) PUSAKA: Jurnal Pengabdian Masyarakat Jurnal Riset Pendidikan dan Karakter AUFKLARUNG: Jurnal Kajian Bahasa, Sastra Indonesia, dan Pembelajarannya Journal of Village Development Innovation
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Journal : Research Horizon

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Legal Compliance Analysis of the BPJS Health Patient Referral Procedures at Primary Healthcare Facilities Widya; Prayuti, Yuyut
Research Horizon Vol. 5 No. 6 (2025): Research Horizon - December 2025
Publisher : LifeSciFi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54518/rh.5.6.2025.893

Abstract

This study analyzes the BPJS Health referral procedure at the Kimia Farma Sumber Cirebon Clinic through an empirical qualitative approach. Data were collected through interviews, observations, and documentation studies to evaluate legal compliance, identify driving and inhibiting factors, and formulate recommendations for improvement. Findings indicate that, normatively, the clinic has complied with BPJS regulations, as demonstrated by staff’s good understanding of doctors’ authority and the use of the P-Care system. However, implementation in the field faces technical obstacles, such as the instability of the P-Care system, which triggers the use of temporary referral letters, as well as information gaps that cause patient confusion. It was concluded that legal compliance depends not only on normative compliance, but also on infrastructure support and effective communication. Strategic recommendations focused on three pillars: strengthening technological infrastructure, increasing human resource capacity through continuous training, and improving transparency and patient education on procedures to create synergy between legal compliance, service efficiency, and public accountability within the JKN framework.
Co-Authors Abda Abda Abduh, Amirullah Abdul Rahman Abdul Wahid Ade Irma Suryani Agustiana, Erika Akbar Arif Saman Ayu Clara Putri, Sabila Desy Sary Ayunda Fajrul Wahdi Ginting, Fajrul Wahdi Fatwa, Islami Fitria Fitriyani Friska Br Bangun Halimatus Sakdiah Halimatus Sakdiah, Halimatus Hanna Sundari Hanum Hidayat, Amam Taufiq Humaira, Zaharatul Hutabarat, Dinda Adha Jamila Tun Nabila Hasanuddin Lukman, Isna Rezkia Maya Safitri Muhammad Iqbal Muliaman, Agus Muttakin Noval Fuadi NUR ALAMSYAH Nur Elisyah Nurul Hartini Nurul Khoiria Pebrina Prayuti, Yuyut Ratna Unaida, Ratna Riza Andriani Safriana salahuddin harahap Sari, Albi Permata Saskia, Arna Silvira Afriyanti Sitokkonni, Joice Sri Trisnaningsih Sri, Sri Rahmadani Syarif Suryanti, Dwi Retno Thoyib, Hadi Trianasari, Dila Ucia Mahya Dewi Vicky Vendy Widiawati Yulia, Devi Zainul Mujtahid