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All Journal Jurnal Ilmu Lingkungan Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Syiah Kuala Jurnal NERS Riau Journal of Empowerment Majalah Kedokteran Andalas Jurnal ABDINUS : Jurnal Pengabdian Nusantara Unri Conference Series: Community Engagement International Journal of Social Service and Research Dinamika Lingkungan Indonesia Comsep : Jurnal Pengabdian Kepada Masyarakat Indonesian Journal of Community Empowerment Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Elda Nazriati
Fakultas Kedokteran Universitas Riau
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Profil Rujukan Kasus Nonspesifik pada Fasilitas Kesehatan Tingkat Primer Nazriati, Elda; Husnedi, Nuzelly
Kesmas Vol. 9, No. 4
Publisher : UI Scholars Hub

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Abstract

Salah satu indikator kualitas fasilitas kesehatan tingkat primer (FKTP) adalah rendahnya rujukan nonspesialistik. Rujukan nonspesialistik adalah rujukan dari 144 penyakit yang seharusnya dapat diatur di FKTP. Kenyataannya, masih banyak kasus nonspesialistik yang dirujuk ke fasilitas kesehatan sekunder. Penelitian deskriptif dengan metode campuran kuantitatif dan kualitatif ini bertujuan untuk mengetahui pola dan penyebab kasus penyakit nonspesialistik yang dirujuk ke fasilitas kesehatan tingkat sekunder di Kota Pekanbaru. Gambaran kasus penyakit nonspesialistik dikumpulkan dari data Badan Penyelenggara Jaminan Sosial Kesehatan Kota Pekanbaru periode Desember 2014 - April 2015, sedangkan faktor penyebab rujukan diperoleh dari focus group discussion yang diikuti oleh 40 dokter berdasarkan jenis FKTP. Penelitian ini menampilkan 20 kasus nonspesialistik yang paling sering dirujuk, di antaranya hipertensi esensial, miopia ringan, dan diabetes melitus. Penyebab rujukan kasus penyakit nonspesialistik antara lain kesalahan kode serta terbatasnya fasilitas, sumber daya manusia, manajemen pelayanan, dan kompetensi dokter. Semua faktor keterbatasan tersebut perlu diantisipasi agar upaya rujukan dapat diminimalisir. One of primary healthcare facility quality indicators is the low non-specialist referral. Non-specialist referral is referral of 144 diseases that should be arranged in primary healthcare facilities. In fact, there are many non-specialist cases referred to secondary health care facilities. This descriptive study using quantitative and qualitative method aimed to determine patterns and causes of non-specialist diseases referred to secondary primary health care in Pekanbaru City. Depiction of non-specialist disease cases was collected from data of the state health insurance scheme in Pekanbaru City on December 2014 - April 2015 period, meanwhile causes of referral were obtained from focus group discussion participated by 40 doctors based on types of primary healthcare facilities. This study showed 20 non-specialist cases oftenly referred including essential hypertension, mild myopia and diabetes mellitus. Causes of non-specialist disease referrals were code error as well as limited facilities, human resource, service management and competence of doctors. Such limitations need to be anticipated in order to minimalize act of referrals.
Co-Authors . Zulfan A.A. Ketut Agung Cahyawan W Aditama, Hanna Shafira Adrianto Ahmad Adrianto Ahmad Alhakim, Muhammad Faris Bening Osia Suseno Diana Novitasari Diana Pratiwi Fedri Rinawan Fifia Chandra Firdaus Firdaus Habiburrahman Habiburrahman Hartati Hartati Hartati Hartati Herisiswanto Herisiswanto Ismulyati Ismulyati Ismulyati, Ismulyati Izfhathaniah Izfhathaniah Karnila, Rahman Karnila Ligat Pribadi Sembiring Lilly Haslinda Nuzelly Husnedi Nuzelly Husnedi, Nuzelly Oktavia Dewi Oktavia Dewi, Oktavia Purnomo Purnomo Ridha Restila Rita Endriani rofika rofika Rofika Rofika Rulen, Betty Nia Shelly Iskandar Sofyan Husein Siregar Sri Wahyuni Sri Wahyuni Sukendi Sukendi Trismon, Ignatius Trismon, Ignatius Tuti Restuastuti Wan Nishfa Dewi Winarto Winarto Yusni Ikhwan Siregar Zahtamal Zahtamal Zulfan Saam Zulharman Zulharman Zulharman Zulharman Zulharman Zulharman