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Journal : Jurnal Jaminan Kesehatan Nasional

Influencing Factors in Patient Referrals: A Doctor’s Perspective on Primary Health Care Facilities (FKTP) Ridwan, Ridwan; Ramadhan, Syahru
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 1 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i1.255

Abstract

An effective and efficient referral system is essential for ensuring patients receive the appropriate treatment for their medical conditions. Primary Health Care Facilities (FKTP) play a critical role in addressing the healthcare needs of patients at the first level. Despite receiving 100% Performance-Based Capitation (KBK), FKTPs exhibit a high referral rate, as indicated by referral rates, referral ratios, and Non-Specialist Referral (RNS) metrics. This quantitative study explores the factors influencing patient referrals in FKTPs, as perceived by doctors. A structured questionnaire was used to gather data from 69 doctors across 148 FKTPs in the BPJS Kesehatan Branch of Banda Aceh in July 2024. The survey addressed various aspects, including doctors' competence, patient behavior, FKTP capabilities, and referral mechanisms. The results revealed that the location of health facilities significantly impacts referral rates and healthcare costs, with facilities located closer to villages reducing the need for referrals and enhancing healthcare accessibility for remote populations. BPJS Kesehatan can improve collaboration with FKTPs by identifying strategic locations in rural areas and leveraging the Aplicares web to map and optimize health services. Furthermore, the government could enhance healthcare access by creating maps to develop public health centers in rural areas or collaborating with private and family doctors to expand services in underserved regions. This study provides valuable insights for policymakers, suggesting that improving FKTP accessibility and addressing resource limitations could significantly reduce unnecessary referrals, lower healthcare costs, and improve the efficiency of the healthcare system in rural areas.
Co-Authors Abdul Haris Abdussahid Abdussahid, Abdussahid Ade S. Anhar Adnan Agus Salam Ahmad Ahmadin Ahmadin Ahmadin Ainun, Kuratun ainurrafiq, ainurrafiq Alwi, Haldan Ananto, Muh Aldi Musbaq Anggara, Ari Anhar, Ades Anwar Sadat Asfiati, Asfiati Asiah Asiah Asrarul Mufidah Azhari, Putri Berliana Berliana Daniel Happy Putra Daris, Ahmad Darti, Darti Destriyadani, Rika DEWI IRAWATI Dewi, Ni Nyoman Ayu Ratna Dohny, Queencie Eva Kurniati Fadilah, Aan Faisal Akbar Nasution Faridah Faridah Fiqih, Fiqih Gazalin, Junaid Hajar Ashwad Hakiki, Ainun Halil, Munawar Hartawati, Nanda Hayatun Sabariah Hermansyah Hermansyah Hermansyah Heru Handoko Ilfiani, Fitri Ilham Ilham Ilyas Ilyas Indah Lestari, Indah Ismatullah Jumriati, Jumriati Junaid Junaid, Junaid Junaida, Muvira Kaharudin Kaharudin Karlina, Nunung Khairudin Khatimah, Nurul Liya Arista Lusiana Lusiana Luthfiyah M. Alfarisi Mahardika, Rafi Mandasari, Dian Maria, Riri Masi, Yusuf Masitha, Dewi Masitha Ma’wiah, Nurul Hikmatul Miratunnisa, Ainun Moch. Dzulkirom AR Mulyadi, Wahyu Muslim Muslim mutiara mutiara Nazilla, Sazkia Nelwida Nelwida Nenoningsih, Nur Niningsih Nurbaiti, Saniya Nurdiniawati Nurdiniawati, Nurdiniawati Nurfadillah, Annisa Nurhayati Nurhayati Nurhidaya Nurnabila, Nurnabila Pindi Patana Pinkan, Pinkan Pujiarti, Titi Rahmah, Jamilatu Rahmah, Lutia Rahmawati, Nissa Rahmawati, Rahmawati Rahmi, Lisa Ramadhan, Sarial Ramadhan, Usni Khamsur Ramayana Ramayana Randitha Missouri Raodah Raodah, Raodah Ridha, Zaifatur Ridwan, Ridwan Rizki, Syahriandi Rofikah, Ummu Ruslan Sabila Sabri Rahmani Sahril Salam, Agus Sari, Yayu Intan Selfirah, Nadia Setiawan, Muhammad Farhan Shinta, Jeesica Suci, Rosnatun Sufiarni, Sufiarni Sukrin, Sukrin Sumarjo, Sumarjo SURYANTI Syafruddin Syafruddin Syarifuddin Syarifuddin Syarifuddin Syarifuddin Syarifuddin Topowijono Topowijono Umar Umar Umar Umar Waliyudin Widayati, Ulfa Wulan, Wulan Yani, Ulfa Yanti, Mira Yayuk Kusumawati Yudistirah, Yudistirah Yumarna, Yumarna Zulham Apandy Harahap