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Evaluasi Pelaksanaan Program Rujuk Balik (PRB) dan Kaitannya Dengan Kepatuhan Pasien BPJS Kesehatan di Puskesmas Singgani Kota Palu: Studi Mixed Method M. Adjis Rasyidi; Andi Alim; Lina Fitriani; Takdir Tahir
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1282

Abstract

The Patient Back-Referral Program (PRB) services at primary healthcare facilities are frequently constrained by network disruptions and pharmaceutical stockouts, compromising patient treatment retention. This study aimed to evaluate PRB implementation and its correlation with patient adherence at Singgani Public Health Center, Palu City, utilizing a Sequential Explanatory Mixed-Methods design, quantitative data were analyzed first in the primary phase, followed by a supporting qualitative phase to explain the findings. Quantitative data were gathered from 249 chronic disease respondents via the MMAS-8 questionnaire, followed by in-depth interviews with 6 informants to elucidate statistical outcomes. The Chi-Square test demonstrated that information system quality was significantly correlated with adherence (p-value < 0.001), whereas pharmaceutical availability lacked direct statistical significance (p-value = 0.064). The novelty of this study uncovers that the impact of internal supply chain stockouts was mitigated by a public-private partnership with a contracted network pharmacy acting as a logistical safety valve, alongside robust intrinsic patient motivation. Conversely, non-adherence was triggered by behavioral barriers, notably perceived recovery upon symptom abatement, clinical anxiety over generic brand substitution, and a deficit in manual contingency protocols during server downtimes. In conclusion, adherence outcomes depend not merely on technological infrastructure and physical inventory, but on operational manual readiness, optimized network integration, and patient healthcare-seeking intent. The practical contribution outlines strategic recommendations for healthcare management to formalize manual fallback SOPs during system failures, implement automated digital tracking reminders, and leverage institutionalized free psychological counseling services to mitigate therapeutic burnout .
Co-Authors Abdul Majid Ade Irma Rahayu, Ade Irma Ade Irma Suryani Afelya, Titi Iswanty Ahmad Mushawwir Ahmar, Hamdiah Ake, Julianus Alfian Mas'ud Alia Andriany Alia Andriany Andi Alim, Andi Andi Muhammad Fiqri Muslih Djaya Andriany, Alia Anita Rosman Ardiansyah Rasyid Ariyanti Saleh Arjuna Ramli Awal Darmawan Ayu Hartina Bahriah, Bahriah Bahtiar Yusuf Dian Ika Pertiwi Elieser Toding Mendila Elly Lilianty Sjattar Erfina Erfina Erfina Erfina Erwin Purwanto Fatamorgana Abdullah Fatimah Farah Nur Suci Shabir Fitria Amrullah Fitriani Sangkala Gala, Merry Hade, Nurwahidah Hade, Nurwahidah Harisa, Akbar Harni Harniati Hasanuddin Nuru Hasanuddin Nuru Hasriyani Hasriyani Hasriyani Hasriyani, Hasriyani Huddu, Risma I Kade Wijaya Ilhamjaya Patellongi Ilkafah Ilkafah Ilkafah, Ilkafah Imelda Olviana Lande'eo Irwan, Andi Masyitha Iskandar Zulkarnaen Ita Sulistiani Jannah, Uyunul Jarman Jarman Julianus Ake Julianus Ake Kadek Ayu Erika Kadek Ayu Erika Kadek Ayu Kadek Ayu Kadek Erika Kasmawati Khoirul Anam Khoirul Anam Krismayanti Kusrini Kadar Kusrini S. Kadar Kusrini Semarwati Kadar Lestari, Ima Mustika Tri Lilian Arifka Juli Abdullah Lina Fitriani M. Adjis Rasyidi M. Alfian Rajab Makbul Aman, Makbul Maryunis Maryunis Mas’ud, Alfian Midawati Djafar Moh Gifari S Moh Gifari S Muhamad Zulfiqar Muhammad Adjiz Zuhri Muhammad Alif Muhammad Hidayat Muhammad Hidayat Muhammad Idhan Muhrawi Yunding Musdalifah Musdalifah Musdalifah Musdalipah Musdalipah Najihah Najihah, Najihah Nofita Tudang Rombeallo Nur Febrianti Nur Isriani Nur Khalid Nurawaliah Rasyid Nurbaya Nurbaya Nurfadhila Nurfadhila Nurfiah, Nurfiah Nurhaya Nurdin Nurmaulid Nurmaulid Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah Putri, Egi Trisnayanti Ramla Wati Rasyid, Nur Awaliah Regar, Maria J. Reni Astuti Risnah, Risnah Rosman, Anita Rosyidah Arafat, Rosyidah S, Moh Gifari Saldy Yusuf Saldy Yusuf Saldy Yusuf Saldy Yusuf Sitti Nurhadijah Sitti Rahmatiah Sitti Salmawati Sjattar, Elly L. Sri Bintari Rahayu Rahayu Sri Wahyuni Yunus Kanang Sriwahyuni Sriwahyuni Sriwahyuni St Syahriyani Suaib Suaib Suhirman Suhirman Sulistiani, Ita Suprataba Suprataba Suryadi Suryadi Suwardha Yunus Syahrul Ningrat Syahrul Ningrat Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul, Syahrul Syakib Bakri Syam, Yuliana Syam, Yuliana Tawil, Selviana Tendri Mariadjeng Nurpa Masahude Thalib, Abdul Titi Iswanty Afelya Upik A. Miskad, Upik A. Uyunul Jannah Uyunul Jannah Wafiq Aulia Ramadhani Wijaya, I Kade Yacoline Pailungan, Ferly Yodang Yodang Yuliana Syam Yuliana Syam Yuliati - Yuliati Yuliati Yusuf, Bahtiar