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Literature Analysis on the Effectiveness of Referral Systems in Improving Access to Health Services Oryza Sativa H Sihotang; Putri Adinda Ramadhani; Hutagalung; Nur Indah Rahma Dilla; Zahra Andini; Nadhilah hasibuan; Dewi Agustina
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 3: July 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i3.7420

Abstract

In Indonesia, the healthcare referral system has undergone a major shift from a conventional model to an integrated electronic system. Seven scientific articles published between 2020 and 2024 are the subject of this study. The purpose of this study is to evaluate the effectiveness of the electronic referral system in improving access to health services. The research results show that the implementation of electronic referral systems such as SISRUTE in the JKN BPJS Kesehatan program has improved the referral process and reduced patient waiting times. However, challenges such as limited technology infrastructure, labor shortages, the complexity of system interfaces, and fear of change still exist. Information quality, ease of use, management support, and data integration greatly influence system performance. The electronic referral system is essential for reducing maternal and infant mortality rates in delivery and maternal care services. Therefore, several important recommendations for the development of a referral system in Indonesia are continuous evaluation, increased employee capacity, strengthening regulations, and integration of health information systems.
Analysis of Health Management Strategies in Improving Hospital Service Quality: Literature Review Nadia Amanda Azwa; Assyifa Deswita Mrp; Eva Sahriani Sikumbang; Nadhilah Hasibuan; Ade Ilham Kesuma; Sayyidati Zahira; Sri Rahayu; Nur Hasanah; Wasiyem
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 3: July 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i3.7697

Abstract

Hospital services today face increasing public demands for fast, safe, and high-quality care. To meet these challenges, an appropriate, integrated, and sustainable health management strategy is required. This study aims to analyze effective health management strategies for improving the quality of hospital services through a systematic literature review. The method used is a Systematic Literature Review (SLR), examining 15 Indonesian-language scholarly articles from Google Scholar published between 2020 and 2025. From the selection process, 8 articles met the inclusion criteria and were further analyzed based on managerial strategies and their impact on service quality. The findings show that strategies such as thorough planning, strengthening human resources, implementation of Hospital Management Information Systems (HMIS), and quality evaluation methods such as Total Quality Management (TQM), Kaizen (5R), and FMEA play a significant role in improving service quality. The application of international standards such as ISO 9001:2015, enhanced communication, and regular evaluations using quality indicators and the Balanced Scorecard also contribute substantially. In conclusion, a combination of integrated management strategies focused on continuous improvement has proven effective in creating optimal, efficient, and competitive hospital service quality.
Implementasi Pelayanan BPJS Kesehatan dalam Meningkatkan Pelayanan Administrasi Penanganan Penyakit Ringan di Puskesmas Rambung Kota Binjai (Studi Kasus: Penyakit Flu dan Batuk): Implementation of BPJS Health Services in Improving Administrative Services for Handling Minor Illnesses at the Rambung Community Health Center in Binjai City (Case Study: Flu and Cough) Nadhilah Hasibuan; Zahra Andini; Fitriani Pramita Gurning
Jurnal Kolaboratif Sains Vol. 8 No. 7: Juli 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i7.8269

Abstract

Pelayanan kesehatan dasar melalui puskesmas memegang peranan penting dalam penanganan penyakit ringan seperti flu dan batuk. Sejak diberlakukannya program Jaminan Kesehatan Nasional (JKN) oleh BPJS Kesehatan, terjadi perubahan signifikan dalam sistem pembiayaan dan pelayanan kesehatan di Indonesia, termasuk dalam aspek administrasi penanganan penyakit ringan di puskesmas. Penelitian ini bertujuan mengkaji implementasi pelayanan BPJS Kesehatan dalam meningkatkan kualitas pelayanan administrasi terhadap kasus flu dan batuk di Puskesmas Rambung. Metode yang digunakan adalah kualitatif dengan studi kasus, melibatkan wawancara mendalam, observasi, dan dokumentasi pada petugas administrasi BPJS. Hasil penelitian menunjukkan bahwa prosedur pelayanan BPJS mengikuti standar operasional yang telah ditetapkan, mulai dari pengambilan nomor antrian hingga pengambilan obat, tanpa perbedaan perlakuan antara pasien BPJS dan pasien umum. Kendala utama yang ditemukan adalah gangguan sistem dan jaringan yang memperlambat proses administrasi, namun pelayanan medis tetap berjalan dengan pencatatan manual dan komunikasi alternatif. Persepsi efektivitas pelayanan BPJS dinilai cukup efektif dengan tingkat kepuasan sekitar 80%, meskipun efektivitas ini sangat bergantung pada stabilitas sistem informasi dan kualitas sumber daya manusia. Kesimpulannya, pelayanan BPJS di puskesmas telah memberikan kemudahan akses dan administrasi yang lebih baik dalam penanganan penyakit ringan, namun perlu peningkatan infrastruktur teknologi dan pelatihan petugas untuk mengatasi kendala teknis dan meningkatkan kualitas pelayanan secara menyeluruh.