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All Journal INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan
Ramadhani, Felissia Shandra
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Humanities Economics, Econometrics & Finance Education Languange, Linguistic, Communication & Media Social Sciences

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Optimizing Referral Services: A Health Management Approach to Quality Improvement in Health Services Ramadhani, Felissia Shandra; Dewi , Nur Azizah Puspita; Safitri, Siti Salsabilla; Purwanti , Yuniar Setia; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.193

Abstract

Optimizing referral services through a health management approach aims to increase efficiency, reduce waiting times, and improve patient satisfaction. This study used a discrete-event simulation model with three scenarios: baseline (standard protocol), optimized service coordination (telemedicine integration), and predictive analytics-based resource reallocation. Simulation results showed a 40% reduction in waiting time (from 14 days to 8.5 days) in the service coordination scenario, with an increase in referral acceptance to 85%. Resource reallocation cut waiting time by 30% (9.8 days) and achieved 78% acceptance. Telemedicine expanded access to specialist services in remote areas, while predictive analytics reduced overload at major referral hospitals. However, challenges such as the primary-secondary care capacity imbalance and limited IT infrastructure in primary healthcare facilities still hamper. Recommendations include strengthening structured telemedicine, developing algorithm-based referral criteria, increasing primary care capacity, and dynamic feedback systems. This simulation proves that a holistic health management approach-combining technology, systemic collaboration, and data-driven policies-can build an adaptive, efficient, and equitable referral system.
Co-Authors Dewi , Nur Azizah Puspita Mika Vernicia Humairo Purwanti , Yuniar Setia Safitri, Siti Salsabilla