Analysis Of Indonesian Social Security Administering Agency Patient Referral System Procedure

Management, Health Management

Every citizen's right to health services, social protection, and welfare is enshrined within the Indonesian Social Security Administering Agency (BPJS), which ensures equitable access to healthcare. However, despite these efforts, challenges persist within the referral process. Notably, Bhayangkara Hospital, a constituent of the National Police, plays a vital role in the provision of healthcare services. An in-depth analysis of healthcare services at Bhayangkara Setukpa Lemdiklat Polri Sukabumi hospital reveals various indicators, such as Bed Occupancy Ratio (BOR), Length of Stay (LOS), Bed Turn Over (BTO), Turn Over Interval (TOI), Gross Death Rate (GDR), and Net Death Rate (NDR). This study aims to scrutinize the standard procedural regulations governing the BPJS patient referral system, as stipulated by Minister of Health Regulation Number 001 of 2012, specifically focusing on the Individual Health Service Referral System. Employing qualitative research methods, including structured interviews with credible informants, the study explores the effectiveness and challenges of the BPJS patient referral system. While acknowledging the positive impacts of the referral system in ensuring access to various levels of health services, including outpatient and advanced care, the study also highlights persistent challenges faced by both the public and health facilities receiving referrals. Despite generally aligning with regulatory frameworks, obstacles related to resource allocation, facilities, and patient dynamics hinder optimal performance. Recommendations for improvement include a comprehensive analysis of the referral process, enhanced coordination, improvements in health information systems, establishment of referral protocol standards, and comprehensive training and education initiatives. Additionally, regular audits and evaluations, effective communication strategies with patients, and leadership commitment to continual improvement are essential. In conclusion, while the implementation of the referral system adheres to prevailing health regulations, concerted efforts are required to address existing obstacles and improve service delivery at Bhayangkara Setukpa Lemdiklat Polri Sukabumi Hospital.

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