Supporting Factors and Barriers to Implementing the Referral System in Primary Health Care
Abstract
This study aims to identify the supporting and inhibiting factors for the implementation of the referral system in primary health care. This study used a scoping review design, using four databases namely PubMed, ProQuest, ScienceDirect, and Garuda, using keywords based on the PCC method (Population, Concept, Contect. The results of this study identify a number of supporting and inhibiting factors for the implementation of the referral system in primary health care, showing that the supporting factors are human resources, facilities and infrastructure, medicines, medical devices, referral fees, referral information and support from various parties. While the inhibiting factors are knowledge/understanding of officers or patients, accessibility, SOP/regulation of referrals, information systems, completeness of the referral process and social culture of the community. In conclusion, with several supporting and inhibiting factors in the implementation of the referral system in primary health care identified, causing referral health services to not be optimal.
Keywords: Supporting Factors, Barriers, Primary Health Care, Referral Systems
References
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Bugomola, M. A., Leshabari, S., Mkoka, D., & Mbekenga, C. K. (2022). Effectiveness of Maternal Referral System in Tanzania : A Mixed Method Study. Research Square, 1–18. https://doi.org/10.21203/rs.3.rs-1799859/v1
Dalal, S., Nagar, R., Hegde, R., Vaishnav, S., Abdullah, H., & Kasper, J. (2022). Referral Care for High-Risk Pregnant Women in Rural Rajasthan, India: A Qualitative Analysis of Barriers and Facilitators. BMC Pregnancy and Childbirth, 22(1), 1–16. https://doi.org/10.1186/s12884-022-04601-6
Daniels, A. A., & Abuosi, A. (2020). Meningkatkan Sistem Rujukan Obstetrik Darurat di Negara Berpenghasilan Rendah dan Menengah : Studi Kualitatif di Fasilitas Kesehatan Tersier di Ghana. BMC Health Services Research, 3, 1–10. https://doi.org/10.1186/s12913-020-4886-3
Give, C., Ndima, S., Steege, R., Ormel, H., McCollum, R., Theobald, S., Taegtmeyer, M., Kok, M., & Sidat, M. (2019). Strengthening Referral Systems in Community Health Programs: A Qualitative Study in Two Rural Districts of Maputo Province, Mozambique, Mozambik. 3(702), 1–11. https://doi.org/10.1186/s12913-019-4076-3
Hada, E., Suharto, S., Rohaeni, N., & Hendarti, A. (2020). Tinjauan Sistem Rujukan BPJS di Puskesmas Cimahi Utara dalam Mendukung Cakupan Pelayanan BPJS di Kota Cimahi. TEDC, 14(2), 1–6. https://ejournal.poltektedc.ac.id/index.php/tedc/article/view/624/469
Harris, M., Vedsted, P., Esteva, M., Murchie, P., Aubin-Auger, I., Azuri, J., Brekke, M., Buczkowski, K., Buono, N., Costiug, E., Dinant, G. J., Foreva, G., Babić, S. G., Hoffman, R., Jakob, E., Koskela, T. H., Marzo-Castillejo, M., Neves, A. L., Petek, D., & Taylor, G. (2018). Identifying Important Health System Factors That Influence Primary Care Practitioners’ Referrals for Cancer Suspicion: A European Cross-Sectional Survey. BMJ Open, 8(9). https://doi.org/10.1136/BMJOPEN-2018-022904
Heryana, A. (2020). Sistem Rujukan Berjenjang pada Pelayanan Kesehatan. Universitas Esa Unggul. http://dx.doi.org/10.13140/RG.2.2.16793.65126
Hidayati, P., Hakimi, M., & Claramita, M. (2017). Analisis Implementasi Rujukan Berjenjang Kasus Darurat Ibu pada Peserta Jaminan Kesehatan Nasional di 3 Phc Kota Bengkulu. Jurnal Kebijakan Kesehatan Indonesia, 6(2), 94-102. https://jurnal.ugm.ac.id/jkki/rt/printerFriendly/28904/0
Kementerian Kesehatan RI No 43. (2019). Peraturan Menteri Kesehatan tentang Pusat Kesehatan Masyarakat Nomor 43. 2
Lahay, F. J., Kusumo, M. P., & Permana, I. (2018). Analisis Angka Rujukan Di Rumah Sakit Umum Daerah Ampana Analysis of High Reference Number in Ampana Hospital. Jurnal Admmirasi, 3(2), 52–64. https://garuda.kemdikbud.go.id/documents/detail/1266796
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Michael, M. (2018). Reviving the Functionality of the Referral System in Uganda. https://www.udn.or.ug/udn-media/news/147reviving-the-functionality-of-the-referral-system-inuganda.html
Nestelita, D., Suryoputro, A., & Kusumastuti, W. (2019). Proses Sistem Rujukan dalam Pelayanan Kegawatdaruratan Obstetri dan Neonatal di Puskesmas Sayung 2 Kabupaten Demak. Media Kesehatan Masyarakat Indonesia, 18(4), 159-163. https://doi.org/10.14710/mkmi.18.4.%p
Nurhayani, N., & Rahmadani, S. (2019). Analisis Pelaksanaan Sistem Rujukan Pasien Bpjs Kesehatan di Puskesmas Mamasa, Puskesmas Malabo dan Puskesmas Balla Kabupaten Mamasa. Jurnal Publikasi Kesehatan Masyarakat, 7(2), 15–22. https://ppjp.ulm.ac.id/journal/index.php/JPKMI/article/view/10168
Nurrizka, R. H., & Setiawati, M. E. V. (2019). Evaluasi Pelaksanaan Sistem Rujukan Berjenjang dalam Program Jaminan Kesehatan Nasional. Jurnal Kebijakan Kesehatan Indonesia. 08(01), 35–40. https://doi.org/10.22146/jkki.43843
Ofosu, B., Ofori, D., Ntumy, M., Asah-Opoku, K., & Boafor, T. (2021). Assessing the Functionality of An Emergency Obstetric Referral System and Continuum of Care Among Public Healthcare Facilities in A Low Resource Setting: An Application of Process Mapping Approach. BMC Health Services Research, 21(1), 1–15. https://doi.org/10.1186/s12913-021-06402-7
Rahayu, S., & Hosizah, H. (2021). Implementasi Sistem Rujukan Layanan Kesehatan : Systematic Literature Review. Indonesian of Health Information Management Journal (INOHIM), 9(2), 138–152. https://doi.org/10.47007/inohim.v9i2.312
Rahmadani, S., Muflihah, A., & Hamka, N. A. (2021). Analisis Penggunaan Sistem Rujukan Terintegrasi (SISRUTE) Di Puskesmas Kota Makassar. Jurnal Manajemen Kesehatan Yayasan RS Dr. Soetomo, 7(2), 321–333. http://dx.doi.org/10.29241/jmk.v7i2.651
Ramadhani, N. S. (2021). Studi Literatur : Analisis Faktor Penyebab Tingginya Angka Rujukan di Puskesmas pada Era JKN. Media Gizi Kesmas, 9(2), 57-66. https://doi.org/10.22146/jkki.43843
Ristanti, A. D., & Zuwariyah, N. (2020). Penerapan Manajemen Rujukan Kegawatdaruratan Obstetri dengan Insiden Kegawatdaruratan Obstetri di Pusat Pelayanan Primer. Jurnal Kebidanan, 7(2), 239–246. https://doi.org/10.26699/jnk.v7i2.ART.p239
Safitri, R. A., Chotimah, I., & Pujiati, S. (2021). Faktor-Faktor Tingginya Angka Rujukan di Puskesmas Sukatani Kota Depok Tahun 2018. Promotor, 4(4), 369. https://doi.org/10.32832/pro.v4i4.5604
Teklu, A. M., Litch, J. A., Tesfahun, A., Wolka, E., Tuamay, B. D., Gidey, H., Cheru, W. A., Senturia, K., Gezahegn, W., Hailu, T., Jebessa, S., Kahsay, A., Kuti, K. A., Levine, G., Robb-Mccord, J., Tadesse, Y., Tariku, A., Usman, A. K., & Weldetsadik, A. Y. (2020). Referral Systems for Preterm, Low Birth Weight, and Sick Newborns in Ethiopia: A Qualitative Assessment. BMC Pediatrics, 20(1), 1–13. https://doi.org/10.1186/s12887-020-02311-6
Published
2023-11-06
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Articles
Copyright (c) 2023 Laode Ardini, Elly L. Sjattar, Erfina Erfina
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