Analisis rujukan pasien keluarga miskin dari Puskesmas ke Rumahsakit Umum Kota Kendari Provinsi Sulawesi Tenggara

TOGALAMI, Yulci Hendrayati, dr. Kristiani, SU

2004 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar belakang Rujukan yang diberlakukan di unit-unit kesehatan pemerintah melibatkan Polindes, puskesmas dan rumah sakit, tenaga pelayanan kesehatan berupa dokter spesialis dan dokter umum, perawat dan bidan dengan melibatkan masyarakat melalui posyandu. Metode penelitian Penelitian ini merupakan penelitian observasional dengan rancangan studi kasus Menggunakan petode kuantitatif dan kualitatif.Lokasi penelitian adalah Kota Kendari Provinsi Sulawesi Tenggara, di institusi rumah sakit umum Abunawas Kota Kendari, puskesmas 6 buah. Subyek penelitian adalah pasien keluarga miskin, petugas rumah sakit dan puskesmas, total sampel 70 orang. Hasil penelitian Input: sebagian besar pasien Gakin sudah paham tentang prosedur rujukan, tenaga puskesmas sebagian besar memahami prosedur rujukan ke rumah sakit, demikian pula sebagian besar tenaga rumah sakit sudah memahami prosedur penerimaan rujukan pasien Gakin, dana PKPS-BBM cukup untuk melayani pasien Gakin di RSU, kebijakan rumah sakit terhadap pelayanan pasien Gakin meliputi kebijakan dana, surat rujukan dan kartu sehat belum lengkap perawatan dilakukan, ketersediaan tempat tidur cukup. Proses: prosedur rujukan pasien Gakin di puskesmas sebagian besar sesuai pedoman, prosedur penerimaan pasien Gakin di rumah sakit belum sesuai pedoman.Output: rujukan di puskesmas dan rumah sakit belum sesuai dengan pedoman PKPS-BBM. Kesimpulan Prosedur rujukan pasien Gakin di puskesmas dan rumah sakit belum sesuai dengan pedoman.

Background:Referral being implemented in government health units involved Polindes, primary health care and hospital, health service provider such as specialists and general doctors, nurse and midwife by involving community through Posyandu (Integrated service post). Methods:This was an observational research with case study design that used quantitative and qualitative approaches, the location of the research was in Kendari, Province of south East Sulawesi, in the general hospital of Abunawas’ Kendari and 6 primary health care. The subject of this research was patients from poverty family , health care provider in hospital and primary health care with sample total of 70 people health care providers in primary health care. Results:Input Most of the patients from poverty family already understand about referral procedure, most of patients, health care provider and hospital understood the referral procedure to hospital, and most of the health care providers in the hospital already understood the procedure of referral acceptance of patients from poverty family,funding of PKPS-BBM was quite visible to serve the patients from poverty family in general hospital, hospital policy toward service for patients from poverty family that consisted of funding policy incomplete referral letter and healthy card, treatment still being implemented and the availability of bed in hospital.Process Referral procedure of patients from poverty family already fits the acceptance guidance, procedure of patients from poverty family in hospital in primary health care and hospital was not yet fits the guidance. Output.Referral in the primary health care and hospital was not yet fit the PKPS-BBM. Conclusion:Referral procedure of patients from poverty family in primary health care and hospital was not yet fits the guidance.

Kata Kunci : Layanan Kesehatan,Pasien Miskin,Rujukan