Hubungan Rasio Peserta Per Dokter Dengan Rasio Rujukan Dan Mutu Layanan Peserta Jaminan Kesehatan Nasional (Jkn) Pada Puskesmas Di Kabupaten Kediri
Tutus Novita Dewi, Dr. Hanevi Djasri, MARS, FISQua ; Dr. Diah Ayu Puspasari, Apt., MBA., M.Kes
2026 | Tesis | MAGISTER KEBIJAKAN DAN MANAJEMEN KESEHATAN
Latar Belakang: Variasi rasio peserta per dokter (panel size) pada fasilitas
kesehatan tingkat pertama dalam sistem Jaminan Kesehatan Nasional (JKN)
berpotensi memengaruhi outcome pelayanan seperti rasio rujukan dan
kepuasan peserta. Kabupaten Kediri menunjukkan variasi panel size antar
Puskesmas sehingga penting untuk mengkaji hubungan panel size dengan outcome
pelayanan primer.
Tujuan: Penelitian ini bertujuan
menganalisis hubungan rasio peserta per dokter dengan rasio rujukan total dan
kepuasan peserta pada Puskesmas di Kabupaten Kediri.
Metode: Penelitian observasional analitik
dengan desain cross-sectional menggunakan data sekunder tahun 2024 pada
37 Puskesmas di Kabupaten Kediri (studi populasi). Analisis hubungan antar
variabel dilakukan menggunakan uji korelasi Spearman dengan tingkat
signifikansi 0,05.
Hasil: Rata-rata rasio peserta per dokter sebesar 8.460 peserta per dokter
(rentang 3.767–17.828). Rata-rata rasio rujukan total sebesar 11,73%, sedangkan
rata-rata kepuasan peserta sebesar 83,99. Hasil analisis menunjukkan terdapat
hubungan positif yang signifikan antara rasio peserta per dokter dan rasio
rujukan total (? = 0,357; p = 0,030) dengan kekuatan hubungan yang lemah.
Sementara itu, tidak terdapat hubungan signifikan antara rasio peserta per
dokter dan kepuasan peserta (? = 0,059; p = 0,727)
Kesimpulan: Rasio peserta per dokter memiliki hubungan signifikan namun lemah
dengan rasio rujukan total, tetapi tidak berhubungan dengan kepuasan peserta
pada Puskesmas di Kabupaten Kediri.
Kata Kunci: Jaminan Kesehatan Nasional, rasio peserta per dokter, rasio rujukan, Indikator Nasional Mutu, kepuasan peserta.
primary
healthcare facilities under the National Health Insurance (JKN) system may
influence service outcomes, such as referral rates and participant
satisfaction. Kediri Regency shows variations in panel size across primary
healthcare centers, making it important to examine the relationship between panel
size and primary care service outcomes.
Objective: This study aims to analyze the relationship between the
participant-to-doctor ratio and the total referral ratio and participant
satisfaction in primary healthcare centers in Kediri Regency.
Methods: This study used an analytical observational design with a
cross-sectional approach using secondary data from 2024 covering 37 primary
healthcare centers in Kediri Regency (population study). The relationships
between variables were analyzed using the Spearman correlation test with a
significance level of 0.05.
Results: The average
participant-to-doctor ratio was 8,460 participants per doctor (range
3,767–17,828). The average total referral ratio was 11.73%, while the average
participant satisfaction score was 83.99. The analysis showed a significant
positive relationship between the participant-to-doctor ratio and the total
referral ratio (? = 0.357; p = 0.030) with weak correlation strength. However,
there was no significant relationship between the participant-to-doctor ratio
and participant satisfaction (? = 0.059; p = 0.727).
Conclusion: The participant-to-doctor ratio has a significant but weak
relationship with the total referral ratio, but it is not associated with
participant satisfaction in primary healthcare centers in Kediri Regency.
Keywords: National Health Insurance,
participant-to-physician ratio, referral rate, National Quality Indicators,
patient satisfaction.
Kata Kunci : National Health Insurance, participant-to-physician ratio, referral rate, National Quality Indicators, patient satisfaction
