Factors Affecting Patient Compliance to the National Health Insurance Referal System in Medan, North Sumatera

Suryati Sinurat¹⁾, Ida Yustina²⁾, Destanul Aulia²⁾

¹⁾Study Program in Hospital Management, Faculty of Public Health, Universitas Sumatera Utara

²⁾Department of Administration and Health Policy, Faculty of Public Health, Universitas Sumatera Utara

ABSTRACT

Background: Referal system is a critical element of the national health insu­rance (JKN) scheme that is managed by the Managing Body of Social Insurance (BPJS). An effective referral system ensures a close relationship between all levels of the health system and helps to ensure people receive the best possible care closest to home. It also assists in making cost-effective use of hospitals and pri­mary health care services. Support to health centres and outreach services by ex­pe­­rienced staff from the hospital or district health office helps build capacity and en­hance access to better quality care. To date, however, the referal system had not been implemented as expected. This study aimed to analyze factors affec­ting patient compliance with the national health insurance referal system at Royal Pri­ma Hospital, Medan, North Sumatera.

Subjects and Methods: This was a cross sectional study conducted at Royal Pri­ma Hospital, Medan, North Sumatera. A sample of 164 BPJS patients were se­lec­ted for this study. The dependent variable was compliance with the referal sys­tem of JKN. The independent variables was accomodation. The data were col­lec­ted by questionnaire and analyzed by a logistic regression model.

Results: Patient compliance with the referal system of JKN was associated with acco­modation cost incurred by the patient and the attending family member.

Conclusion: Patient compliance with the referal system of JKN is associated with accomodation cost incurred by the patient and the attending family member.

Keywords: referal system, primary care, hospital, compliance, patients, national health insurance

Correspondence: Suryati Sinurat. Study Program in Hospital Management, Faculty of Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: angatashutagalung@yahoo.com. Mobile:+62 812-6313-1982.

DOI: https://doi.org/10.26911/theicph.2018.04.01

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