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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