Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities

Authors

  • Adila Solida Department of Public Health, Faculty of Medicine and Health Sciences, University of Jambi, Indonesia
  • Andy Amir Department of Public Health, Faculty of Medicine and Health Sciences, University of Jambi, Indonesia
  • Rumita Ena Sari Department of Public Health, Faculty of Medicine and Health Sciences, University of Jambi, Indonesia
  • Fitri Widiastuti Department of Management, Faculty of Economics and Business, University of Jambi, Indonesia.

DOI:

https://doi.org/10.55018/janh.v5i2.148

Keywords:

Root Cause Analysis, Quality Control, Cost Control

Abstract

Background: The incidence of chronic diseases in Jambi City is still high from year to year. The Referback Program (PRB) is one of the government's efforts through BPJS Health in collaboration with health facilities to ensure chronic disease sufferers have easier access to obtain the medicines they need at an efficient cost. This research aims to analyze the main problems of quality control and cost control of PRB implementation in terms of man, material-machine, method, market, money and time elements at FKTP in Jambi City.

Methods: The research was conducted using qualitative methods using the perspective of Root Cause Analysis (RCA) theory to form research procedures. The informants consisted of the person in charge of PRB, the head of the community health center and PRB participants at FKTP in Jambi City. The research instrument is a structured interview sheet. Data analysis uses thematic analysis techniques according to the RCA flow

Results: The research results found that the main cause of the problem was weak coordination between PRB officers and BPJS Health in implementing PRB at FKTP.

Conclusion: It is recommended that BPJS Health be more active in providing outreach and special training to PRB officers as well as setting up a clear monitoring and evaluation system regarding the implementation of PRB in FKTP

Downloads

Download data is not yet available.

References

Balgis, B., Sumardiyono, S., & Handayani, S. (2022). Hubungan Antara Prevalensi Hipertensi, Prevalensi DM dengan Prevalensi Stroke di Indonesia (Analisis Data Riskesdas Dan Profil Kesehatan 2018). Jurnal Kesehatan Masyarakat (Undip), 10(3), 379–384.

Dianingsih, T. M., Utarini, A., & Bismantara, H. (2022). STRATEGI OPTIMALISASI PELAKSANAAN PROGRAM RUJUK BALIK PASIEN DIABETES MELITUS PESERTA BPJS KESEHATAN DI PUSKESMAS KECAMATAN PANCORAN. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), 25(4).

Kemenkes, R. I. (2021). Profil Kesehatan Indonesia 2020. Kementrian Kesehatan Republik Indonesia, 139.

Kusumawardhani, O. B., & Ripha, R. W. (2020). Systematic Review: Kendali Mutu Dan Biaya Program Rujuk Balik (PRB) BPJS Kesehatan. Prosiding University Research Colloquium, 149–164.

Lestari, D. A. (2021). Gambaran Ketersediaan Obat Program Rujuk Balik (PRB) di Indonesia.

Liansyah, T. M., Yani, M., & Hidayaturrahmi, H. (2021). A PELAKSANAAN PROGRAM RUJUK BALIK DALAM PENANGANAN MASALAH PENYAKIT KRONIS PADA FASILITAS PELAYANAN KESEHATAN TINGKAT PRIMER:-. Medicus Darussalam, 1(1), 1–15.

Manik, C. M., & Ronoatmodjo, S. (2019). Hubungan Diabetes Melitus Dengan Hipertensi Pada Populasi Obes Di Indonesia (Analisis Data IFLS-5 Tahun 2014)(Relationship Between Diabetes Mellitus And Hypertension In Obesity Populations In Indonesia (Data Analysis Of IFLS-5 In 2014)). Jurnal Epidemiologi Kesehatan Indonesia, 3(1).

Paramita, A., Andarwati, P., & Kristiana, L. (2019). Upaya Kendali Mutu dan Biaya Program Rujuk Balik Menggunakan Pendekatan Root Cause Analysis. Journal of Health Science and Prevention, 3(2), 68–78.

Pertiwi, D., Wigati, P. A., & Fatmasari, E. Y. (2017). Analisis Implementasi Program Rujuk Balik Peserta Jaminan Kesehatan Nasional Di Rumah Sakit Umum Daerah Tidar Kota Magelang. Jurnal Kesehatan Masyarakat (Undip), 5(3), 1–11.

Rinata, F., Arsyati, A. M., & Maryati, H. (2019). Gambaran Implementasi Program Rujuk Balik (PRB) BPJS Kesehatan di Puskesmas Wilayah Kerja Kecamatan Tanah Sareal Kota Bogor Tahun 2018. PROMOTOR, 2(1), 20–26.

Sandi, F. D. (2022). Upaya Peningkatan Capaian Kepatuhan Program Rujuk Balik di RS X dengan Menggunakan Problem Solving Cycle. Jurnal Keperawatan Silampari, 5(2), 1207–1218.

Solida, A., Noerjoedianto, D., Mekarisce, A. A., & Subandi, A. (2022). Costs and Impacts of Utilizing National Health Insurance Reducing the Economic Burden of Hypertension Patients. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(1), 143–150.

Sulung, N. (2022). ANALISIS PELAKSANAAN PROGRAM RUJUK BALIK DI PUSKESMAS KOTA BUKITTINGGI TAHUN 2021. Human Care Journal, 7(1), 104–114.

Wahidin, M., Agustiya, R. I., & Putro, G. (2023). Beban Penyakit dan Program Pencegahan dan Pengendalian Penyakit Tidak Menular di Indonesia. Jurnal Epidemiologi Kesehatan Indonesia, 6(2).

Downloads

Published

2023-12-30

How to Cite

Solida, A. ., Amir, A. ., Sari, R. E., & Widiastuti, F. . (2023). Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities. Journal of Applied Nursing and Health, 5(2), 378–389. https://doi.org/10.55018/janh.v5i2.148