BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES
Background: The referral-back program (RBP) is a program for chronic outpatient patients at hospitals to return to access services at first-level health facilities (Primary Healthcare Centers/ PHC) once their condition has been declared stable by the doctor. However, data indicate that many hospital...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2024-12-01
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| Series: | Jurnal Administrasi Kesehatan Indonesia |
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| Online Access: | https://e-journal.unair.ac.id/JAKI/article/view/54960 |
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| _version_ | 1832557549034930176 |
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| author | Putu Cindy Elisya Intan Larasati Luh Putu Sinthya Ulandari |
| author_facet | Putu Cindy Elisya Intan Larasati Luh Putu Sinthya Ulandari |
| author_sort | Putu Cindy Elisya Intan Larasati |
| collection | DOAJ |
| description | Background: The referral-back program (RBP) is a program for chronic outpatient patients at hospitals to return to access services at first-level health facilities (Primary Healthcare Centers/ PHC) once their condition has been declared stable by the doctor. However, data indicate that many hospitals and clinics in Denpasar City have not met the RBP target.
Aims: This study aimed to explore the implementation of RBP and the challenges faced by providers and patients.
Methods: Conducted in March 2023, this study used a qualitative approach with in-depth interviews. The sample was determined purposively, consisting of 13 informants. The data were analyzed using the thematic method.
Results: From the provider's perspective, issues included low commitment of medical staff, lack of coordination between the hospital and PHC, limited supply of RBP drugs at the PHC, absence of Standard Operating Procedures (SOPs), and ignorance of notifications regarding potential RBP patients. Moreover, from the patient's perspective, challenges included low patient knowledge about RBP, proximity of the patient's house to the hospital so that patients tend to visit the hospital, difficulty in obtaining RBP drugs at PHC, and ineffective procedures.
Conclusion: To overcome these obstacles, coordination, and improvement of RBP are needed through the preparation of SOPs and determination of RBP patient criteria.
Keywords: barrier, implementation, referral-back program |
| format | Article |
| id | doaj-art-d612db262c484ed1a56ea0c43cd22a91 |
| institution | Kabale University |
| issn | 2303-3592 2540-9301 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Jurnal Administrasi Kesehatan Indonesia |
| spelling | doaj-art-d612db262c484ed1a56ea0c43cd22a912025-02-03T04:18:51ZengUniversitas AirlanggaJurnal Administrasi Kesehatan Indonesia2303-35922540-93012024-12-0112225025710.20473/jaki.v12i2.2024.250-25753122BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVESPutu Cindy Elisya Intan Larasati0Luh Putu Sinthya Ulandari1https://orcid.org/0000-0002-3473-6046Universitas Udayana, Denpasar, IndonesiaUniversitas Udayana, Denpasar, IndonesiaBackground: The referral-back program (RBP) is a program for chronic outpatient patients at hospitals to return to access services at first-level health facilities (Primary Healthcare Centers/ PHC) once their condition has been declared stable by the doctor. However, data indicate that many hospitals and clinics in Denpasar City have not met the RBP target. Aims: This study aimed to explore the implementation of RBP and the challenges faced by providers and patients. Methods: Conducted in March 2023, this study used a qualitative approach with in-depth interviews. The sample was determined purposively, consisting of 13 informants. The data were analyzed using the thematic method. Results: From the provider's perspective, issues included low commitment of medical staff, lack of coordination between the hospital and PHC, limited supply of RBP drugs at the PHC, absence of Standard Operating Procedures (SOPs), and ignorance of notifications regarding potential RBP patients. Moreover, from the patient's perspective, challenges included low patient knowledge about RBP, proximity of the patient's house to the hospital so that patients tend to visit the hospital, difficulty in obtaining RBP drugs at PHC, and ineffective procedures. Conclusion: To overcome these obstacles, coordination, and improvement of RBP are needed through the preparation of SOPs and determination of RBP patient criteria. Keywords: barrier, implementation, referral-back programhttps://e-journal.unair.ac.id/JAKI/article/view/54960barrierreferral-back programimplementationbpjs-kesehatan |
| spellingShingle | Putu Cindy Elisya Intan Larasati Luh Putu Sinthya Ulandari BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES Jurnal Administrasi Kesehatan Indonesia barrier referral-back program implementation bpjs-kesehatan |
| title | BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES |
| title_full | BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES |
| title_fullStr | BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES |
| title_full_unstemmed | BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES |
| title_short | BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES |
| title_sort | barrier of referral back in secondary health facilities provider and patient perspectives |
| topic | barrier referral-back program implementation bpjs-kesehatan |
| url | https://e-journal.unair.ac.id/JAKI/article/view/54960 |
| work_keys_str_mv | AT putucindyelisyaintanlarasati barrierofreferralbackinsecondaryhealthfacilitiesproviderandpatientperspectives AT luhputusinthyaulandari barrierofreferralbackinsecondaryhealthfacilitiesproviderandpatientperspectives |