Salah satu indikator kualitas fasilitas kesehatan tingkat primer (FKTP)
adalah rendahnya rujukan nonspesialistik. Rujukan nonspesialistik adalah
rujukan dari 144 penyakit yang seharusnya dapat diatur di FKTP.
Kenyataannya, masih banyak kasus nonspesialistik yang dirujuk ke fasilitas
kesehatan sekunder. Penelitian deskriptif dengan metode campuran kuantitatif
dan kualitatif ini bertujuan untuk mengetahui pola dan penyebab kasus
penyakit nonspesialistik yang dirujuk ke fasilitas kesehatan tingkat
sekunder di Kota Pekanbaru. Gambaran kasus penyakit nonspesialistik
dikumpulkan dari data Badan Penyelenggara Jaminan Sosial Kesehatan
Kota Pekanbaru periode Desember 2014 - April 2015, sedangkan faktor
penyebab rujukan diperoleh dari focus group discussion yang diikuti oleh 40
dokter berdasarkan jenis FKTP. Penelitian ini menampilkan 20 kasus nonspesialistik
yang paling sering dirujuk, di antaranya hipertensi esensial,
miopia ringan, dan diabetes melitus. Penyebab rujukan kasus penyakit nonspesialistik
antara lain kesalahan kode serta terbatasnya fasilitas, sumber
daya manusia, manajemen pelayanan, dan kompetensi dokter. Semua faktor
keterbatasan tersebut perlu diantisipasi agar upaya rujukan dapat diminimalkan
One of primary healthcare facility quality indicators is the low non-specialistic
referral. Non-specialistic referral is referral of 144 diseases that should
be arranged in primary healthcare facilities. In fact, there are many non-specialist
cases referred to secondary health care facilities. This descriptive
study using quantitative and qualitative method aimed to determine patterns
and causes of non-specialist diseases referred to secondary primary
health care in Pekanbaru City. Depiction of non-specialistic disease cases
was collected from data of the state health insurance scheme in Pekanbaru
City on December 2014 - April 2015 period, meanwhile causes of referral
were obtained from focus group discussion participated by 40 doctors based
on types of primary healthcare facilities. This study showed 20 non-specialistic
cases oftenly referred including essential hypertension, mild myopia
and diabetes mellitus. Causes of non-specialistic disease referrals were
code error as well as limited facilities, human resources, service management
and competence of doctors. Such limitations need to be anticipated in
order to minimalize act of referrals.
