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Salah satu indikator kualitas fasilitas kesehatan tingkat primer (FKTP)adalah rendahnya rujukan nonspesialistik. Rujukan nonspesialistik adalahrujukan dari 144 penyakit yang seharusnya dapat diatur di FKTP.Kenyataannya, masih banyak kasus nonspesialistik yang dirujuk ke fasilitaskesehatan sekunder. Penelitian deskriptif dengan metode campuran kuantitatifdan kualitatif ini bertujuan untuk mengetahui pola dan penyebab kasuspenyakit nonspesialistik yang dirujuk ke fasilitas kesehatan tingkatsekunder di Kota Pekanbaru. Gambaran kasus penyakit nonspesialistikdikumpulkan dari data Badan Penyelenggara Jaminan Sosial KesehatanKota Pekanbaru periode Desember 2014 - April 2015, sedangkan faktorpenyebab rujukan diperoleh dari focus group discussion yang diikuti oleh 40dokter berdasarkan jenis FKTP. Penelitian ini menampilkan 20 kasus nonspesialistikyang paling sering dirujuk, di antaranya hipertensi esensial,miopia ringan, dan diabetes melitus. Penyebab rujukan kasus penyakit nonspesialistikantara lain kesalahan kode serta terbatasnya fasilitas, sumberdaya manusia, manajemen pelayanan, dan kompetensi dokter. Semua faktorketerbatasan tersebut perlu diantisipasi agar upaya rujukan dapat diminimalkanOne of primary healthcare facility quality indicators is the low non-specialisticreferral. Non-specialistic referral is referral of 144 diseases that shouldbe arranged in primary healthcare facilities. In fact, there are many non-specialistcases referred to secondary health care facilities. This descriptivestudy using quantitative and qualitative method aimed to determine patternsand causes of non-specialist diseases referred to secondary primaryhealth care in Pekanbaru City. Depiction of non-specialistic disease caseswas collected from data of the state health insurance scheme in PekanbaruCity on December 2014 - April 2015 period, meanwhile causes of referralwere obtained from focus group discussion participated by 40 doctors basedon types of primary healthcare facilities. This study showed 20 non-specialisticcases oftenly referred including essential hypertension, mild myopiaand diabetes mellitus. Causes of non-specialistic disease referrals werecode error as well as limited facilities, human resources, service managementand competence of doctors. Such limitations need to be anticipated inorder to minimalize act of referrals. |
