Analisis Besaran dan Pembayaran Kapitasi Berbasis Komitmen Pelayanan terhadap Pengendalian Rujukan di Puskesmas Kota Bengkulu
Abstract: Puskesmas as primary
health care center where the role of Puskesmas is interpreted as gate keeper or
first contact and referral agent in accordance with standard of medical
service. BPJS Kesehatan always strives to increase efficiency and effectiveness
by developing quality control system of service and payment system of health
service through capitation payment pattern to first level health facility. Problem formulation,
how the implementation of Kapuas basaran policy based on fulfillment of service
commitment to control at Public Health Center of Bengkulu City. Research
Objective, knowing the role of policy of capitation scale based on fulfillment
of service commitment to referral control at public health center Bengkulu
City. Research methods: This research uses quantitative and qualitative method
with exploratory research design, unit of Puskesmas analysis in Bengkulu City.
The type of this research is descriptive research to describe the
implementation of capitation policy based on fulfillment of service commitment
to referral number in public health center Bengkulu City. Results and
discussion:Referral from public health center in Bengkulu City decreased from
2014 as many as 113,075 visits and 25,183 (22.27%) referrals, by 2015 149,483
visits and 26,963 (18.04%) referrals, 2016 226,313 visitation and 23,545
referrals (10 , 40%) In 2016 the number of participants in Bengkulu City was
156,854 inhabitants and the number of contact rate was 15.726 (10.06%). Visits
were 13,068 (8.33%) and healthy visits 2,658 (1.69%). All informants understand
about the activities undertaken to achieve the safe zone target ratio.
Conclusions and recommendations:The implementation of a service
commitment-based capitation policy can control the referral of the public
health center. Informants have a common perception in achieving contact numbers
to achieve the target of safe zones and achievement zones by optimizing public
health efforts and individual health efforts to make healthy visits and sick
visits to the community. Policy implementation can be developed by maximizing
existing community health efforts in Puskesmas, improving the achievement of
contact rates indicator, non-specialist referral ratios, and proline visits
routinely.
Keywords: Capitation,
Performance, Contact Rate, Referral
Penulis: Henni Febriawati
Kode Jurnal: jpkesmasdd170567
