KEBIJAKAN PEMERINTAH DAERAH DALAM MENINGKATKAN SISTEM RUJUKAN KESEHATAN DAERAH KEPULAUAN DI KABUPATEN LINGGA PROVINSI KEPULAUAN RIAU
ABSRACT: One
of the critical issues in the development of national health care is the
limited accessibility to health services. Such problems also occur in Linga
District of Kepulauan Riau Province. It is caused by many factors, such as
geographical location, cost, number of health personnel and condition of health
care facilities, such as health centers and their networks which are not
accessible to the public. Several attempts have been made, for example, by
improving the status of sub-health centers to be health centers, health centers
to be treatment centers, assinging health workers both medical and paramedical,
improving health financing and making budget policies. However, its
implementation has not been maximal. In accordance with the above background,
it would require a study on the role of local government policy in improving the
referral system which is useful to know the problems in the field, so that in
the future a variety of improvement can be done.
Objective: To determine the referral system in the islands area of Linga
District.
Methods: This was a case-study research. The research subjects were head
of health centers / health center doctors, nurses/midwife assistants, ambulance
drivers/sea ambulance drivers, patient families, community figures, jamkesmas/ Jamkesda
managers, head of health care section/head of health office, director of local
hospital/mobile hospital and emergencyroom nurses. The variables in this study
were independent variable (referral system) and dependent variable (ambulance service).
The research location was in Linga District of Kepualauan Riau Province.
Results: The results showed that policy efforts of the Linga Government
District in improving the referral system had existed. The existing financing
policy had encompassed two aspects both from the demand side (medical expenses)
and from the supply side (a system that supported health care). The process of
referral from primary care to advanced services had been going well although
there was still lack as the unavailability and completeness of services. Most
of the health workers had received training; there were also specialist doctors
(in collaboration with the faculty of medicine), but networking in the referral
process was done partially and not integrated.
Conclusion: The health referral system in Linga District had run pretty
well, but did not fully involve community participation in an integrated
service system. The local government in this case Linga District Health Office
needs to revitalize as well as accelerate the development of Desa Siaga (alert
villages) readiness to increase community participation in the development of a
referral system.
Penulis: Ignasius Luti,
Mubasysyir Hasanbasri, Lutfan Lazuardi
Kode Jurnal: jpkesmasdd120242
