Director of Services Social Security Agency (BPJS) Health Fajriadinur said it will optimize tiered referral so that part of treatment BPJS participants can take place more effectively.
Health care referral system implemented by way of a tiered according to the medical needs. At the first level of service, participants can seek treatment BPJS Health primary health care facilities to a kind of community health centers (Puskesmas), aka clinic family physician listed on the card BPJS Health.
If need further care by a specialist, then participants Health BPJS be referred to the second level health facilities aka secondary health facilities. Reference is only granted if the participants take a concerted Health BPJS health care specialist.
"Tiered referral system actually has been there all the time. However, now shall be applied more consistent with the National Health Insurance program," said Director General of Health Services (BUK) Ministry of Health Akmal Taher during a press conference at the office BPJS Health, Cempaka Putih, Central Jakarta, Thursday (26/3).
Meanwhile, as of February 2015, the number of primary-level health facilities (FKTP) in collaboration with the Health BPJS is 18 856 FKTP. Of these, a total of 4,143 individual practice physicians, 569 Police clinics, clinics pratama 2569, 751 military clinics, 1,011 dentists individual practices, health centers and eight 9805 D Primary Hospital.
In order for the continued effective referral patterns, BPJS Health appointed 20 hospitals as Provincial Hospital, which consists of an RS class A, class B RS 14, three RS class C, and two RS-class D.
Meanwhile, there are 110 hospitals Regional Hospital consists of three class A, class B RS 48, RS 52 class C, and seven RS class D.
With the Provincial Hospital and the Regional Hospital, the patient no longer wants to accumulate at the National Hospital. "In Cipto Mangunkusumo, patients from Jakarta only approximately 60 per cent. The rest of the outside Jakarta," said Akmal.
Akmal exemplifies RS Gunung Jati Cirebon set into a regional hospital. With the tiered referral patterns, RS was making reference to the five surrounding counties. "That way, patients enjoy a cause near and RS berobatnya also be able to handle," he said.
On the other hand, the Chairman of the National Social Security Council (DJSN) Chazali Situmorang consider referral system is not yet fully underway smoothly. "However, this need not be overwhelmed so RS BPJS handle all participants," he said.
According Chazali, there are three parties who act tiered referral system that could run well, namely the government, BPJS Health and patients. "It shall be styled either way with the cooperation of all parties. I can not blame one party alone," he said. Patients were also required well educated in order to follow the rules.
On the other hand, the Head of Finance and the Ministry of Health Health Insurance Donald Pardede mention later Regional Hospital will be expanded to reach 168 hospitals to make health care continues BPJS effective. "In addition, there will be 14 National Hospital," said Donald.
A total of 14 National Hospital that will be scattered in various provinces in Indonesia. "So, the national referral will not all to RSCM, but to the provincial capital alone has been classified as a national reference," he said.
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