Develop a more effective communication system

Oct 13, 2025 by wbrum.org 31 views

IMPLEMENTATION OF BACK REFERENCE PROGRAM (PRB) at Medan Madani General Hospital in 2024

Introduction

In 2024, Medan Madani General Hospital conducted a research study to analyze the implementation of the Referral Program (PRB) aimed at patients with stable chronic diseases. This program, organized by BPJS, aims to provide sustainable health services in primary health facilities after being referred by specialist doctors or subspecialists. The study focuses on four key aspects: communication, resources, dispositions, and bureaucratic structures. This article will discuss the findings of the study and provide recommendations for improvement.

Background

The Referral Program (PRB) is a program organized by BPJS to provide sustainable health services in primary health facilities after being referred by specialist doctors or subspecialists. The program aims to provide better health services for patients with stable chronic diseases. However, despite the efforts of Medan Madani General Hospital, the number of PRB participants in this hospital reaches only 60-70 participants per semester, which is still below the BPJS target of 80-100 participants per semester.

Methodology

This qualitative study was conducted through in-depth interviews with 12 informants, as well as observing and reviewing documents to collect data. The study aimed to identify the challenges and limitations of the PRB program in Medan Madani General Hospital and provide recommendations for improvement.

Analysis of Communication Aspects

In the aspect of communication, PRB policy is conveyed through a circular. However, the lack of supporting information media and the companion of elderly patients causes miscommunication. This shows the need to develop a more effective communication system, such as the use of social media, posters, or mobile applications to provide clear and easily accessible information for patients and their families.

The study found that the hospital's communication strategy is not effective in conveying the benefits of the PRB program to patients. The lack of supporting information media and the companion of elderly patients causes miscommunication, which can lead to patient non-compliance with the program. Therefore, it is essential to develop a more effective communication system that can provide clear and easily accessible information for patients and their families.

Available Resources

Regarding resources, research found that the number of BPJS and Pharmacist registration staff was insufficient compared to the number of existing patients. The existing PRB Corner is also not in accordance with the recommendations, and the supply of drugs in the PRB pharmacy is limited. Therefore, there needs to be an evaluation and increase in the number of staff and improvement of facilities to support the success of DRR.

The study found that the hospital's resources are not sufficient to support the implementation of the PRB program. The number of BPJS and Pharmacist registration staff is insufficient compared to the number of existing patients, which can lead to delays and inefficiencies in the program. Additionally, the existing PRB Corner is not in accordance with the recommendations, and the supply of drugs in the PRB pharmacy is limited. Therefore, it is essential to evaluate and increase the number of staff and improve the facilities to support the success of DRR.

Staff Disposition and Commitment

In terms of disposition, hospital staff showed a positive attitude, but their commitment in handling patient rejection of the PRB program was not optimal. This indicates the need for training and increasing motivation for staff to be more proactive in supporting patients to participate in PRB programs.

The study found that hospital staff have a positive attitude towards the PRB program, but their commitment in handling patient rejection is not optimal. This can lead to patient non-compliance with the program. Therefore, it is essential to provide training and increase motivation for staff to be more proactive in supporting patients to participate in PRB programs.

Bureaucratic Structure

In the aspect of the bureaucratic structure, the Medan Madani General Hospital does not have a clear DRR (PIC) person in charge and the absence of the Specific Standard Operating Procedure (SOP) for PRB. This results in confusion and obscurity in the implementation of the program. Determination of PIC and Making SOPs that are clearly very helpful in facilitating this reverse program.

The study found that the hospital's bureaucratic structure is not clear, which can lead to confusion and obscurity in the implementation of the program. The absence of a clear DRR (PIC) person in charge and the Specific Standard Operating Procedure (SOP) for PRB can lead to delays and inefficiencies in the program. Therefore, it is essential to determine a clear DRR (PIC) person in charge and make SOPs that are clearly very helpful in facilitating this reverse program.

Conclusion

From the results of this study, it is hoped that Medan Madani General Hospital can evaluate the implementation of PRB as a whole. The Puskesmas is expected to be more assertive in responding to patient compliance with this program, as well as the PRB pharmacy needs to improve the availability of drugs in accordance with applicable formulations. With improvements in these aspects, it is expected that the PRB program can achieve the expected goals, namely providing better health services for patients with stable chronic diseases.

In conclusion, the study found that the implementation of the PRB program in Medan Madani General Hospital is not optimal. The hospital's communication strategy is not effective, the resources are not sufficient, the staff disposition and commitment are not optimal, and the bureaucratic structure is not clear. Therefore, it is essential to evaluate and improve these aspects to support the success of DRR.

Recommendations

Based on the findings of this study, the following recommendations are made:

Develop a more effective communication system: The hospital should develop a more effective communication system that can provide clear and easily accessible information for patients and their families.
Increase the number of staff and improve facilities: The hospital should evaluate and increase the number of staff and improve the facilities to support the success of DRR.
Provide training and increase motivation for staff: The hospital should provide training and increase motivation for staff to be more proactive in supporting patients to participate in PRB programs.
Determine a clear DRR (PIC) person in charge and make SOPs: The hospital should determine a clear DRR (PIC) person in charge and make SOPs that are clearly very helpful in facilitating this reverse program.

By implementing these recommendations, it is expected that the PRB program can achieve the expected goals, namely providing better health services for patients with stable chronic diseases.
Frequently Asked Questions (FAQs) about the Implementation of Back Reference Program (PRB) at Medan Madani General Hospital in 2024

Q: What is the Referral Program (PRB) and how does it work?

A: The Referral Program (PRB) is a program organized by BPJS to provide sustainable health services in primary health facilities after being referred by specialist doctors or subspecialists. The program aims to provide better health services for patients with stable chronic diseases.

Q: What are the goals of the PRB program?

A: The goals of the PRB program are to provide better health services for patients with stable chronic diseases, to reduce the burden on specialist doctors and subspecialists, and to improve the quality of care for patients.

Q: What are the challenges faced by Medan Madani General Hospital in implementing the PRB program?

A: The hospital faces several challenges in implementing the PRB program, including the lack of effective communication, insufficient resources, inadequate staff disposition and commitment, and unclear bureaucratic structure.

Q: What are the recommendations for improving the implementation of the PRB program?

A: The recommendations for improving the implementation of the PRB program include developing a more effective communication system, increasing the number of staff and improving facilities, providing training and increasing motivation for staff, and determining a clear DRR (PIC) person in charge and making SOPs.

Q: How can patients benefit from the PRB program?

A: Patients can benefit from the PRB program by receiving better health services, reducing the burden on specialist doctors and subspecialists, and improving the quality of care.

Q: What role does the Public Health Center (Puskesmas) play in the PRB program?

A: The Public Health Center (Puskesmas) plays a crucial role in the PRB program by providing primary health services and referring patients to specialist doctors or subspecialists.

Q: How can healthcare providers improve the implementation of the PRB program?

A: Healthcare providers can improve the implementation of the PRB program by developing a more effective communication system, increasing the number of staff and improving facilities, providing training and increasing motivation for staff, and determining a clear DRR (PIC) person in charge and making SOPs.

Q: What are the benefits of implementing the PRB program?

A: The benefits of implementing the PRB program include providing better health services for patients with stable chronic diseases, reducing the burden on specialist doctors and subspecialists, and improving the quality of care.

Q: How can the hospital evaluate the implementation of the PRB program?

A: The hospital can evaluate the implementation of the PRB program by monitoring the number of patients referred, the quality of care provided, and the satisfaction of patients and healthcare providers.

Q: What are the next steps for the hospital in implementing the PRB program?

A: The next steps for the hospital in implementing the PRB program include developing a more effective communication system, increasing the number of staff and improving facilities, providing training and increasing motivation for staff, and determining a clear DRR (PIC) person in charge and making SOPs.

Q: How can patients and healthcare providers work together to improve the implementation of the PRB program?

A: Patients and healthcare providers can work together to improve the implementation of the PRB program by developing a more effective communication system, increasing the number of staff and improving facilities, providing training and increasing motivation for staff, and determining a clear DRR (PIC) person in charge and making SOPs.

Q: What are the potential consequences of not implementing the PRB program?

A: The potential consequences of not implementing the PRB program include reduced quality of care, increased burden on specialist doctors and subspecialists, and decreased patient satisfaction.

Q: How can the hospital ensure that the PRB program is sustainable in the long term?

A: The hospital can ensure that the PRB program is sustainable in the long term by developing a more effective communication system, increasing the number of staff and improving facilities, providing training and increasing motivation for staff, and determining a clear DRR (PIC) person in charge and making SOPs.