Strengthening Communication and Education Strategy

Oct 13, 2025 by wbrum.org 22 views

Analysis of the Implementation of the Referral System for Non-Communicable Disease Program (PTM) in the JKN Era at the Glugur Darat Puskesmas in Medan 2018

Introduction

The Referral Program (PRB) is a strategic initiative aimed at improving the quality of health services for BPJS Health participants, particularly for patients with chronic diseases. This program offers health services to patients with stable conditions that require long-term care and are carried out in First Level Health Facilities (FKTP) on recommendations from specialist doctors. In 2018, the Glugur Darat Health Center in Medan implemented this PRB within the framework of the National Health Insurance System (JKN). This study aims to examine the implementation of PRB at the Glugur Darat Puskesmas and the challenges encountered during the implementation of the program.

Background

In the JKN era, PRB plays a crucial role in ensuring better access to health services for patients with non-communicable diseases. The main focus of this study is to investigate the implementation of PRB at the Glugur Darat Puskesmas and the challenges faced during the implementation of the program. This research was conducted using a qualitative descriptive method, which involved in-depth interviews, observations, and documentation studies.

The Importance of PRB in the JKN Era

The PRB is a vital component of the JKN system, as it ensures that patients with non-communicable diseases receive the necessary care and treatment. The program allows patients to receive health services at First Level Health Facilities (FKTP) on recommendations from specialist doctors. This approach enables patients to receive timely and effective treatment, reducing the burden on higher-level health facilities.

Research Methodology

This study employed a qualitative descriptive method, which involved in-depth interviews, observations, and documentation studies. The research was conducted at the Glugur Darat Puskesmas in Medan, and the data was collected from health workers, patients, and other stakeholders involved in the implementation of PRB.

Research Findings

The results of the study showed that the implementation of PRB at the Glugur Darat Puskesmas had been going well. The understanding of health workers regarding the implementation of PRB was positive, and they were able to provide effective care and treatment to patients. However, there was a gap in the patient's understanding of the benefits and procedures of PRB, which can hamper the optimization of this program. Nevertheless, the availability of tools and drugs at the Puskesmas was classified as good, and there was no problem with significant short deficiencies or emptiness.

Challenges Faced in the Implementation of PRB

One of the main challenges faced in the implementation of PRB is the lack of patient knowledge about this program. This can be caused by a lack of effective socialization and promotion about the benefits and procedures of PRB. To overcome this problem, efforts are needed from the Glugur Darat Puskesmas to strengthen the communication and education strategy to the community. Involving patients in health education programs will be very useful to increase their understanding.

Additional Analysis and Explanation

In addition to the challenges faced in the implementation of PRB, it is also essential to address the issue of coordination between various parties involved in the program. BPJS Health should continue to coordinate with Puskesmas and related agencies in optimizing the implementation of JKN. Increasing the synergy between BPJS Health, Puskesmas, and Pharmacies that provide drugs for PRB will contribute to repairing supply chains and ensuring that patients receive the necessary treatment without interference.

Conclusion

Overall, the implementation of the Referral Program at the Glugur Darat Health Center shows significant progress in providing health services for patients with non-communicable diseases. However, to achieve more optimal results, increased patient understanding and better coordination between various parties become the main key. It is hoped that with a strong commitment of all stakeholders, PRB can function well and provide maximum benefits for the community.

Recommendations

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

Strengthening Communication and Education Strategy: The Glugur Darat Puskesmas should strengthen its communication and education strategy to the community to increase patient understanding of PRB.
Involving Patients in Health Education Programs: Involving patients in health education programs will be very useful to increase their understanding of PRB.
Improving Coordination between Various Parties: BPJS Health should continue to coordinate with Puskesmas and related agencies in optimizing the implementation of JKN.
Increasing Synergy between BPJS Health, Puskesmas, and Pharmacies: Increasing the synergy between BPJS Health, Puskesmas, and Pharmacies that provide drugs for PRB will contribute to repairing supply chains and ensuring that patients receive the necessary treatment without interference.

By implementing these recommendations, it is hoped that the Referral Program at the Glugur Darat Health Center can function well and provide maximum benefits for the community.
Q&A: Analysis of the Implementation of the Referral System for Non-Communicable Disease Program (PTM) in the JKN Era at the Glugur Darat Puskesmas in Medan 2018

Frequently Asked Questions

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

A: The Referral Program (PRB) is a strategic initiative aimed at improving the quality of health services for BPJS Health participants, particularly for patients with chronic diseases. This program offers health services to patients with stable conditions that require long-term care and are carried out in First Level Health Facilities (FKTP) on recommendations from specialist doctors.

Q: What is the main focus of this study?

A: The main focus of this study is to examine the implementation of PRB at the Glugur Darat Puskesmas and the challenges encountered during the implementation of the program.

Q: What are the benefits of PRB in the JKN era?

A: The PRB is a vital component of the JKN system, as it ensures that patients with non-communicable diseases receive the necessary care and treatment. The program allows patients to receive health services at First Level Health Facilities (FKTP) on recommendations from specialist doctors.

Q: What are the challenges faced in the implementation of PRB?

A: One of the main challenges faced in the implementation of PRB is the lack of patient knowledge about this program. This can be caused by a lack of effective socialization and promotion about the benefits and procedures of PRB.

Q: How can the Glugur Darat Puskesmas strengthen the communication and education strategy to the community?

A: The Glugur Darat Puskesmas can strengthen its communication and education strategy to the community by involving patients in health education programs, using various media channels to promote PRB, and providing clear and concise information about the benefits and procedures of PRB.

Q: What is the role of BPJS Health in optimizing the implementation of JKN?

A: BPJS Health should continue to coordinate with Puskesmas and related agencies in optimizing the implementation of JKN. Increasing the synergy between BPJS Health, Puskesmas, and Pharmacies that provide drugs for PRB will contribute to repairing supply chains and ensuring that patients receive the necessary treatment without interference.

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

A: The following recommendations are made:

Strengthening Communication and Education Strategy: The Glugur Darat Puskesmas should strengthen its communication and education strategy to the community to increase patient understanding of PRB.
Involving Patients in Health Education Programs: Involving patients in health education programs will be very useful to increase their understanding of PRB.
Improving Coordination between Various Parties: BPJS Health should continue to coordinate with Puskesmas and related agencies in optimizing the implementation of JKN.
Increasing Synergy between BPJS Health, Puskesmas, and Pharmacies: Increasing the synergy between BPJS Health, Puskesmas, and Pharmacies that provide drugs for PRB will contribute to repairing supply chains and ensuring that patients receive the necessary treatment without interference.

Q: What is the expected outcome of this study?

A: The expected outcome of this study is to provide a comprehensive understanding of the implementation of PRB at the Glugur Darat Puskesmas and the challenges encountered during the implementation of the program. The study aims to provide recommendations for improving the implementation of PRB and ensuring that patients with non-communicable diseases receive the necessary care and treatment.