445: FACTORS AFFECETING PATIENT COMPLIANCE TO THE NATIONAL HEALTH INSURANCE RERFERAL SYSTEM IN THE PRIMA ROYAL HOSPITAL

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FACTORS AFFECETING PATIENT COMPLIANCE TO THE NATIONAL HEALTH INSURANCE RERFERAL SYSTEM IN THE PRIMA ROYAL HOSPITAL

Suryati Sinurat, Mangatas HP Hutagalung
Fakultas Kedokteran Universitas Methodist Indonesia

ABSTRACT

 Background: Referential system is an important element in JKN (National Health Security) scheme managed by BPJS (Social Security Providing Board). Effective referential system is closely related to all levels of health system and help people get the best treatment.  So far, the referential system has not been implemented well. There are still many BPJS referral patients who do not comply with the Health BPJS Referral System and according to the results of direct observation by the researchers found that the number of patients who have been referred to other hospitals but in fact patients choose to be treated at the Royal Prima Medan Hospital.

Subject and Method: The objective of the research was to analyze some factors which influenced patients’ adherence to inpatient BPJS referential system at Royal Prima Hospital, Medan. The research used cross sectional design. It was done at Royal Prima Hospital, Medan. The samples were 54 BPJS patients. Dependent variable was adherence to BPJS referential system, while independent variables were education, accommodation, social environment, the change in procedure model, and professional interaction. The data were gathered by using questionnaires and analyzed by using logistic regression model.

Result: The results of the logistic regression analysis showed that the environmental and social variables with p = 0.009 affected the compliance of patients with the Inpatient BPJS referral system at the Royal Prima Medan Hospital          

Conclusion: Social environment was the most dominant factor which influenced patients’ adherence to inpatient BPJS referential system in Royal Prima Hospital, Medan, which indicated that the better a social environment of a hospital was, the higher the patients’ adherence.

 Keywords: Inferential System, Hospital, Adherence, Patient, BPJS

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