FACTORS RELATED TO THE NON SPECIALIST REFERRAL  RATES IN PRIMARY HEALTH CARE KOTAWARINGIN TIMUR DISTRICT

Yunita Indra Normala Sukmawan¹
1Master of Public Health Science Study Program, Faculty of Medicine, Lambung Mangkurat University, Kalimantan Selatan Province, 70714, Indonesia

Husaini ^2
2Master of Public Health Science Study Program, Faculty of Medicine, Lambung Mangkurat University, Kalimantan Selatan Province, 70714, Indonesia

Lenie Marlinae^3
3Master of Public Health Science Study Program, Faculty of Medicine, Lambung Mangkurat University, Kalimantan Selatan Province, 70714,Indonesia

ABSTRACT

Some 80% disease which treated by referral hospital is a disease that should be treated by primary health care. Non specialist referral rates from primary health care to Murdjani Hospital in Kotawaringin Timur is 22% or above the tolerance limit of the reference non specialist that has been set (15%) by Health Minister Regulation. This shows the implementation of health care referral system in Murdjani Hospital, both primary health centers, clinics and physicians practices has not run optimally. This research is aim to identify factors related to the non specialist referral rates in primary health care Kotawaringin Timur District. The research use cross sectional method. The population was all primary health care in collaboration with Health BPJS Sampit Branch Office as partners who totaled 38 primary health care. Samples were taken using a quota sampling was 37 primary health care. The results is the ability of health workforce have a significant relationship to the non specialist referrals. There is no correlation between the availability of health workforce with non specialist referrals. The availability of health infrastructure and facilities has a significant relationship to the non specialist referrals. The availability of drugs has a significant relationship to the non specialist referrals. The commitment of health services has not relationship to the non specialist referrals. The conclusion is the ability of health workforce, the availability of health workforce, the availability of infrastructure and facilities, the availability of drugs, and health care commitments simultaneously affect the non specialist referral rates.

KEYWORDS: Health workforce, infrastructure and facilities, drugs, service commitments, non specialist referral