Regionalization Referral System of the Hospital National Health Insurance

Abstract

Context: A reference system in Indonesia is not running effectively and efficiently which cause cumulation
of patient in advance health facility, with the result that there is utilization of skilled workers and advance
equipment unwisely and quality deterioration of health. This matter is needed rationalization of health
service more than devolution and decentralization of public services by the government of south Celebes
include consolidation of take holder and local institution and also other services centralization. The purpose
of this research is analyzing the rationalization of the referral system which integrated to national health
assurance in South Celebes seen from several knowledge factors and social community value. This research
used qualitative approach of phenomenology design, with analyzing method which used content analysis
base on triangulation method, source triangulation and data triangulation. The result is gotten that there
was information and communication bias among policy, provider, as a result from receiver variety in social
community, made society not obey the rationalization of the referral system. This research can be concluded
that understanding and awareness between policy and provider, social security administration is needed to
give better health services. Affecting the sustain ability of health service negatively can cause lack of patient
satisfaction. Furthermore, lacking of facility in family practice center can increase the high of reference.