Analisis Faktor-Faktor yang Mempengaruhi Pemenuhan Indikator Angka Kontak Komunikasi dan Rasio Peserta Prolanis di Puskesmas Kabupaten Padang Pariaman

Abstract

ABSTRAK Indikator Angka kontak komunikasi dan ratio peserta Program Pengelolaan Penyakit Kronis (Prolanis) yang merupakan dua dari tiga indikator KBKP (Kapitasi Berbasis Pemenuhan Komitmen Pelayanan), yaitu indikator angka kontak komunikasi 150 permil, indikator ratio rujukan non spesialistik ≤ 5 %, dan ratio peserta prolanis rutin berkunjung ≤ 50% sangat sulit sekali terpenuhi oleh Puskesmas di Kabupaten Padang Pariaman. Angka kontak komunikasi ini adalah untuk melihat aksesabilitas dan pemanfaatan pelayanan primer oleh peserta baik pelayanan di dalam gedung maupun pelayanan luar gedung. Tujuan penelitian ini adalah menganalisis faktor-faktor yang mempengaruhi pemenuhan indikator angka kontak komunikasi dan rasio peserta prolanis rutin berkunjung di Puskesmas Wilayah kerja Dinas Kesehatan Kabupaten Padang Pariaman. Penelitian ini menggunakan rancangan penelitian kualitatif jenis case study (studi kasus). Pemilihan informan dalam penelitian ini adalah secara Purposive, yang terdiri dari Kepala Dinas Kesehatan, Ketua Tim Kendali Mutu Kendali Biaya, Kepala BPJS, Kepala Puskesmas dan Penanggung jawab tekhnis pelaksanaan kapitasi Kabupaten. Hasil penelitian ini menunjukkan bahwa masih ada 3 puskesmas yang belum mampu memenuhi indikator angka kontak komunikasi ≥150 permil, yaitu Puskesmas Sicincin, Puskesmas Ulakan dan Puskesmas Limau Purut. Dari tiga puskesmas tersebuat dua diantaranya yaitu Puskesmas Limau Purut dan Puskesmas Ulakan, belum mampu memenuhi indikator ratio peserta prolanis rutin berkunjung ≥ 50%. Kata Kunci: indikator, komunikasi, ratio, prolanis, puskesmas ABSTRACT The Communication contact number indicators of prolanis participant ratios, which are two of the three KBKP indicators, are namely communication contact number indicators of 150 per mile, non-specialist referral ratio indicator is ≤ 5% and routine visiting prolanis participants ratio is ≤ 50% that is very difficult to fulfill by the medical centre in Padang Pariaman sub district. This communication contact number was to see the accessibility and utilization of primary services by participants both services inside and services outside. The objective of this study was to analyze the factors that influence the fulfillment of communication contact number indicators and the routine prolanis participants' ratio to the medical centre in the working area of the Padang Pariaman Clinic. This study used a case study. The selection of informants in this study used purposive sampling, consisting of the Head of Clinic, the Head of the Full Quality Control Team, the Head of the BPJS, the head of the medical centre and the person in charge of the technical implementation of the district capitation. The results of this study indicated that there are still three of a medical centre that had not been able to meet the communication contact number indicator ≥150 per mile, namely the Sicincin, Ulakan and Limau Purut Clinics. Two of the three clinics namely Ulakan and Limau Purut had not been able to meet the routine visiting prolanis participants' ratio ≥ 50%. The

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“…In addition to that, home visits are part of both healthy visits and home visits for sick patients conducted by first-level health facilities (FKTP) as a form of service to achieve contact rates (BPJS Kesehatan, 2019). Achieving contact rates is one of the indicator that is difficult to meet in FKTP (Nofriyenti et al, 2019;Sandra et al, 2021;Widaty, 2017). Several studies recommend the importance of intensifying home visit implementation to accelerate the achievement of contact rates (Fadila & Katmini, 2022;Khujaefah et al, 2020).…”

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“…8 With increasing patient burden but limited resources, these health facilities could face severe problems in implementing Prolanis. 9,10 Whether the program is acceptable is an important matter in ensuring long-term sustainability.…”