Published date: Jan 11 2018

Journal Title: KnE Life Sciences

Issue title: The 1st International Conference on Global Health

Pages: 222-228

DOI: 10.18502/kls.v4i1.1383

Rakhmawati Caesaria

Wahyu Sulistiadiwahyus@ui.ac.idDepartemen Administrasi Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia, Gedung F Lantai 1 Kampus Baru UI Depok 16424, Indonesia

Astia Dwiputri Lestari

Fadlia Murtafia

Health is fundamental right of all people, and all citizens are entitled to have health care services. Indonesia is experiencing a trend change in disease, from infectious diseases to noncommunicable diseases, including chronic diseases. The increasing number of noncommunicable diseases has put a double burden on the health service. BPJS Kesehatan, a legal entity formed to organize the health insurance program, offers an effective service system in its back-referral program (BRP) for chronic disease patients who have received treatment in the hospital and whose conditions have stabilized enough for outpatient treatment in a primary health care setting. There are nine types of diseases included in this back-referral program. The study’s aim was to examine the effectiveness of implementation of a BRP on Social Health Program members in Depok City Hospital. This study used a qualitative method with a case study approach using a theory conducted by Van Horn and Van Meter. There were six variables measured to determinethe the program’s effectiveness. The variables were standard—policy objective; resources; communication; characteristics of implementing agencies; implementor disposition; and social, economic, and political. The results showed that according to the six variables, the implementation of the BRP in Depok City Hospital has not been effective.

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