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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 4
First page : ( 353) Last page : ( 356)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.00716.2

Enhancing the Role of Public Health Center as Gatekeeper on the National Health Insurance

Anita Betri1, Febriawati Henni1, Suryani Desri2, Yandrizal3, Pratiwi Bintang Agustina1, Angraini Wulan1, Yanuarti Riska1

1Faculty of Health Sciences, University of Muhammadiyah, Bengkulu,

2Health Polytechnic of Health Ministry, Bengkulu,

3Student at Doctoral Program in Public Health Sciences, University of Andalas, Padang

Online published on 6 April, 2019.

Abstract

Public health center as a health care facility that organizes public health efforts and the efforts of individual health first rate, with more emphasis on promotive and preventive efforts that can reduce the number of hospital visits and referrals. The aim of the research is how to improve the role of public health centers as gatekeeper at the National health insurance.

The research used a qualitative method with the exploratory design. A case study approach (case study). The findings of qualitative methods in the form of support, obstacles, and challenges. Analysis Unit: ten public health centers. Primary and secondary data collected include healthy visit, the number of non-specialist referrals, and management efforts to improve the role of the public health centers.

The healthy visit percentage of ten public health centers in January-June 2016 was increased. Non-patient referral specialist was 0% from January to May 2015. Increasing ofa healthy visit with enhancing visits and activities: Posyandu, Integrated Health Education Center for Non-communicable Disease/IHEC for NCDs (Posbindu PTM), School Health Unit (SHU), the Early Childhood Education (ECD) and Kindergarten, Company, and home visit. Mini workshop was done at Public Health Centers monthy to discuss the achievement of program indicators, the causes and solutions to improve the achievement of the following month, to enhance efforts to prevent disease, improving thequality of care, and provide an explanation to referred patients.

The role of health centers as gatekeeper enhanced public health efforts and the quality of health care of individuals involve stakeholders to empower the community in an effort to improve the early detection, prevention, and control of diseases.

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Keywords

The role of public health centers, public health center Management, Stakeholder and Community Empowerment, Preventing and Controlling Diseases.

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