The role of management function to the achievement of puskesmas indicator as a gatekeeper of national health guarantee in Bengkulu City Febriawati Henni1,3, Alfansi Lizar2, Hadi Effed Darta2, Ab Syaiful Anwar2 1Program Doktor of Management Science, University of Bengkulu 2Program Doktor of Management Science, University of Bengkulu 3The Faculty of Teh science of Health Muhammadiyah, University Bengkulu Online published on 25 September, 2018. Abstract The financing of national health insurance for referral health services is amounted to 45.47 trillion, while the cost of primary health care is amounted to 11.5 trillion. The largest capitation cost was received by the Public Health Center 73.6% with the number of cases referred to the hospital as much as 11.9 million and non-specialist referral 1.54 million cases. Capitation policy based on service commitment fulfillment is a performance indicator in first-level health facility/FLHF (FKTP), so it can be measured periodically. Public Health Center as one of the government-owned in first level health facility that provides the most services for the national health insurance participants (JKN) should be sought controlling referral. The purpose of the study is to analyze the role of management function on the control of referral from Public Health Center in Bengkulu City. The research design is exploratory analytical or non experimental with quantitative and qualitative method approaches. In quantitative method, the unit of analysis is Public Health Center in Bengkulu City as many as 20 units. In qualitative method, the analysis variables are including aspects of places, actors and activities that interact synergistically. Limitation of problems in qualitative research focus on management functions. Planning, implementing, controlling, and evaluating contribute to the achieving service commitment indicators. Public Health Center management performs tasks and functions in an integrated manner of all promotional, preventive and curative programs. The role of management functions indicates a moderate and positive effect, the better the management function the higher the indicator of service commitment. The mini workshop conducted by the Puskesmas every month discusses the achievement of programs, causes and solutions for disease prevention with high number of visits and the effort to improve the quality of services. Planning, implementing, controlling, and evaluating are management functions of Public Health Center that are undertaken in integration and interconnection. It is needed to improve the management functions by making the planning based on situation/needs analysis, optimizing the role of stakeholders across sectors, strong commitment, professionalism, and integrated supervision evaluated monthly through its mini workshop to prepare solutions. Top Keywords Management Function, Gatekeeper, Promotional and preventive. Top |