Evaluation Of The Use Of The Integrated Referral System (SISRUTE) In Health Facilities In North Bengkulu Regency In 2023
Keywords:
Integrated Referral System (SISRUTE), Health FacilitiesAbstract
SISRUTE, an application that connects patient data between health facilities, is faced with obstacles such as data incompatibility and dependence on internet stability. Even though it started in 2020 in North Bengkulu, only 22.7% of health facilities have adopted it, especially community health centers. Implementation obstacles include staff, IT infrastructure, commitment of referring hospitals, patient conditions, and slow response.Usability testingneeded to improve health referral services. The aim of this research is to analyze the evaluation of the use of the Integrated Referral System (SISRUTE) inmedical facilityNorth Bengkulu Regency in 2023. This research is a mix methods research. The research instrument was a questionnaire which was analyzed using univariate analysis, bivariate analysis and multivariate analysis as well as observation and in-depth interviews with informants. Research analysis shows that perceived usefulness, ease of use, and intensity of use have a significant effect on attitudes and use of SISRUTE in hospitals. Attitude towards use is proven to mediate the relationship between perceived usefulness, ease of use, and intensity of use with SISRUTE use. Perception of usefulness has the greatest influence on the use of SISRUTE. Factors such as management support in the form of monitoring and evaluation of use, staff training, health infrastructure, government support, and financial issues influence the acceptance and use of SISRUTE in North Bengkulu Regency. Evaluation of the use of SISRUTE that needs to be carried out is increasing the efficiency of patient referrals, user satisfaction, and identifying areas of improvement such as monitoring and evaluating use.
References
Harmin, Risky S, Munir S. Evaluasi Tata Kelola Sistem Rujukan Kesehatan di Puskesmas Kabupaten Konawe Utara. Media Publ Promosi Kesehat Indones. 2023;6(7):1374–83.
Wijaya M. Peran, Dinamika, dan Tantangan Implementasi Telemedicine Selama Pandemi Covid-19. In: Transformasi Rumah Sakit Indonesia Menuju Era Masyarakat 50. Yogyakarta: Stiletto Book; 2023.
Nasrullah M, Puspaningtyas A. Optimalisasi Reformasi Pelayanan Kesehatan Melalui Program E-Health Pada Puskesmas Jagir Kota Surabaya. J Adm Sos Sci. 2023;4(2):132–43.
Susanto PBAC, Kusumawati HI, Aulawi K. Evaluasi Usability Sistem Rujukan Terintegrasi (Sisrute) Di IGD Rumah Sakit Daerah Istimewa Yogyakarta. J Manaj Pelayanan Kesehat (The Indones J Heal Serv Manag. 2023;26(1):8–14.
Setiawati ME, Nurrizka RH. Evaluasi pelaksanaan sistem rujukan berjenjang dalam program jaminan kesehatan nasional. J Kebijak Kesehat Indones JKKI. 2019;8(1):35–40.
Putri NE. Gambaran Faktor Organisasi Pada Puskesmas Dengan Angka Rujukan Yang Meningkat Di Kota Surabaya. J Manaj Kesehat Yayasan RSDr Soetomo [Internet]. 2017 Nov 1;2(2):163. Available from: http://jurnal.stikes-yrsds.ac.id/index.php/JMK/article/view/62
Junita Bancin L, Putri NA, Rahmayani N, Kharisma R, Purba SW. Gambaran Sistem Rujukan Terintegrasi (Sisrute) Di RSUD Dr. RM Djoelham Binjai Tahun 2019. J Ilm Perekam dan Inf Kesehat Imelda [Internet]. 2020 Feb 29;5(1):16–9. Available from: https://jurnal.uimedan.ac.id/index.php/JIPIKI/article/view/347
Amalia AR, Putri RA, Yusuf RA, Haeruddin H. Konsistensi Komunikasi Terhadap Pelaksanaan Sistem Informasi Rujukan Terintegrasi ( SISRUTE ) Untuk Meningkatkan Kualitas Pelayanan Rumah Sakit. J Ekon [Internet]. 2022;6:40–7. Available from: http://journal.lldikti9.id/Ekonomika
Suparyanto, Rosad. Adaptasi Kebiasaan Baru. Vol. 5, Suparyanto dan Rosad (2015. 2020. 248–253 p.
Ahkam. Pembelajaran Implementasi Sistem Rujukan Terintegrasi (SISRUTE) di Rumah Sakit Umum Daerah X. J Peduli Masy. 2021;3(4):207–12.
PERSI. Kebijakan Digitalisasi di Rumah Sakit [Internet]. Persi. 2020 [cited 2022 Apr 27]. Available from: https://persi.or.id/wp-content/uploads/2020/07/materi_drandi_web160720.pdf%0A9
BPS Provinsi Bengkulu. Jumlah Desa/Kelurahan Yang Memiliki Sarana Kesehatan Menurut Kabupaten/Kota di Provinsi Bengkulu, 2018–2020 [Internet]. https://bengkulu.bps.go.id. 2021. Available from: https://bengkulu.bps.go.id/statictable/2021/07/03/604/jumlah-desa-kelurahan-yang-memiliki-sarana-kesehatan-menurut-kabupaten-kota-di-provinsi-bengkulu-2018-2020.html
Dinas Kesehatan Provinsi Bengkulu. Laporan Kinerja: Satker Dinas Kesehatan Provinsi Bengkulu. Bengkulu; 2020.
Berlian. Tidak Kunjung Dirujuk, Keluarga Pasien Kritis Protes Pelayanan RSUD [Internet]. Radar Bengkulu Online.com. 2022. Available from: https://radarbengkulu.disway.id/read/654524/tidak-kunjung-dirujuk-keluarga-pasien-kritis-protes-pelayanan-rsud
Rahmadani S, Muflihah A, Hamka NA. Analisis Penggunaan Sistem Rujukan Terintegrasi ( SISRUTE ) Di Puskesmas Kota Makassar Analysis of Using Integrated Referral System ( SISRUTE ) at the Public Health Center in Makassar City HR Muhammad Departemen Administrasi dan Kebijakan Kesehatan , FKM. Manaj Kesehat Yayasan RSDrSoetomo. 2021;7(2):321–33.
Pratiwi, Jaslis Ilyas, Ede Surya Darmawan. Analisis Efektivitas Sistem Informasi Rujukan Terintegrasi (Sisrute) dalam Kasus Covid-19 di Semen Padang Hospital. Media Publ Promosi Kesehat Indones. 2023;6(2):321–35.
Sugiyono. Metode Penelitian Kuantitatif, Kualitatif dan R&D. Bandung: Alfabeta; 2020.
Ghozali I. Structural Equation Modeling Metode Alternatif dengan Partial Least Squares (PLS). Univ Diponogoro Semarang. 2018;
Fazriansyah F, Sari NA, Mawardi M. Apakah persepsi kemudahan penggunaan dan persepsi kegunaan berpengaruh terhadap niat untuk menggunakan dan penggunaan aktual pada aplikasi pembayaran digital? J Manaj [Internet]. 2022 Jun 30;14(2):271–83. Available from: https://journal.feb.unmul.ac.id/index.php/JURNALMANAJEMEN/article/view/11126
Sulfina S, Yuliniar Y, Aziz A. PENGARUH PERSEPSI KEMUDAHAN PENGGUNAAN DAN PERSEPSI MANFAAT TERHADAP MINAT UNTUK MENGGUNAKAN UANG ELEKTRONIK (SHOPEEPAY). J Ris Akunt dan Keuang [Internet]. 2022 Feb 1;17(2):105. Available from: http://e-journalfb.ukdw.ac.id/index.php/jrak/article/view/401
