IMPLEMENTASI PELAYANAN KESEHATAN BAGI PESERTA/PASIEN BPJS KESEHATAN DI RUMAH SAKIT PRIMA KOTA PEKANBARU

Abstract

The establishment of the Social Security Agency on Health is a part of National
Health Insurance which is a government policy in the health sector that aims to ensure the
provision of adequate health care facilities for the entire community as
participants/patients. In Pekanbaru, one of the advanced referral health facilities that has
collaborated with Social Security Agency on Health Pekanbaru is Prima Hospital
Pekanbaru since 2017. The results of research related to health services organized at Prima
Hospital Pekanbaru, there are problems found in the field, especially for Social Security
Agency on Health participants/patients. The purpose of the research is to find out how the
implementation; inhibiting factors; and efforts made in improving health services for Social
Security Agency on Health participants/patients at Prima Hospital Pekanbaru. The author
uses sociological research methods in analyzing the implementation of health services for
Social Security Agency on Health participants/patients at Prima Hospital Pekanbaru.
The implementation of health services for BPJS Health participants/patients at
Prima Hospital Pekanbaru City is quite good, but on the other hand it has not been able to
reach the level of participant/patient satisfaction. The inhibiting factors are influenced by
miscommunication and the public's lack of understanding of BPJS Health procedures and
arrangements at Prima Hospital Pekanbaru City as well as the imbalance in the number of
BPJS Health participants/patients with the number of health workers. Efforts to improve
health services for BPJS Health participants/patients at Prima Hospital Pekanbaru City
start from accommodating every participant/patient complaint which has been managed
with the presence of the Prima Hospital PIPP Team and then work assessment standards
will be implemented.
Keywords: Social Security Agency on Health Pekanbaru – Participants/Patients –

Prima Hospital Pekanbaru