Implementasi Sistem Rujukan Terintegrasi (SISRUTE) dalam Meningkatkan Rujukan Pelayanan Kesehatan di Rumah Sakit Umum Pusat (RSUP) H. Adam Malik Medan

Abstract

The Integrated Referral System (SISRUTE) is a service using internet-based information technology that can connect patient data from lower service levels to higher or equivalent service levels (horizontal or vertical) with the aim of simplifying and speeding up the patient referral process. H. Adam Malik Central General Hospital (RSUP) Medan City is one of the hospitals that has implemented SISRUTE, namely in 2021. The Integrated Referral System (SISRUTE) still found several problems, such as problems with communication, human resources and facilities resources and and infrastructure at RSUP H. Adam Malik Medan City. The research method used is a descriptive research method with a qualitative approach. Data collection techniques use 3 ways, namely observation, interviews and documentation. The data that has been collected is then analyzed qualitatively and becomes the answer to the research problem. The purpose of this study is to describe how the Implementation of the Integrated Referral System (SISRUTE) in Improving Health Service Referral Services at H. Adam Malik Hospital Medan City. The results of the research obtained by researchers from the parameters set by George C. Edward III there are 4 things, namely communication in the Implementation of the Integrated Referral System (SISRUTE) in Improving Health Referral Services at H. Adam Malik Hospital Medan City is still not optimal seen from the miscommunication that occurs between regional hospitals and hospitals in Medan City. Furthermore, the resource parameters include human resources who run the Integrated Referral System (SISRUTE) at H. Adam Hospital Medan City is still not optimal because there is still a lack of BIMTEK training conducted by the Ministry of Health of the Republic of Indonesia (KEMENKES) and facilities and infrastructure resources are also still limited at H. Adam Malik Hospital Medan City. Conduct training such as BIMTEK on SISRUTE for existing human resources so that human resources can master the use of SISRUTE applications / systems so that the implementation of SISRUTE can be better and more effective. Propose the addition of facilities and infrastructure needed such as computer sets so that the implementation of SISRUTE can be maximized. The disposition in the form of executive commitment can be improved for the better. We recommend that SISRUTE implementors make more detailed standard operating procedures (SOPs) regarding the rules for the number of human resources who manage SISRUTE, and other important matters related to the implementation of SISRUTE.