An Analysis Of The Implementation Of The Integrated Referral System (Sisrute) Policy at Harapan Dan Doa Hospital, Bengkulu City, 2025
DOI:
https://doi.org/10.47134/ijatm.v3i1.122Keywords:
System, Referral, IntegratedAbstract
The Integrated Referral System (SISRUTE) is an internet-based information system designed to connect patient data between healthcare facilities to expedite and simplify the referral process. Although it has been implemented nationally for more than six years, the utilization of SISRUTE has not been optimal. Data from the Ministry of Health in 2022 shows a high rejection rate for referrals, primarily due to bed limitations (68.03%), leading to patient congestion, delays in treatment, and increased mortality rates. Bengkulu Province has a very low referral response time of less than 5 minutes, at only 5.6% of a total of 5,891 referrals in the last eight months. Meanwhile, Harapan dan Doa Hospital in Bengkulu City shows the lowest response time of less than 5 minutes compared to other hospitals in the same class, at 2.5% or 21 referrals out of a total of 843 referrals, while Tiara Sella Hospital (6.8%) and RS Bhayangkara Bengkulu (6.18%) have higher rates. Common obstacles include technical issues with the application, unintegrated data, limited internet network infrastructure, lack of dedicated SISRUTE personnel, and patient refusals due to the availability of specialist doctors or full treatment rooms. This study aims to analyze the implementation of the SISRUTE policy at Harapan dan Doa Hospital in Bengkulu City in 2025. Specifically, this research analyzes the roles of communication, resources, disposition, and bureaucratic structure in the implementation of this policy. The study employs a qualitative method with a case study design. Data collection was conducted through in-depth interviews, direct observations with checklists, and document analysis. Research informants consisted of 3 key informants and 4 main informants at Harapan dan Doa Hospital in Bengkulu City. Primary data was obtained directly from interviews and observations, while secondary data came from statistics, policy circulars, and hospital SOPs. Data analysis was conducted inductively and iteratively, following the approach of Miles, Huberman, and Saldaña (2014). It is hoped that this study can provide a scientific review of the implementation of the SISRUTE policy, identify specific obstacles and successes, and offer concrete recommendations for system improvements and enhancement of referral service efficiency at Harapan dan Doa Hospital in Bengkulu City.
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