Analisis Efektivitas Sistem Informasi Rujukan Terintegrasi (Sisrute) dalam Kasus Covid-19 di Semen Padang Hospital
Analysis of the Effectiveness of the Integrated Referral Information System (Sisrute) in the Covid-19 Case at Semen Padang Hospital
Abstract
Latar belakang: Pemerintah Indonesia telah menetapkan Sistem Informasi Rujukan Terintegrasi (SISRUTE) dalam mempermudah rujukan kasus COVID – 19. Namun, praktik dan efektifitasnya masih sangat bervariasi di berbagai daerah. Penggunaan SISRUTE sebelum COVID – 19 saja dinilai masih belum optimal, sementara saat pandemi sangat sedikit pasien COVID – 19 yang diterima melalui SISRUTE.
Tujuan: Memperoleh gambaran efektivitas penggunaan SISRUTE dalam kasus COVID – 19 di Semen Padang Hospital sebagai rumah sakit swasta pertama di Kota Padang yang menjadi rumah sakit rujukan COVID – 19 selama periode April 2020 hingga Oktober 2021.
Metode: Merupakan penelitian kualitatif dengan proses pengumpulan data dilakukan dengan analisis data sekunder, wawancara mendalam kepada tujuh orang informan yang dipilih secara purposive sampling dan telaah dokumen.
Hasil: Response time rujukan via SISRUTE sangat lama disebabkan tidak adanya dokter yang khusus bertugas mengecek SISRUTE dan panjangnya alur konsultasi penerimaan rujukan. Banyaknya penolakan rujukan via SISRUTE disebakan oleh penuhnya ruangan, tidak tersedianya fasilitas seperti kamar operasi dan persalinan khusus COVID, ventilator mekanik dan alat hemodialisa. Kendala dari kualitas SISRUTE yang tidak menampilkan kapasitas dan fasilitas yang tersedia dan versi mobile yang tidak mudah digunakan juga menjadi penyebab tidak efektifnya SISRUTE dalam rujukan pasien COVID 19.
Kesimpulan: Penggunaan SISRUTE dalam kasus COVID – 19 tidak efektif karena kemungkinan pasien akan diterima lewat SISRUTE jauh lebih kecil dibandingkan dengan pasien datang sendiri ke UGD.
References
Jarosińska A, Walicka A, Jarosińska D, Miecznikowska D, Cuchà P. Operational considerations for case management of COVID-19 in health facility and community. Pediatr i Med Rodz. 2020;16(1):27–32.
Djono AL. Rasio Bed Dibanding Populasi di Indonesia Masih Rendah [Internet]. investor.id. 2020 [cited 2022 Apr 27]. Available from: https://investor.id/national/207116/rasio-bed-dibanding-populasi-di-indonesia-masih-rendah
Ritchie H, Mathieu E, Rodes-Guirao L, Appel C, Giattino C, Ortiz-Ospina E, et al. Coronavirus Pandemic (COVID -19) [Internet]. ourworldindata.org. 2022 [cited 2022 Apr 27]. Available from: https://ourworldindata.org/coronavirus#explore-the-global-situation
COVID-NET. COVID-NET: COVID-19 Associated Hospitalization Surveillance Network, Centers for Disease Control and Prevention [Internet]. CDC. 2022. Available from: https://gis.cdc.gov/grasp/COVIDNet/COVID19_3.html
Salman S, Saleem SG, Khatri A, Jamal I, Maroof Q, Alam A. Inter-hospital communication and transfer practices during COVID-19 pandemic in Karachi, Pakistan. A brief overview. Pakistan J Med Sci. 2020;36(COVID19-S4):S118–20.
Khadanga P, Fatoba M, Parveez M, Zaki M, Husain T. Electronic referral system for critical care: A patient safety and quality-improvement project. Anaesthesia [Internet]. 2021;76(SUPPL 5):12. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L635550269&from=export%0Ahttp://dx.doi.org/10.1111/anae.15521
Direktorat Pelayanan Kesehatan Rujukan Kementrian Kesehatan. Panduan Teknis Pelayanan Rumah Sakit pada Masa Adaptasi Kebiasaan Baru. Direktorat Pelayanan Kesehatan Rujukan. Jakarta; 2020. 27–28 p.
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
Bappenas KP. Studi Pembelajaran Penanganan COVID-19 Indonesia. Jakarta; 2021. 1–275 p.
Harahap NC, Handayani PW, Hidayanto AN. Barriers in health information systems and technologies to support maternal and neonatal referrals at primary health centers. Healthc Inform Res. 2021;27(2):153–61.
Usher MG, Tignanelli CJ, Hilliard B, Kaltenborn ZP, Lupei MI, Simon G, et al. Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation. J Patient Saf. 2022;18(4):287–94.
Mathieu E, Ritchie H, Lucas Rodés-Guirao, Cameron Appel, Charlie Giattino, Joe Hasell, Bobbie Macdonald, Saloni Dattani, Diana Beltekian EO-O and MR. Daily new confirmed COVID-19 cases per million people [Internet]. ourworldindata.org. 2020. Available from: https://ourworldindata.org/covid-cases
Montellier M, Delpech R, Mion M, Boué F, Metzger MH. Designing and describing an electronic referral system to facilitate direct hospital admissions. BMC Prim Care [Internet]. 2022;23(1):1–12. Available from: https://doi.org/10.1186/s12875-022-01656-4
Riski SM, Noor NB, Indrabayu, Duli A. Physician satisfaction analysis in using integrated referral system (SISRUTE) at RSUD H. Padjonga Dg. Ngalle Takalar. Enferm Clin [Internet]. 2020;30:477–80. Available from: https://doi.org/10.1016/j.enfcli.2019.10.124
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. 2020;5(1):16–9.
Barnett ML, Mehrotra A, Frolkis JP, Spinks M, Steiger C, Hehir B, et al. Implementation Science Workshop: Implementation of an Electronic Referral System in a Large Academic Medical Center. J Gen Intern Med. 2016;31(3):343–52.
NHS. Joint guidance on the use of the NHS e-Referral Service 2018 [Internet]. NHS Digital. 2018. Available from: https://digital.nhs.uk/services/e-referral-service/joint-guidance-on-the-use-of-the-nhs-e-referral-service-2018
Pan American Health Organization. Defining evaluation indicators for telemedicine as a tool for reducing health inequities. Doc Number PAHO/KBR/16-006 (NLM Classif W 83) [Internet]. 2016;1(1):1–28. Available from: PAHO/WHO eHealth Program www.paho.org/ict4health
Irianto SE, Djamil A, Aryono AC. Pembelajaran Implementasi Sistem Rujukan Terintegrasi (SISRUTE) di Rumah Sakit Umum Daerah X. J Peduli Masy [Internet]. 2021;3(Desember):527–42. Available from: http://jurnal.globalhealthsciencegroup.com/index.php/JPM
Alabbasi KH, Kruger E, Tennant M. Strengthening Saudi Arabia’s Primary Health Care through an e-Referral System: A Case Study. Clin Pract. 2022;12(3):374–82.
Amanda EC. An Assessment of Referral System Effectiveness among Health Facilities in Enugu State, Nigeria. (Tertiary, Secondary and Primary Health Facilities). Texila Int J Public Heal. 2019;170–8.
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