Penelitian ini bertujuan untuk mendapatkan gambaran evaluasi terhadapimplementasi sistem rujukan pada program Jaminan Kesehatan Nasional (JKN)di RSUD Tangerang Selatan dan RSU Bhineka Bakti Husada. Gambaran evaluasisistem rujukan dapat dilihat pada karakterisitik rujukan medik berjenjang melaluipendekatan mutu (quality) dari Donabedian.Penelitian menggunakan metode kualitatif. Data primer diperoleh melaluiwawancara mendalam terhadap 17 informan yang terdiri dari unsur manajemendan pelaksana teknis Rumah Sakit, Dinas Kesehatan, kementerian Kesehatan danBPJS serta observasi langsung di beberapa unit layanan terkait. Data sekunderdiperoleh melalui data rekam medik dan register pasien.Pengukuran terhadap karakteristik sistem rujukan terdiri dari standar inputyang meliputi kebijakan sistem rujukan dan kelengkapan fasilitas rujukan. Standarprocess meliputi alur rujukan, kepatuhan terhadap standar operasional prosedur(SOP), ketentuan rujuk balik, prosedur kegawatdaruratan dan monitoring danevaluasi, kemudian standar output meliputi rujukan yang tepat dan cakupanrujukan baik di rawat jalan maupun rawat inap.

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This study aimed to get an overview of the evaluation of theimplementation of the referral system in the National Health Insurance program(JKN) in South Tangerang District Hospital and Bhineka Bakti Husada Hospital.Picture evaluation referral system can be seen in the characteristics of tieredmedical referral through quality approach framework quality of Donabedian.Research using qualitative methods . The primary data obtained throughinterviews of more than 17 informants consisting of elements of management andtechnical implementation Hospital , Department of Health , Ministry of Healthand BPJS as well as direct observation in several units related services.Secondary data obtained through medical records and registers patientsMeasurement of the characteristics of the reference system consists ofstandard input covering the referral system policy and completeness of the referralfacility. The standard process includes groove reference, adherence to standardoperating procedures (SOP), the terms refer turning, emergency procedures andmonitoring and evaluation, then standard output includes appropriate referral andreferral coverage in both the outpatient and inpatient.Literature (1998-2015)