Systematic Review: Quality and Cost Control of The Back-Referral Program National Health Insurance in Diabetes Mellitus Patients Type 2

¹ Doctoral Program in Faculty of Public Health, Universitas Indonesia
² Faculty of Public Health, University of Indonesia, Depok, Indonesia

^* Corresponding author: ppermatasari8@gmail.com

Abstract

Studies show that there are still deficiencies in the level of quality control and the cost of the referral programme in pharmacies, first-level health facilities, advanced referral health facilities, and the Social Security Administration of Health itself. This situation will affect services provided to patients through the referral program. This study was conducted to determine the factors that influence quality control and the cost of the back referral programme (DRR). Literature review studies were conducted on 11 national journals and six international journals, which were uploaded online in the 2016–2021 period. The keywords used are quality control and the cost of the BPJS-K (social security agency of health) Back Referral Program (PRB), which are man (human resources), material-machine (facilities and infrastructure), method (method), market (environment), money (financial), and time. (time). Patients with chronic diseases, in particular those who have diabetes mellitus, take up time that affects BPJS Health's quality assurance and referral programme expenditures. Due to closer proximity and quicker service, PRB allows JKN participants to travel less and wait less. A programme called PRB has the ability to offer BPJS Health participants a wide range of advantages as well as chances for BPJS Health to deliver efficient and effective healthcare.