Experiences of Health Workers in Using the Integrated Referral System (SISRUTE): A Narrative Inquiry Approach in Pamekasan Regency
Abstract
Technological advancements have significantly transformed public service delivery, particularly in the health sector, which is crucial for societal well-being. In Indonesia, the implementation of the Integrated Referral System (SISRUTE) aims to modernize and streamline patient referral processes between health facilities. This study explores the experiences of health workers at Pamekasan Regency Health Center in using SISRUTE, focusing on its impact, challenges, and optimization strategies. Using a narrative inquiry approach, data were collected from 14 participants through in-depth interviews and thematic analysis. The findings highlight initial adaptation challenges, such as technological complexities and infrastructure limitations, but also reveal substantial benefits, including
improved workflow efficiency and faster referral processes. Participants emphasized the need for enhanced training, better infrastructure, and patient education to optimize the system. This study underscores the transformative potential of digital health innovations like SISRUTE, while advocating for continuous evaluation and support to maximize its effectiveness in improving health services.
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Hospital. Dr. Adjidarmo Lebak Regency. Journal of Health Policy Administration, 1(2), pp.78-
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Walantaka Health Center, Serang City, Banten, Jogjakarta: Gadjah Mada University.
Ratnasari, Dwi. 2017. Analysis of the Implementation of the Tiered Referral System for JKN
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Association of Public Health Scholars
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Journal Vol 11 No 1 p 1-12
Sugiyono. (2018). Research Methods. Bandung: Bandung: Alfabeta, 2018
Holy Ramadan and Muhlihah darwis. (2021). Analysis of the Use of an Integrated Referral
System (SISRUTE) at the Makassar City Health Center.
Umami, L. S., Soeharto, B. P., & Wulandari, D. R. (2017). Analysis of the Implementation of
the First Level Outpatient Referral of BPJS Kesehatan Participants at the Health
Center.Diponegoro Medical Journal, 6(2), 758– 771.
Wahyudi, Elyarna. 2023. Dynamics of the Use of the Integrated Referral System (SISRUTE)
at the South Tangerang City Health Center. Semarang: Diponegoro University
World Health Organization (WHO). Strategic Paper on Health Care Referral System in Nepal.
In WHO, Decentralization of Health System and its Management - Version 1 (P. 1-4). Nepal:
WHO Country Office
(SISRUTE) at Labuang Baji Hospital, Makassar City. Makassar : Master of Public Health
Program, Indonesian Muslim University
Anggoro, Tri Priyo. 2022. Application of Telemedicine for the National Health Insurance
Referral Program during the Covid-19 Pandemic. Jakarta : University of Indonesia
Atreya, S., Kumar, G., Samal, J., Bhattacharya, M., Banerjee, S., Mallick, P., Chakraborty, D.,
Gupta, S., & Sarkar, S. 2020. Patients'/Caregivers' perspectives on telemedicine service for
advanced cancer patients during the COVID-19 pandemic: An exploratory survey. Indian
Journal of Palliative Care, 26(5), S40–S44.
Attun, R, & et.al. 2013. Universal Health Coverage in Turkey: Enchancement of Equity, The
Lancet, Vol. 382 (2013), 65-99
Ayu, K., Achjar1, H., Kusumawardani, L. H., Astiti, S., & Parashita, P. 2021. Health Status of
Older Adults with Hypertension after Family and Cadre Empowerment through
Comprehensive Care. Media Karya Kesehatan.
Bancin, Junita. Putri N. 2019. Overview of the Integrated Referral System (SISRUTE) at Dr.
RM DJOELHAM Binjai Hospital. Scientific Journal of Recording and Health Information.
Bapna, J. S., Tekur, D, Pradham, S, C & Shasindran C,H. 2013. Why Patient Prefer Referred
Hospitals. World Health Forum. (1991); 12 (3) : 344-345.
Chabibah, N. & Chalidyanto, D., 2014. Analysis of the referral ratio of the health center based
on the service ability of the health center. Indonesian Journal of Health Administration, 2(3).
Chatib Quzwain, Sarolangun Regency, Jambi Province. 2020. Journal of Public Health (e-
Journal), 4(4).
Cintiawan, Evin. 2019. Creation of Mobile Controlling System in Surabaya City Government
Agencies. Student Scientific Journal of the University of Surabaya.
Creswell, J. W. (2013). Qualitative Inquiry & Research Design: Choosing among Five
Approaches (3rd ed.). Thousand Oaks, CA: SAGE.
David B. E., R. M. 2012. Universal Health Coverage (UHC) is a Development Issue. The
Lancet Vol. 380, Issue 9845. (2012); 864- 865
Dr. Khalid Saleh, SpPD-KKV, 2016 Integrated Reference System Manual (SISRUTE),
Makassar.
Fathony.M Ridwan, Muradi, and Novi. 2021. The Utilization of Technology in the
Implementation of Public Services in the Bandung City Government. Vol 9 No 2.118-130.
Bandung: Government Science Postgraduate Program
Handiwidjojo, W. 2009. Hospital management information system. EKSIS Journal Vol 2 No 2
p 32-38.
Herlinda. 2016. The Influence of Information Technology on Improving the Quality of Public
Services of PT Pos Indonesia in Tanah Grogot District, Paser Regency. Vol 4 (1). 306-318.
Grogot Land : e-journal of Mulawarman University
Herawati, Erni. 2011. Communication in the Information Technology Era. Humanities. 2(1) :
102- 103
Heriyati, Ana Maria. 2022. Implementation of e-government in Pubblik Services (Case Study
of the Implementation of Electronic ID Cards in Pulomerak. Semarang: Diponegoro University
Holidin, Defny. 2013. Bureaucratic Reform in Practice. Jakarta: Ministry of State Apparatus
Empowerment and Bureaucratic Reform.
Irianto, Sugeng. 2021. Learning on the Implementation of an Integrated Referral System
(SISRUTE) at Regional Hospital X. Lampung: Journal of Community Care.
Irnawati, Sri.Sultan M. Nur Hannis. 2017. Quality of Health Services at Sangurang Health
Center, Palu City District. E- Catalog Journal. Vol.5
West Java, P. 2011. Guidelines for the Implementation of the West Java Provincial Health
Service Referral System. West Java
Jogiyanto, HM. 2017. Information Technology Systems. Yogyakarta: Andi Publisher
Ministry of Health of the Republic of Indonesia. 2013. Regulation of the Minister of Health
No.71 of 2013 concerning Health Services in JKN. Jakarta.
Ministry of Health of the Republic of Indonesia, 2012. Guidelines for the National Referral
System. Jakarta: Directorate General of Health Development of the Ministry of Health of the
Republic of Indonesia.
Ministry of Health of the Republic of Indonesia. 2018. Ministry of Health of the Republic of
Indonesia No. HK.02.02/III/4776 concerning Hospital Class Review. Jakarta: Indonesia.
Kurniawan. 2009. Utilization of e-education to Improve Learning Quality. Yogyakarta:
Information Technology Seminar
Kyantono, Rachmat, 2016. Practical Techniques for Communication Research. Jakarta:
Kencana Prenada Media Group
Lucas, H.C.Jr. 2015 Analysis of Information System Design and Implementation. Jakarta
:Erlangga
Luti, I., Hasanbasri, M. & Lazuardi, L., 2018. Local Government Policy in Improving the
Islands Regional Health Referral System in Lingga Regency, Republic of Indonesia Islands
Province. Indonesian Journal of Health Policy, 01(01), pp. 24-35.
Nasution, Irza. 2021. Analysis of Community Health Center (Puskesmas) services. Karawang:
Government Science Study Program
Oetomo, Budi Sutejo Darma 2017. Planning and Development of Information Systems.
Yogyakarta: Adi Offset
Pandjaitan, D.,. &. Ahmad, A. (2017). Textbook of Research Methodology for Business. Faculty
of Economics and Business, University of Lampung.
Permenkes RI. 2012. PERMENKES 001 on Integrated Reference System. Jakarta: Indonesia.
Permenkes RI. 2018. PERMENKES RI No. YR.04.02/III6014 concerning the Use of Sisrute.
Jakarta: Indonesia.
Primasari, K. L., 2015. Analysis of the National Health Insurance Referral System of the
Hospital. Dr. Adjidarmo Lebak Regency. Journal of Health Policy Administration, 1(2), pp.78-
86.
Putri, A., 2016. Review of the Implementation of the BPJS Patient Referral System at the
Walantaka Health Center, Serang City, Banten, Jogjakarta: Gadjah Mada University.
Ratnasari, Dwi. 2017. Analysis of the Implementation of the Tiered Referral System for JKN
Participants at Puskesmas X Surabaya City. Vol 5(2). 145-154. Surabaya: Indonesian
Association of Public Health Scholars
Ramadhani A, Ramadhani MA. 2017. General Concept of Public Policy Services. Public
Journal Vol 11 No 1 p 1-12
Sugiyono. (2018). Research Methods. Bandung: Bandung: Alfabeta, 2018
Holy Ramadan and Muhlihah darwis. (2021). Analysis of the Use of an Integrated Referral
System (SISRUTE) at the Makassar City Health Center.
Umami, L. S., Soeharto, B. P., & Wulandari, D. R. (2017). Analysis of the Implementation of
the First Level Outpatient Referral of BPJS Kesehatan Participants at the Health
Center.Diponegoro Medical Journal, 6(2), 758– 771.
Wahyudi, Elyarna. 2023. Dynamics of the Use of the Integrated Referral System (SISRUTE)
at the South Tangerang City Health Center. Semarang: Diponegoro University
World Health Organization (WHO). Strategic Paper on Health Care Referral System in Nepal.
In WHO, Decentralization of Health System and its Management - Version 1 (P. 1-4). Nepal:
WHO Country Office
Published
2025-01-06
How to Cite
RAHAJENG, Argitta Della Ayu; ARISYAHIDIN, Arisyahidin; ASKAFI, Eka.
Experiences of Health Workers in Using the Integrated Referral System (SISRUTE): A Narrative Inquiry Approach in Pamekasan Regency.
Prosiding Seminar, [S.l.], v. 6, n. 1, p. 17-28, jan. 2025.
ISSN 2715-713X.
Available at: <https://www.prosiding.pasca.uniska-kediri.ac.id/index.php/prosidingseminar/article/view/101>. Date accessed: 23 may 2025.
doi: https://doi.org/10.32503/prosidingseminar.v6i1.101.
Section
Articles
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