Policy Concept of Public Health Services on Regionalization of JKN Referral Systems in Border Areas

The purpose of this study was to examine and analyze the concept of public health service policy offerings for the regionalization of the national health insurance referral system in the district/city border area in South Sulawesi Province. Research methods. This study used qualitative and carried out in three government agencies, namely the South Sulawesi Provincial Health Office, Daya Regional Hospital and Wahidin Sudiro Husodo Hospital as Tertiary Hospitals. Data retrieval was carried out from September 2016 to May 2018 with in-depth interviews as primary data and retrieving documents as supporting data in related institutions as secondary data. Determination of informants with purposive sampling technique. Data collection is done by in-depth interviews, observation, focus group discussions (FGD). Data analysis was carried out qualitatively descriptive by obtaining data/information from informants, describing data records, then preparation of analysis by reducing data to meaningful and more concise information, the way is to do coding or code then summarize again in the form of categories and relationships between categories, studies This uses 4 ways to increase trustworthiness, namely; thick description, negative case analysis, triangulation, member checking8. Results. The community considers the regionalization of the referral system makes it difficult for people in border areas, besides very far access, sometimes it is very difficult to reach, the costs incurred are far more expensive, seem complicated, if people follow queues sometimes for long periods, in primary services such as clinics/health centers.