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Health Referral Information System

Published on: Published in: Projects

Background and Objectives

The Indonesian Government has implemented several rules, programs, and health efforts, which were created by the Ministry of Health, to improve health services. One such effort is the health referral system, which became regulated by the Minister of Health Regulation, Republic of Indonesia Regulation 001 in 2012. This health referral system is carried out both vertically and horizontally. Vertical referrals start from primary health facilities (Fasilitas Kesehatan Tingkat Pertama: FKTP); therefore, every citizen first visits his/her assigned health facility when having a health problem. A designated health facility can refer a patient to a higher-level health facility (Fasilitas Kesehatan Rujukan Tingkat Lanjut: FKRTL) if they lack the appropriate medical staff and/or treatment options. However, patients with emergencies do not have to use the referral system.

 

To support the health referral process, the government has developed a web application, which is used by all health facilities in Indonesia to refer patients to other health facilities. Medical staff members are the main users of the system. Currently, the mobile version of this application (Mobile JKN) is only designed to help patients register themselves at designated primary health facilities; the feature that will allow medical staff to send referrals has yet to be implemented. The implementation of an m-health application for referrals is important for medical staff, given their high level of mobility. Thus, this project aims to develop web-based and mobile-based health referral system. Web-based system will be used by the health facilities such as hospitals. Mobile-based health referral system will be used by users.

 

Result

  • Link to access the web-based health referral system: https://healthcare.cs.ui.ac.id
  • Mobile-based health referral system could be download in Google Play store by entering “Sirupas”
  • Journal Publication:
    • W. Handayani, Dira Ayu Meigasari, Ave Adriana Pinem, A.N. Hidayanto, Dumilah Ayuningtyas. Critical Success Factors for Mobile Health Implementation in Indonesia. Heliyon Vol. 4(11). Elsevier Ltd. https://doi.org/10.1016/j.heliyon.2018.e00981.
    • W. Handayani, Ibad Rahadian Saladdin, Ave Adriana Pinem, Fatimah Azzahro, A.N. Hidayanto, Dumilah Ayuningtyas. Health Referral System User Acceptance Model in Indonesia. Heliyon Journal Vol.4. Elsevier Ltd. https://doi: 10.1016/j.heliyon.2018. e01048
    • W. Handayani, Ave Adriana Pinem, Qorib Munajat, Fatimah Azzahro, A.N. Hidayanto, Dumilah Ayuningtyas, Arief Sartono. Health Referral Enterprise Architecture Design in Indonesia. Healthcare Informatics Research Journal Vol. 25(1):3-11. https://doi.org/10.4258/hir.2019.25.1.3
    • C. Harahap, P.W. Handayani, A.N. Hidayanto. Barriers and Technologies of Maternal and Neonatal Referral System in Developing Countries: A Narrative Review. Informatics in Medicine Unlocked Journal Vol. 15: 100184. https:// 10.1016/j.imu.2019.100184
    • W. Handayani, Ave Adriana Pinem, Fatimah Azzahro, Puspa Indahati Sandhyaduhita, A.N. Hidayanto, Dumilah Ayuningtyas. The Information System/Information Technology (IS/IT) Practices in the Indonesia Health Referral System. Informatics in Medicine Unlocked Journal Vol. 17, 100263. https://doi.org/10.1016/j.imu.2019.100263
    • Ave Adriana Pinem, Andi Yeskafauzan, W. Handayani, Fatimah Azzahro, A.N. Hidayanto, Dumilah Ayuningtyas. Designing A Health Referral Mobile Application for High-mobility End Users in Indonesia. Heliyon Journal Vol.6. Elsevier Ltd. https://doi.org/10.1016/j.heliyon.2020.e03174
  • Book Publication: Putu Wuri Handayani, Achmad Nizar Hidayanto, Ave Adriana Pinem, Fatimah Azzahro, Qorib Munajat, Dumilah Ayuningtyas. Concept and Implementation of E-health with Case Study of Referral Systems in Indonesia. ISBN 978-602-425-943-3.
  • Intellectual Property:
    • Computer program: SiRujuk (Web-based Health Referral Information System)
    • Book: Concept and Implementation of E-health with Case Study of Referral Systems in Indonesia (Konsep dan Implementasi E-health dengan Studi Kasus Sistem Rujukan Di Indonesia)
    • Computer program: SiRupas (Patients’ Mobile Apps Health Referral)

 

 

Future Works

To date, we are continuing to develop maternal health referrals. This application will be integrated with the mobile apps personal health record which is currently under development.

 

Research Team Members

  • Putu Wuri Handayani, Faculty of Computer Science Universitas Indonesia, Lecturer (Leader)
  • Achmad Nizar Hidayanto, Faculty of Computer Science Universitas Indonesia, Lecturer
  • Ave Adriana Pinem, Faculty of Computer Science Universitas Indonesia, Lecturer
  • Fatimah Azzahro, Faculty of Computer Science Universitas Indonesia, Lecturer
  • Qorib Munajat, Faculty of Computer Science Universitas Indonesia, Lecturer
  • Mahdi Firdaus, Faculty of Computer Science Universitas Indonesia, undergraduate student
  • Gitta Gracia, Faculty of Computer Science Universitas Indonesia, undergraduate student
  • Wresni, Faculty of Computer Science Universitas Indonesia, undergraduate student
  • Hamdan Fachry Himawan, Faculty of Computer Science Universitas Indonesia, undergraduate student
  • Andi Yeskafauzan, Faculty of Computer Science Universitas Indonesia, undergraduate student
  • Nabila Clydea Harahap, , Faculty of Computer Science Universitas Indonesia, master student

 

Research Grants

  • Higher Education Basic Research Program (Program Penelitian Dasar Unggulan Perguruan Tinggi/PDUPT) Ministry of Research Technology and Higher Education with contract number 286/UN2.R3.1/HKP05.00/2018 and research title “Development of Health Referral Systems at First Level Health Facilities in Indonesia” (Member)
  • International Publication Grants Indexed Final Task Journal Q4 (PITTA A) with a contract number NKB-0351/UN2.R3.1/HKP.05.00/2019 date 11 March 2019 and research title “Analysis of the Implementation of Maternal and Neonatal Integrated Referral Information Systems (SIRUMA)” (Research Leader)
  • Higher Education Basic Research Program (Program Penelitian Dasar Unggulan Perguruan Tinggi/PDUPT) Ministry of Research Technology and Higher Education with contract number NKB-1495/UN2.R3.1/HKP05.00/2019 and research title “Development of Health Referral Systems at First Level Health Facilities in Indonesia”