Paper Title
STRENGTHENING OF HEALTH REFERRAL SYSTEM, AS A MANDATORY REGULATION FOR HOSPITALS IN INDONESIA USING THE APPROACH OF “BICAMERAL REFERRAL SYSTEM” : CASE STUDIES IN KABUPATEN BIAK AND KABUPATENJAYAPURA, PAPUA PROVINCE, 2024

Abstract
Background: Lately in Indonesia, mandate of standardized health referral implementation is in one package with implementation of clinical or service standards of quality, was at required by the new Health Constitution called Undang-Undang Nomor 17 Tahun 2023, in articles 189g and 189j to every hospital In Indonesia to made dan maintain the health service quality as a foundation in patient services along to the responsibility to fulfill the standardized health fererral system. For the goals of this regulation implementation needs technical level of policies follow up. In order to referral process and outcome improving, healthcare system has to asses the bottlenecks which should completed along with practical ways out furtherly, about the integrative services of clinical out patients, in patients and their referral matters. This literature study aimed to know current body knowledge about related factors affected the strengthening of a health referral system which integrated to the clinical healthcare system. How they confirm the concept of “bicameral referral system” as a conceptual framework that prepare to use in Papua. Methods - The articles reviewed from online accessing of fulltext in databases such asPubmed, Google Scholar, Science Directdan Elsevier for about last ten years.Other sources including text books and national and province health reports. Searching for grand theories not using time limitation. The password used was “Health referralsystem, Factors, Effective, Efficient andPatient safety.” Results - From 1,100 articles found, only 20 articles was eligible to selection criterias. Factors of specific regulations on field level most needed, i.e. job description and referral team building, special receptionist as referral liaison, reporting system, communicaton and transportation system, health incurance, fixed operational procedures in healthcare facilities and “on the road” process to manage the referral patients, the role of networking dan controlling by government authorithies. Conclusions - The tested and trustee intervention used in purpose to increase the effectivity of health referral system shall improve healthcare quality and efficiency. The next things to do are to make sure a persisten and robust monitoring, evaluating and controlling system about the implementation of certain selected intervention. Concept and Components on “bicameral referral system” frame work firm enough to improve the referral system in Papua according to the results of this letirature review. Keywords - “Bicameral Referral system”, Hospital, Health Office, Healthcare Facilities.