Alfathdyanto, Khairurizal (2016) Permodelan Dan Analisis Performa Jaringan Antrian Dari Sistem Rujukan Berjenjang BPJS Di Surabaya. Undergraduate thesis, Institut Teknologi Sepuluh Nopember.
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Abstract
Sistem rujukan berjenjang diterapkan oleh BPJS sebagai bagian
dari prosedur penjaminan kesehatannya. Pasien yang ingin mendapatkan
penjaminan kesehatan pada fasilitas kesehatan (faskes) tertentu harus
mendapat rujukan dari faskes tingkat I pasien tersebut terdaftar.
Penumpukan terjadi pasien pada faskes lanjutan tertentu disebabkan
tidak ada aturan yang membatasi pemberian rujukan [1]. Dalam tugas
akhir ini akan dibuat model jaringan antrian dari sistem rujukan BPJS
dan dianalisis performa antrian dalam jaringan tersebut. Performa sistem
rujukan berjenjang diestimasi menggunakan model sistem antrian
hypercube yang dipergunakan dalam masalah antrian perkotaan.
Analisis performa jaringan antrian tersebut menunjukkan pengaruh
preferensi pasien terhadap penumpukan pasien pada faskes lanjutan.
Pemberian rujukan dapat dilakukan dengan cara routing dinamis dan
pemberian prioritas pasien. Kedua aturan tersebut disimulasikan untuk
menentukan aturan pemberian rujukan yang cocok untuk permasalahan
ini. Hasil yang didapatkan adalah preferensi pasien mempengaruhi laju
kedatangan pada tiap rumah sakit, penerapan routing dinamis dapat
menurunkan utilitas maksimum dan mengurangi rata-rata waktu tunggu,
pemberian prioritas pasien memperbaiki performa routing dinamis pada
sistem dengan beban kerja tinggi.
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Sistem rujukan berjenjang is implemented by BPJS as part of the
health insurance policies. Patients who want to get health insurance at a
health facility particular should get a referral from the first level
healthcare facility in which they are registered. Congestion of patients
happens in certain upper level healthcare facility as there are no rules
maintaining the referral system [1]. This final project models sistem
rujukan berjenjang BPJS as a network of queuing system and analize
the performance of queues in the network. Sistem rujukan berjenjang
performances is estimated by hypercube queueing system model which
used in urban queueing problem. Analysis of queuing network
performances shows the influence patient preferences to buildup
congestion of patients in upper level healthcare facilities. Referrals can
be done by means of dynamic routing and prioritization of patients. Both
of these rules are simulated to determine the appropriate rules of
referral. The following results are obtained from the project, patient
preferences affect the arrival rate at each hospital, the application of
dynamic routing can reduce the maximum utility and reduce the average
waiting time, prioritization of patients improve dynamic routing
performance on systems with a high workload.
| Item Type: | Thesis (Undergraduate) |
|---|---|
| Additional Information: | RSE 621.31 Alf p |
| Uncontrolled Keywords: | Jaringan Antrian, Prioritisasi User, Routing Dinamis, Sistem Rujukan Berjenjang |
| Subjects: | T Technology > T Technology (General) > T58.6 Management information systems |
| Divisions: | Faculty of Industrial Technology > Electrical Engineering > 20201-(S1) Undergraduate Thesis |
| Depositing User: | ansi aflacha |
| Date Deposited: | 14 Jan 2020 07:23 |
| Last Modified: | 14 Jan 2020 07:23 |
| URI: | http://repository.its.ac.id/id/eprint/72673 |
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