Sebuah Tinjauan Naratif: Peran, Implementasi, Tantangan, Strategi dan Inovasi Apotek Program Rujuk Balik (PRB) Dalam Sistem Jaminan Kesehatan Nasional (JKN)

Authors

  • Ristita Aritamonsa Universitas Muhammadiyah Purwokerto
  • Indri Hapsari Universitas Muhammadiyah Purwokerto
  • Erza Genatrika Universitas Muhammadiyah Purwokerto

DOI:

https://doi.org/10.31004/koloni.v5i3.1014

Keywords:

Referral Back Program, Referral Back Program Pharmacies, National Health Insurance, Pharmaceutical Services, Chronic Disease.

Abstract

The increasing coverage of participants in Indonesia’s National Health Insurance requires the provision of healthcare services that are optimal, efficient, and sustainable. The Referral Back Program was developed to support the management of stable chronic disease patients through services provided at primary healthcare facilities and Referral Back Program pharmacies. Referral Back Program pharmacies play a crucial role in ensuring medication access and continuity of therapy, but their implementation still faces various challenges that could affect service quality. By reviewing various scientific articles, regulations, and documents related to the Referral Back Program and pharmaceutical services, it is shown that Referral Back Program pharmacies contribute to improving access to medicines, maintaining therapy continuity, and supporting healthcare service efficiency for chronic disease patients. However, its implementation still faces various challenges, such as limited drug availability, less-than-optimal coordination between healthcare facilities, administrative and claims issues, and limited human resources. Strategies to overcome these challenges include utilizing an integrated information system, strengthening drug supply management, improving pharmaceutical staff competence, and enhancing interprofessional collaboration. By optimizing these aspects, Referral Back Program pharmacies can increasingly play a role in improving the quality of healthcare services and supporting the sustainability of the National Health Insurance program in Indonesia.

References

Adhim, L. F. (2022). Profil Tingkat Kepuasan Pelayanan BPJS PRB (Pasien Rujuk Balik) di Apotek Kimia Farma Kartini Gresik. HERCLIPS (Journal of Herbal, Clinical and Pharmaceutical Sciences) , 4(1), 9–16.

Agusti, M. R., Rosita, M. E., Maulidin, M. I., & Alia, F. (2025). Review Article : Pelayanan Farmasi Klinik di Apotek Berdasarkan Permenkes Nomor 73 Tahun 2016 di Indonesia. KUNIR : Jurnal Farmasi Indonesia, 3(2), 97–106.

Alhaqan, A., Smith, F., & Bates, I. (2021). A global evidence review of systemic factors influencing participation in pharmacy professional development activities. Research in Social and Administrative Pharmacy, 17, 488–496.

Ansell, C., & Gash, A. (2007). Collaborative Governance in Theory and Practice. Journal of Public Administration Research and Theory, 18(4), 543–571.

Ansyori, R., & Ali, M. (2022). Using The Digitalization of The BPJS Program to Improve The Qualitu of Servicess in Facing The Era of The Industrial Revolution 4.0. Journal of Technology & Informatic, 1(1).

BPJS Kesehatan. (2026). Data Peserta Program Jaminan Kesehatan Nasional (JKN). https://faskes.bpjs-kesehatan.go.id/aplicares

Dewan Jaminan Sosial Nasional. (2025). Cakupan kepesertaan Jaminan Kesehatan Nasional (JKN). https://kesehatan.djsn.go.id/kesehatan/cakupan/

Dwi, N., Satibi, & Ayu, D. (2015). Analisis Pengaruh Pelaksanaan Standar Pelayanan Kefarmasian Terhadap Kepuasan Pasien Pada Program Rujuk Balik di Kota Yogyakarta. Journal of Pharmacy, 4(1), 43–51.

Evykasari, N. P., Darmanto, E., & Muzid, S. (2025). Sistem Informasi Manajemen Persediaan Obat di Apotek Jekulo Menggunakan Metode FEFO dan ROP. Jurnal Teknik Informatika, 5(2), 936–949.

Gustantini, L. M., & Hasanbasri, M. (2014). Upaya Manajemen Rumah Sakit Dalam Mendukung Kolaborasi Antara Dokter Umum dan Spesialis di Instalasi Gawat Darurat. Jurnal Manajemen Pelayanan Kesehatan, 17(01), 37–44.

Handayani, P. W., Pinem, A. A., Azzahro, F., & Hidayanto, A. N. (2019). The Information System/Information Technology (IS/IT) practices in the Indonesia health referral system. Informatics in Medicine Unlocked, 17.

Islami, V. H., Ansyori, A. K., Helmidanora, R., Tinggi, S., & Kesehatan, I. (2023). Gambaran Pengadaan Obat E-Purchasing untuk Program Rujuk Balik di Apotek Kimia Farma Samarinda. Jurnal Riset Kefarmasian Indonesia, 5(3), 473–486.

Kementerian Kesehatan Republik Indonesia. (2024). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1645/2024 tentang Rujuk Balik Penyakit Kronis ke Fasilitas Pelayanan Kesehatan Tingkat Pertama.

Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/6485/2021 Tentang Formularium Nasional (2021).

Kertapradja, E. N., & Basry, A. (2026). Membangun Sistem Inventory Stok Obat Berbasis Web dengan Metode Min-Max Stock Level pada Apotek Mulia Jakarta. IKRA-ITH Informatika : Jurnal Komputer Dan Informatika, 10(1), 49–57.

Kusumawati, F., & Rahayu, E. (2023). Analisis Kendala Pengadaan Obat Program Rujuk Balik (PRB) di Fasilitas Kesehatan Tingkat Pertama (Studi Kasus Pada Puskesmas BLUD di Kabupaten Indragiri Hilir).pdf. Jurnal Jaminan Kesehatan Nasional, 3(1), 56–67.

Larasati, D., & Nurmawaty, D. (2022). Analisis Waktu Tunggu Pelayanan Resep Non Racikan Pasien Program Rujuk Balik (PRB) BPJS Kesehatan di Apotek Kimia Farma Karang Tengah Tahun 2021. JUKEKE: Jurnal Kesehatan Dan Kedokteran, 1(3), 1–11.

Lin, C. Y. (2012). Improving Care Coordination in the Specialty Referral Process Between Primary and. North Carolina Medical Journal, 73(1), 61–62.

Lino, M. M., Lay, M. R., & Lake, P. (2004). Kolaborasi Antara Rumah Sakit Umum Daerah Prof.Dr.W.Z.Yohanes dan Badan Penyelenggara Jaminan Sosial Cabang Kupang Dalam Pelayanan Kesehatan. Jurnal Administrasi Dan Demokrasi, 17–27.

Martawinata, S., & Soewondo, P. (2024). Analisis Ketersediaan Obat Program Rujuk Balik (PRB) Kasus Hipertensi di Kota Palembang Tahun 2023. Jurnal Cahaya Mandalika, 5(1), 557–562.

Maulana, S. A. N., Wijayanti, E., & Chamid, A. A. (2025). Utilization of Barcode Technology in Modern Inventory Systems to Enhance Accuracy and Operational Efficiency. MALCOM: Indonesian Journal of Machine Learning and Computer Science, 5(July), 807–818.

Oldland, A. R., Golightly, L. K., May, S. K., Barber, G. R., & Stolpman, N. M. (2015). Electronic Inventory Systems and Barcode Technology: Impact on Pharmacy Technical Accuracy and Error Liability. Hosp Pharm, 50(January), 34–41.

Peraturan Badan Penyelenggara Jaminan Sosial Kesehataan Nomor 1 Tahun 2014 Tentang Penyelenggara Jaminan Kesehatan (2014).

Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 3 Tahun 2024 Tentang Pelayanan Skrining Riwayat Kesehatan, Pelayanan Penapisan Atau Skrining Kesehatan Tertentu, Dan Peningkatan Kesehatan Bagi Peserta Penderita Penyakit Kronis Dalam Program Ja (2024).

Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2014 Tenteng Pedoman Pelaksanaan Program Jaminan Kesehatan Nasional (2014).

Peraturan Menteri Kesehatan Republik Indonesia Nomor 73 Tahun 2016 Tentang Standar Pelayanan Kefarmasian Di Apotek (2016).

Peraturan Presiden Republik Indonesia Nomor 4 Tahun 2015 Tentang Perubahan Keempat Atas Peraturan Presiden Nomor 54 Tahun 2010 Tentang Pengadaan Barang/Jasa Pemerintah (2015).

Sari, A., & Yeni, R. (2022). Kajian Implementasi Program Rujuk Balik Di BPJS Kesehatan Cabang Jakarta Selatan Tahun 2021. DPOAJ: Dohara Publisher Open Access Journal, 01(07), 236–249.

Sembada, S. D., & Arisanti, N. (2016). Jumlah Pemenuhan dan Pola Penggunaan Obat Program Rujuk Balik di Apotek Wilayah Gedebage Kota Bandung. JSK: Jurnal Sistem Kesehatan, 2(1), 16–21.

Susila, A. P., Sari, S., & Ningrum, I. H. (2025). Analysis of the Relationship between Pharmaceutical Services and Patient Satisfaction in the BPJS Referral Program (PRB) at Pharmacies across Pekanbaru City. JOPS: Journal of Pharmacy and Science, 9(1), 19–30.

Sutrisno, Setiawati, E. P., & Hilfi, L. (2017). Analisis Kolaborasi Antar Profesi dalam Program Rujuk Balik BPJS Kesehatan di Kabupaten Kotawaringin Timur Kesehatan at Kotawaringin Timur District. JSK: Jurnal Sistem Kesehatan, 2(4), 171–178.

Tuti, S. D., Athiyah, U., & Utami, W. (2018). Factors Affecting The Drugs Availability on Program Rujuk Balik (PRB) at PRB Drugs Facility in Ex Karesidenan Kediri (Study of Hipertension Drugs).pdf. Jurnal Ilmu Kefarmasian Indonesia, 16(1), 1693–1831.

Wiasa, I. N. D. (2022). Jaminan Kesehatan Nasional yang Berkeadilan Menuju Kesejahteraan Sosial. CV. Feniks Muda Sejahtera.

Widyaningrum, L., Wariyanti, A. S., & Parwati, H. (2021). Faktor-Faktor Keterlambatan Klaim BPJS. Prosiding Seminar Informasi Kesehatan Nasional (SIKesNas), 14–18.

Yulianto, Saepudin, Hendrik, & Rugiarti, N. D. (2017). Continuing education for pharmacists of primary health care in Yogyakarta. Jurnal Ilmiah Farmasi, 13(2), 34–46.

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Published

29-09-2026

How to Cite

Aritamonsa, R., Hapsari, I., & Genatrika, E. (2026). Sebuah Tinjauan Naratif: Peran, Implementasi, Tantangan, Strategi dan Inovasi Apotek Program Rujuk Balik (PRB) Dalam Sistem Jaminan Kesehatan Nasional (JKN). KOLONI, 5(3), 3216–3230. https://doi.org/10.31004/koloni.v5i3.1014