Analysis of Factors that Influence the High Reference Rate in the Health Center in the Era of National Health Insurance

The number of patient visits at the Tampo Health Center in Kendari City is known to be 30,540 patients in 2019 and in 2020 it decreased to 45.38% or 16,679 and in 2021 as of November it decreased from the previous number of 14.67%, namely 14,232. and it is known that the number of visits by BPJS participants until November 2021 is 28,350 participants who are registered at the first level health facility, namely at the Tampo Health Center, it is known that the population in the Tampo sub-district which is the working area of the Tampo Health Center is 34,366, thus there are only 17.50% still available. people who did not choose the first health facility at the Tampo Public Health Center. The total number of referrals in 2020 is 5336. From the data above, it is known that the number of referrals every month exceeds the set standard, which is above 15% and does not match the JKN referral standard. The purpose of this study is to determine the effect of the JKN Era Health services by increasing the number of referrals with the factors that cause referrals. This type of research is quantitative research with explanatory survey methods, research that explains causality and hypothesis testing. There is a significant influence with the existence of the JKN Era where the number of referral cases is known to be large and exceeds the reference standard, which is 15 percent