Sapporo Medical Journal

Abstract : Inequity in health services still occurs after the implementation of the National Health Insurance (JKN). Periodic monitoring of the performance of Primary Health Care (FKTP) is the key to reducing health service inequity as the main goal of JKN. This study aims to define indicators to measure performance and capacity that need to be updated. The research began with a systematic literature review (SLR) to identify indicators that can be used to measure the capacity and performance of FKTP. Measurement indicators obtained from SLR are then selected through Consensus Decision Making Group (CDMG). The indicators agreed on in the CDMG to articulate indicators that will use in measuring the capacity of primary health care in Indonesia are General practitioner (GP) ratio, the adequacy of health infastructure, and the amount of capitation received. Indicators that will use in measuring the performance of primary health care are first contact, cronic disease program routine inspection of diabetic patients and hypertensive patients, percentage of patients who come without being referred to the hospital, non-specialty referral ratio, percentage of patients referred back, percentage of screening: breast cancer, cervical cancer, heart disease, diabetes mellitus, and hypertension; and diabetes education. This study identified indicators to measure the capacity and performance of primary healthcare facilities that can be applied in Indonesia.