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Contoh Surat Rujukan Dokter yang Baik dan Benar - Contohsurat
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Contoh Surat Rujukan Dokter yang Baik dan Benar

Dalam penanganan pasien pada pelayanan kesehatan, sering kali diperlukan penanganan lebih lanjut bagi pasien. Dalam hal pelayanan kesehatan pada tempat pasien melakukan perawatan memiliki kemampuan untuk penanganan sesuai yang dibutuhkan pasien dalam penyembuhan, maka perawatan pelayanan kesehatan cukup dilakukan pada lingkup pelayanan tersebut.

Namun jika tempat pelayanan kesehatan memiliki keterbatasan untuk memberikan penanganan lanjut, maka instansi tersebut memberikan rujukan untuk instansi pelayanan kesehatan lain yang dilengkapi dengan penanganan yang dibutuhkan pasien.

Hal-hal yang biasanya menjadi keterbatasan pelayanan kesehatan antara lain daya tampung, fasilitas maupun permintaan dari pihak pasien atau keluarga pasien.

Surat rujukan biasanya dibuat oleh dokter dari satu instansi kesehatan kepada instansi kesehatan lain yang tingkatnya lebih tinggi atau memiliki fasilitas pemeriksaan, perawatan maupun pengobatan sesuai yang dibutuhkan pasien.

Misalnya, pasien dari Puskesmas membutuhkan perawatan lanjut yang tidak tersedia fasilitasnya, maka dokter Puskesmas akan membuat surat rujukan untuk Rumah Sakit. Maka pasien akan melakukan prosedur perawatan di Rumah Sakit bersama surat rujukan dari dokter Puskesmas.

Fungsi surat rujukan dokter adalah bukti tertulis bahwa pasien telah mendapatkan pemeriksaan atau perawatan awal yang membutuhkan penanganan lanjut, di mana hal tersebut terkendala di pelayanan kesehatan awal.

Berbekal surat rujukan ini, pasien yang bersangkutan diharapkan mendapatkan perawatan lanjut dan lebih intensif di instansi yang dituju pada surat rujukan.

Pasien pun biasanya memiliki kebebasan untuk memilih rumah sakit mana yang akan menjadi tempat rujukan untuk perawatan selanjutnya. Pilihan ini selain dari kelengkapan fasilitas, tergantung juga dari cara pembayaran beban biaya kesehatan.

Berikut hal-hal yang tercantum dalam surat rujukan :

  1. Pihak Pemberi Rujukan

Pemberi rujukan dapat diindikasikan dari kolom penandatanganan, stempel atau kop surat. Dokter pemberi rujukan menuliskan nama jelasnya sebagai penanggung jawab bahwa telah dilakukan pemeriksaan atau perawatan sebatas yang mampu dilakukan pihak pemberi rujukan.

  1. Tujuan Rujukan

Rujukan dalam surat ditulis dengan bagian spesialis yang lebih khusus atau spesifik berdasarkan pemeriksaan di pelayanan kesehatan sebelumnya.

  1. Isi dan Keterangan Surat

Bagian ini menerangkan hal-hal apa saja yang telah dilakukan dalam pelayanan kesehatan pemberi rujukan, baik itu pemeriksaan fisik maupun perawatan yang telah diberikan kepada pasien.

 

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Berikut beberapa Contoh Surat Rujukan Dokter yang Baik dan Benar


Contoh Surat Rujukan Dokter Puskesmas

Contoh Surat Rujukan Dokter Puskesmas

 

Divisi Regional : REGIONAL IV – JAKARTA

Kantor Cabang : CIBUBUR

 

Rujukan Puskesmas / Dokter Keluarga

 

No. Rujukan                             : 0118U029317Y00315

Puskesmas / Dokter                  : KLINIK DWI RAHANI (0118U029)

Kabupaten / Kota                     : KOTA JAKARTA TIMUR

 

Kepada Yth. TS dari Poli         : Poli Penyakit Dalam

Di RSU                                    : RS USJURO

 

Mohon pemeriksaan dan penanganan lebih lanjut penderita :

Nama                           : Luciana Lily

Usia                             : 39 Tahun

Jenis Kelamin               : Wanita

No. Kartu BPJS           : 0003070706577

Diagnosa                      : Arthtritis, unspecified

Telah diberikan :   –

Demikian atas bantuannya, diucapkan banyak terima kasih

 

Salam sejawat, 16 April 2019

 

dr. Theresia Jani

 

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Contoh Surat Rujukan Dokter Rumah Sakit Umum Daerah

Contoh Surat Rujukan Dokter Rumah Sakit Umum Daerah

 

SURAT RUJUKAN RUMAH SAKIT

Rujukan Penuh

 

No. Rujukan                 : 1970Y00774289766032

Asal Rumah Sakit         : RSUD Pasar Selasa

Kepada Yth                 : RSUP Derma Medika

                                      Poli Penyakit Syaraf

 

Mohon pemeriksaan dan penanganan lebih lanjut penderita :

Nama                           : Dima Sijubo

Jenis Kelamin               : Wanita

Rawat                          : Rawat Jalan   

No. Kartu BPJS           : 0008110108723

Diagnosa                      : M31.8 – Spina Bifida, unspecified

Keterangan                   : Perlu tindakan atau penanganan lebih lanjut

 

Demikian atas bantuannya, diucapkan terima kasih.

 

Palembang, 16 April 2019

Mengetahui,

 

dr. Kalahar Gespi

 

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Contoh Surat Rujukan Dokter Rumah Sakit Tipe C

Contoh Surat Rujukan Dokter Rumah Sakit Tipe C

 

RUJUKAN PASIEN

No. RM 1000732

 

Kepada Yth.

Ts. Dokter Bagian Ginekologi

Rumah Sakit Sentra Transversa

Di Jakarta

 

Dengan Hormat,

Bersama ini kami kirimkan pasien :

  1. Identitas

Nama                                 : Vara Diza

Alamat                               : Jl. K. H. Mas Mansyur No 19, Kel. Kebon Kacang,

  Kec. Tanah Abang, Jakarta Pusat

      2. Riwayat Penyakit

Anamnesa                          : auto anamnesis G7P 1A0 31 minggu, hipertensi, edem

Pemeriksaan Fisik               : compos mentis, 150/80

Pemeriksaan Penunjang      :  –

Diagnosa                            : lapas mioma uteri

Terapi dan Tindakan           : –

Rujukan ke Rumah Sakit     :

Alasan                                : (x) Fasilitas

                                            ( ) Tempat Penuh

                                            ( ) Permintaan Sendiri / Orang Tua / Keluarga

Pendamping                        : ( ) Dokter

                                            ( ) Perawat

 

Salam Sejawat,

Jakarta, 16 April 2019

 

dr. Gusso Feri

 

download format words

 

Demikian beberapa Contoh Surat Rujukan Dokter yang Baik dan Benar. Semoga bermanfaat untuk Anda yang sedang menulis format surat rujukan.

Mohon maaf apabila terdapat kesamaan nama/tempat/informasi lain karena surat yang dibuat hanya bertujuan sebagai percontohan tanpa ada maksud apapun.

 

 


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Post Date: Thursday 18th, April 2019 / 00:38 Oleh :
Kategori : Surat Keterangan

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