Reffering Patients to Community

Health Centre After Discharge

from Hospital

Siti Meilan Simbolon, M.Kep

After completing this lesson, students are able to explain:

1. Definition of Reffering
Patients to Community Health
Centre
2. Purposes of Reffering Patients
to Community Health Centre
3. Things to be provided before
discharged from hospital
Health System in Indonesia
Definition of Reffering Patients
to Community Health Centre
Service of the back-referral program
is health service provided for patients with
the stable chronic disease still needing
treatment or long-term nursing care held
in primary health care on the
recommendation/reference from the
hospital doctor (WHO, 2013).
Purposes of Reffering Patients
to Community Health Centre

To assist families in obtaining community

resources, including health care, mental
health care, employability development and
job training, and other social services.
 Things to be provided before
discharged from hospital

1. Safety Is your home a safe place for your recovery?

2. TransportationHow will you get home from the hospital?
3. FoodDo you have food and other necessities at home?
4. Medication  Do you have all the medications you’ll need?
5. Doctor’s Appointments  What is your follow-up care?
6. Home Health Care  Are you eligible?
7. Equipment  Do you need any medical equipment at home?
8. Daily Routines  What changes or adjustments will you need to make?
9. Household chores  Will you need help with cooking, cleaning, or laundry?
10. Care Management  Will you need assistance managing your care?
THANK YOU