Analysis of Administrative Barriers for Detained Patients at Hospital X in West Java

Abstract

This study aimed to analyze administrative barriers affecting detainee patients at Hospital X in West Java. A qualitative descriptive design was used and supported by descriptive administrative data from January-April 2026. Qualitative data were collected through semi-structured interviews, direct observation, and document review, while the administrative dataset comprised 107 detainee-patient service cases recorded in outpatient and Emergency Department services. The findings showed that detainee patients generally followed the same service workflow as other patients, with police-investigator accompaniment and additional administrative requirements, including a police referral/authorization letter and patient identification. The main documented barriers were incomplete referral letters in 38 cases (35.51%) and missing patient identification in 3 cases (2.80%). These deficiencies required additional coordination and prolonged registration and downstream administrative or reimbursement procedures. The study did not measure waiting time or clinical-treatment delay and therefore does not conclude that urgent medical care was postponed. Strengthening hospital-police coordination and reviewing operational procedures are recommended to improve document completeness and administrative efficiency. The study is relevant to SDG 3 (Good Health and Well-Being), SDG 10 (Reduced Inequalities), and SDG 16 (Peace, Justice and Strong Institutions) by supporting equitable access, reducing administrative barriers for a vulnerable population, and strengthening interagency accountability.