Jurnal Manajemen Pelayanan Kesehatan
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    PENGEMBANGAN POLA KARIR PERAWAT KLINIK RUMAH SAKIT UMUM DAERAH TARAKAN JAKARTA PUSAT TAHUN 2008

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    Background: The nurse as a majority health worker in thehealth care sector including the hospital has a significant rolein the health care. The value of nursing care that is continuous,constant, coordinative, and advocative so the preparation,usage, distribution, and retention of the nurse, has an importantimplication to obtain the objectives of health care and itscontinuity.Purpose: This study is conducted to explore the clinical nursecareer pattern development in the Tarakan General Hospitaland to design the career pattern development which suitablewith their role and function.Method: The qualitative method had been used in this study.The data collection was done by indepth interview and FGD.Result: Tarakan Hospital have 245 nurses with thecharacteristics as below: 77.96% of total nurses have theage range of 25 - 44 years old, 61.22% of nurses had workingperiod > 3 years, 72.24% of nurses had nursing diplomaeducational background, and 41.22% of nurses aregovernmental officer. The implementation of nurse careerdevelopment is not based on the competency test. The nursecommittee also did not play their role as it should be.Conclusion: The study recommended Tarakan Hospital toconduct advocacy toward the hospital director board todetermine the regulation of nursing career path remunerationsystem based on their career rank in the hospital and tooptimally make the function of nursing committee in formulatingthe competency test instrument related to the nursing careerdevelopment.Keywords: career pattern development, clinical nurse, TarakanHospita

    QUO VADIS UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL?

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    The National Social Security System Law (SJSN / Law No. 40 of 2004) was set on 2004 and consists of 9 chapters, 53 articles, and 112 clauses. The law regulates the formation for The National Social Security Council and the conduct of Tri Partit between 1)The Social Insurance Management Agency, 2) the participants and 3) Healthcare Facilities owned by the Government or Private Companies who collaborated with The Social Insurance Management Agency. For article 24 clause (1) and (3) about quality of health services and cost affectivityefficiency, few of the working procedures is still unclear, such as how the management of the patients is ranging from admission until discharge process (clinical pathway), and the exact amount of the cost or tariff and capitation to be agreed on as the cost of treatment between The Social Insurance Management Agency and the existing healthcare facilities/ hospitals, in order to achieve mutual agreement based on the principles of fairness and win-win solution. Keywords: INA DRG, clinical pathway, cost of treatment, The National Social Security La

    POSISI STAKEHOLDER DAN STRATEGI ADVOKASI KIBBLA KABUPATEN/KOTA DI JAWA TENGAH

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    Background: Health status in Central Java on 2009 showsthat the number of maternal mortality is 17.02 (per 100.000 lifebirth), and the number of infant mortality is 10.37 (per 1000 lifebirth). It has gap of the MDG’s target. It’s important for integratingrole of stakeholders to decrease the number of maternal andinfant mortality (AKI-AKB). This research aims to identifystakeholder categories trough matrix of power and interest inregrad to advocacy on KIBBLA program in districts in CentralJava Province based on respondents perception.Method: There are 46 samples from 23 districts/cities(represent of DKK and Bappeda) using observational researchthrough workshops method. Descriptive analysis on powerinterestmatrix of stakeholders is given to make a category ofstakeholder position as player, subject, context setter andcrowd.Result: Player stakeholders are DPRD; Bupati/Walikota;BAPPEDA; DKK; Hospital; PKK; Family Planning Institution;Professional Organization; Camat/Kades/Lurah, and theSubject Stakeholders are Hospital; BAPERMAS; PKK; FamilyPlanning Institution; Professional Organization; NGO;Community/Family Leader; Education Service. The contextsetter stakeholders are DPRD; Bupati/Walikota; BAPPEDA;Hospital; BAPERMAS; PKK; Family Planning Institution; NGO;Community/Family Leader; Camat/Kades/Lurah; Educationservice and crowd stakeholders are DPRD; Bupati/Walikota;BAPERMAS; PKK; Family Planning Institution; ProfessionalOrganization; NGO; Community/Family Leader; Camat/Kades/Lurah; Education Service. The most choice of ad-vocationstrategies are lobbying, discussion, hearing and socialization.Conclusion: It’s concluded that the stakeholder could set inmulti position/category on the advocacy of KIBBLA program indistricts of the Central Java Province.Keywords: stakeholder, KIBBLA program, power-interestmatrix, advocation strateg

    ANALISIS STRATEGI PEMASARAN JASA PELAYANAN BALAI LABORATORIUM KESEHATAN YOGYAKARTA

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    MANAJEMEN PELAYANAN KESEHATAN DALAM KOMPLEKSITAS DAN CHAOS

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    ANALISIS TINGKAT KEPUASAN TERHADAP SELISIH BESAR BIAYA RAWAT INAP PESERTA PT. ASKES DI RSUP DR. M. DJAMIL PADANG

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    KEBIJAKAN KESEHATAN MASYARAKAT BERBASIS BUKTI

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    Evidence-based public health policy is not a linear extrapolationof evidence-based medicine to the public health arena. Relevanttypologies,  rather  than  hierarchies,  of  evidence,  should  beapplied  to  support  public  health  policy.  There  are  multipledimensions of evidence used for health policy formulation in aspecific  political,  social  and  cultural  context. Typologies  ofevidence  for  public  health  policy  are  broader  than  clinicalpractices.  Methods  for  evidence  production,  appraisal  andsystematic  reviews  for  public  health  policy  need  to  bedeveloped  and  applied  to  solve  major  public  health  issues,such as tobacco use and exposure to environmental tobaccosmoke.Keywords: evidence, public health, polic

    ANALISIS POLA MUSIM KELAHIRAN UNTUK KEBIJAKAN PENINGKATAN SARANA PELAYANAN KESEHATAN IBU DAN ANAK

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    Seasonality of births in Surabaya Municipality and in privatehospital Rumkital dr.Ramelan Surabaya in five years from 1994to 1998 are analysed using chi square statistics analysis, withdegree of freedom (df)=1 and signification (P)=0,05. Bothpatterns either on Surabaya or on Rumkital dr.RamelanSurabaya showed that minor peak of birth happened onNovember and December. In 9 months time lag before, theseasonality of conception showed on February and March. InMessiah’s year (based on solar calendar system) the patterndid not have any meaning, but when we conserved to Hijriyah’syear (based on lunar calender system), February and Marchin 1994 to 1998 were iftar on Ramadhan and Moslem’s holidayon Syawal. These patterns were consisted in five years. Themajor peak of birth in both patterns either on Surabaya or onRumkital dr.Ramelan Surabaya showed differences in theseasonality of births. Practically there were also differenceson seasonality of conception. Seasonality of births analysiscould be a policy adviced to increase the healthcares forpregnant women and babies.Keywords : seasonality of births, seasonality of conceptio

    PENGETAHUAN, PERSEPSI DAN PELAKSANAAN MANAJEMEN RISIKO KLINIS DI LIMA RUMAH SAKIT DI DAERAH KHUSUS IBUKOTA JAKARTA DAN BANTEN TAHUN 2005

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    BUDAYA ORGANISASI DAN MINDSET PETUGAS PENANGGULANGAN TB PARU MELALUI STRATEGI DOTS DI PUSKESMAS LIBIBIA KOTA KENDARI

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