Jurnal Manajemen Pelayanan Kesehatan
Not a member yet
438 research outputs found
Sort by
Analisis Faktor-Faktor Penyebab Pengambilan Obat Di Luar Apotek Rumah Sakit Bakti Timah Pangkalpinang
No full textTERSEDIA DALAM FIL
Tingkat Kepuasan Dokter Keluarga Terhadap Sistem Pembayaran Kapitasi PT. Askes Di Kota Medan
No full textTERSEDIA DALAM FIL
Integrasi Kegiatan Penanggulangan Penyakit Menular Seksual Dalam Pelayanan Keluarga Berencana Di Puskesmas
No full textTERSEDIA DALAM FIL
KEBIJAKAN KEPERAWATAN BERBASIS KINERJA DI RSU TANGERANG
Full text linkIntroduction: In the RSU Tangerang a benchmark of qualitycare is the achievement of maximum performance hospitalworkers with nurses as the tip of the spear. To ensure theachievement of these achievements we need a policy thatensures the implementation of it. Therefore we need researchthat aims to produce a performance-based nursing policythrough the efforts of the suitability of job placement for nurses,and efforts to provide protection against risks and hazards ofnursing jobs in RSU Tangerang.Methods: This study applied a qualitative design confirmatoryinterpretative through policy approaches Michael Hill. Datawere collected through 3 ways, with 29 people consisted ofkey informants and informants. The basic question amountedto 9 items with themes related to the study objective.Datavalidation was ensured through triangulation of sources, approachand time. Data is processed with Nvivo 7 for contentanalysis to be presented on an analysis of policy and proceedwith the recommendations through the disclosure and presentationof findings for policy.Results: Analysis of policy shows the contents of the nursingpolicy has a minimum requirement of nurse performanceregarding the ability of nurses, protection and regulation ofnursing workload, the job minimum environmental standardsand the availability of K3. While the policy of implementationand policy outcomes as well as the policy environment is notoptimal. Thus the analysis for the policy recommended by theavailability of nursing policy on performance-based RSUTangerang which contains 9 chapters is needed. This requiresadequate resources and optimal socialization.Conclusion: The implementation of this policy for nurses isrequired to escort maximum performance, to achieve serviceexcellence in the RSU Tangerang.Keywords: performance, nursing, regulation policy analysi
EKSISTENSI UNIT PENGELOLA OBAT DI BEBERAPA KABUPATEN/KOTA SUATU ANALISIS PASKA DESENTRALISASI
Full text linkBackground: Accessibility to essential drugs is a public right,therefore it’s the government responsibility to make themavailable. Previously before the era of regional autonomy, publicdrug management in all districts/cities was performed by theso-called District Pharmaceutical Warehouses (GFK). However,nowadays the situation has changed because of the differencein vision and perception of each regional government on theformer warehouses. Some public drug management units incertain districts/cities are not functioning optimally. Inefficientdrug procurement regarding the number and kind of drugs aswell as timeliness results in gap between drug need andprocurement. Furthermore, loosening in drug supply proceduremakes essential drugs more unavailable to public.On the other hand, decentralization policy in drugmanagement also undeniably brings advantages to the districts,for example capacity building in drug procurement, increasingcapability in budget management and negotiation with districtdecision makers as well as enhancing regional economicactivity. In revitalizing district pharmaceutical warehouses soas to attain minimal health care standards in districts/cities,baseline data in drug management and financing in severaldistricts/cities should make a valuable contribution.Methods: A cross sectional descriptive study had been carriedout during July-December 2006 in 26 districts/cities out of 11provinces. Samples were 26 district health offices (DinasKesehatan Kabupaten/Kota) and 26 District PharmaceuticalWarehouses (GFK) where as respondents were head of drugsection and head of warehousing respectively. Data werecollected by means of structured questionnaires and in-depthinterviews as well as the collection of secondary data of druglogistics. Qualitative and quantitative analysis was performed.Results: The study shows that: 1) although health budget ingeneral had risen, the average percentage of drug budgetallocation from 21 district health authorities was only 12.06%,reflecting the low drug priority in district health policy becausedrug expenditures may amount up to 40% of the total healthbudget. 2) Public drug management was mostly performed bythe so-called regional technical provider unit (UPTD) with somelimitations concerning human resources and material inachieving an effective and efficient drug management, and 3)there was still lack of pharmacist assistants to manage drugsin primary health care (Puskesmas) up to 20% and even morepiteously the lack of pharmacist in district drug managementunit (GF/UPOP Kabupaten/Kota, 12,5%).Conclusions: Apart from the achievement of predeterminedindicators stated in minimal health care standards in districts/cities, especially regarding essential and generic drugs, drugmanagement in general has been well performed concerningplanning and drug availability. More support and commitmentfrom the district government is a must considering that regionaldevelopment can not be separated from the health developmentof the subject themselves.Keywords: decentralization, District PharmaceuticalWarehouse, public drugs, drug managemen
FAKTOR-FAKTOR YANG MEMPENGARUHI PERMINTAAN (DEMAND) MASYARAKAT TERHADAP PEMILIHAN KELAS PERAWATAN PADA RUMAH SAKIT
Full text linkBackground: Individual need for hospital services is directlyinfluenced by psychologic variables: taste, sick-healthperception, expectation, assessment of provider and individualcharacteristic such as: age, sex, education and job.Objectives: The study covered people who had hospitalization.The goal of this research is to identify and analyze factors thatinfluence the public demand to select hospital class and examinebed composition which suitable with consumer needs andconsumer characteristics. The consumer’s characteristics are:sex, education, job and ability, availability, acceptability,accessibility and willingness.Method: The samples are inpatients from Dr.Soetomo Hospital,Dr.Ramelan Hospital and Darmo Hospital. Total sample is 296,which consist of 98 from Dr.Soetomo Hospital, 98 fromDr.Ramelan Hospital and 100 from Darmo Hospital. Samplesare collected by proportional stratified random sampling.The method in this study is cross sectional study and analysiswith logistic regression analysis (significants < 0.05).Result and conclusion: Result this experiment show that 3factors (ability, availability and willingness) have correlation inchoosing the hospital class. Suitable Bed composition withconsumer need are: VIP:1st Class:2nd Class:3rd Class =6%:15,6%:28,4%:50%.Keywords: demand, consumer characteristics, hospital classselection, bed compositio
COMMUNITY EMPOWERMENT THROUGH INTER-SECTORAL ACTION, A CASE STUDY OF GERBANGMAS IN LUMAJANG DISTRICT
Full text linkThe objective of this case study was to learn the policyprocess of the Gerbangmas movement in Lumajang districtas an innovation within decentralized system. Using qualitativeapproach, data was collected by in-depth interview of keyinformants and review of documents, then analyzedthematically. The study has revealed that the policy change ofGerbangmas initiative is not a radical but incremental processwhich takes around five years period. It started from“conventional Posyandus” to be “Balai Posyandu Mandiri”,then revived by the Bupati into Gerbangmas movement. Healthsector has successfully advocated the Bupati to create acommon vehicle for all sectors. The study has identified thatthe essences of Gerbangmas movement were (i) neutralvehicle, (ii) shared goals, (iii) all sectors could be passengers,(iv) strong power of the referee, (v) government financialstimulants, (vi) self management by community, and (vii) neutralcadres as the implementer (PKK). Gerbangmas movementhas encouraged multi sectors to set programs for communityempowerment. The study recommended that in conductingcommunity empowerment for addressing social determinantsof health, it is of importance to set a neutral vehicle that canaccommodate multi sectors’ interests.Keywords: community empowerment, Posyandu,Gerbangmas, inter-sectoral action, social determinants ofhealt
Strategi Luar Biasa untuk Penurunan Kematian Ibu dan Bayi
No full textDi berbagai daerah jumlah absolut kematian ibumeningkat tajam. Kematian bayi juga meningkat.Peningkatan ini tentunya sasaran Millenium DevelopmentGoals (MDG)4 dan MDG5 sulit tercapai.Pada konteks ini, kesehatan ibu dan anak (KIA) telahbanyak dilakukan penelitian yang menghasilkandoktor baru, tulisan di jurnal dan berbagai hal lain.Namun dampak untuk penurunan kematian ibu tidaksignifikan, bahkan di berbagai daerah ada peningkatan.Sebagai komplemen berbagai penelitian perludilakukan rencana aksi di daerah dengan pendekatancommon-sense. Pendekatan ini mengacu padasifat luhur manusia yang mampu menggunakan akalsehat dan naluri.Pendekatan sense making menggunakan langkahlangkah sebagai berikut: 1) Menggunakan konsep-konsep universal untuk memahami masalahyang terjadi di KIA; 2) Mengidentifikasi fakta dilapangan dalam level kabupaten; 3) Melakukanpemahaman dan pemaknaan mengenai data denganperspektif konsep-konsep universal (sense making);4) Melakukan usulan respons dalam kebijakan danmanajemen program untuk mengatasi masalah yangterjadi; (5) Usulan respons kebijakan dan manajemenprogram tertuang dalam dokumen yang berisikebijakan dan manual manajemen yang komprehensif;(6) melakukan aksi perubahan berbasis responsdi berbagai tempat secara sukarela dan dimonitorproses dan evaluasi dampaknya; dan (7) melakukanevaluasi terhadap aksi perubahan yang dilakukanuntuk perbaikan kebijakan. Berbagai langkah dapatdiuraikan lebih rinci agar dapat operasional. Langkah1: Konsep-konsep universal yang dipergunakan.Penanganan KIA memerlukan pendekatan sistemkesehatan dengan komponen-komponen yang mencakup:(1) pelayanan kesehatan dan tindakan masyarakatdi hulu dan hilir; (2) fungsi-fungsi dalamsistem kesehatan misal pemberi pelayanan, regulasi,pembiayaan, pembayaran Sumber DayaManusia (SDM), perubahan perilaku masyarakat;dan (3) perlunya reformasi sistem pelayanankesehatan KIA. Prinsip-prinsip universal yangdigunakan mencakup: continuum of care, koordinasiyang baik antar berbagai pihak, membedakan antaradaerah maju banyak fasilitas dan tenaga dengandaerah yang kurang, mutu pelayanan dankeselamatan ibu dan bayi, dan menggunakansemaksimal mungkin pembiayaan negara untukmengurangi angka kematian.Langkah 2: Mengidentifikasi fakta. Data mengenaikematian ibu dan bayi perlu diindentifikasi. Selanjutnyadilakukan langkah 3 dengan dilakukan pemahamandan pemaknaan data dalam perspektifkonsep universal dan situasi lokal. Pemahaman danpemaknaan data ini dilakukan dalam kerangka pertanyaan:Reformasi kebijakan apa yang akan dilakukandi level kabupaten? Penguatan manajemen apa yangakan dilakukan?Langkah 4. Usulan respons lokal mencakupperlunya kebijakan KIA yang mencakup perbaikan dihulu dan di hilir. Usulan kebijakan tersebut antara lain:penggunaan kematian absolut sebagai indikatorkinerja sistem, perbaikan tata kelola sistem pelayananKIA, dan reformasi kebijakan yang tidak terbataspada Jampersal saja. Reformasi kebijakan mencakupperbaikan aspek pembiayaan jaminan bagi ibuyang bersalin, perbaikan mekanisme pembayaranbagi lembaga dan tenaga kesehatan; perbaikan pengorganisasianpelayanan kesehatan KIA yangmencakup hulu, rujukan dan hilir; penguatan kebijakanregulasi; dan peningkatan promosi kesehatanuntuk memperbaiki perilaku masyarakat. Secarakhusus dalam paket kebijakan ini ditekankan mengenai:peningkatan kemampuan pre-emptive strikedalam rujukan terencana sehingga mengurangi rujukanemergency; perbaikan jalur rujukan; pengarahanpembiayaan negara untuk ibu-ibu bermasalah; danperbaikan mutu pelayanan dan keterlibatan aktif paraspesialis dalam pengurangan kematian ibu dan anak.Langkah 5 berupa penulisan draft kebijakan danmanual manajemen. Mengapa menggunakan modelmanual di kabupaten? Jawabannya adalah bahwaprogram KIA sangat rumit yang melibatkan banyaklembaga dan banyak profesi. Melalui cara manualdiharapkan masalah yang kompleks ini dapat dicarisolusinya dan dapat dilakukan pengembangansecara sistematis. Lebih jauh lagi, dengan adanyamanual sistem pelayanan kesehatan ibu dan anak,peranan tenaga pembantu teknis (konsultan) dalamKIA akan lebih mudah dilakukan.176 Jurnal Manajemen Pelayanan Kesehatan, Vol. 14, No. 4 Desember 2011Laksono Trisnantoro: Strategi Luar Biasa untuk Penurunan Kematian Ibu dan BayiDiharapkan usulan ini dapat diuji di beberapadaerah terpilih sebagai langkah 6 yaitu melakukanaction berbasis respons di berbagai tempat dandimonitor proses dan evaluasi dampaknya (Langkah7). Langkah 7 ini sangat penting karena sebagai usulanyang luar biasa tentunya harus dapat diukur hasilperubahannya. Pengukuran ini dilakukan denganindikator jumlah kematian ibu dan bayi absolut disebuah kabupaten.Pertanyaan yang akan terus berkembang dalampenyusunan dan pelaksanaan perubahan kebijakandan manajemen program KIA di kabupaten adalah:Apakah perubahan kebijakan dan manajemen KIAini logis dan masuk akal (making sense)? Apakahmengandung pembaharuan yang luar biasa untukusaha pengurangan kematian ibu dan anak? Apanyayang baru? Apakah usulan ini dapat berjalan ataukahhanya di atas kertas saja? Apa bukti-bukti yang dapatmendukung usulan ini? Sebagai catatan akhir, andaikatausulan ini dianalisis tidak logis dan tidak dapatdiaplikasikan, apakah ada alternatif perubahan kebijakandan manajemen untuk mengurangi kematianibu dan anak di kabupaten? Laksono Trisnantoro([email protected]
EVALUASI KINERJA PERAWAT PELAKSANA RUMAH SAKIT M.H. THAMRIN SALEMBA DENGAN PENDEKATAN PERSONAL BALANCE SCORECARD TAHUN 2010
Full text linkBackground: In the last decade there has been a dramaticshift in the human resource management. Personal BalanceScorecard (PBS) is a new concept with the approach “fromthe inside out” that uses the individual employee as a startingpoint.objectives: To obtain information about the performance ofnurses in M.H. Thamrin Salemba Hospital based approach tothe PBS, also to analyze PBS as performance appraisal instrument.Methods: The study was conducted in November 2010 toJanuary 2011 using an instrument Scorecard Personal Balance(PBS). Analyses were conducted with quantitative andqualitative approaches. Sample of quantitative research is theentire population of nurses in the inpatient adult MH ThamrinSalemba Hospital. Survey instruments used for quantitativeresearch are containing questions about the performance ofnurses from the perspective of PBS. The qualitative research,conducted in-depth interviews of nurses who meet certaincriteria. Performance measurement results with PBS and thencompared with the desired target and then analyzed descriptively.Results: This study found that the performance is good enoughin the financial perspective, but still lack of nurses performanceon the customer perspective, there are some sectorswhich need to be improved in the internal business perspective,also learning and development perspective, and there is aunit of work teams with performance score less well thanother units, that unit is Burns Unit.Conclusion: From the analysis it concluded that PBS in itsrole to measuring the performance of nurses also can translatethe vision, mission and strategic goals of the nurses intoperformance indicator and strategic planning. It also obtainedfrom this study that the result of performance measurementusing PBS was in conformity with the situation on the field andnot deviate with BSC of M.H. Thamrin Salemba Hospital. Itsuggests that the concept of the PBS can be further developedand used mainly on an ongoing basis.Keywords: balanced scorecard, personal balancedscorecard, performance measurement, system managemen