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MODEL KEPEMIMPINAN RUMAH SAKIT UMUM DAERAH BERBASIS KEBUDAYAAN MINANGKABAU DI SUMATERA BARAT
MODEL KEPEMIMPINAN RUMAH SAKIT UMUM DAERAH BERBASIS
KEBUDAYAAN MINANGKABAU DI SUMATERA BARAT
Rima Semiarty
The new public health menerapkan program berdasarkan pendekatan sains berbasis bukti,
teknologi, dan sistem manajemen dan kepemimpinan dalam rangka mendukung kesehatan
individu dan masyarakat. Perlunya pimpinan rumah sakit memperhatikan budaya lokal
dijelaskan oleh Reeleder dkk (2006) bahwa fungsi kepemimpinan itu haruslah sensitif, kompeten
dan peduli terhadap nilai-nilai kepercayaan dari budaya setempat.
Pada penelitian awal didapatkan bahwa terjadi permasalahan kepemimpinan antara atasan
dan bawahan di rumah sakit yang menyangkut aspek komunikasi yang belum sesuai dengan
konsep budaya Minangkabau. Tujuan penelitian ini adalah untuk merancang model
kepemimpinan yang menggabungkan budaya kepemimpinan modern dengan kepemimpinan
Minangkabau khususnya di rumah sakit Sumatera Barat. Penelitian ini menggunakan metode
kualitatif melalui in-depth interview kepada beberapa pimpinan puncak rumah sakit dan jajaran
di bawahnya serta ahli budaya untuk menguji validitas internal instrumen terkait dengan atribut
yang menjadi ciri kepemimpinan rumah sakit di Sumatera Barat. Analisis tematik dan studi
etnografi juga dilakukan untuk mendukung triangulasi data yang diperoleh dari stakeholder.
Hasil penelitian ini menemukan model kepemimpinan rumah sakit berbasis budaya
minangkabau dengan ciri: Koordinasi dan supervisi pimpinan terhadap bawahan dilakukan
sejalan sesuai dengan istilah adat Minangkabau yaitu ditinggikan sarantiang dan didahulukan
salangkah. Dalam menghadapi pihak eksternal adalah mematuhi peraturan yang ada, memahami
anggo jo tanggo, memakai raso jo pareso, menyesuaikan dengan keadaan (kama kelok lilin,
kasinan kelok loyang). Sementara, dalam menghadapi pihak internal adalah mengikutkan empati
yaitu “lamak dek awak katuju dek urang”.
Dari penelitian ini dapat disimpulkan bahwa kepemimpinan RS yang menyerupai
kepemimpinan Minangkabau menghasilkan kinerja RS yang baik sesuai standar kemenkes
maupun target dari pemerintah daerah. Untuk itu, disarankan pemimpin rumah sakit dapat
mempelajari dan memahami budaya Minangkabau dalam menjalankan fungsi kepemimpinan
mempengaruhi bawahan.
Kata kunci: Kepemimpinan, rumah sakit, dan budaya Minangkabau.
ABSTRACT
A Model of Leadership in regional Hospitals in West Sumatera
Based on Minangkabau Culture
Rima Semiarty
The new public health paradigm implemented program based on science, evidence
approach, and management-leadership system to provide individual and health community.
Hospital leadership need to considered local culture in order achieve hospital aim and function
(reeleder et al., 2006). In the preliminary research showed that there was a gap in communication
between leader and employees related to awareness for Minangkabau local culture.
The aim of this research is to develop a model of leadership that combines modern
principles with those in the Minangkabau culture, specifically in West Sumatera hospitals.
Preliminary findings included the existence of issues related to aspects of communications
between the leadership and the employees that do not conform to Minangkabau cultural norms.
The study took a qualitative approach involving in-depth interviews with hospital
directors and the managers directly below them as well as experts on culture to test the internal
validity of the concepts used in identifying attributes of leadership that were characteristic of
hospitals directors in West Sumatra. Thematic analysis was carried out and case studies
developed, including triangulation of data obtained from stakeholders.
The findings of this study showed a model of leadership in regional hospitals in West
Sumatera based on Minangkabau culture with the characteristic: coordination and supervision
between leader and the employees conducted in accordance with the value of proverb in
Minangkabau culture like ditinggikan sarantiang dan didahulukan salangka [(a leader) should
be one twig higher, one step ahead]. On facing external was comply with existing regulation
memahami anggo jo tanggo, memakai raso jo pareso [understand thoughts and considerations,
use feeelings and intutition], adapting with the situasion kama kelok lilin, kasinan kelok loyang
loyang [where the wax flows, so goes the brass]. Internal issues had to be faced using empathy as
in lamak dek awak katuju dek urang [what tastes good to us is pleasing to others]. This study
showed that hospital leadership that more closely conforms to Minangkabau cultural norms is
associated with better outcomes as measured by the standards used by the Ministry of Health as
well as the targets established by local governments. For this reason, these findings suggest that
hospital directors must know and understand local culture (in this case, Minangkabau culture).
For this reason, it is suggested that people appointed to leadership positions in West Sumatera
hospitals have an understanding of local culture and recognize the role it may play their
relationships with their employees.
Key words: leadership, hospitals, Minangkabau cultur
ANALISIS SWOT SEBAGAI PENENTU STRATEGI PEMASARAN PADA RUMAH SAKIT GIGI DAN MULUT BAITURRAHMAH PADANG
ANALISIS SWOT SEBAGAI PENENTU STRATEGI PEMASARAN
PADA RUMAH SAKIT GIGI DAN MULUT
BAITURRAHMAH PADANG
Oleh: Hanim Khalida Zia (1620322023)
(Di bawah bimbingan: Dr.dr. Rima Semiarty, MARS dan
Dr. Ratni Prima Lita, SE,MM)
Abstrak
Jumlah kunjungan pasien Instalasi Rawat Jalan Rumah Sakit Gigi dan Mulut Baiturrahmah Padang pada tahun 2016 yaitu 27.933 kunjungan. Pada tahun 2017 mengalami penurunan (41,7%) yaitu 16.288 kunjungan. Sedangkan, pada tahun 2018 mengalami sedikit peningkatan (3,7%) yaitu 16.884 kunjungan. Setiap rumah sakit harus dapat membuat suatu strategi pemasaran yang tepat untuk dapat bersaing di masa sekarang dan akan datang. Salah satu upaya strategi pemasaran adalah analisis SWOT. Analisis SWOT mengidentifikasi strengths (kekuatan) dan weaknesses (kelemahan) pada aspek internal serta opportunities (peluang) dan threats (ancaman) pada aspek eksternal perusahaan.
Penelitian ini bertujuan untuk mengetahui strategi pemasaran yang dapat dilakukan oleh Rumah Sakit Gigi dan Mulut Baiturrahmah Padang berdasarkan analisis SWOT. Jenis penelitian adalah kualitatif. Penentuan informan dengan teknik purposive sampling terdiri dari Pemilik, Direktur, Wakil Direktur, Karyawan, Mahasiswa, Pasien dan Masyarakat yang tinggal di sekitar Rumah Sakit Gigi dan Mulut Baiturrahmah Padang.
Hasil penelitian menunjukkan bahwa strategi SO (Strengths Opportunities): meningkatkan kualitas kesehatan pelayanan gigi dan mulut, menjalin kerja sama dengan instansi di bidang kesehatan, menggunakan alat dan bahan terbaru dan menjadi pusat rujukan pelayanan kesehatan gigi dan mulut. Strategi WO (Weaknesses Opportunities): menyelesaikan proses akreditasi, pengaturan jadwal dan tarif dokter, melakukan promosi melalui berbagai media dan menambah jumlah SDM untuk kegiatan pemasaran. Strategi ST (Strengths Threats): meningkatkan pelayanan unggulan di bidang Periodonsia dengan pelatihan kepada karyawan dan membuat pendaftaran online. Sedangkan, strategi WT (Weaknesses Threats): membentuk bagian pemasaran untuk meningkatkan kegiatan promosi.
Kata Kunci: analisis SWOT, strategi pemasaran, Rumah Sakit Gigi dan Mulut Baiturrahmah Padan
POLA KEBIJAKAN PENTARIFAN JASA LAYANAN BEDAH DI RUMAH SAKIT KHUSUS BEDAH ROPANASURI
AbstrakDalam rangka globalisasi perlu upaya lebih besar untuk membenahi rumah sakit, termasuk upaya penetapan pola tarif agar tetap bertahan hidup. Rumah Sakit Ropanasuri sebagai rumah sakit dengan pelayanan bedah belum menetapkan pola tarif pelayanan bedah yang merujuk pada biaya. Penelitian ini bertujuan untuk mengidentifikasikan biaya satuan tindakan bedah serta mengidentifikasi tindakan yang mencapai break event point dan kebijakan pola tarif tindakan bedah. Penelitian ini merupakan penelitian deskriptif analisis dengan metoda evaluatif dan analisa tarif yang berlaku selama ini di kamar bedah. Data yang digunakan adalah data isian sekunder dari bagian keuangan dan wawancara serta Focus Group Discussion (FGD) dengan para Dokter Bedah. Dari hasil penelitian diperoleh gambaran biaya satuan tindakan bedah dari empat kelompok bedah yaitu digestif, orthopaedi, onkologi dan urologi serta biaya satuan yang memperhitungkan utilisasi untuk empat jenis operasi (minor, medium, mayor, khusus). Ternyata terdapat beberapa tindakan yang tidak mencapai break event point, defisit serta ada yang surplus. Atas dasar perhitungan analisa tarif didapatkan pola kebijakan tarif yang berdasarkan perhitungan unit cost.Kata kunci: tarif – pelayanan bedahAbstractIn the context of globalization, greater efforts for good hospital administration is needed, including efforts to establish the imbursement pattern for hospital survival. Ropanasuri Hospital as a hospital with surgical services has not set a tariff pattern with reference to the cost of surgery. This study aims to identify unit cost of surgery and to identify actions to achieve break-event point tariff policy and the pattern of surgical costs. This descriptive-analysis research study used analytical and evaluative methods on tariffs currently used operating rooms. Data were gathered from secondary data from financial department, and from interviews with focus group discussion (FGD) and surgeons involved in the hospital. The result showed the pattern of the costs from four surgical groups, namely digestive, orthopaedics, oncology and urology, and the units costs of the utilization in four types of surgeries (minor, medium, major, and specialistic surgeries). There are some operations that do not reach the break-point event, some results in deficit and some in surplus. Based on tariff analysis evaluation, the pattern ofARTIKEL PENELITIAN38tariff policy is established using the calculation of the unit cost.Keywords: hospital tariffs - surgical services</p
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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