Hasil Pencarian  ::  Simpan CSV :: Kembali

"Penelitian ini bertujuan menggali lebih dalam ketersediaan dokter spesialis serta upaya yang dilakukan untuk memenuhi kebutuhan tenaga dokter spesialis pada Rumah Sakit Umum Kelas C milik Pemerintah di daerah terpencil. Penelitian kualitatif dilakukan dengan pendekatan studi kasus di Rumah Sakit Umum Daerah Haji Abdoel Madjid Batoe (RSUD HAMBA) Kabupaten Batanghari Provinsi Jambi dan RSUD Malingping Kabupaten Lebak, Provinsi Banten. Hasil penelitian menunjukkan bahwa ketersediaan dokter spesialis baik di RSUD HAMBA maupun RSUD Malingping masih belum memadai. Kedua RS masih kekurangan tenaga spesialis baik dari segi jenis dan jumlah, sehingga mengakibatkan belum optimalnya pelayanan kesehatan. Berbagai upaya dilakukan oleh Pemerintah Daerah (Pemda) setempat, namun masih terdapat kendala, antara lain letak geografis, kondisi infrastruktur dan perekonomian daerah yang masih belum memadai, kurangnya kompensasi baik yang bersifat finansial maupun non finansial, selain tentunya kebijakan dan komitmen Pemda setempat, yang masih perlu ditingkatkan. Kesimpulan penelitian ini adalah suasana kerja yang nyaman serta kebijakan dan komitmen Pemda sangat berperan terhadap peningkatan motivasi dan retensi dokter spesialis di daerah. Perlu dirumuskan kebijakan dan regulasi yang spesifik mengenai standar pola rekrutmen, penempatan, serta hak dan kewajiban dokter spesialis secara komprehensif.

---

This research aims to explore an availability of medical doctor specialist and the pulfillment efforts of medical doctor specialist of the C Class Hospital (CCH) in remote areas. This qualitative research has been conducted within case studies approach in both Haji Abdoel Madjid Batoe General Hospital (HAMBA GH) of the Batanghari Regency in Muara Bulian, Jambi Province and Malingping General Hospital (Malingping GH) of the Banten Province located at Malingping District as well. In fact, both in HAMBA GH and Malingping GH there are limited medical doctor specialist permanently. Meanwhile, there are so many factors that influence availability of medical doctor specialist in remote areas, specifically in Batanghari Regency and Malingping District, including geographical position, conditions of the remote area, availability of infrastructures and public facilities, economic factor, work environment, financial and non-financial compensation and also the government commitment and policy to support all efforts of medical doctor spescialist's pulfillment in remote areas. This research concludes that work environment, compensation, government policies and regulations are dominantly influenced pulfillment efforts of medical doctor specialist in CCH in remote areas. It needs to design particular policies and regulations about standard of recruitment pattern, placement allocation, budgeting, also medical doctor specialist's rights and responsibilities comprehensively, to solve this crucial problem."

"Setiap fasilitas kesehatan diwajibkan melakukan pengukuran dan evaluasi mutu sesuai dengan indikator secara rutin. Menurut PMK No. 129 tahun 2008, SPM waktu tunggu di unit rawat jalan yaitu ≤ 60 menit. RSUI merupakan RS-PTN kelas B yang berlokasi di Depok. Hasil capaian indikator waktu tunggu rawat jalan RSUI masih dibawah 80% dan berdasarkan studi pendahuluan data rekam medik, waktu tunggu di poli penyakit dalam yaitu 122 menit. Poli penyakit dalam termasuk kedalam Indikator minimal ketersediaan pelayanan di unit rawat jalan dan memiliki jumlah pasien yang besar di RSUI namun sering mendapat keluhan waktu tunggu. Penelitian dilakukan secara time motion di poli penyakit dalam dengan membagi jenis pembayaran yaitu BPJS Kesehatan, Asuransi, dan Umum. Pengambilan data melalui observasi, wawancara, telaah dokumen, dan CDMG. Kriteria inklusi pasien yaitu pasien accidental jam 07.00-14.00 yang sudah membuat perjanjian dan bersedia diikuti selama pelayanan. Analisis data menggunakan metode Lean Six Sigma dengan tahapaan DMAI dan RCA Hasil penelitian yaitu perhitungan terbesar berada pada proses pelayanan registrasi pasien BPJS dengan VA 7,88% dan NVA 92,12%, serta pelayanan di ruang konsul dokter penyakit dalam dengan VA 14,20% dan NVA 85,80%. Rekomendasi yang dapat diberikan kepada rumah sakit dibagi menjadi jangka pendek dan jangka panjang.

---

Every health facility is required to carry out quality measurements and evaluations according to indicators on a regular basis. According to PMK No. 129 of 2008, the SPM waiting time in the outpatient unit is ≤ 60 minutes. RSUI is a class B PTN Hospital located in Depok. The achievement indicator for outpatient waiting time at RSUI is still below 80% and based on a preliminary study of medical record data, the waiting time at the internal medicine polyclinic is 122 minutes. Internal medicine poly is included in the minimum indicator of service availability in the outpatient unit and has many patients at RSUI but often gets complaints of waiting time. The research was carried out in time motion in the internal medicine polyclinic by dividing the types of payments, namely BPJS Health, Insurance and General. Data collection through observation, interviews, document review, and CDMG. The patient inclusion criteria were accidental patients at 07.00-14.00 who had made an appointment and were willing to be followed during the service. Data analysis used the Lean Six Sigma method with DMAI and RCA stages. The results of the study showed that the largest calculation was in the BPJS patient registration service process with VA 7.88% and NVA 92.12%, as well as services in the consulting room of internal medicine doctors with VA 14.20% and NVA 85.80%. Recommendations that can be given to hospitals are divided into short term and long term."