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As the consequence of Competency-Based Curriculum (KBK) implementation,Indonesia Medical Internship Program (PIDI) has been conducted since 2010 as acontinuation of the medical education. In practice, a number of pros and consemerges from the various parties among students, education institutions,professional organizations , and the general public. This study aimed to analyzethe policy of PIDI through a retrospective approach. The results showed the stageof agenda-setting and policy formulation has been relatively well conducted butnot optimal in the legitimacy and implementation phases. The role of policy actorshave not been clearly delegated with the strong legal protection and details offunctions. Therefore, it is recommended to do a comprehensive evaluation of theimplementation of PIDI involving the key stakeholders.Keywords:PIDI, internship, medical intern, doctor, policy.
The choice of a doctor's career is very important in the effort to fulfill quality health services, considering the existence of a doctor in basic health care is vital and determines the quality of health services. This study aims to determine the career choice of an internship doctor and its determinants, and how it is aligned with stakeholder policies. This study used a mix method with a parallel convergent research design. Research respondents were internship doctors in Jakarta 2020 with a research sample of 154 people and research informants were stakeholders. The results of the study found that the career choice for interns was to be specialist doctors and the choice of work was mostly in hospitals, while those who were interested in working in primary and public health services were very few, especially in Puskesmas. The results of multivariate analysis showed that there are six variables that have a statistically significant relationship: gender, university origin, place of work, income, lifestyle and family demands. Government policies together with other stakeholders are not in line with the mandate of the law to distribute health services throughout Indonesia
Abstrak
Dalam Undang Undang Nomor 29 Tahun 2004 pasal 29 menyatakan bahwa setiap dokter dan dokter gigi yang melakukan praktik kedokteran di Indonesia wajib memiliki STR sesuai sertifikat kompetensi yang dimiliki. STR berlaku lima (5) tahun. Jika sampai masa berlaku STR habis dokter atau dokter gigi tidak melakukan registrasi ulang, akan kehilangan kewenangan untuk melakukan praktik kedokteran. Sanksi bagi yang menjalankan praktik dengan sengaja tanpa STR dan surat ijin adalah denda maksimal Rp 100 juta ( pasal 75). Hasil pencapaian registrasi ulang belum 100%.
Penelitian ini ditujukan untuk melakukan analisis terhadap kebijakan dan analisis untuk menyusun rekomendasi (analysis of policy dan analysis for policy) registrasi ulang dokter dan dokter gigi di Indonesia. Penelitian ini menggunakan pendekatan kualitatif dan untuk analisis data digunakan model content analisis diolah dengan pendekatan model Patton Savicky dengan kriteria boulton disajikan berdasarkan analysis of policy dan analisis for policy sebagai rekomendasi.
Hasil penelitian menemukan bahwa dokter dan dokter gigi kurang bersedia melakukan registrasi ulang karena : alur sertifikasi kompetensi untuk persyaratan registrasi ulang terlalu panjang, pemenuhan persyaratan terlalu sulit, pengisian borang borang terlalu banyak, pengumpulan SKP untuk memperoleh sertifikat kompetensi bagi registrasi ulang kurang menilai kompetensi (skill) lebih untuk menilai administrasi, pendidikan dan pelatihan yang diselenggarakan oleh organisasi profesi membutuhkan biaya dan hanya untuk peningkatan pengetahuan (knowledge) bukan untuk meningkatkan keterampilan (skill), proses penerbitan sertifikat kompetensi dan STR ulang menjadi terlalu lama.Kesimpulannya, implementasi kebijakan registrasi ulang dokter dan dokter gigi kurang efektif pelaksanaannya karena dipengaruhi oleh peraturan itu sendiri, upaya dokter atau dokter gigi, institusi yang melaksanakan kebijakan serta kondisi lingkungan.
Peneliti menyarankan agar mengembangkan sistem registrasi, meningkatkan komitmen, meningkatkan otoritas KKI, meningkatkan resources, meningkatkan pemahaman dan kesepakatan terhadap tujuan dan stakeholder agar meningkatkan pembinaan dan pengawasan.
According to the Law Number 29 in 2004 article 29 States that every doctors and dentists who conduct medical practices in Indonesia must have a certificate of competence in accordance STR owned .STR is expired after five (5) years. If until the expiration date of STR, doctor and dentist do not apply for the re-registration, so doctors or dentists will loss their authority to conduct medical practices. The consequence for doctors and dentists who running practice without STR and licence intentionally is a fine of up to Rp 100 million (article 75). The achievements of re-registration have not been 100% yet.
This study aimed to analysis the policy and analysis to make recomendations for reregistration policy of doctors and dentists in Indonesia. This study used qualitative approach and for data analysis using the content analysis model, prepared by "Patton Savicky model approach with Boulton criteria based on the analysis of policy and analysis for policy as a recommendation.
The study has found that doctors and dentists are less willingness to be registered as the competencies certification flow for the reregistration are too long, too difficult STR making requirements, too many forms must be fulfilled, the SKP activity colllecting to have competence certificate for the reregistration is not to assess the competencies (skills) but to assess the administration, education and training organized by professional organizations to expensive and only for knowledge increase, not for the skills the,and the waiting time for STR publishing is too long. To sum up, the implementation of the re-registration policies of doctors and dentists have not performed well because it was influenced by the re-registration policy and efforts of the doctors and dentists and institutions in implementing the policy and environmental circumstance.
Researchers suggests to develop a registration system, to increase the commitment, to improve KKI authority, increase resources, to increase the understanding and agreement on goals and stakeholders in order to improve the guidance and supervision
With the Regulation of the Minister of Health of the Republic of Indonesia Number 2052/Menkes/Per/X/2011 concerning Licenses for Practice and Implementation of Medical Practices, it is stated that dentists who already have SIP and provide services or provide expertise consultation if requested by a health service facility. This research is limited by the implementation of the practice of doctors' policies by looking at the performance indicators, resources, goal achievement, accuracy and consistency, organizational communication, social influence, understanding of policy, as well as on policy so that it is hoped that an overview of the implementation of the policy of making practice permits for doctors in service is expected. health according to van meter van horn. This research was carried out in the Health Service of the Bekasi Regency from July to October 2021. The selected informants in this study were the Health Office, DPMPTSP Bekasi Regency, Private Hospitals, Public Hospitals. The outline of the hospital has complied with the policy in accordance with the Minister of Health Regulation 2052/Menkes/Per/X/2011
Abstrak
Tesis ini membahas tentang komponen-komponen di dalam institusi pendidikan kedokteran gigi dan keterkaitannya dengan tingkat kelulusan Uji Kompetensi Dokter Gigi Indonesia (UKDGI). Penelitian ini menggunakan pendekatan kuantitatif-kualitatif dengan desain analitik deskriptif.Hasil penelitian memperlihatkan komponen-komponen sarana dental unit, ketersediaan dosen, kualifikasi dosen, serta letak wilayah memiliki keterkaitan dengan tingkat kelulusan UKDGI.Adapun saran peneliti adalah:1. Revisi standar pendidikan perlu segera dilakukan;2. Pengendalian mutu institusi baik internal maupun eksternal penting untuk diperbaiki mekanismenya sehingga dapat menjamin kualitas lulusannya;3. Standar UKDGI sebaiknya dikembangkan sesuai dengan standar minimum pelayanan kesehatan yang dibutuhkan dalam upaya pemenuhan tenaga dokter gigi.
This thesis discusses the components in the dental education institutions and its association with the completion rates of Indonesian Dentists Competency Test (UKDGI). This study uses a quantitative-qualitative approach with descriptive analytic design. The results show that the components of dental unit facilities, ratio of teachers and students, teacher?s qualifications, and location of the region are associated with the completion rates of UKDGI.The researcher suggest:1. Revised educational standards need to be done immediately;2. Refinement to the quality control mechanism both internal and external are essential to ensure the quality of its graduates;3. UKDGI standards should be developed in accordance with the minimum standards of health services needed.