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Background : Competitiveness in the globalization era has raised the needs for qualified and professional human resources, including in the health services. One of the key indicators of a high quality health service is the availability of professional medics, which obviously cannot be separated from the health education system. Centre of Health Manpower Education has performed the accreditation program for health education institutions to improve the quality of health education providers, which in the end will improve the quality of the graduates. Objective : This research aims to investigate the correlation between the accreditation rates of Borang Akreditasi 2000’s sub-components and the quality of the health institution graduates. Design : The data used is from the accreditation results to March 2005 and the report of Information System of Health Manpower Education from Specialist of Health Education and Accreditation Division, Centre of Health Manpower Education, Department of Public Health. The approach of this research is cross sectional design. The data is analysed by using multiple logistic regression and factor analysis. Result : Proportion of the institution with Good Quality Graduates is 44.1%. Institutions with Very Good marks on Education Planning with an Adequate on the Full Time Lecturer’s state, possess 0.16 times risk with a 95% CI (0.03 – 0.87), to produce a Good Graduates compared to the institution with Adequate marks on Education Planning after being controlled by the variables; Application of teaching assistance program, Periodic report, Teaching evaluation, audio visual aids, and infrastructures. Based on the factor analysis, the author acquired 5 factors with a variance of 60.28%, they were curriculum, infrastructure, lecturer, Laboratorium and educational support. Conclusion : The research has shown that the most significant factors for highly qualified health education graduates are the accreditation rates for the full-time lecturer involvement sub-component and the planning of the teaching program sub-component. Between these two, the full-time lecturer involvement is a more dominant factor. From the factor analysis, the administration staff and librarians sub-component has raised a new factor. Also, the laboratory sub-component does not correlate with other factors. In fact, it has emerged as an independent factor. Key words : Accreditation, Centre of Health Manpower Education, Quality of graduates, The Health Institutions.
Medical Resume is summary of the whole treatment and medication that performedby doctor to patient. Resume medical completeness is reflections of the medicalrecord quality and service which given by Hospital. Diagnosis Writing filledcomplete and according to ICD-10. Research with mix method, Quantitative researchdesign cross-sectional to know relationship doctor characteristic with MedicalResume completeness and diagnosis writing suitability based on ICD-10 before andafter JKN. Qualitative Research for dig information medic resume completeness anddiagnose writing suitability based on ICD-10. Research Result showing the doctorcharacteristic correspond with completeness and suitability diagnosis writing basedon ICD-10. The hospital must apply SIMRS in order to increase speed and accuracymedical record filling including medical resume.Key word : Diagnosis, ICD-10, Medical Resume,
Tesis ini membahas analisis Pelaksanaan Standar Pelayanan Minimal Rumah Sakit Pada Instalasi Rawat Inap Di RSUD Kabupaten Ciamis Sebelum Dan sesudah Menjadi Badan Layanan Umum Daerah di Tahun 2013. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam dari informan terpilih.
Hasil penelitian menunjukkan dari aspek SPO, SDM, sarana prasarana pada instalasi rawat inap sesudah menjadi BLUD lebih lengkap dari segi kuantitas maupun kualitas meskipun dari aspek SPO masih ada tindakan yang tidak sesuai dengan SPO, sedangkan dari aspek SDM masih kekurangan dokter spesialis, dan dari aspek sarana dan prasarana masih kurang dalam sistem pemeliharaannya. Kesimpulannya, pelaksanaan Standar Pelayanan Minimal di instalasi rawat inap belum dilaksanakan secara maksimal, karena keadaan rumah sakit yang masih mempunyai kelemahan dan kekurangan.
Saran peneliti bagi RSUD Kabupaten Ciamis diharapkan dapat lebih bekerja sama dan melakukan koordinasi yang baik dengan pihak Pemerintah Daerah agar dapat dicarikan solusi yang terbaik, dan diperlukan evaluasi berkala SPM agar pelaksanaannya lebih baik.
This thesis studied an analysis of the implementation of Hospital Minimum Service Standards of Ciamis District General Hospital at Inpatient Care Unit which was held before and after becoming Local Public Service Institution in 2013. This research used a qualitative approach by conducting detailed interview to selected interviewees.
The result of the research showed that aspects of SPO, Human Resources, infrastructures at Inpatient Care Unit, viewed after the hospital's becoming Local Public Service Institution are more quantitatively and qualitatively complete although if viewed from SPO there are still acts which are not appropriate with SPO, meanwhile viewed from Human Resources, it is still lack of specialists, and from its infrastructures, it’s maintenance system is regarded still inadequate. The Minimum Service Standards implementation at Inpatient Care Unit has not been maximally implemented because of the hospital's weaknesses and lack.
The researcher suggestion for Ciamis District General Hospital is that hopefuly there will be more cooperative good coordination with the local government in order to find the best solution, and the Minimum Service Standards periodic evaluations is required so that the implementation will be better conducted.
Sebanyak 22 dari 62 kabupaten daerah tertinggal (35,48%) belum mencapai target Indeks Pembangunan Manusia (IPM) sebagaimana ditetapkan dalam Strategi Nasional Percepatan Pembangunan Daerah Tertinggal Tahun 2020–2024. Oleh karena itu, dilakukan penelitian ini yang bertujuan untuk mengevaluasi faktor-faktor yang mendukung dan menghambat pencapaian IPM melalui program afirmasi kesehatan dalam Rencana Aksi Nasional Percepatan Pembangunan Daerah Tertinggal (RAN-PPDT). Metode yang digunakan dengan pendekatan kualitatif, melalui analisis data sekunder dari laporan realisasi dan evaluasi program, serta wawancara mendalam dengan pengampu program afirmasi dari Kementerian Desa PDTT, Kementerian Kesehatan, BKKBN, serta perwakilan dari daerah tertinggal yang telah dan belum mencapai target. Evaluasi dilakukan menggunakan enam kriteria dari teori evaluasi William N. Dunn, yakni efektivitas, efisiensi, kecukupan, pemerataan, responsivitas, dan ketepatan. Berdasarkan hasil penelitian, menunjukkan bahwa hambatan utama dalam pencapaian IPM meliputi ketidaksinkronan perencanaan dan penganggaran, rendahnya realisasi kegiatan, dan distribusi program yang belum merata. Sementara faktor pendukungnya mencakup kesesuaian program dengan prioritas nasional, pemanfaatan data ketertinggalan, serta komitmen lintas sektor. Kesimpulannya bahwa program afirmasi kesehatan berkontribusi positif terhadap peningkatan IPM, terutama melalui intervensi kesehatan dasar. Namun, efektivitas program belum optimal, efisiensinya terganggu oleh ketidaksinkronan perencanaan dan penganggaran, kecukupannya belum memenuhi kebutuhan riil di daerah, pemerataannya masih timpang, responsivitasnya sudah adaptif terhadap kebutuhan, serta ketepatannya sudah sesuai untuk mendukung IPM. Rekomendasi perbaikan yang disarankan mencakup penguatan perencanaan dan implementasi secara terpadu melalui sinkronisasi lintas sektor, penganggaran berbasis kebutuhan, serta sistem monitoring terintegrasi dalam upaya meningkatkan dampak program afirmasi kesehatan terhadap peningkatan IPM di daerah tertinggal.
Out of 62 underdeveloped regencies in Indonesia, 22 (35.48%) have not yet achieved the Human Development Index (HDI) targets set in the National Strategy for the Acceleration of Underdeveloped Regions Development 2020–2024. This study aims to evaluate the supporting and hindering factors affecting HDI improvement through the health affirmation program within the National Action Plan for the Acceleration of Underdeveloped Regions Development (RAN-PPDT). A qualitative approach was used, involving secondary data analysis from program realization and evaluation reports, as well as in-depth interviews with officials from the Ministry of Villages, Development of Disadvantaged Regions and Transmigration; the Ministry of Health; BKKBN; and representatives from underdeveloped regions that have and have not met the HDI targets. The evaluation is based on six criteria from William N. Dunn’s evaluation theory: effectiveness, efficiency, adequacy, equity, responsiveness, and appropriateness. The findings indicate that key barriers include the lack of synchronization between planning and budgeting, low implementation realization, and uneven program distribution. Supporting factors include program alignment with national priorities, utilization of underdevelopment data, and cross-sectoral commitment. The health affirmation program contributes positively to HDI improvement, especially through basic health interventions, although not yet optimal. Recommended improvements involve strengthening integrated planning and implementation through cross-sectoral synchronization, needs-based budgeting, and an integrated monitoring system to enhance the program’s impact on HDI in underdeveloped regions.