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Pengaruh Globalisasi, telah membuat bangsa Indonesia harus bersiap dengan masuknya pengaruh luar terhadap kehadiran dengan salah satunya adalah Tenaga Kesehatan Asing di Indonesia, untuk itu Kementerian Kesehatan telah mengeluarkan Peraturan Menteri Kesehatan no 317 tahun 2010 Tentang Pendayagunaan Tenaga Kesehatan Warga Negara Asing di Indonesia. Tesis ini menganalisis implementasi Kebijakan Tenaga Kesehatan Asing Di Indonesia pada tahun 2013.
Penelitian ini menggunakan metode penelitian kualitatif dengan menggunakan model analisis implementasi kebijakan Edward III. Lokasi penelitian dari pusat ke pemerintah daerah di Provinsi Banten.
Hasil Penelitian menunjukkan bahwa implementasi Kebijakan Tenaga Kesehatan Asing Di Provinsi Banten pada tahun 2013 belum berjalan dengan baik. Oleh karena itu Kementerian Kesehatan harus segera melakukan pembenahan baik dari segi segi proses input kebijakan, proses pelaksanaan dan proses evaluasi pelaksanaan kebijakan dengan melibatkan instansi terkait baik horizontal maupun vertikal.
The influence of globalization, have made the Indonesian nation must prepare with the inclusion of external influence on the presence of one of them is Foreign Health Workers in Indonesia, to the Ministry of Health has issued a Ministerial Decree No. 317 of 2010 Health Reform On Health Workers Foreigners in Indonesia. This thesis analyzes the implementation of Health Foreign Worker Policy in Indonesia in 2013.
This study uses qualitative research methods using analytical models of policy implementation Edward III. Locations research from central to local governments in the province of Banten.
Research results indicate that the implementation of Health Personnel Foreign Policy In Banten province in 2013 has not been going well. Therefore the Ministry of Health should immediately make improvements both in terms of policy in terms of the process input, process implementation and process evaluation of the implementation of the policy by involving relevant agencies both horizontally and vertically.
Background: The tip of iceberg phenomenon in Indonesia, which is related to drug abuse, is already at an alarming stage. The effects of Tramadol drug abuse are not only on the health side but on the socio-economic aspects of society as well as security and order. The POM Agency has issued Head of POM Agency Regulation No.10 Year 2019 regarding Guidelines for the Management of Certain Drugs which are often misused with the aim of protecting the public from misuse and misuse of certain drugs. PBF is a distribution company for certain drugs which is suspected to still be a gap for the distribution of certain drugs such as Tramadol. This study aims to determine the implementation of the policy of managing certain drugs which are often abused in Jakarta specifically the distribution of tramadol drugs by PBF. Subjects and Methods: This study used a qualitative approach by means of interviews and document review, this research was conducted in March to June 2020. The main informants in this study were BPOM officials, BBPOM in Jakarta, Jakarta Provincial Health Office and 6 PBF. The variables studied were the size and objectives of the policy, resources, characteristics of the implementing agency, communication between organizations, disposition of implementers, and the social, economic, political environment. Data were collected by interview and document review. Data were analyzed descriptively. Result: the implementation of policies on the management of certain drugs which are often abused in Jakarta, especially the distribution of Tramadol drugs by PBF has not been optimal. The size and objectives of the implementation policy are optimal. Resources in the form of budgets have not been allocated specifically, facilities are good, HR is not optimal in terms of numbers, Characteristics of implementing agencies in the form of relationships between organizations are not optimal and fragmentation is good, Communication between organizations namely transmission, consistency and clarity is optimal, Implementing disposition in the form of understanding , the direction of acceptance and intensity is good, and social, economic and political environmental factors have supported the implementation of the policy. Conclusion: The performance of the implementation of policies on the management of certain drugs which are often abused in the Jakarta area, in particular the distribution of Tramadol Medicines in the Regulation of the Head of POM RI Number 10 of 2019 based on the theoretical variable Van meter and Van horn approach in general has not been optimally implemented.
Standar Pelayanan Minimal (SPM) bidang Kesehatan di Kota Pagar Alam belum dilaksanakan dengan baik, dibuktikan dengan baru dikeluarkannya Peraturan Walikota Pagar Alam No: 02 tahun 2008 padahal SPM sudah ditetapkan melalui KEPMENKES No.1457/MENKES/SK/X/2003. Minimnya dana yang tersedia dari APBD Kota Pagar alam, jumlah tenaga, sarana, dan adanya beberapa indikator pada SPM yang belum didapatkan datanya antara lain. Penelitian ini bertujuan agar mengetahui pelaksanaan kebijakan SPM bidang kesehatan di Kota Pagar Alam tahun 2008 melalui pendekatan 6 C?s Options dari Harmein Harun. Rancangan penelitian ini menggunakan pendekatan kualitatif dengan pengumpulan data melalui informan melalui wawancara mendalam pada informan terpilih yang terkait dalam pelaksanaan kebijakan SPM bidang Kesehatan di Kota Pagar Alam, yaitu Walikota, Komisi 1 DPRD, Kepala Dinas Kesehatan, Direktur Rumah Sakit Daerah, dan Kepala kantor Keluarga Berencana & PK. Dari hasil penelitian menunjukkan bahwa pelaksanaan pelaksanaan SPM bidang Kesehatan di Kota Pagar Alam tahun 2008 berdasarkan pendekatan 6 C?s Options belum dilaksanakan secara maksimal. Konsentrasi (Consentration) terutama dalam mobilisasi tenaga dan sumber dana belum dilaksanakan secara optimal. Pelaksana Teknis SPM telah mengetahui kejelasan (Clarity) dari tujuan yang telah ditetapkan dan telah mengetahui peran, tujuan dan fungsinya masing-masing dalam pelaksanaan SPM bidang kesehatan di Kota Pagar Alam. Bentuk dan struktur organisasi pelaksana teknis bidang kesehatan pada tahun 2008 ini akan berubah, hal ini menunjukkan Kemampuan Berubah (Changeablity) dari organisasi. Tantangan (Challenge) dalam pelaksanaan sudah cukup realistis. Koordinasi (Cooordination) baik antar personil, komunikasi dan inter organisasi sudah berjalan baik, akan tetapi secara eksternal belum berjalan dengan baik. dan secara Konsistensi (Consistency) belum dapat dilaksanakan dengan baik. Pelaksana teknis SPM bidang kesehatan di kota Pagar Alam harus melaksanakan beberapa langkah antara lain meningkatkan koordinasi dengan sektor terkait, melakukan upaya untuk meningkatkan anggaran kesehatan, dan meningkatkan kualitas serta kuantitas sumber daya manusia di bidang kesehatan. Para pengambil kebijakan juga harus mampu melaksanakan analisa situasi sebelum membuat sebuah kebijakan, sehingga kebijakan yang diambil akan dapat dilaksanakan dengan baik. Pemerintah pusat seharusnya menyadari bahwa kemampuan tiap-tiap daerah berbeda satu sama lainnya terutama dari segi dana dan tenaga, dan tetap memegang teguh prinsip bahwa kesehatan adalah bidang yang didesentralisasikan kepada daerah.
SPM health field in Pagar Alam district hasn?t implementation well enough. Fact that rule of SPM in Pagar Alam district released in year 2008, despite Health Department of Republic Indonesia released it in year 2003. the resource to reach the target of SPM is not enough budget from regional budget, human health resources, facilities of health and there is a few indicators that which has no data. The objectives of this research is to see how implementation of the SPM as a policy in Pagar Alam district using 6 C?s Options by Harmein Harun. This research is using design kualitatif with collect data using indepth interview to informan whom involved in implementation of the SPM in Pagar Alam district year 2008 : head of health district Pagar Alam, hospital director, head of KB, Walikota, and komisi 1 DPRD. The result of this research found that the implementation of SPM in Pagar Alam disctrict using 6 C?s options by Harmein Harun hasn?t applied well enough. Concentration of the resources hasn?t enough, the techical executors of SPM has know the Clarity of the objective SPM, The organization Changeability, Challenge has realistic enough. Cooordination has run well but externally not good, and there is no Consistency. The technical eksekutor's health in Pagar Alam district has to do a many steps to rise coordination with related sectors, advocation to rise health financing from regional budget, and rise up the quality and quantity human resources in health sector. and specially to the leader of Pagar Alam district has to do situation analysis before made a public policy. Goverment must considered that the ability between district in indonesia is different, specially in budget and resources, and must committed to the rule that health is one of area which is decentralized.
This thesis conducted a review of UU 36/2014 about Health Workers Article 31 to perceive readiness of health training implementation for the implementation of quality health training, by identifying regulations related to health sector training, identification of contributing factors, and to know the obstacles and efforts made in the readiness of health policy implementation. This study is a descriptive study with qualitative analysis method by conducting in-depth interviews and document tracking. The research was conducted in June 2017, located in DKI Jakarta area. The result of the study concluded that the implementation of the current training policy is still a problem because the preparation of the operational policy of UU 36/2014 is still in the process of drafting, other obstacles in the matter of human resources, the quantity of policy socialization to the policy implementer, and the need for adjustment of the instrument/guidelines against current policies.
Pembangunan di bidang kesehatan terlihat belum merupakan prioritas utama dalam pembangunan daerah Kabupaten Batanghari, hal ini dapat diketahui dari rendahnya alokasi pembiayaan bidang kesehatan dalam APBD Kabupaten Batanghari Tahun 2006 sebesar 6,50 % dan 08111111 2007 sebesar 6,22 % dari total APBD, dan mempakan urutan ke lima dalam alokasi anggaran sedangkan dalam dokumen perencanaan prioritas nomor dua dalam pcmbangunan daerah. Hal ini menunjukkan masih klmmgnya kesadaran para (aktor/Stakeholders) yang terlibat dalam penentuan alokasi anggaran kesehatan akan pentingnya ani pembangunan bidang kesehatan sedangkan masalah-masalah kesehatan di Kabupaten Batanghari masih sangat kompleks terlihat dari rcndahnya indikator derajat kesehatan masyarakat. Tujuan dalam penclitian ini adalah diketahuinya tahapan proses penyusunan anggaran pembangunan bidang kcsehatan serta faktor-faktor yang mempengaruhi menetapkan alokasi anggazan bidang kesehatan yang bersumber dari APBD Kabupaten Batanghari. Pcnclitian dilakukan dengan menggunakan desain peneljtian kualitatif yang bertujuan untuk menggambarkan atau menguraikan tahapan proses penyusunan anggaran pembangunan bidang kesehatan dalam APBD dan mengetahui faktor-faktor yang mempengaruhinya. Dari hasil penelitian dikeiahui bahwa proscs pcnyusunan dan penetnpan APBD di Kabupaten Batanghari, proses perencanaan yang bersifat politik, teknokratik dan top-down lebih besar pcngamhnya dibanding proses partisipaiif dan bottom-up. Faktor-faktor aktor yang mempengaruhi adalah peran, komitmen, kekuatan/kekuasaan dan kepentingan. Tugas pokok dan iimgsi para aktor dalam proscs penyusunan anggaran ini kemudian rncrupakan dasar untuk mengetahui kekuatan dan kekuasaan dai alctor dalam mempengaruhi kebijakan alokasi anggaran kesehatan. Para aktor yang terlibat ini kcmudian dikelompokkan menjadi 3 kriteria, yakni sebagai penanggung jawab/ketua, sebagai anggota nm yang menglcoordinasikan, merumuskan dan mengevaluasi usulan kegiatan/program serta sebagai penyuslm perencanaan dan menyampaikan usulan rencana. Komitmen para aktor yang terlibat dalam proses pcnyusunan anggaran terhadap sektor masih rendah. Pam aktor memiliki kepentingan dalam pembangunan kesehatan karena pembangunan kesehatan mcmiliki kerterkaitan yang erat dimana keberhasilan pcmbangzman keschatan adalnh juga merupakan keberhasilan program pembangunan lainnya. Diharapkan nantinya dalam pelaksanaan proses penyusunan anggaran pembangunan kesehatan oleh dinas kesehatan selalu memperhaiikan kaidah-kaidah penyusunan perencanaan yang baik, perlunya peningkatan kualitas dan kuantitas para petugas perencanaan. Mengingat besarnya pengaruh para aktor dalam menentukan kebij akan alokasi biaya pembangunan kesehatan dalam APBD, malca perlu dilakukan advokasi secara intensif dan berkelanjutan kepada para aktor serta melakukan koordinasi yang baik dengan unit instansi yang terkait. Mengingat APBD adalah mempakan penjabamn dari upaya-upaya program pembangunan yang sasarannya adalah kesejahteraan rakyat, untuk ilu dalam penyusunan anggaran agar selalu melibatkan unsur dad masyarakat. Pembangunan kcschatan adalah hak azasi manusia dan sekaligus investasi untuk keberhasilan pembangunan bangsa, untuk itu diharapkan Pemerintah Daerah memberi porsi yang lebih besar untuk pendanaan bidang kesehatan dalam APBD.
Development in the health field seems not to be the tirst priority in Batanghari Regency Development. It can be seen from the low budget allocation for the health field in Regional Budget of Batanghari Regency in 2006 6,50%, 2007 6,22% of Regional Budget. This is an indicator of low awareness of stakeholders on the importance of health sector, whereas health problems in Batanghari Regency are still complicated because of low quality of health service. The objective of this research is to know the process stages of making planning and development budgeting in the health field and any factor that influence stakeholders to decide budget allocation for health tield in Regional Budget of Batanghari Regency. This research uses qualitative method design. This method objective is to describe or to explain the process stages of making planning and development budgeting in the health field in Regional Budget of Batanghari Regency and any influencing factors. In this research found that the process stages of making planning and development budgeting in the health field in Regional Budget of Batanghari Regency do not yet meet standardized rules. Stakeholders who involved in making planning and development budgeting in the health in Regional Budget of Batanghari Regency are still dominated by the government (local government). The main task of tirnction of stakeholders in making and development budgeting in the health field can be classiiied into three groups. The understanding about health of stakeholders who involved in making planning and budgeting is still general; stakeholders in the health field because health development has interweave relation, that is the success of health field is the success of other fields as well; most of the stakeholders point of view in the health field are neutral. They said that health building is the priority, but in other side, they said that other fields out of health field also became the priority. Hopefully, in the coming future in making planning and development budgeting in the health field always consider standardized rules, quality and quantity improvement of planning makers, supporting of fund, facility, and means to support planning implementation. Because of the strong influence of stakeholders in deciding budget allocation for health development in Regional Budget, intensive and survival advocate is quite necessary for stakeholders and good coordination with other related institutions. Regional Budgets is the breakdown of development planning and social welfare is the target. For that reason, in making planning and budgeting should involve society. Health development is as human rights and investment for the success of development. Thus, local govemment should allocation more budget for the health in Regional Budget.
Tesis ini membahas analisis Implementasi Kebijakan Pelaporan Rumah Sakit Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam dari informan terpilih. Hasil penelitian menunjukkan dari aspek Input Laporan masih ada Rumah Sakit yang melaporkan belum sesuai dengan manlak aspek proses berdasarkan kepada teori implementasi kebijakan Edward III faktor komunikasi, sumber daya, disposisi dan struktur birokrasi, serta aspek Umpan balik Kesimpulannya, Implementasi Kebijakan Pelaporan PPK Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012 belum dilaksanakan secara maksimal, karena belum adanya batas waktu penyampaian Saran peneliti bagi Pusat Pembiayaan dan Jaminan Kesehatan adanya batas waktu penyampaian pelaporan dan umpan balik secara berkala dan tertulis terhadap Rumah Sakit lanjutan tersebut.
This thesis discusses the analysis of the Policy Implementation Advanced Reporting Hospital JAMKESMAS Program at the Center for Financing and Health Security in 2012. This study used a qualitative approach by conducting indepth interviews from selected informants. Results of the study showed there are still aspects of the Report Input Hospital reported manlak not in accordance with aspects of the process of policy implementation is based on the theory of Edward III factor of communication, resources, disposition and bureaucratic structure, aspect Feedback conclusion, Reporting Implementation Program Advanced Hospital JAMKESNAS the Central Financing and Health Insurance in 2012 has not been fully implemented, because there is no deadline for submission of suggestions researcher for the Center for Health Financing and Guarantee the deadline reporting and feedback on the advanced Hospital.