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The Health Service as a Regional Apparatus Organization (RAO) is responsible for the health sector to achieve Minimum Service Standard (SPM) indicators every year. To meet the current increasing need for public health services, the Health Service can continue to improve its performance both in terms of human resources and organizational factors. Employee behavior is one of the factors that supports organizational success, both seen from employee knowledge and attitudes towards achieving SPM. Organizational readiness is one tool that Malcolm Baldrige can use Assessments include: leadership; planning strategy; customer focused; assessment, analysis, and knowledge management; focus on workers; management process; and result. The research was conducted to see a picture of the relationship between employee behavior and organizational factors and the performance of achieving minimum service standards. Quantitative research method, cross-sectional design, by filling out a questionnaire using Google Form by 232 respondents (employees). The research results show that all independent variables have a significant relationship with SPM performance. Measurement variables, Analysis, Management Knowledge bivariate (p = 0.0001; OR = 46.12; 95% CI = 21.29 – 99.91) and multivariate (p = 0.0001; OR = 8.288; 95% CI ) is the dominant variable related to the performance of the Sibolga City Health Office. Malcolm Baldrige's total criteria score on the performance results of the Sibolga Health Service obtained results at the Excellent level in the Benchamark Leader position.
To increase community affordability towards basic health services, several Public Health Center (PHC) in Indonesia have been upgraded to inpatient PHC, including in Bogor Regency. The number of inpatient visits during the last few years did not increase significantly, even during the last 2 years decreased. Even though during that period there were two new inpatient PHC unit. It is still unknown whether the low level of patient visits is related to the performance of that inpatient PHC unit. The purpose of this study was to determine the performance description and organizational factors related to the performance of inpatient PHC unit at the Bogor Regency in 2020 based on Malcolm Baldrige's criteria: leadership; strategic planning; patient focus; measurement, analysis and knowledge management; workforce focus, and process management. The design of this research is sequential explanatory by using mixed methods between quantitative and qualitative. The study involved 168 respondents from 13 inpatient PHC in Bogor Regency. Data analized with Chi Square Test and multiple logistic regression. In-depth interviews were conducted with 8 informants from selected PHC and 1 informant from Bogor Public Health Office. The results showed that the proportion of respondents who rated the performance of the inpatient PHC unit as good (54.2%) was greater than the proportion of respondents who rated the performance of the inpatient PHC unit as not good (48.2%). Based on Malcolm Baldrige's score, nine PHC are in the benchmark leader criteria while four other PHC are in the industry leader criteria. The results also show that there is a relationship between strategic planning (p-value=0.011), measurement analysis and knowledge management (p-value=0.003) and process management (p-value=0.011) with the results of the performance of inpatient services. The most dominant variable related to performance in this research is measurement, analysis and knowledge management (OR = 7.678). Recommendations for this study are the acceleration of BLUD legal protection making by the local government of Bogor Regency, increasing the frequency of scientific update activities and training for health workers and data management personnel at the PHC, better management of patient voices by the PHC, and a better reward system by the chief of PHC.
ABSTRAK Peran kader kesehatan sebagai ujung tombak di bidang kesehatan sudah mulai menurun ditandai dengan pemanfaatan posyandu hanya sebesar 13% dan 14% kategori posyandu Purnama dan Mandiri . Sehingga dilakukan penelitian untuk analisis hubungan peran kader pada UKBM di posyandu berdasarkan 2 (dua) kriteria yakni kriteria kontekstual kelurahan dan kriteria Malcolm Baldrige, untuk mendapatkan dari sisi mana dari keduanya yang dapat mempercepat peningkatan peran kader kesehatan. Penelitian dengan 159 kader dari 32 posyandu. Uji yang digunakan dengan Chi Square untuk melihat hubungan yang ada pada 7 (tujuh) kriteria kontekstual kelurahan dan 7 (tujuh) kriteria Malcolm Baldrige. Kemudian Analisis Regresi Linier Ganda digunakan untuk melihat hubungan antara satu variabel dengan beberapa variabel terkait sesuai dengan tujuan dan kerangka konsep. Hasilnya, dari beberapa uji hubungan antara tingkat partisipasi masyarakat dengan tingkat kematangan masyarakat, tingkat kematangan dengan tingkat kendali masyarakat, tingkat kendali masyarakat dengan kader sebagai agent of changes, kader sebagai agent of changes dengan motif keberdayaan, motif keberdayaan dengan kepemilikan masyarakat dalam upaya pembangunan, kesemuanya memiliki hubungan yang signifikan antara kedua variabel. Sedangkan variabel keterlibatan berbagai stakeholders memiliki hubungan yang signifikan atas tingkat partisipasi, peran kader sebagai agent of changes, kepemilikan masyarakat dalam upaya pembangunan, dan tingkat kematangan keberdayaan. Pada kriteria Malcolm Baldrige ada hubungan yang signifikan antara kepemimpinan dengan rencana strategis dan desain program sesuai kebutuhan. Ada hubungan yang signifikan antara Kepemimpinan, desain program sesuai kebutuhan, manajemen pelayanan dan kapasitas SDM dengan fokus pada hasil. Peningkatan peran kader pada UKBM dalam program gizi dan KIA diperlukan pembenahan Pokja (kelompok Kerja) yang telah dibentuk untuk lebih mempertegas kembali tugas pokok dan fungsi lintas sektor terkait, sehingga dapat terlaksana dengan baik peran kader kesehatan dalam program gizi dan KIA.
ABSTRACT The role of health as a vanguard cadre of health has begun to decline marked by posyandu utilization of only 13% and 14% posyandu Purnama and Mandiri categories. So the research on the analysis of the role of volunteers in UKBM in posyandu by 2 (two) criteria and the criteria of contextual urban Malcolm Baldrige criteria, to get from which side of the two that can accelerate the increase in the role of health cadres. Study with 159 volunteers from 32 posyandu. Test used by Chi Square to see the relationships that exist in the 7 (seven) villages contextual criteria and 7 (seven) Malcolm Baldrige criteria. Multiple Linear Regression Analysis then used to examine the relationship between the variables associated with some variables in accordance with the objectives and conceptual framework. The result, of some of the test the relationship between the level of community participation with the maturity level, the level of maturity to the level of community control, level control society as an agent of changes cadres, cadres as the motive agent of changes to the empowerment, empowerment motif with local ownership in development, all of which have a significant relationship between the two variables. While the involvement of various stakeholders variables have a significant relationship on the level of participation, the role of volunteers as agents of changes, the ownership of development efforts, and the maturity level of empowerment. In the Malcolm Baldrige criteria no significant relationship between leadership and strategic planning and program design as needed. There is a significant relationship between leadership, program design as needed, service management and capacity building with a focus on results. Enhancing the role of volunteers in UKBM nutrition and MCH programs needed revamping Working Group (working group) which has been formed to further reaffirm the basic tasks and functions across relevant sectors, so that they can perform well in the role of health cadres nutrition and MCH programs.
Penelitian ini bertujuan untuk mengetahui Kinerja Pegawai Dinas Kesehatan Kota Palangka Raya. Jenis penelitian ini adalah survei cross-sectional dengan menggunakan kuesioner penilaian kinerja berdasarkan metoda penilaian sendiri dan metoda 360° yang dimodifikasi. Populasi dan sampel adalah semua Pegawai Negeri Sipil Dinas Kesehatan Kota Palangka Raya sebanyak 69 orang. Dari 10 unsur penilaian kinerja, ada 6 (enam) unsur yang telah terbukti tidak memiliki perbedaan yang bermakna yaitu pengetahuan terhadap pekerjaan, kuantitas kerja, kualitas kerja, kreativitas, kemauan belajar dan inisiatif, dan komunikasi, sementara 4 (empat) unsur lainnya seperti kerjasama, integritas, disiplin kerja, dan kepemimpinan memiliki perbedaan yang bermakna. Berdasarkan hasil penelitian ini, diperlukan perbaikan manajemen dan peningkatan efektivitas kepemimpinan di lingkungan Dinas Kesehatan Kota Palangka Raya.
This study aims to determine the Performance of Employee of Palangka Raya Municipality Health Office. This type of research is a cross-sectional survey using modified questionnaires of performance asssessment based on self assessment and 360° methods. Population and sample are all Civil Servants of Palangka Raya Municipality Health Office as many as 69 persons. Of the 10 elements of performance assessment, there are 6 (six) elements that have been proved no significant difference such as knowledge of work, quantity of work, quality of work, creativity, willingness to learn and initiative, and communication, while 4 (four) other elements like cooperation, integrity, work discipline, and leadership have significant differences. Based on the results of this study, improved management and increased effectiveness of environmental leadership are needed in Palangka Raya Municipality Health Office.
Ditinjau dengan pendekatan Malcolm Baldrige, FKTP percontohan dapat dianalisis faktor-faktor yang menghantarkannya sebagai pemenang, hasilmenunjukkan bahwa enam variabel independen dari tujuh kriteria Malcolm Baldrige,yaitu kepemimpinan, perencanaan strategis, fokus pada pelanggan dan pasar, sisteminformasi manajemen, fokus pada staf dan fokus pada proses, memiliki hubungan denganvariabel dependen yaitu hasil kinerja organisasi.
Studi kualitatif penelitian inimenunjukkan bahwa masing-masing kategori FKTP yaitu Klinik Pratama, Dokter PraktekPerorangan, Puskesmas dan klinik TNI/POLRI memiliki keunggulannya masing-masingditinjau dari Kriteria Malcolm Baldrige, hal ini merupakan sebuah bahan rekomendasisekaligus evaluasi bagi penyelenggara Jaminan Kesehatan (BPJS-Kesehatan) danregulator sistem kesehatan (Kemkes) agar membenahi FKTP yang ada dan menciptakanFKTP yang ideal di seluruh Indonesia.
Kata Kunci: FKTP, BPJS-Kesehatan, Pelayanan Kesehatan Primer, Dokter LayananPrimer, Malcolm Baldrige
Fasilitas Kesehatan Tingkat Pertama (FKTP), ideally be the gatekeepers on healthsystems in all states, including in Indonesia. effective efforts to quality control and costcontrol should be done since patients do the first contact with health services in PrimaryHealth care. BPJS- Kesehatan strives to maximize the quality and function of the primaryservice on the whole FKTP of various categories, as well as motivate FKTP for a race tobe the best, therefore the BPJS-Kesehatan Primary Care Award 2014 was held. BPJS-Kesehatan Primary Care Award 2014 held since April to October 2014, the best FKTP selection process conducted with a selection of tiered approaches starts from the level ofbranch offices, regional division offices to the national level, producing five best nationallevel FKTP, FKTP election results are interesting for research, FKTP as for the examinedFKTP throughout Indonesia.
Reviewed by Malcolm Baldrige approximation, Bestpractices of FKTP can be analyzed by factors that passed it as the winner, the resultsshowed that six of the seven independent variables Malcolm Baldrige, leadership,strategic planning, customer and market focus, information systems management,focusing on staff and focus on the process, have a correlation to the dependent variablei.e. performance results of the organization.
Study of the qualitative research indicatesthat each category of FKTP i.e. the Clinic Pratama, individuals Practice Doctor,PUSKESMAS and clinics TNI/POLRI have respective advantages in terms of MalcolmBaldrige Criteria, this Result is a recommendation and evaluation materials forHealthcare providers (BPJS-Kesehatan) and regulators of health systems (Kemkes) inorder to restructure the existing FKTP and create the ideal FKTP throughout Indonesia.
Key Words : Primary Health Care, BPJS-Kesehatan, Health Practitioner, medical doctor,FKTP, DLP, Malcolm Baldrige
The purpose of this study to find out influence of leadership (pursuant tofunction taker of decision, supervisor function, function of actuating andmotivator function) and compensation (pursuant to wage and salary, incentive,facility and subsidy) to officer performance of Public Health Service Sub-Province of Lebong Provinsi Bengkulu at 2014. This research use quantitativemethod with sectional cross desain. Sample in this study all are of the employeesin health lebong 90 person. Sampling taken by using method of random sampling(sampling probability).The most Influence factor to officer performance of Public Health ServiceSub-Province of Lebong is compensation pursuant to wage and salary (Beta=0,533). Result of research that performance officer of Public Health Service Sub-Province of Lebong Provinsi Bengkulu at 2014 have performance with goodcategory. Keyword : Leadership, Compensation, Performance