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The process of communication, collaboration and coordination have a majorimpact on the effectiveness of the organization and an important element in theachievement of quality health services. The purpose of this study to analyzepatterns of communication, collaboration and coordination in Puskesmas IbrahimAdjie - Bandung, which has implemented a quality standard ISO 9001: 2008 andas the best health center in 2016 in West Java. The research method uses aqualitative approach is confirmatory. To maintain the validity of the data wasperformed using triangulation sources and methods of data collection is done byin-depth interviews to four people who are important in the process, focus groupdiscussions by six staff, observation and study of the document. The resultsshowed there is a pattern of all levels and channels of communication. Thepattern of broad-spectrum collaboration is secondary. Coordination patterns arestrengthening and expansion. Barriers that often happens, the choice of prioritydelivery of information, the dual role, misunderstanding, trouble harmonize timeactivities with other agencies, the repetition of the process of coordination whenthere is change of officials such as district or village heads, the delay in theapproval of program activity reports from the district and village. Suggestions areto continue to maintain the existing pattern and increase, the need for advocacyfor the strengthening of human resources, the need for a MoU, it is necessary totransfer the pattern of the process that has been ongoing basis to the health centerpersonnel. Outside agencies similar to apply the pattern of the existing processes.Keywords: communication patterns; collaboration patterns; coordinationpatterns; puskesmas
Tesis ini membahas tentang kepuasan kerja petugas Puskesmas berdasarkan kepuasan kerja intrinsik dan ekstrinsik, serta membahas kepuasan pelanggan terhadap pelayanan yang diberikan oleh petugas loket pendaftaran, perawat, dokter, dan petugas loket obat di unit rawat jalan Puskesmas Kabupaten Cirebon. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Tujuan dari penelitian ini adalah diketahuinya gambaran kepuasan kerja petugas maupun kepuasan pelanggan Puskesmas serta hubungan antara keduanya. Data diolah melalui analisis univariat, bivariat, multivariat, dan dengan menggunakan diagram kartesius (Importance Performance Analysis). Hasil penelitian menyarankan bahwa untuk meningkatkan kepuasan kerja petugas Puskesmas dan kepuasan pelanggan hendaknya pihak terkait seperti Kepala Puskesmas, Dinas Kesehatan dan Pemerintah Daerah berusaha untuk memenuhi harapan petugas Puskesmas dan pelanggan, antara lain meningkatkan insentif bagi petugas, perbaikan manajemen Puskemas, dan pemenuhan peralatan di Puskesmas. Sedangkan untuk meningkatkan kepuasan pelanggan hendaknya pihak Puskesmas berusaha untuk terus memberikan pelayanan yang terbaik kepada pelanggan dengan berupaya untuk terus meningkatkan kualitas pelayanan, sehingga masyarakat akan puas mendapatkan pelayanan kesehatan di tingkat Puskesmas. Kata kunci: Kepuasan kerja petugas dan kepuasan pelanggan
The study focused into job satisfaction (especially intrinsic and extrinsic’s job satisfaction) among primary healthcare provider and customer satisfaction’s relationship in outpatient’s unit Community Health Centre in Cirebon district. This research used quantitative method with cross sectional approach. The data was processed with univariate, bivariate and multivariate analysis using Cartesius diagram. The researcher suggests that Puskesmas, Health district office, District Government should improve the service quality by implementation quality assurance programme in health center (such as Puskesmas accreditation or Pusksmas ISO), remuneration payment system, leadership and management capacity building also medical and non medical equipment availability. Key word: Job satisfaction and customer satisfaction
Penggunaan obat yang rasional sebagai bagian integral dari pembangunan kesehatan nasional, memberikan dampak positif terhadap optimalisasi penggunaan dana, pengurangan resiko efek samping dan resintensi, peningkatan ketersediaan obat serta peningkatan mutu pelayanan kesehatan berarti menggunakan obat yang menurut nalar memang telah dibuktikan aman serta bennanfaat beradasarkan bukti ilmiah terkini dan terpercaya (evidence based medicin) dan pengobatan yang didasarkan pada rekomendasi yang diberlkan oteh krinisi senior atau pada penga1aman sendiri harus sudah di tinggalkan. Masalah penggunaan ohat yang tidak rasionai di sarana pelayanan keseharan terutama puskesmas disebabkan oleh banyak faktor diantaranya adalah keterbatasan pengetahuan petugas kesehatan mengenai bukti bukti ilmiah terkini keyakinan., kebiasaan dan peritaku petugas sendiri serta sistim dan suana pelayanan yang tidak memadai, dan dari kelemahan kelemahan regulasi yang ada. Untuk mengatasi permasa1ahan penggunaan obat yang tidak rasional perlu dilakukan upaya-upaya diantaranya adalah meJakukan pengobatan sesuai dengan pedoman pengobatan. Penclitian ini bertujuan untuk mengetahui gambaran tingkat kepatuhan dan faktor-faktor yang berhubungan dengan kebutuhan petugarnenerapkan pedoman pengobatan dasar dalam penggunn obat rasional di Puskesmas Kabupaten Purwakarta tahun 2007. menggunakan pengabungan metoda kuantitatif dan kualitatif dengan desain Hasil Penelitian secara kuantitatif menunjukkan bahwa penggunaan obat pada tiga penyakit yaitu ISPA non pneumonia, diare akut non spesifik dan mialgia masih be1um nsional terutama penggunaan antibiotika. Penggunaan antibiotik pada kasus ISPA non pneumonia (30%)ka.sus diare akut non spesifik(l6%) dan penggunaan jarum suntik pada kasus mialgia (3%). Responden dengan latar belakang pendidikan paramedis: lebih banyak mmuJis resep berisi antibiotik yang tidak rasional pada penyakit ISPA non pneumonia (41%).. sedangkan pada ka.sus diare akut non spesifik jumlahnya sama antara medis dan paramedis(15%). Dari basil analisis bivariat ha.nya variabel pcngetahuan yang secara bermakna (p>0 05) yang berlmbungan dengan kepatuhan petugas menerapkan pedornan pengobatan dalam penggunaan obat rasional dengan p vah1c adalah O.Ol5. Hasil penelitian secara kualitatif menunjukan bahwa selain faktor pengetahuan, faktor lain juga berpengaruh secara tidak langsung terutama ketersediaan buku pedoman pengobatan saran yang di berikan dari pemeliti ini adalah agar pimpinan instantsi membuat aturan yang jelas tentang kewenangan batasan-batasan dan kewajiban, yang harus di laksanakan jika ada pelimpahan kewenangan kepafa tenaga medis sesuai dengan fungsinya dan perlu di beri perhatian terutama bagu tenaga medis agar fungsi asuhan keperawatan dan kebidanan di Puskesmas lebih di tingkatkan dalam upaya peningkatan kesehatan (promotif) dan pencegahan (preventif).
Rational medication using as integral part of national health development give positive impact toward finance ex.pcndirure optimally. decreasing side effect rlsk and resistanceincreasing medicine availabi!ity and incressing health service quality. Rational medication using is one of the steps to obtain optimal service. Those eftbrts conducted by implementing concept of essential rned;cine using that means using the most needed medicine with the most benefit. Rational medication using means using medicine that logicaHy proved save and beneficial based on recent science evidence and This research purpose to recognice compliance level and related factors with rational medication in Puskesmas at Purwakarta in year 2007t using affiliation of quantitative anJ qualitative method with cross sectional design and total samples of [ 11 medic employees in puskesmas at Purwakarta. Dependent variables in this research are medic employees behavior of implementing medication regulation in puskesma.<; dilined by three factors, which are predisposing factors. including work length. education, knowledge, attitude. perception and motivation; enabling factors. including medicine availabHityavailability of medication regulation book and trdining;and reinforcing factors is supervision. Quantitative research result shows that medicine using in three diseasewhich are ISPA non pneumonia, non specific acute diarrhea and myalgia stiiJ irrational eapccially antibiotic. Antibiotic using in ISPA non pneumonia is 30% and non specific acute diarrhea is 16%. Hypoden11ic needle in myalgia cases is 3%. Respondent with paramedic educa.tion background is more till prescription with irrational antibiotic in JSPA non pneumonia (41%), in the same for non specific acute Uiarrheacases between paramedic and medic (15%). From bivariate analysis only knowfedge variable was significantly (p>O.OS) related with employees compliance in impiementing medication regulation of rotional medicine using with p value 0.0015. Qualitative research result shows that besides knowledge factors, other factor also affecting indirectly especially availability of medication regulation book Suggestion from this is instution chief make authority abudent to paamedie with function and aeed attcntion expocially paramedic so that auring care function and midwifery in Puskesmas in order to promote health and preventive.
This study is quantitative research using cross sectional design to know the relationship of characteristic and job satisfaction on performance of Public Health Care officer in Belitung Regency in 2017. The sample in this research is civil servant which is found in 9 (nine) PHC in Belitung Regency which amounts to 180 people. The results showed that the characteristic variables related to the performance of PHC employee in Belitung Regency were the last education. Job satisfaction variable related to performance of PHC employee of Belitung Regency is compensation. The variable of characteristics and job satisfaction are related after tested together (simultaneous) there are three significant variables are compensation, relationship with colleagues and supervision. And the variable that has the most dominant relationship is supervision. Key words: Employee Performance, Characteristic, Job Satisfaction, Employee
Puskesmas merupakan satuan unit terdepan yang memberikan pelayanan kesehatan kepada seluruh lapisan masyarakat ternasuk masyarakat miskin. Dalam era globalisasi ini setiap organisasi dituntut untuk dapat berkompetisi dan mempunyaj daya saing sehingga organisasi tersebut dapat mempertahankan keberadaannya. Pelayanan yang dihasilkan dari organisasi puskesmas merupakan kerjasama antara pimpinan puskesmas dan staf puskesmas, dari basil kerjasama yang baik akan menghasilkan pelayanan yang bennutu. Peran pimpinan puskesmas terhadap kemajuan organisasi sangat utama dan pimpinan harus mampu rnemberikan kepuasan kerja terhadap staf dalam organisasi, kepuasan kerja staf dalam organisasi akan menciptakan suatu pelayanan yang bermutu kepada masyarakat. Tujuan penelitian ini adalah untuk mendapatkan gambaran dan hubungan antara kepemimpinan kepala puskesmas dan kepuasan kerja staf puskesmas dalam melaksanakan Program Jaringan Pemeliharaan Kesehatan Masyarakat Miskin di Kabupaten Serang Tahun 2007. Penelitian ini menggunakan desain cross sectional dengan pendekatan kuantitatif terhadap 144 staf puskesmas dari 38 puskesman di Kabupaten Serang. Analisis yang digunakan adalah univariat, bivadat dan multivariat dengan uji statistik Chi square dan Regresi logistik ganda. Hasil penelitian menunjukkan bahwa persentase kepuasan kerja (total) staf puskesmas menggunakan cut of point mean sebesar 50,9o/a, kepuasan kerja tertinggi pada dimensl kepuasan kelja 1erhadap gaji (60,5%) dan terendah pada dimensi kepuasan ketja terhadap pembagian jasa medis (35)1%). Mayoritas kepala puskesmas menampilkan gaya kepemimpinan transaksional (55,3%) dikoinbinasikan dengan gaya kepemimpinan transformasional (52.6%). Dari hasil uji bivariat diperoleh ada hubungan bermakna antara gaya kepemimpioan transformasional terhadap kepuasan kerja staf puskesmas (P=0,02). Ada hubungan bermakna antara gaya kepemimpinan transaksional terhadap kepuasan kerja staf puskesmas (P= 0 04) Dimensi kepemimpinan yang mempunyai hubungan bermakna terhadap kepuasan keija staf adalah dimensi attributed charismatik (P= 0,001), dimensi idealized influence (P= 0,024), dirnensi intelectual stimulation (P= 0,025), dimensi individualized consideronce (P= 0,008), dimensi Cl)nfingen reward (P= 0,020), dimensi laissez faire (P= 0,038). Foktor konfonding tidak mempunyai hubungan bermakna terhadap kepuasan kerja staf puskesmas. Hasil uji statistik multivariat didapatkan faktor yang paling dominan mempengaruhi hubungan kepemimpinan kepala puskesmas dan kepuasan kerja staf puskesmas adalah kepemimpinan transfonnasional dengan dinlensinya attributed charismatik. Persepsi gaya kepemimpinan mempunyai pengaruh terhadap kepuasan kerja staf disarankan kepada kepala puskesmas agar meningkalkan gaya kepemimpinan transformasional terutama dimensi attributed charismatik, perlu memperkenalkan gaya ini kepada para calon kepala puskesmas melalui pelatihan kepemimpinan. Para kepala puskesmas agar lebih memperhatikan pembagian jasa medis kepada stafnya dan disesuaikan dengan beban kerja yang diemban para staf, sehingga kepuasan kerja staf dapat meningkat, tetap menjaga dan meningkatkan hubungan antar staf yang sudah baik.
Central public health as a leading unit which give health care services to the whole society including the impecunious. in globalization era, every organization have to be able to compete and also have the competitive ability so that the organizations are able to maintain the existance. The service that produced by central public health organization a cooperation between heed central public health and staff; the result from this cooperation will produce a service quality. The role of the head puskesmas to organization progress is very important which he gave the work satisfaction to staff and mixed the individual target to be improve a part organization target, therefore work satisfaction of staff on organization will improve the service quality to society. The aim of this research are to get picture and the relation between head to puskesmas leadership and work satisfaction of puskesmas staff to execute the JPKMM program in Serang district in 2007. This research uses cross sectional desaign with quantitative approach for 144 puskesmas staf from 38 puskesmas in Serang district. Analysis type that used are univariat, bivariate and multivariate with Chi square and double logistics regresi statistic test. The resu1t of this research indicates that percentage of work satisfaction (totalize} staff puskesmas staf use 50.9% cut off point mean the highest work satisfaction at dimension of work satisfaction to salary (60,5%) and lowest at dimension of work satisfaction to share of medical service fee (35,1%). Majority of head puskesmas presents transactional style leadership (55,3%) combined with transformational style leadership (52,6%). The result from bivariate test obtained that there is significant relationship between transformational style leadership to work satisfaction of puskesmas staff (P= 0,02). Significant relationship also found has a transaktional leadership style to work satisfaction of puskesmas (P= 0,04) Leadership dimension which have significant relationship to work satisfaction of puskesmas staff is attributed charismatik dimension (P= 0,001), idealized influence dimension (P= 0,024), intellectual stimulation dimension (P= 0,025), individualized considerance dimension (P= 0,008), contingen reward dimension (P= 0,020), laissez faire dimension (P= 0,038). Confounding factor has no significant relationship to work satisfaction ] puskesmas of staff. The result from multivariate statistic test obtained that the most dominant factor influence the relation between head puskesmas leadership and work satisfaction of puskesmas staff is transformational leadership with its attributed cbarismatik dimension. Leadership styles Perception have influence to work satisfaction of puskesmas staff, it is suggested to head puskesmas to improve transformational styles leadership especially attributed charismatic dimension, this leadership styles must introduced was to head puskesmas candidate through a leadership training. Heads puskesmas have to concerned more to share of about medical service fee to its staff raised up and also have to maintain and improve the relation among that has been good.