Penelitian ini dilatarbelakangi oleh adanya perbedaan komitmen diantara dokter spesialis di rumah sakit BaliMed yang sebagian besar adalah pemilik saham,   dalam upaya meningkatkan kualitas dan kuantitas pelayanan. Kuantitas ditinjau dari jumlah rujukan dan jumlah pasien yang dirawat di rumah sakit, sedangkan kualitas ditinjau dari kedisiplinan dokter spesialis dalam menjamin mutu pelayanan melalui ketepatan waktu praktek,  visite dan kelengkapan administrasi dalam pelayanan,   dokter spesialis adalah ujung tombak pelayanan di rumah sakit. Pengaruh peran manajerial yaitu Kepemimpinan,  Kompensasi dan Iklim kerja terhadap komitmen dokter spesialis kemudian dinilai ditinjau dari sudut persepsi dokter spesialis yang melakukan praktek di rumah sakit BaliMed. Penelitian ini merupakan penelitian kuantitatif   dengan disain cross sectional. Hasil analisis bivariat memperlihatkan bahwa ada hubungan yang bermakna antara peran manajerial dengan komitmen dokter spesialis antara lain Kepemimpinan (p=0, 00),      Kompensasi ( p = 0, 00  ) dan Iklim kerja (p= 0, 00 ). Hasil Analisis Multivariat menggunakan analisis regresi linier berganda dengan alpha < 0, 05 menunjukkan bahwa  secara bersama-sama Peran manajerial Kepemimpinan,  Kompensasi dan Iklim kerja berpengaruh secara bermakna terhadap Komitmen Dokter spesialis (p=0, 000). Sedangkan secara terpisah variabel kepemimpinan(0, 990) tidak berpengaruh terhadap komitmen dokter sedangkan faktor kompensasi( p= 0, 024) dan iklim kerja (p=0, 000) mempunyai pengaruh yang bermakna terutama iklim kerja mempunyai pengaruh paling besar terhadap komitmen dokter spesialis. Kata kunci : Peran Manajerial Kepemimpinan,  Kompensasi,  Iklim kerja, Komitmen.

This research was performed since there was a diferrence in regards of commitment among consulting doctors especially the specialists in BaliMed Hospital,  whereas most of them are owners of the hospital,  in terms of increasing the quality and quantity of service. Quantity is the volume of patients reffered and hospitalized in the hospital,  while quality is the discipline of the specialists in terms of punctuality of their schedule and the administration completeness. These are very important since specialist is the spearhead of hospital service.The influence of managerial roles,  such as Leadership, Compensation,  and Work Climate to the specialists’ commitments observed from the specialists who practice at BaliMed Hospital. This research is a quantitative with cross sectional design. Bivariate analysis result shows that there is significant correlation between Managerial Role with Commitment of specialists such as Leadership (p=0.00), Compensation (p=0.00),  dan Work Climate (p=0.00). Multivariate analysis result using multiple linear regression analysis with alpha < 0.05 shows that Managerial Role,  Leadership,  Compensation,  dan Work Climate simultaneously have a significant influence to the specialist commitment (p=0.000). In the other hand, leadership variable (p=0.990) solely has no influence with specialist commitment, while compensation (p=0.024 and especially work climate (p=0.000) have a significant influence to the commitment of the specialist. Keyword: managerial role,  leadership,  compensation,  work climate, commitment.

Tujuan dari penelitian ini adalah untuk menemukan faktor-faktor manajemen yang berhubungan terhadap kepuasan kerja dokter spesialis di RS OMNI Alam Sutra. Penelitian ini dengan metode penelitian penyebaran kuesioner, dimana penelitian ini bersifat deskriptif analitik yaitu suatu penelitian yang mencoba menggali bagaimana dan mengapa fenomena ketidak puasan kerja dokter rumah sakit OMNI. Penelitian ini menggunakan pendekatan potong lintang yaitu suatu penelitian untuk mempelajari dinamika korelasi antara variabel bebas dan terikat dengan cara pengumpulan data sekaligus pada suatu saat. Pada penelitian ini dilakukan analisis secara bertingkat, yaitu (1). Analisis univariat, (2). Analisis Bivariat, (3). Analisis Multivariat.

Dari hasil penelitian di dapatkan Berdasarkan hasil analisis multivariat, variabel independen yang berpengaruh terhadap kepuasan kerja responden yaitu kebijakan dan aturan rumah sakit (p-value=0,001) dengan OR = 7 yang artinya kebijakan dan aturan rumah sakit yang baik akan berpeluang 7 kali lebih besar memberikan kepuasan kerja yang baik terhadap responden dibanding dengan kebijakan dan aturan RS yang kurang baik serta variable kelengkapan alat (p-value=0,003) dengan OR = 5,9 yang artinya kelengkapan alat yang baik akan berpeluang 5,9 kali lebih besar memberi kepuasan kerja yang baik terhadap responden dibanding dengan kelengkapan alat yang kurang baik. Dari hasil penelitian dapat disimpulkan bahwa adanya faktor-faktor manajemen yang berhubungan terhadap kepuasan kerja dokter spesialis di rumah sakit OMNI Alam Sutra.

The purpose of this study was to find factors related to satisfaction management specialists working in hospitals OMNI Alam Sutra. This research studies the spread of the questionnaire method, which is a descriptive analytic study is a study that tries to explore how and why the phenomenon of workplace dissatisfaction OMNI hospital doctors. This research approach is a cross-sectional study to study the dynamics of the correlation between the dependent variable and tied to the data collected at the same time at some point. In this research, the analysis in stages, namely (1). Univariate analysis, (2). Bivariate analysis, (3). Multivariate Analysis.

From the results of research in getting Based on multivariate analysis, the independent variables that affect the job satisfaction of respondents that the policies and rules of the hospital (p-value = 0.001) with OR = 7, which means the policy and rules of good hospitals will likely 7 times more likely good job satisfaction among respondents compared with the policies and rules as well as hospitals that are less variable completeness of the tool (p-value = 0.003) with OR = 5.9, which means completeness good tools will likely provide 5.9 times greater job satisfaction well to the respondents compared with unfavorable completeness tools. From the results of this study concluded that the factors relating to satisfaction management specialists working in OMNI Alam Sutra Sutra hospital.

Patient satisfaction is one of indicators to measure efficacy of hospital service and giving feedback for the side of management, because service satisfaction will give positive effect of hospital promotion. Background of this research is the existence of trend increasing customer complain both indirect and direct (suggestion box) which are collected by marketing department during 2005 until one semester of 2007 and the existence of trend lowering amount of outpatient where their medical costs is given by company based on data which is collected by medical record department during 2005 until 2007 and also lowering amount of new outpatient during 2006 until 2007 at Coroner and Venous Hospital of Harapan Kita (RSJPD). Purpose of this research is finding te-exploiting enthusiasm of outpatient unit by patient which is evaluated of satisfaction factor at the place of patient acceptance, satisfaction at the place of patient Service, satisfaction at the place of cashier and service cost factor.

Penelitian ini bertujuan untuk mengetahui harapan dan tingkat kepuasan pasien terhadap mutu pelayanan dokter spesialis penyakit dalam pada poliklinik penyakit dalam instalasi rawat jalan RSUP Persahabatan di Jakarta, Indonesia. Jenis penelitian berupa kuantitatif dengan pendekatan cross sectional, sampel dipilih secara acak. Jumlah sampel sebanyak 198 pasien. Responden terdiri dari 63 kunjungan baru dan 135 kunjungan lama. Metode pengukuran kepuasan dengan menggunakan Importance Performance Analysis. Tingkat kepuasan responden umur tua (>= 55 tahun) lebih puas dibandingkan responden dengan umur muda ( < 55 tahun). Responden yang belum menikah kurang puas dibandingkan responden yang telah menikah. Responden yang tidak bekerja / non karyawan contoh lebih puas dibandingkan karyawan. Responden berjenis kelamin perempuan lebih puas dibandingkan responden berjenis kelamin laki-laki. Tingkat pendidikan SMP paling puas dibandingkan tingkat pendidikan SMA kebawah maupun D3/Perguruan tinggi. Responden dengan cara bayar tunai kurang puas dibandingkan dengan resonden cara bayar jaminan. Responden yang merupakan pengunjung lama lebih puas dibandingkan pengunjung baru. Responden dengan waktu tunggu lama (>= 60 menit) sangat tidak puas dibandingkan responden dengan waktu tunggu singkat (< 60 menit). Responden yang diperiksa dokter >= 15 mnt lebih puas dibandingkan responden yang diperiksa singkat < 15 menit. Untuk tingkat kesesuaian antara harapan dan kenyataan didapatkan hasil : untuk variabel kecepatan pelayanan kepuasan 38,4 %. Untuk variabel ketrampilan pelayanan kepuasan hanya 47,5 %. Untuk perhatian pelayanan, kepuasan hanya 44,4 %. Namun untuk penampilan pelayanan, kepuasan 58,6 %. Secara keseluruhan, tigkat kepuasan terhadap variabel pelayanan yang diteliti sebesar 37,4 %. Karakteristik responden yang merasa puas dengan pelayanan dokter spesialis penyakit dalam di instalasi rawat jalan RSUP Persahabatan adalah responden yang berumur tua, berjenis kelamin perempuan, kawin, bukan karyawan, pendidikan SMA, pengunjung lama, cara bayar jaminan, waktu tunggu yang singkat dan diperiksa lama oleh dokter. Dari sisi mutu pelayanan, kepuasan responden pada penampilan pelayanan. Secara keseluruhan, tingkat kepuasan responden terhadap mutu pelayanan dokter spesialis penyakit dalam masih sangat rendah.

 The purpose of this research was to discover expectations and satisfaction levels of internist service quality at Persahabatan out-patient department. This is a cross sectional quantitative research in obtaining the instrument, through a random sampling, and involved 198 patients as samples. 63 patients were new patients and the rest of them were regular ones. The application of the Importance Performance Analysis, measurement of satisfaction is carried out. Satisfaction level of more or less than 55 years old patients were higher than the younger patients (less than 55 years old). Unmarried respondents have lower satisfaction levels than the married ones. Unemployed respondents, have higher satisfaction level than employed respondents. Female respondents were more satisfied than male respondents. High school graduated respondent were the most satisfied respondents than junior high school graduated respondents and also diploma graduated respondents. Fee for service patients were less satisfied than insured patients. Regular patient respondents have higher level of satisfaction than the new ones. Respondents with longer waiting period (more than 60 minutes) truly unsatisfied if they compared to respondents with shorter waiting period. Respondents with longer examination period (more or less than 15 minutes) were more satisfied than the shorter ones (less than 15 minutes). The result of suitability level between expectation and reality were: services skill variable was only 47.5%. For service attention was only 44.4% but for service packaging the satisfaction was reached 58.6%. Over all, satisfaction level against researched service variables was 37.4%. characteristics of satisfied respondents on internist service at outpatient department of Persahabatan Hospital were geriatrics, females, married, unemployed, high school graduated, regular patients, insured patients, short waiting period, and longer examination period. Based on service quality, highest satisfaction level was on service packaging. Generally, respondent satisfaction level against internist service quality was very poor/low.