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Anna Kurniati, Ferry Efendi
610.69 KUR k
Jakarta : Salemba Medika, 2014
Buku (pinjaman 1 minggu) Pusat Informasi Kesehatan Masyarakat
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Novrita Indra Tiara Kusuma; Pembimbing: Puput Oktamianti; Penguji: Adang Bachtiar, Ede Surya Darmawan, Anna Kurniati, Leni Kuswandari
Abstrak:
Pelatihan dilakukan dalam upaya meningkatkan mutu tenaga kesehatan. Pelatihan pada dasarnya merupakan proses pembelajaran yang bertujuan untuk meningkatkan kinerja, profesionalisme, dan/atau menunjang pengembangan karir. Pelatihan bagi tenaga kesehatan dapat diselenggarakan oleh pemerintah, pemerintah daerah, dan/atau masyarakat dengan syarat pelatihan harus terakreditasi dan diselenggarakan oleh institusi penyelenggara pelatihan yang terakreditasi pemerintah pusat. Ketersediaan institusi penyelenggara pelatihan bidang kesehatan terakreditasi pemerintah pusat di Indonesia masih terbatas apabila dibandingkan dengan jumlah tenaga kesehatan yang berhak memperoleh pelatihan berkualitas, oleh karena itu penelitian ini dilakukan untuk menganalisis implementasi kebijakan akreditasi institusi penyelenggara pelatihan bidang kesehatan dengan mengamati faktor-faktor yang berkontribusi terhadap implementasi sebuah kebijakan antara lain faktor ukuran dan tujuan kebijakan, komunikasi, sumber daya, karakteristik badan pelaksana, lingkungan, disposisi pelaksana, serta kinerja kebijakan implementasi tersebut. Penelitian ini merupakan penelitian kualitatif menggunakan dua metode pengumpulan data yaitu wawancara mendalam dan telaah dokumen di Direktorat Peningkatan Mutu Tenaga Kesehatan dan institusi-institusi penyelenggara pelatihan bidang kesehatan yang telah terakreditasi. Hasil penelitian menunjukkan secara umum pencapaian indikator yang menjadi target kinerja kebijakan akreditasi institusi telah tercapai walaupun belum terlihat pemerataannya di seluruh provinsi di Indonesia. Pada beberapa faktor, seperti kejelasan dan pola penyampaian informasi masih perlu dikembangkan upaya lainnya agar informasi dapat jelas dipahami semua pelaksana dengan cara yang efektif dan efisien, khususnya bagi Direktorat Peningkatan Mutu Tenaga Kesehatan. Kemudian pada faktor lingkungan, perlu upaya pendekatan dan koordinasi yang mendalam dan meluas agar kesempatan tenaga kesehatan mengikuti pelatihan terakreditasi yang diselenggarakan institusi penyelenggara pelatihan terakreditasi semakin banyak.
Training is carried out in an effort to improve the quality of health workers. Training is basically a learning process that aims to improve performance, professionalism, and/or support career development. Training for health workers can be organized by government, regional department, or community with the condition that the training must be accredited and held by an accredited health training provider institution. The availability of institutions providing training in the health sector accredited by the central government in Indonesia is still limited when compared to the number of health workers who are entitled to receive quality training. Therefore this study was conducted to analyze the implementation of the accreditation policy for institutions providing training in the health sector by observing factors that contribute to the implementation of a policy include the size and objectives of the policy, communication, resources, characteristics of the implementing agency, environment, disposition of the implementer, as well as the performance of the implementation policy. This research is a qualitative research using two methods of data collection, in-depth interviews and document review at Direktorat Peningkatan Mutu Tenaga Kesehatan and accredited training institutions in the health sector. The results of the study show that in general the achievement of the indicators that are the performance targets for institutional accreditation policies has been achieved, although the distribution has not yet been seen in all provinces in Indonesia. On several factors, such as clarity and patterns of information delivery, other efforts need to be developed so that information can be clearly understood by all implementers in an effective and efficient manner, especially for Direktorat Peningkatan Mutu Tenaga Kesehatan. Then on environmental factors, an in-depth and widespread approach and coordination is needed so that there are more and more opportunities for health workers to take part in accredited training organized by accredited training institutions.
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Training is carried out in an effort to improve the quality of health workers. Training is basically a learning process that aims to improve performance, professionalism, and/or support career development. Training for health workers can be organized by government, regional department, or community with the condition that the training must be accredited and held by an accredited health training provider institution. The availability of institutions providing training in the health sector accredited by the central government in Indonesia is still limited when compared to the number of health workers who are entitled to receive quality training. Therefore this study was conducted to analyze the implementation of the accreditation policy for institutions providing training in the health sector by observing factors that contribute to the implementation of a policy include the size and objectives of the policy, communication, resources, characteristics of the implementing agency, environment, disposition of the implementer, as well as the performance of the implementation policy. This research is a qualitative research using two methods of data collection, in-depth interviews and document review at Direktorat Peningkatan Mutu Tenaga Kesehatan and accredited training institutions in the health sector. The results of the study show that in general the achievement of the indicators that are the performance targets for institutional accreditation policies has been achieved, although the distribution has not yet been seen in all provinces in Indonesia. On several factors, such as clarity and patterns of information delivery, other efforts need to be developed so that information can be clearly understood by all implementers in an effective and efficient manner, especially for Direktorat Peningkatan Mutu Tenaga Kesehatan. Then on environmental factors, an in-depth and widespread approach and coordination is needed so that there are more and more opportunities for health workers to take part in accredited training organized by accredited training institutions.
T-6661
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Fadilah Fitri Arsy; Pembimbing: Puput Oktamianti; Penguji: Dumilah Ayuningtyas, Anna Kurniati
S-10258
Depok : FKM-UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Agusti Medika Putri; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Adang Bachtiar, Anna Kurniati, Agus Hadian Rahim
Abstrak:
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Dokter spesialis dibutuhkan dalam penguatan layanan kesehatan spesialistik di Indonesia terutama penanganan penyakit dengan tingkat morbiditas dan mortalitas tinggi, namun masih terjadi disparitas di wilayah Indonesia. Upaya mengatasi isu tersebut, perubahan kebijakan program adaptasi dokter spesialis warga negara Indonesia lulusan luar negeri yang semula berbasis institusi pendidikan menjadi fasilitas pelayanan kesehatan. Implementasi program ini tentunya menjadi tantangan bagi dokter spesialis warga negara Indonesia lulusan luar negeri, dimana dokter spesialis tersebut harus memberikan layanan spesialistik kepada masyarakat sekaligus beradaptasi terhadap sistem layanan kesehatan di rumah sakit. Penelitian bertujuan melakukan analisis pelaksanaan adaptasi dokter spesialis warga negara Indonesia lulusan luar negeri di rumah sakit sebagai bentuk evaluasi terhadap implementasi program adaptasi di rumah sakit. Penelitian menggunakan metode kuantitatif dengan desain deskriptif serta kualitatif. Penelitian kuantitatif melalui pengisian kuesioner di 14 rumah sakit lokasi penempatan sesuai kriteria inklusi dengan responden dokter spesialis warga negara Indonesia lulusan luar negeri, pendamping, manajemen rumah sakit serta perawat. Penelitian kualitatif dilaksanakan di salah satu rumah sakit lokasi penempatan sesuai kriteria inklusi. Hasil penelitian menyarankan pengalaman dokter spesialis warga negara Indonesia lulusan luar negeri bekerja di rumah sakit Indonesia dapat mendukung pelaksanaan adaptasi berjalan dengan baik; perlu format pelaporan yang seragam bagi pendamping bagi dokter spesialis; Ketersediaan obat dan alat kesehatan di rumah sakit penempatan adaptasi serta penyediaan fasilitas tempat tinggal yang belum memadai menjadi hambatan dalam pelaksanaan adaptasi.
Specialist doctors are needed to strengthen specialist health services in Indonesia, especially in the treatment of diseases with high morbidity and mortality rates, but there are still disparities in Indonesia. Efforts to overcome this problem include changing the program’s policy for Indonesian foreign-trained specialist doctors, originally based on educational institutions, to health service facilities. Implementing this program is certainly a challenge for Indonesian foreign-trained specialist doctors, where these specialist doctors must provide specialist services to the community while adapting to the health service system in hospitals. The study aims to analyze the implementation of the adaptation of Indonesian foreign-trained specialist doctors in hospitals as a form of evaluation of the implementation of the adaptation program. The study used a quantitative method with a descriptive and qualitative design. Quantitative research through filling out questionnaires at 14 hospitals where placements were carried out according to the inclusion criteria with respondents who were Indonesian foreign-trained specialist doctors, assistants, hospital management, and nurses. Qualitative research was carried out at one of the hospitals where placements were carried out according to the inclusion criteria. The results of the study suggest that the experience of specialist doctors who are Indonesian citizens who graduated abroad who work in Indonesian hospitals can support the implementation of adaptation to run well; the need for a uniform reporting format for assistants for specialist doctors; The availability of medicines and medical devices at home, the placement of health facilities, and the provision of inadequate housing facilities are obstacles in implementing adaptation.
T-7167
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Siti Yunianti; Pembimbing: Ede Surya Darmawan; Penguji: Adang Bachtiar, Vonny Nouva Tubagus, Anna Kurniati
Abstrak:
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Permenkes Nomor 14 tahun 2022 tentang Program Adaptasi Dokter Spesialis Warga Negara Indonesia Lulusan Luar Negeri Di Fasilitas Pelayanan Kesehatan telah ditetapkan sebagai peraturan dan pedoman yang berlaku dan diimplementasikan sejak Mei 2022. Implementasi kebijakan adaptasi dokter spesialis WNI LLN di fasyankes melibatkan banyak stakeholder yang terdiri dari berbagai unsur yang tergabung dalam komite bersama adaptasi, pemerintah daerah, dan fasyankes tempat adaptasi. Hal ini tentunya akan menjadi suatu proses yang kompleks, banyak tantangannya serta membutuhkan kolaborasi dan koordinasi. Tesis ini bertujuan untuk diketahui efektivitas implementasi kebijakan adaptasi dokter spesialis WNI LLN di fasyankes tahun 2022-2023. Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus dengan menggunakan teori Donabedian sebagai grand design dan teori implementasi kebijakan Van Meter Van Horn, Edward III, dan Matland yang sejalan dengan teori efektivitas. Penilaian efektivitas dalam pelaksanaan kebijakan dalam penelitian ini dilakukan dengan pendekatan sistem (struktur, proses, hasil) dan melihat lima indikator efektivitas yaitu ketepatan kebijakan, pelaksanaan, target, waktu, dan lingkungan. Kemudian dalam penilaian keefektifan implementasi kebijakan juga dilihat dari elemen-elemen yang terkait dengan implementasi kebijakan, fokus pada penelitian ini adalah sumber daya, komunikasi, disposisi para pelaksana, dan lingkungan ekonomi, sosial, dan politik. Berdasarkan kriteria ini didapatkan pelaksanaan kebijakan adaptasi dokter spesialis WNI LLN di fasyankes, dinilai belum berjalan efektif. Disarankan untuk mengukur ekuitas, mutu, kompetensi, dan kecepatan program adaptasi dokter spesialis WNI LLN di fasyankes. Hal ini memastikan fasyankes untuk memberikan pelayanan kesehatan yang berkualitas. Penyederhanaan proses administrasi yang berbelit-belit untuk menghindari kendala yang mungkin timbul serta penting untuk melakukan global camparison dalam memahami dan mengadopsi praktik terbaik dari sistem kesehatan di negara-negara lain dan penilaian indeks kepuasan dan komitmen untuk bekerja di Indonesia.
Minister of Health Regulation Number 14 of 2022 concerning Adaptation Program for Indonesian Specialists Graduates Abroad in Health Care Facilities has been established as applicable regulations and guidelines and implemented since May 2022. The implementation of the adaptation policy for Indonesian specialists graduates abroad in health care facilities involves many stakeholders consisting of various elements who are members of the joint adaptation committee, local governments, and health facilities where adaptation. This will certainly be a complex process, many challenges and requires collaboration and coordination. This thesis aims to determine the effectiveness of the implementation of the adaptation policy for Indonesian specialists graduates abroad in health care facilities in 2022-2023. This research uses a qualitative approach with a case study method using Donabedian theory as a grand design and Van Meter policy implementation theory Van Meter Van Horn, Edward III, and Matland which are in line with effectiveness theory. Assessment of effectiveness in policy implementation in this study is carried out with a system approach (structure, process, results) and looks at five effectiveness indicators, namely policy accuracy, implementation, targets, time, and environment.Then in assessing the effectiveness of policy implementation is also seen from elements related to policy implementation, the focus of this research is resources, communication, disposition of implementers, and economic, social, and political environment. Based on this criterion, it was found that the implementation of the adaptation policy for Indonesian specialists graduates abroad in health care facilities was considered to have not been effective. It is recommended to measure the equity, quality, competence, and speed of the adaptation program for Indonesian specialists graduates abroad in health care facilities. This ensures health facilities to provide quality health services. Simplification of convoluted administrative processes to avoid obstacles that may arise and it is important to conduct a global camparison in understanding and adopting best practices of health systems in other countries and assessment of satisfaction index and commitment to work in Indonesia.
T-6847
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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