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The process of establishing policy on planning and budgeting in directorate ofoccupational health and sport is very dynamic and moving in accordance withthe policy and priorities. The purpose of this study is to get the facts extent towhich the political aspect played a role in policy establishing and budgetplanning. This study uses a qualitative method by conducting in-depthinterviews of the parties involved in the process of planning and budgeting.Results showed political aspect of most condensed occur in the process of theestablishment of policies especially when conflict, cooperation, and negotiationhappen in determining the amount of budget allocations and targets arranged. Thisstudy recommends to strengthen human resources of directorate in terms of abilityto advocate on the importance of occupational health and sports programsKeywords : policy, politics, planning, budgeting.
ABSTRAK Kebutuhan dan anggaran obat riil di RSUD Pemangkat diakhir tahun selalu lebih besar dari anggaran obat yang disediakan di awal perencanaan. Tujuan penelitian ini mengidentifikasi permasalahan yang berkaitan dengan perencanaan kebutuhan dan anggaran obat di RSUD Pemangkat melalui metode kualitatif. Hasil dari penelitian ini menunjukkan perencanaan kebutuhan dan anggaran obat di RSUD Pemangkat tidak sesuai dengan perencanaan yang dibuat. Hal ini disebabkan karena kurangnya kemampuan tenaga farmasi dalam perencanaan obat dan pengelolaan perbekalan farmasi dan keterlibatan tenaga medis dalam perencanaan kebutuhan obat dan data pemakaian obat yang belum akurat. Selain itu, Rumah sakit juga belum mempunyai Standar Prosedur Operasional untuk perencanaan anggaran obat , formularium rumah sakit dan kurangnya komunikasi antara instalasi farmasi dan manajemen rumah sakit selama proses penyusunan anggaran. Akibatnya menghasilkan perencanaan anggaran dan persediaan item obat yang tidak sesuai dengan kebutuhan. Penelitian ini menyarankan RSUD Pemangkat membentuk tim penyusun anggaran dan pelatihan sumber daya manusia di instalasi farmasi dan menyusun formularium rumah sakit. Instalasi farmasi dan manajemen harus selalu berkonsolidasi dalam penyusunan maupun pelaksanaan anggaran obat sehingga tercapai perencanaan kebutuhan dan anggaran obat yang efisien dan efektif sesuai dengan kebutuhan dan kemampuan operasional rumah sakit.
ABSTRACT The real need for drug item and budget at Pemangkat Hospital has always been larger than the initiated budget at planning stage. The purpose of this study is to identify problems of drug planning and budgeting that have been implemented in Pemangkat Hospital, using qualitative method. The study shows that the drug planning and budgeting at Pemangkat hospital were not in accordance with the planning has been made. This was caused by the lack of ability of pharmaceutical personnel in the planning and management of pharmaceutical drugs, lack of involvement of medical personnel in the drug planning and inaccurate drug consumption data. The hospital also does not have Standard Operating Procedures for budget planning and hospital formularies and lack of communication between hospital pharmacy and hospital management during preparation budgeting process. Consequently, the drug budget and supply was not in accordance with the hospital needs. This study suggests that Pemangkat Hospital need to have the budgeting team, provide training for human resources in pharmacy instalation and formularies. Pharmacy instalation and the hospital management should always consolidate in the drug need planning and implementation in order to make planning and drug budgeting according to the needs and operational capability of Pemangkat Hospitals.
The health budget in Bogor City comes from the section head exist in District Health Office and the community aspirations village level, district, city and member of legislative recess. The magnitude the health budget allocation of Bogor City still under the act no 37 of 2009 on health article 171 that mentions the health budget comes from APBD Province, Country/City is a minimum 10%. The health budget in Bogor City is still not a priority of the budget, but the main constituents of priority development of Bogor City. In addition, there are health budgets in health service preferred curative services rather than on promotif and preventive services. This research was conducted at establishments that have an important role in the planning and budgeting process. The design of this research is qualitative research. The results suggest that the health agency of Bogor City priorities budget for promotif and preventive services in budget planning and more often having consolidate with Bappeda, BPKAD and Legislative.