Formulasi rancangan kebijakan ketenagaan dokter umum di Kabupaten Blitar
Date
2012
Journal Title
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Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: The medical doctor ratio in the Regency of Blitar
is far below the normative ratio (1: 2,500). From the number of
physicians working in health institutions, it is clear that not only
the present ratio (1: 12,125) but the distribution in every district
is also uneven. Based on these two findings, this research
aims to formulate a manpower policy draft for medical
doctors in Blitar Regency. With reference to regency and national
level policy, the draft will take into consideration: the
community demographic characte-ristics, the number of
Puskesmas visitation, the number of Puskesmas, geographic
characteristics, infrastructure, health programs of Blitar Regional
Health Office, the availability of medical doctors and the
fiscal potency of Blitar Regency.
Methods: This is a policy research consisted of several
stages i.e. identifying public issues, formulating public issues,
analyzing public issues, deciding criteria and alternative policies,
and forecasting and determining target and priority. Conducted
from February until June 2008, the research location
was the Blitar Regency. Information sources are regency and
national level policy documents and also policy actors (policymakers
and policy-implementers).
Results: The result shows four basic estimations for medical
doctors’ manpower requirement which can be applied in Blitar
Regency. Those are the number of population, the number of
Puskesmas, the number of districts and the total visitation of
each Puskesmas. It was settled and approved by all policy
actors that the population number should be the basis for
estimating medical doctor’s manpower requirement. Pursuant
to this calculation, 454 medical doctors are projected for the
year 2009, up to 470 physicians in the year 2018. Blitar Regency
policy actors predict the increasing fiscal potency of
the regency following the trend of the past five years. The
prediction includes the increasing percentage of health budget.
Derived from the Focus Group Discussion, the policy actors
stated only 10 medical doctors for every two years could
be provided by the Blitar regional government.
Conclusion: The recommendations are: formulating medical
doctor’s policy implicitly should include medical doctor’s
facilitatiye character; using ideal ratio adapting to Blitar
regency’s recent condition and fiscal ability; using a strategy
of appointing medical doctor’s from the regency’s PTT (temporary
assigned doctors) and making an incentive pattern with
regard to Blitar Regency region mapping.
Description
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Journal Article (peer-reviewed)
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Keywords
POLICY MAKING, PHYSICIANS, LABOUR FORCE NEEDS, GENERAL PRACTITIONERS, HEALTH FINANCING, INDONESIA--BLITAR, HEALTH POLICY
Citation
Dwi Laksono, A., Pudjirahardjo, W.J., & Mulyono, I.M. (2012). Formulasi rancangan kebijakan ketenagaan dokter umum di Kabupaten Blitar. Jurnal Kebijakan Kesehatan Indonesia, 1(2): 84-92.