Evaluasi distribusi dokter dan akses masyarakat terhadap pelayanan medis di kabupaten Gunungkidul tahun 2010
Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background. The lack number of medical provider and
imbalanced distribution are the most relevant issues in human
resource planning and manning which effected on the
decreasing of health service indicator as the impact of lack of
skillful and experienced manpower when the health service
demand keeps increasing. Hence, evaluation on availability
and distribution of medical service as a basic to create a policy
on medical service arrangement in Gunungkidul district is
necessary.
Objective. This research was aimed to identify the availability
and distribution on medical service as well community access
in Gunungkidul district.
Method. This was a case study research that was conducted
in Gunungkidul district in February – April 2010 in Healh Office,
Regional Employee Board, 3 government hospitals, 30 Primary
Health Care and 111 branch Primary Health Care, 46 clinics
and 51 private doctors. The data was collected from
secondary data in 2008-2010 and in depth interview toward
government authority who managed medical providers; 6 in
health office, 3 in Regional Employee Board, 30 doctors and 30
medical service users. In addition, the data was analysed
descriptively.
Result. There was a lack of the availability of medical officer
in Gunungkidul district which was caused that there were
many employees who resigned from the job than those who
was signed in the past 3 years including private medical officers
who were depends on the role of government health officer
who had double practice. The arranged policy was not yet
maximum because of the limited funding. The distribution of
medical service was more in the area with high Product
Domestic Regional Bruto and in municipalities. The distance to
get medical service is in medium category. There was medical
service unavailability from 9 PM up to 5 AM in urban areas
except in the sub district which had inpatient treatment in
Primary Health Care and in municipality.
Conclusion. There was a lack of availability of medical
provider in Gunungkidul district. The arranged policy was not
yet optimum because of the limited funding. Distribution of
medical service was more in the area with high Product
Domestic Regional Bruto and municipality with medium category
community access and there was still medical service
unavailability at night.
Description
item.page.type
Journal Article (peer-reviewed)
item.page.format
Text
Keywords
INDONESIA--GUNUNGKIDUL, ACCESS TO HEALTH CARE, HUMAN RESOURCES DEVELOPMENT, PHYSICIANS, MEDICAL STAFF, DISTRIBUTION, GOVERNMENT ROLE, COMMUNITY HEALTH, LABOUR SHORTAGE,, RECRUITMENT, HEALTH POLICY
Citation
Azis, A., Meliala, A., & Lazuardi, L. (2012). Evaluasi distribusi dokter dan akses masyarakat terhadap pelayanan medis di kabupaten Gunungkidul tahun 2010. Jurnal Kebijakan Kesehatan Indonesia, 1(4): 202-209.