Potensi diskresi street level bureaucrat di puskesmas dalam implementasi universal health coverage : studi kasus puskesmas Krembangan Selatan, Surabaya
Date
2014
Authors
Journal Title
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Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background:Primary Health Centre may be described as street
level bureaucracy that plays important role in implementing
health services policy.The study aimed to analyze the threat of
street level bureaucrat in Universal Health Coverage
Implementation.
Methods:Michael Lipsky theory of street level bureaucrat
was usedto explain why Puksesmas takes central role in health
policy implementation. This case study was conducted in South
Krembangan, Surabaya. Observation and secondary data
analysis are the main tools to identify the daily pattern of
mismatch between goals and implementation, which referred
to as street level bureaucrat discretion in the implementation of
policy.
Results:The findings showed that there were negative
discretion in implementing policy caused by over workload in
providing health services. Such problems were caused by
problems in human resources management and insufficiency
of infrastructure.
Conclusion:Insufficient resources in Puskemaspotentially
trigger medical staffs to make negative discretion in theUniversal
Health Coverage implementation.
Description
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Journal Article (peer-reviewed)
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Keywords
BUREAUCRACY, PUBLIC ADMINISTRATION, HEALTH ADMINISTRATION, POLICY MONITORING, HUMAN RESOURCES MANAGEMENT, HEALTH INSURANCE, GOVERNANCE, GATEKEEPERS, HEALTH PERSONNEL, LOCAL GOVERNMENT
Citation
Priyo Nugroho, A. (2014). Potensi diskresi street level bureaucrat di puskesmas dalam implementasi universal health coverage : studi kasus puskesmas Krembangan Selatan, Surabaya. Jurnal Kebijakan Kesehatan Indonesia, 3(3): 138-145.