Analisis lingkungan Rumah Sakit Umum Bethesda Serukam Kalimantan Barat sebagai dasar pemilihan strategi dalam menghadapi sistem jaminan sosial nasional
Date
2014
Journal Title
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Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: Universal Health Coverage known as Jaminan
Kesehatan Nasional (JKN) started at 1st January 2014 managed
by the Social Security Administrative Bodies (BPJS). Bethesda
General Hospital is a class C hospital that located in
Bengkayang Regency, West Borneo. This hospital does not
have any strategic plan which requires an analysis to map
the issues needed to join in JKN system. The analysis can
become a recommendation for the hospital strategic plan.
Objective: To describe the analysis of the health insurance
for patient service unit in the hospital and giving a
recommendation for the hospital strategic planning.
Method: The study design is a case study with a single-case
embedded design. The informant are Head Regency, Health
Office, Hospital Directors of other hospital, Bethesda General
Hospital worker, Bethesda Serukam Foundation and World
Venture Mission. The data taken from observation, in-depth
interview, FGD and secondary data.
Result: The hospital has the opportunities that come from
government support, cooperation with other surrounding
hospital which helped the hospital to gain a good reputation
and many patients with UHC. The threats are the unclear of
UHC socialization, and market competition with other
surrounding hospitals and hospital tendency to accept severe
diagnosis. The hospital strengths are equity service in
organization culture, teamwork and support from mission/donor.
The weaknesses are lack of quality and budget control, no
clinical pathway, the health information system is not running
well, lack of human resources and competence, also unclear
organization structure.
Conclusion and recommendation: The SWOT resulted
from hospital environment helps to formulate the strategy toward
universal health coverage. The general strategic suggested is
the growth strategy in healthcare services.
Description
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Journal Article (peer-reviewed)
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Keywords
HEALTH INSURANCE, INDONESIA--BORNEO, HEALTH PLANNING, HOSPITAL MANAGEMENT, REFERRAL AND CONSULTATION, CARE STANDARDS, ORGANIZATIONAL CULTURE, GOVERNMENT ROLE
Citation
Tatie Marksriri, T., Trisnantoro, L., & Andayani, N.P.E. (2014). Analisis lingkungan Rumah Sakit Umum Bethesda Serukam Kalimantan Barat sebagai dasar pemilihan strategi dalam menghadapi sistem jaminan sosial nasional. Jurnal Kebijakan Kesehatan Indonesia, 3(4): 213-218.