Priyo Nugroho, Arief2015-04-292015-04-292014Priyo 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): 138-145.2089-2624http://hdl.handle.net/10625/54080http://jurnal.kebijakankesehatanindonesia.net/index.php/petunjuk-bagi-penulis/17-link-terbit-sejak/94-2014Background: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.Text1 digital file (p. 138-145)application/pdfidBUREAUCRACYPUBLIC ADMINISTRATIONHEALTH ADMINISTRATIONPOLICY MONITORINGHUMAN RESOURCES MANAGEMENTHEALTH INSURANCEGOVERNANCEGATEKEEPERSHEALTH PERSONNELLOCAL GOVERNMENTJournal Article (peer-reviewed)