Kepuasan Kerja Tenaga Medis pada Era Jaminan Kesehatan Nasional
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Abstract
Medical personnel as the spearhead of hospital services deeply feel the change in health care system inNational Health Insurance (NHI) era that implements the system of quality control and cost control. The aimof the research was to explore the employee satisfaction of medical personnel in the era of the National HealthInsurance in Regional Public Hospital of Sinjai. The research was a descriptive qualitative study with a case studyapproacch. The informants were medical personnel as functional personnel. To obtain additional information ascomparison, the researcher also interviewed the director, the head of service and nursing unit, the head of financialsub-unit, and Sisrute officials in Regional Public Hospital of Sinjai. The data were obtained through indepthinterview, observation and documentation. The result of the research indicate the service system in the era ofNational Health Insurance is good, but its implementation has not runas it is expected. The cooperation betweenBPJS and Regional Public Hospital of Sinjai is considered slow and inconsistent and sometimes the problemsolving is not followed up. Medical personnel in Regional Public Hospital of Sinjai is satisfied with transparencyof medical service division, but the number of Ina CBGs packages are still under the standar and time of paymentof medical service is late.
References
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12. Grembowski D, Paschane D, Diehr P, Katon W, Martin D, Patrick Dl. Managed Care, Physician Job Satisfaction, And The Quality Of Primary Care. J Gen Intern Med. 2005;20(3):271-277. Doi:10.1111/J.1525-1497.2005.32127.X.
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14. Eskandari M, Abbaszadeh A, Borhani F. Barriers of Referral System to Health Care Provision in Rural Societies In Iran. J Caring Sci.2013;2(3):229-236.
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16. Primasari Kl. Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD. Dr. Adjidarmo Kabupaten Lebak. J Arsi. 2015;1(2):78-86.
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20. Warren Mg, Weitz R, Kuhs S. The Impact of Managed Care on Physicians. 1999;24(2):44-56.
21. Iroth Js. Dampak Penerapan Clinical Pathwayterhadap Biaya Perawatan Pasien Stroke Iskemik Akut di RS Bethesda Yogyakarta [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2016.
22. Herti T. Kepatuhan Dokter Spesialis Terhadap Implementasi Formularium Nasional Di RSUD Dr. M. Yunus Bengkulu [Tesis]. Yogyakarta:Universitas Gadjah Mada, 2015.
23. Tanner Ae, Ranti L, Lolo Wa. Evaluasi Pelaksanaan Pelayanan Resep Obat Generik pada Pasien BPJS Rawat Jalan di RSUP . Prof . Dr.
R . D . Kandou Manado Periode Januari-Juni 2014. Pharmacon. 2015;4(4):58-64.
24. Bina Ampera Bukit, Laksono Trisnantoro Am. Kepuasan Kerja Dokter Spesialis di Rumah Sakit Umum Daerah Manna Kabupaten Bengkulu Selatan Dengan Pendekatan Emic.J Manajamen Pelayanan Kesehatan. 2003;06.
25. Friedberg Mw, Chen Pg, Van Busum Kr, Et Al. Factors Affecting Physician Professional Satisfaction and Their Implications for Patient
Care, Health Systems, And Health Policy.; 2013. Doi:10.1214/07-Ejs057.
26. Kairys J, Zebiene E, Šapoka V, Zokas I. Satisfaction with Organizational Aspects of Health Care Provision Among Lithuanian Physicians. Cent Eur J Public Health. 2008;16(1):29-33.
27. Sudita I N. Pengaruh Kepuasan Gaji, Kepuasan Kerja, dan Komitmen terhadap Turn Over Intention (Studi Kasus pada Bidan Praktek Swasta di Kabupaten Sleman). J Bisnis Dan Ekon. 2015;6(1):89-99.
28. Noprinaldi, Meliala A, Utarini A. Persepsi Pengaruh Sistem Pembagian Jasa Pelayanan Terhadap Kinerja Karyawan di Rumah Sakit
Jiwa Madani. J Manaj Pelayanan Kesehat. 2006;09(02):65-71.
29. Diliana S A. Analisis Kepuasan Kerja Dokter Spesialis pada Pelaksanaan Jaminan Kesehatan Nasional di RS Nene Mallomo Kabupaten Sidenreng Rappang dan RSUD Kota Makassar Tahun 2014. [Tesis]. Makassar: Universitas Hasanuddin, 2014
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2. Tyssen R, Palmer Ks, Solberg Ib, Voltmer E,Frank E. Physicians’ Perceptions of Quality Of Care, Professional Autonomy, and Job Satisfaction in Canada, Norway, And The United States. Bmc Health Serv Res. 2013;13(1):516. Doi:10.1186/1472-6963-13-516.
3. Kim Kh, Park Ec, Hahm M Il. The Gap Between Physicians and The Public in Satisfaction with The National Health Insurance System in Korea. J Korean Med Sci. 2012;27(6):579-585. Doi:10.3346/Jkms.2012.27.6.579.
4. Meutiah, Latifa Dara & Saifuddin Ishak. Analisis Kepuasan Dokter Spesialis terhadap Program Jaminan Kesehatan Nasional (JKN) di Rumah Sakit Umum Daerah Dr. Zainoel Abidin Tahun 2014. J Kedokt Syiah Kumala. 2015;15:7-19.
5. Permenkes RI Nomor 71 Tahun 2013 tentang Pelayanan Kesehatan Pada Jaminan Kesehatan Nasional. Jakarta: Kementerian Kesehatan
RI. 6. Sugiyono. Metode Penelitian Kuantitatif Dan Kualitatif (7th Ed.). Vol 7th Ed. Bandung: Alfabeta.
7. Perrot J. Different Approaches to Contracting in Health Systems. Bull World Health Organ. 2006;84(11):859-866. Doi:10.2471/
Blt.06.034314.
8. Dugguh Si. Job Satisfaction Theories: Traceability to Employee Performance In Organizations. Iosr J Bus Manag Ver I. 2014;16(5):2319- 7668.
9. Peraturan Menteri Kesehatan No.5 Tahun 2014.Tentang Panduan Praktek Klinis Bagi Dokter Di Fasilitas Pelayanan Primer. Jakarta
: Kementerian Kesehatan RI.
10. Bovier P A, Perneger T V. Predictors of Work Satisfaction Among Physicians. Eur J Public Health. 2003;13(4):299-305.
11. Bagheri S, Kousha A, Janati A, Asghari-Jafarabadi M. Factors Influencing The Job Satisfaction of Health System Employees in Tabriz,
Iran. Heal Promot Perspect. 2012;2(2):190-196.
12. Grembowski D, Paschane D, Diehr P, Katon W, Martin D, Patrick Dl. Managed Care, Physician Job Satisfaction, And The Quality Of Primary Care. J Gen Intern Med. 2005;20(3):271-277. Doi:10.1111/J.1525-1497.2005.32127.X.
13. Kemenkes RI. Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional dalam Sistem Jaminan Sosial Nasional. Departemen Kesehatan RI. 2013:1-75. Doi: 10.1017/Cbo9781107415324.004.
14. Eskandari M, Abbaszadeh A, Borhani F. Barriers of Referral System to Health Care Provision in Rural Societies In Iran. J Caring Sci.2013;2(3):229-236.
15. Forrest Cb, Glade Gb, Baker Ae, Bocian A, Von Schrader S, Starfield B. Coordination of Specialty Referrals and Physician Satisfaction With Referral Care. Arch Pediatr Adolesc Med. 2000;154(5):499. Doi:10.1001/Archpedi.154.5.499.
16. Primasari Kl. Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD. Dr. Adjidarmo Kabupaten Lebak. J Arsi. 2015;1(2):78-86.
17. Buchert Ar, Butler G A. Clinical Pathways. Driving High-Reliability and High-Value Care. Pediatr Clin North Am. 2016;63(2):317-328. Doi:10.1016/J.Pcl.2015.12.005.
18. Saputra Aa, Yono Lh, Sito L, Irvianti D. Analisis Pengaruh Keterlibatan Kerja dan Kepuasan Kerja terhadap Organizational Citizen Behavior Di Pt Prima Graphia Digital. Binus Bus Rev. 2013;4(2):897-903.
19. Stoddard Jj, Hargraves Jl, Reed M, Vratil A.Managed Care, Professional Autonomy, and Income: Effects on Physician Career Satisfaction. J Gen Intern Med. 2001;16(10):675-684. Doi:10.1046/J.1525-1497.2001.01206.X.
20. Warren Mg, Weitz R, Kuhs S. The Impact of Managed Care on Physicians. 1999;24(2):44-56.
21. Iroth Js. Dampak Penerapan Clinical Pathwayterhadap Biaya Perawatan Pasien Stroke Iskemik Akut di RS Bethesda Yogyakarta [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2016.
22. Herti T. Kepatuhan Dokter Spesialis Terhadap Implementasi Formularium Nasional Di RSUD Dr. M. Yunus Bengkulu [Tesis]. Yogyakarta:Universitas Gadjah Mada, 2015.
23. Tanner Ae, Ranti L, Lolo Wa. Evaluasi Pelaksanaan Pelayanan Resep Obat Generik pada Pasien BPJS Rawat Jalan di RSUP . Prof . Dr.
R . D . Kandou Manado Periode Januari-Juni 2014. Pharmacon. 2015;4(4):58-64.
24. Bina Ampera Bukit, Laksono Trisnantoro Am. Kepuasan Kerja Dokter Spesialis di Rumah Sakit Umum Daerah Manna Kabupaten Bengkulu Selatan Dengan Pendekatan Emic.J Manajamen Pelayanan Kesehatan. 2003;06.
25. Friedberg Mw, Chen Pg, Van Busum Kr, Et Al. Factors Affecting Physician Professional Satisfaction and Their Implications for Patient
Care, Health Systems, And Health Policy.; 2013. Doi:10.1214/07-Ejs057.
26. Kairys J, Zebiene E, Šapoka V, Zokas I. Satisfaction with Organizational Aspects of Health Care Provision Among Lithuanian Physicians. Cent Eur J Public Health. 2008;16(1):29-33.
27. Sudita I N. Pengaruh Kepuasan Gaji, Kepuasan Kerja, dan Komitmen terhadap Turn Over Intention (Studi Kasus pada Bidan Praktek Swasta di Kabupaten Sleman). J Bisnis Dan Ekon. 2015;6(1):89-99.
28. Noprinaldi, Meliala A, Utarini A. Persepsi Pengaruh Sistem Pembagian Jasa Pelayanan Terhadap Kinerja Karyawan di Rumah Sakit
Jiwa Madani. J Manaj Pelayanan Kesehat. 2006;09(02):65-71.
29. Diliana S A. Analisis Kepuasan Kerja Dokter Spesialis pada Pelaksanaan Jaminan Kesehatan Nasional di RS Nene Mallomo Kabupaten Sidenreng Rappang dan RSUD Kota Makassar Tahun 2014. [Tesis]. Makassar: Universitas Hasanuddin, 2014
Authors
Arifin, N. F., A. Pasinringi, S., & Palu, B. (2018). Kepuasan Kerja Tenaga Medis pada Era Jaminan Kesehatan Nasional. Media Kesehatan Masyarakat Indonesia, 14(2), 190-200. https://doi.org/10.30597/mkmi.v14i2.4531
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