Analysis Of The Implementation Of Health Center Independence (Case Study On Health Center Bangkonol Koroncong District Pandeglang Regency)
Abstrak
The existence of the BLUD policy has brought major changes to all UPT Health Center in the Pandeglang Regency area, including UPT BLUD Health Center Bangkonol. However, in its implementation, the Bangkonol Community Health Center, after being declared a BLUD, experienced difficulties in implementing the BLUD policy, including experiencing difficulties in the independence of the Community Health Center, especially in financial management. The BLUD at the Bangkonol Community Health Center can be said to be not optimal, there are many obstacles experienced, including human resources which are still lacking in quality and quantity. Departing from this, the researcher studied using descriptive qualitative research methods with case studies. The results of this research are discussed using the theory from Mahmudi and Masnah that to find out the implementation of the independence of BLUD Community Health Centers can be done through financial independence patterns including instructive patterns, consultative patterns, participatory patterns and delegative patterns, Community Health Center Services and Human Resource Performance. The research results show that from several indicators it was found that the UPT BLUD of the Bangkonol Community Health Center could not be said to have complete independence, seen from the first indicator that the Bangkonol Community Health Center was independent in managing its finances but was found not to be confident in managing and making e-BLUD-based financial reporting. So it was found that there was still interference from the government in financial reporting using the eBLUD application. Furthermore, in the service indicators there are several patient complaints that the service is less than optimal and slow. The next indicator regarding human resources is that there are many weaknesses in the quality and quantity of human resources which cause the implementation of the independence of the Bangkonol Health Center after becoming a BLUD to be not optimal.
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Referensi
A. Prasetyo, R. R. Dewi, and E. Masitoh, “Analisis Kinerja Berdasarkan Konsep Value for Money Pada Badan Layanan Umum Daerah (Blud) Puskesmas Penumping Kota Surakarta,” Equilib. J. Ilm. Ekon. Manaj. dan Akunt., vol. 11, no. 2, p. 21, 2022, doi: 10.35906/equili.v11i2.1100.
L. I. Radjak and A. Taidi, “ANALISIS PENGELOLAAN KEUANGAN SESUAI PERMENDAGRI NOMOR 79 TAHUN 2018 TENTANG BADAN LAYANAN UMUM DAERAH DI PUSKESMAS TOLANGOHULA Abstrak :,” J. Syariah Account. Public, vol. 5, no. 2, pp. 103–111, 2022, doi: 10.31314/jsap.4.2.47-56.2022.
T. R. Shovia, S. Mutmainah, and Nikmatuniayah, “Analisis Penerapan Psap No. 1Tentang Penyajian Laporan Keuangan PadaUptd Puskesmas Gunung Pati Semarang,” J. Aktual Akunt. Keuang. Bisnis Terap., vol. 3, no. 1, pp. 89–101, 2020.
R. Syahnita, “No 主観的健康感を中心とした在宅高齢者における 健康関連指標に関する共分散構造分析Title,” Modul Biokimia Mater. Metab. Lemak, Daur Asam Sitrat, Fosforilasi Oksidatif Dan Jalur Pentosa Fosfat, vol. 5, p. 6, 2021.
N. Norfai, M. F. Indah, E. Rahman, and A. Abdullah, “Analisis Pelaksanaan Program Kelas Ibu Hamil Pada Masa New Normal Di Puskesmas 9 Nopember Kota Banjarmasin,” An-Nadaa J. Kesehat. Masy., vol. 9, no. 2, p. 167, 2022, doi: 10.31602/ann.v9i2.8068.
F. Sidik, “Menggali Potensi Lokal Mewujudkan Potensi Desa,” J. Kebijak. dan Adm. Publik, vol. 19, no. 2, pp. 115–131, 2015.
Dian Handayani, Agus Lukman Hakim, and Jumanah, “Efektivitas Penerapan Pola Pengelolaan Keuangan Badan Layanan Umum Daerah (BLUD) di PUSKESMAS Kaduhejo Kabupaten Pandeglang,” Sawala J. Adm. Negara, vol. 12, no. 1, pp. 133–151, 2024, doi: 10.30656/sawala.v12i1.8635.
A. Rahma, S. P. Arso, and A. Suparwati, “Implementasi Fungsi Pokok Pelayanan Primer Puskesmas Sebagai Gatekeeper Dalam Program Jaminan Kesehatan Nasional(Studi Di Puskesmas Juwana Kabupaten Pati),” JKM, vol. 3, no. 3l, 2015.
H. Iriyanto, “Pengelolaan Badan Layanan Umum Daerah Di Sekolah Menengah Kejuruan Negeri Jakarta,” JPG J. Pendidik. Guru, vol. 4, no. 4, pp. 400–415, 2023.
N. L. P. E. Albertus Sunuwata Triprasetya, Laksono Trisnantoro, “Analisis Kesiapan Penerapan Kebijakan Badan Layanan Umum Daerah ( BLUD ) Puskesmas di Kabupaten Kulon Progo ( Studi Kasus di Puskesmas Wates dan Puskesmas Girimulyo II Kabupaten Kulon Progo ) An Analysis on the Readiness to Apply Local Public Service Agen,” J. Kebijak. Kesehat. Indones., vol. 03, no. 03, pp. 124–137, 2014.
L. Nurva and C. Maharani, “Analisis Pelaksanaan Kebijakan Penanggulangan Stunting: Studi Kasus di Kabupaten Brebes Analysis of Stunting Management Policy Implementation: A Case Study in Brebes Regency,” • J. Kebijak. Kesehat. Indones. JKKI, vol. 12, no. 02, pp. 74–83, 2023.
S. E. Deni Triyanto, “Analisis Penerapan Elektronik Kesehatan ( E-Kes ) di Puskesmas Rawat Inap Kota Bengkulu Analysis of the Application of Electronic Health ( E-Kes ) On Puskesmas Bengkulu City menurut ombustman Republik Indonesia Provinsi Bengkulu Tahun 2017 bahwa Kota Beng,” J. Adm. Publik (Public Adm. Journal), vol. 9, no. 2, pp. 158–165, 2019, [Online]. Available: http://ojs.uma.ac.id/index.php/jap
C. Windani and U. Rosidin, “Kemandirian Pasien Diabetes Melitus Tipe II dalam Pengelolaan Penyakit di Puskesmas Tarogong,” J. Kesehat. dan Kebidanan …, vol. 1, pp. 75–81, 2023, [Online]. Available: https://loddosinstitute.org/journal/index.php/JKN/article/view/58%0Ahttps://loddosinstitute.org/journal/index.php/JKN/article/download/58/53
S. Ekawati, F. Julianti Salaka, and K. Budiningsih, “Analysis on Readiness of Yogyakarta Forest Management Unit As Sub-National Public Service Agencies,” J. Anal. Kebijak. Kehutan., vol. 15, no. 1, pp. 1–18, 2018, doi: 10.20886/jakk.2018.15.1.1-18.
N. Putu, D. Pariantini, N. M. Kurniati, K. Fina, and A. Putri, “Analysis of Puskesmas Regional Public Service Agency System ( BLUD ) in Bangli District in 2022 Analisis Penerapan Sistem Badan Layanan Umum Daerah ( BLUD ) Puskesmas di Kabupaten Bangli Tahun 2022 Prodi Kesehatan Masyarakat , Universitas Dhyana Pura , Ba,” vol. 2, no. 3, pp. 153–164, 2023.
M. R. Imawan, M. Amirya, B. Aap, A. Aap, and U. Brawijaya, “Analisis Kesiapan Rumah Sakit Umum Daerah Untuk Menerapkan PPK-BLUD (Studi Kasus Pada RSUD X Kabupaten Y),” J. Ilm. Ekon., vol. 4, pp. 1–18, 2016.
Meidiawaty Siregar and Satyawaty Sulubara, “Analisis Penerapan Kinerja Posyandu Di Wilayah Puskesmas Hanopan Kecamatan Arse Kabupaten Tapanuli Selatan Tahun 2020,” J. Ilm. PANNMED (Pharmacist, Anal. Nurse, Nutr. Midwivery, Environ. Dent., vol. 17, no. 1, pp. 96–101, 2022, doi: 10.36911/pannmed.v17i1.1274.
R. Nora, “Studi Fenomenologi: Pengalaman Keluarga Matrilinial Dalam Merawat Klien Perilaku Kekerasan Di Kota Padang,” J. Endur., vol. 3, no. 3, p. 422, 2018, doi: 10.22216/jen.v3i3.2988.
A. C. Khoirullisa, A. N. Pringgosari, and Intan, “Implementasi Prinsip Fleksibilitas Pengelolaan Dana Badan Layanan Umum Daerah pada Instansi Pemerintah,” J. Pengabdi. …, vol. 1, no. 2, pp. 14–21, 2023, [Online]. Available: https://ejurnal.stpdianmandala.ac.id/index.php/jpdm/article/view/78%0Ahttps://ejurnal.stpdianmandala.ac.id/index.php/jpdm/article/download/78/88
V. W. Korneles, G. B. Nangoi, and L. Kalangi, “Penilaian Kinerja Rumah Sakit Umum Daerah Setelah Pelaksanaan Pola Pengelolaan Keuangan BLUD Pada Rumah Sakit Umum Daerah Liun Kendage Tahuna,” J. Ris. Akunt. Dan Audit. “Goodwill,” vol. 10, no. 2, p. 184, 2019, doi: 10.35800/jjs.v10i2.26379.
F. L. Zulfa and Sunarto, “Perbandingan Implementasi Kebijakan Anggaran dalam Pelaksanaan Standar Pelayanan Minimal Bidang Kesehatan di Puskesmas Gamping 1 dan Puskesmas Salaman 1,” Berk. Ilm. Kedokt. dan Kesehat. Masy. (Scientific Period. J. Med. Public Heal., vol. 1, no. 1, pp. 19–28, 2023, doi: 10.20885/bikkm.vol1.iss1.art3.
T. Irawan, R. V. N. Latif, and W. Wahyuningsih, “Analisis Existing Dan Forecasting Puskesmas Blud Kota Pekalongan : Upaya Menuju Kemandirian Pengelolaan Layanan Kesehatan Primer,” J. Litbang Kota Pekalongan, vol. 11, pp. 42–56, 2016, [Online]. Available: https://jurnal.pekalongankota.go.id/index.php/litbang/article/view/4
A. Penelitian, F. Rahmanda, F. Pramita, G. Fakultas, K. Masyarakat, and I. K. Masyarakat, “Attribution-ShareAlike 4.0 International Some rights reserved Analisis Implementasi Kebijakan Pencegahan dan Penanggulangan Stunting Terintegrasi Dalam Program Gerakan 1000 HPK di Puskesmas Pagar Jati,” 2022.
dkk Purba, “Analisis Implementasi Kebijakan Penanggulangan Tb Dalam Meningkatkan Kualitas Hidup Penderita Tb Paru Di Puskesmas Tigabaru Kabupaten Dairi Tahun 2018,” J. Chem. Inf. Model., vol. 53, no. 9, pp. 1689–1699, 2019.
C. Di, D. Sukajadi, K. Carita, and K. Pandeglang, “Vol. 2, No. 2, Tahun 2024,” vol. 2, no. 2, 2024.
S. Megawati, A. Hartono, and I. F. Ulfah, “Analisis Efisiensi, Efektivitas, dan Tingkat Kemandirian Penggunaan Dana Bantuan Operasional Kesehatan (BOK) dalam Rangka Menilai Capaian Kinerja Program di Puskesmas Gemaharjo Kabupaten Pacitan,” Acad. Manag. Bus., vol. 2, no. 1, pp. 20–32, 2023, [Online]. Available: https://garuda.kemdikbud.go.id/documents/detail/3341589
L. Wedyarti, B. Setiaji, and F. Masra, “Analisis Pelaksanaan Program Prolanis Di Puskesmas Rawat Inap Biha Kabupaten Pesisir Barat,” Poltekita J. Ilmu Kesehat., vol. 15, no. 3, pp. 301–308, 2021, doi: 10.33860/jik.v15i3.505.
N. Novfattra, H. Hardisman, and R. Semiarty, “Analisis Implementasi Kebijakan Tentang Gerakan Nagari Peduli Tuberkolosis Di Kenagarian Magek Kecamatan Kamang Magek Kabupaten Agam Tahun 2018,” J. Kesehat. Andalas, vol. 8, no. 2, p. 331, 2019, doi: 10.25077/jka.v8i2.1009.
N. Fadhilah, “Asuhan Keperawatan Keluarga Meningkatkan Kemandirian Merawat Penderita Tuberkulosis,” J. Ilm. Kesehat., vol. 3, no. 6, 2014, doi: 10.35952/jik.v3i6.49.
