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"Penelitian ini bertujuan untuk mengetahui hubungan beberapa faktor internal dan eksternal rumah sakit terhadap lama hari rawat pasien bedah di RSUP Sanglah Denpasar. Penelitian ini menggunakan rancangan studi retrospektif yang mencatat data pasien bedah yang dirawat di ruang rawat inap bedah kelas III RSUP Sanglah selama tahun 2011. Dari 11 variabel independen yang dinilai, didapatkan 5 faktor yang memiliki hubungan bermakna terhadap lama hari rawat pasien yang menjalani pembedahan. Kelima faktor tersebut berturut turut dari yang terkuat hubungannya adalah; diagnosa penyakit, komplikasi operasi, jenis operasi, teknik operasi dan pelaksana operasi. Hasil penelitian ini juga dapat dijadikan formula untuk memprediksi lama hari rawat pasien bedah yang baru masuk rumah sakit.

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This study aimed to determine the relationship of internal and external factors of hospital to length of stay in surgical patients at Sanglah Public General Hospital. This study used a retrospective study design that records data surgical patients treated in the surgical ward Sanglah General Hospital during 2011. Of the 11 independent variables considered, it was found five factors that have significant ties to length of stay for patients who undergo surgery. Consecutive five factors of the strongest relationships were; diagnosis of disease, complications of surgery, type of surgery, operative techniques, and operator of surgery. The results of this study can also be used as a formula to predict the length of stay day of a new ambulatory surgical patients who admitted to hospital."

"Puskesmas merupakan ujung tombak pelaksana pelayanan kesehatan yang sangat strategis dalam melaksanakan berbagai kebijakan dan program kesehatan, seperti SPM, PISPK, dan KBK-BPJS. Kebijakan-kebijakan yang dilaksanakan secara bersama-sama menimbulkan situasi koeksistensi. Penelitian ini bertujuan untuk mengetahui apakah pelaksanaan kebijakan SPM, PISPK, dan KBK-BPJS di Puskesmas terjadi koeksistensi secara mutually exclusive (saling berdiri sendiri), competitive (berkompetisi), complementary (saling mendukung) dan integrated (terintegrasi) dalam hal tenaga, waktu, sarana, dana, dan pelaporan di Puskesmas di Kabupaten Bogor. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam terhadap 15 orang informan yang berada di Puskesmas Bojonggede, Puskesmas Cibinong, Puskesmas Cirimekar, Puskesmas Kemuning dan Dinas Kesehatan Kabupaten Bogor. Hasil penelitian menunjukkan bahwa koeksistensi secara mutually exclusive terjadi pada aspek pelaporan, sistem pelaporan program mempunyai aplikasi masing-masing seperti SIKDA, SIMPUS, dan Laporan Suplemen pada program SPM, Web Keluarga Sehat pada program PISPK, dan P-Care untuk pelaporan KBK-BPJS. Koeksistensi secara competitive terjadi pada aspek tenaga dan waktu kerja. Pelaksanaan program yang dinilai paling berat adalah PISPK, sementara SPM dinilai program rutin yang biasa dilakukan di puskesmas. KBK BPJS dinilai lebih mudah dilaksanakan daripada PISPK dalam hal pencapaian angka kontak. Complementary terjadi pada aspek sarana dan dana. Pelaksanaan ketiga kebijakan SPM, PISPK, dan KBK-BPJS sistemnya belum terintegrasi sempurna.<

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Centre or in Indonesia called Puskesmas plays a crucial and strategical role as a health care provider in implementing various policies and health program such as Minimum Service Standards (SPM), Healthy Indonesia Program with family approach (PIPSK), and Capitation-Based on Service Commitment (KPK-BPJS). Implementing the policies and programs simultaneously creates a condition called coexistence. This study aims to investigate whether implementation of the policies in Puskesmas works in a coexistence manner that is mutually exclusive, competitive, complementary and integrated in terms of human resources, work time, health facilities, funds and reporting. This study used a qualitative approach through in-depth interviews with 15 informants who were met at the community health centre in Bojonggede, Cibinong, Cirimekar, Kemuning and at the department of health of Bogor. The results of this study showed that the coexistence of mutually exclusive occurs in reporting. Specifically, program reporting systems have their own applications including SIKDA, SIMPUS, supplement report for SPM program; Health Family Web for PISPK and P-Care for KBK-BPJS. This study also found that the coexistence of competitive occurs in human resources and work time. PISPK is claimed as the most difficult program to carry out at the health centre in Bogor in comparison to KPK-BPJS in terms of achieving contact rates. Also, the program that routinely is done at the primary health centre in Bogor is SPM. The current study further indicates that the coexistence of complementary occurs in health facilities and funds. Finally, the coexistence of integrated policies such as implementations of SPM, PIPSK and KPK-BJS has not been fully worked at the community health centre in Bogor."

"RS Syarif Hidayatullah sejak tahun 2018 telah bergabung dengan UIN Syarif Hidayatullah Jakarta. Status Rumah Sakit berubah dari yang semula Yayasan menjadi Unit BLU dari UIN Syarif Hidayatullah. Beberapa masalah muncul antara lain mengenai pengadaan, keuangan dan kepegawaian. Masalah-masalah yang muncul dalam suatu kebijakan dapat menunjukkan apakah buruk dalam formulasi kebijakan, ketidaktepatan implementasi, rendahnya efektivitas evaluasi, atau kurang mendukungnya berbagai aktor serta faktor eksternal dan internal yang berperan dalam tahapan pengembangan kebijakan. Penelitian ini adalah penelitian kualitatif dengan framework siklus kebijakan. Hasil penelitian didapatkan formulasi kebijakan bersifat top down, Rumah Sakit tidak banyak dilibatkan. Pada proses adopsi, saat ini baru terbentuk pedoman pengadaan barang dan jasa, pedoman kepegawaian dan keuangan belum terbentuk. Pada implementasi, Renstra baru belum ada, SPM sudah ada, namun monitoring belum dilakukan secara optimal. Hanbatan yang dialami antara lain adanya perbedaan pemahaman antara Rumah Sakit dengan UIN dalam komunikasi. Dalam sumber daya, ada kekosongan SDM di jajaran manajemen dan belum adanya pedoman kepegawaian. Dalam sumber daya financial, kurangnya fleksibilitas keuangan RS. Dalam birokrasi, Rumah Sakit belum tercantum dalam statuta UIN Syarif Hidayatullah.

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Syarif Hidayatullah Hospital since 2018 has joined UIN Syarif Hidayatullah Jakarta. The status of the hospital changed from what was originally a Foundation to a BLU Unit of UIN Syarif Hidayatullah. Several problems arose among others regarding procurement, finance and staffing. Problems that arise in a policy can indicate whether it is bad in policy formulation, imprecise implementation, low effectiveness of evaluation, or lack of support for various actors and external and internal factors that play a role in the policy development stage. This research is a qualitative research with a policy cycle framework. The results showed that the policy formulation was top down, hospitals were not involved much. In the adoption process, currently only guidelines for the procurement of goods and services have been formed, and personnel and financial guidelines have not yet been formed. In implementation, the new Strategic Plan does not yet exist, SPM already exists, but monitoring has not been carried out optimally. The obstacles experienced include differences in understanding between hospitals and UIN in communication. In terms of resources, there is a vacancy in human resources in management and there is no staffing guideline. In terms of financial resources, the lack of financial flexibility of hospitals. In the bureaucracy, hospitals have not been listed in the statutes of UIN Syarif Hidayatullah."