ABSTRAK
Puskesmas dan Klinik yang merupakan gate keeper dalam memberikan pelayananklinis kepada masyarakat harus dapat menyediakan pelayanan klinis tingkatpertama yang aman dan bermutu. Dengan kata lain, Puskesmas dan Klinikmerupakan ujung tombak dalam memberikan pelayanan kesehatan kepadamasyarakat. Prinsip penyelenggaraan Puskesmas yaitu pertenggungjawabankesehatan di daerah kerjanya membuat Puskesmas memiliki kewenangan untukmengkoordinir dan membina klinik yang berada di wilayah kerjanya. Namun, diKota Bandung, pelaksanaan pengawasan dan pembinaan klinik oleh Puskesmassaat ini tidak seragam dikarenakan tidak adanya pedoman pelaksanaanya dilapangan dan di tingkat Dinas Kesehatan pengelolaannya belum berjalan.Dengan menerapkan metode System Development Life Cycle (SDLC) Prototyping,penelitian ini bertujuan membangun prototype pengawasan dan pembinaan klinikoleh Puskesmas. Tahapan penting yang dilalui adalah menyusun format standarpengawasan, menetapkan standar klinik yang sesuai dengan pengawasan danpembinaan klinik oleh Puskesmas, dan menyusun informasi standar output.Terdapat 73 parameter yang terbagi ke 10 jenis kategori pengawasan dan 6 jeniskeluaran yang dihasilakan oleh sistem ini yang salah satunya adalah klinik yangsesuai dengan standar pengawasan dan pembinaan Puskesmas. Teknologiinternet, berupa prototype berbasis Web, yang memiliki keunggulan memangkasjarak dan waktu dapat menjadi solusi bersama. Tujuannya, selain keunggulandiatas, situs Web mampu berkomunikasi, melakukan jasa, mengumpulkaninformasi dari penguna dan berbagi basis data dengan pihak-pihak yang telahditentukan sebelumnya. Kebijakan yang mendukung pengembangan sisteminformasi ini dapat dilakukan pada perumusan pedoman pelaksanaan kegiatanpengawasan dan pembinaan klinik oleh Puskesmas dengan mengundang lebihbanyak pihak seperti oraganisasi profesi dan ASKLIN.
ABSTRACT
Puskesmas and Clinics, the gatekeepers of social health services, as spearheads inproviding first communal health services, always have to be on the top of theirroles, giving the community their basic health services. Puskesmas as a seniorpartner, has the authority to nurture, coordinate, and to monitor its subordinateClinics in order to implement their portion of health responsibility roles in thecommunity. However, in the City of Bandung, the implementation of monitoringand supervising clinic by Puskesmas is not in the same shape over one anotherdue unavaliable of implementation guidance in the field. The management of thisactivity at The District Health Office level has not been enabled yet. However, inthe city of Bandung, the implementations of Puskesmas and Clinics monitoring supervisingactivities differ one from another, due to the absence of a thoroughimplementation guideline that can act as a Puskesmas-Clinic uniformed.Meanwhile, at the District Health Office level, such guidance or system are alsoyet to be invented, controlled nor managed systematically. This research objectiveis to build a monitoring sytem prototype in which to help Puskesmas effectivelyperforms one of its functions and intended roles in the community, which are tomonitor and to supervise its subordinate Clinics. The system suitable to performin this environment is called System Development Life Cycle (SDLC).Important steps are arrange the standard format of supervision,establishing clinic standards monitoring and supervision of clinic by thePuskesmas, and the preparation of standard output information. The importantsteps are therefore broke down into three main stages. The first stage is to arrangethe standard form for supervision, to be followed by establishing clinical standardfor monitoring and supervising Clinics by the Puskesmas, and the third stage is toarrange the information standard output. The SLDC is going to generate seventythree parameters, which are then divided into ten different supervisory catagoriesand six different type of outputs. One of the outputs is going to produce a Clinicthat complies with Monitoring and Supervision Standards of Puskesmas. Webbaseddata, supported by lightning fast internet connection that shaves time anddistance, can be offered as solution to become the backbone of SLDC.Furthermore, web-based technology is projected to have the ability tocommunicate, to provide services, to collect information from users, and even tobe able to share data to many different type of pre-selected individuals orinstitutions. The governing policies which will support the development of thisinformation system can be proposed and formulated by Puskesmas under theClinical Supervision and Monitoring Guidelines, with the help of otherprofessional associates such as from ASKLIN or other professional institutions. |
T48343-Donny Hermanto.pdf :: Unduh