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Misnaniarti Misnaniarti
Bagian AKK Fakultas Kesehatan Masyarakat Universitas Sriwijaya
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Journal : Health Science Journal of Indonesia

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The role of the medical committee in hospital’s clinical governance in Jambi Province Elfi Yennie; Dumilah Ayuningtyas; Misnaniarti Misnaniarti
Health Science Journal of Indonesia Vol 9 No 2 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v9i2.816

Abstract

Latar Belakang: Tata kelola klinis bertujuan untuk memastikan bahwa layanan kesehatan berjalan sesuaidengan standar keamanan yang tinggi dan kualitas berkelanjutan. Komite Medis bertanggung jawab untukpelaksanaan tata kelola klinis yang baik di rumah sakit. Penelitian ini bertujuan untuk mengetahui peranKomite Medik dalam tata kelola klinis rumah sakit di era Jaminan Kesehatan Nasional (JKN) pada RS UmumDaerah (RSUD) di Provinsi Jambi. Metode: Desain penelitian bersifat kualitatif. Pengumpulan data dari Agustus hingga Desember 2016di tiga RSUD kelas C di Provinsi Jambi dan mencakup 23 informan yang diambil melalui wawancaramendalam dan Focus Group Discussion. Hasil: Hasil penelitian menunjukkan bahwa Komite Medik belum berperan optimal dalam proses kredensialing,pemeliharaan mutu profesi dan penjagaan disiplin/etika profesi. Tugas dan fungsi kredensialing di beberaparumah sakit belum berjalan sebagaimana mestinya (karena digunakan untuk persyaratan penerimaan dokterbaru, tetapi tidak untuk menyaring kompetensi dokter), terkesan formalitas, serta sulit dilakukan karena belummemiliki Mitra Bestari. Kebijakan Jaminan Kesehatan Nasional memberi pengaruh baik terhadap perankomite medik dalam tata kelola klinis RS, karena terdapat beberapa regulasi atau peraturan pelaksana tentangJKN yang terintegrasi dengan peran komite medik, khususnya pada aspek kendali mutu kendali biaya. Kesimpulan: Dapat disimpulkan Komite Medik secara umum belum berperan optimal dalam tata kelolaklinis pada RSUD Kelas C di Provinsi Jambi. Oleh karena itu, rumah sakit perlu meningkatkan kompetensi,etika dan disiplin profesi medik, serta penyempurnaan regulasi terpadu terkait tata kelola klinis di rumahsakit. (Health Science Journal of Indonesia 2018;9(2):100-6) Kata kunci: komite medik, tata kelola klinis, RS, Jaminan Kesehatan Nasional. Abstract Background: Clinical governance aims to ensure that health services run according to high safety standardsand ongoing quality. The medical committee is responsible for the implementation of good clinical governanceof the hospital. This study aims to analyze the role of the medical committee in the clinical governance ofhospitals in the era of National Health Insurance (JKN). Methods: The research design is qualitative. Data collection spans from August to December 2016 in threehospitals in Jambi Province and includes 23 informants who were observed throughout in-depth interviews andfocus group discussions. Results: The results show that the medical committee has not played an optimal role in the process ofcredentialing, maintaining professional quality, and guarding the discipline/professional ethics of the hospital.The duties and functions of credentials in some hospitals are not working properly (because used to apply tonew doctor admission requirements, but not as to screen the competence of doctors), seem excessively formaland difficult to implement because they do not have Mitra Bestari yet. JKN policy has a good influence on therole of the medical committee in the clinical governance of the hospital, as there are several regulations that are integrated with the role of the medical committee, especially in the areas of quality control and cost control. Conclusion: It can be concluded that the medical committee in general has not played an optimal role in theclinical governance of hospitals in Jambi Province. Therefore, it is necessary to improve the competence, ethics,and discipline of the medical profession in addition to integrating regulations related to clinical governance inhospitals. (Health Science Journal of Indonesia 2018;9(2):100-6) Keywords: Medical committee, clinical governance
Co-Authors : Samwilson Slamet, : Samwilson Affandi, Ashar Kholik Agustianto, Nicko Agustine, Farina Eka Ainun Hafilda, Shafira Aji Muhawarman Alta Fatra Alta Fatra, Alta Alvera Noviyani Amayu, Rizka Amiyarsih, Sri Andodi Andodi, Andodi Andries Lionardo Andries Lionardo Andries Lionardo, Andries Anita Rahmiwati Annisa Rahmawati Annisa Soraya Salsabila Arnita Hotmauli As Shadiqy, Muhamad Chalid Ashar Kholik Afandi Asmaripa Ainy Asri Maharani Asri Nur Maulidya Azhar Kholiq Affandi Azizah, Shinta Bella, Febriani Dwi Besral . Budi Hidayat Budi Hidayat Cerah Puspinarti Citra Afny Sucirahayu Citrasari Syarkowi Deasi Novia Della Anggraini Putri Desi Ratnasari Deslima, Nina Destanti, Ruri Dian Hayati Dian Kartika Dian Safriantini Dian Safriantini, Dian Diana Dewi Sartika, Diana Dewi Dumilah Ayuningtyas Dwi Fatmawati Dwi Fatmawati, Dwi Eka Setiawati Elfi Yennie Elita Sari Elvi Sunarsih Elwin, Ghani El Mughni Muhammad Hidayatullah Emilya, Melda Erika Pebriyanti Erna Erna Erna Erna Eva Nanda, Eva Exsan Utomo Fatmalina Febry Febriani Dwi Bella Fenny Etrawati Feranita Utama Feranita Utama Fitri Ibtiah Fitri Ibtiah, Fitri Fitrianti Fitrianti Fitrianti, Fitrianti Fitrianto, Aidil Fretty, Heni Gusti Tri Wahyuni Hadi Pratomo Haerawati Haerawati Haerawati Idris Haerawati Idris, Haerawati Hamzah Hasyim Hanifah, Arindi Dinda Hasanah, Putrie Uswatun Hasbullah Thabrany Heni Marini Henni Febriawati Hisar M Manalu HM Zulkarnain Icon Harizon Idris, Haerawari Ikhsan Ikhsan Indah Fasha Palingga Indah Yuliana Indahsari, Siti Rahmi Inoy Trisnaini Iqlima, Erni Ira Fitria Yuniarti Irwan Kurniawan Isnurhadi Isnurhadi Iwan Dakota Iwan Stia Budi Iwan Stia Budi Iwan Stia Budi Jafar Arifin, Jafar Jeannita Sri Agustini Purba Junadi, Purnawan Juniarti Juniarti Khoirunnisa, Salsabila Kurnia Sari, Wulan Lailfasha, Fafirra Laura Dwi Pratiwi Legiran Legiran Lesmana, Oka Lismayoni Lismayoni M. Zulkarnain M. Zulkarnain Mardiati Nadjib Marisa Rayhani Marisa Rayhani Maryanto, Hendri Mauliana, Resty Maulina Sari, Desri Mawaddah Assupina Mayel, M. Iqbal Mohammad Zulkarnain Mohammad Zulkarnain Monica Tiara Samboina Mufarika, Rully Mufarikha, Muhimatul Muhammad Amin Arigo Saci Muhammad Hasan Muhammad Hasan Mutiara Wahyuliana Nadjib, Mardiati Najmah Maulaya Najmah, Najmah Najwa Nurul Izzah Namira Azzura Ni Nyoman Dwi Sutrisnawati Nina Deslima Nopi Aprilia Novi Nazilah Novi Nazilah Novia Sri Anda Yani Noviadi, Pitri Novrikasari Novrikasari, Novrikasari Novrinda, Hilza Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nurhasanah Nurhasanah Nurrobikha Nurrobikha Nurrobikha Nurrobikha Nurul Rahma Nuryasari Mahani Nuryasari Mahani, Nuryasari Oka Lesmana Oktarizal, Hengky Patresia, Retta Permana Putra, Dicky Pitaloka, Rolla Prima Sari Putri Prima Sari Putri, Prima Sari Pujiyanto Pujiyanto Pujiyanto, Pujiyanto Purnamasari, Gita Purnawan Junadi Purwoko, Bambang Putri Kemala Destari Putrisha, Shantya Adeline Rachmawati, Aisyah Rafiqy, Muhammad Rahmat Izwan Heroza Ratih Oktarina Ratih Oktarina Retri Primasari Retri Primasari, Retri Reztia Handayani, Reztia Rico Januar Sitorus Rico Januar Sitorus Rini Mutahar Risnawati Tanjung Rizki Nurul Fatimah Rizky Putri Pratiwi Rizma Adlia Syakurah Rizma Adlisyakurah Robiatul Adawiyah Rostika Flora Rostika Flora Rostika Flora Rudi Chendra Rudy Chendra Saleh Saleh Salwa Safirah Samwilson, Samwilson Sarri, Merri Nurmala Saskia Rahma Irawan Septiani, Siti Ariffah Sherin Andrea Putri Silvi Ariyanti Siti Halimatul Munawarah Siti Khodijah Parinduri Siti Soleha Sri Agustini Sri Yuliani Frisilia Dewi Suhendra, Ahmad Adi Susanti, Fitria Aryani Sutari Sutari Syafhira, Adinda Syakurah, Rizma Adila Thabrany, Hasbullah Tri Utami Dewi Tri Utami Dewi, Tri Utami Tri Wisesa Soetisna Tri Wisesa Soetisna, Tri Wisesa Trihono Trihono Trihono, Trihono Try Any Widyastuti, Try Any Vanya Gita Purnamasari Virna Widora Saputri Virna Widora Saputri Vivi Yulaswati Wahyu Dwi Ari Wibowo Wahyuni, Nenny Wely Trisna Aprinanda Wely Trisna Aprinanda, Wely Trisna Wijaya, Dhandi Windusari, Windusari Yarnis Yarnis Yuanita Windusari Yuanita Windusari Yuanita Windusari Yuanita Windusari Yuanita Windusari Yuanita Windusari Yulaswati, Vivi Yuliarni Yuliarni Yuni Lasmita Yuni Lasmita yuniarti, ira fitria Zulkarnain Zulkarnain Zulkarnain Zulkarnain Zulkarnain, HM Zulkarnain, HM Zulkarnain, Mohammad