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All Journal Jurnal Pendidikan dan Pembelajaran Khatulistiwa (JPPK) Primary: Jurnal Pendidikan Guru Sekolah Dasar JPsd ( Jurnal Pendidikan Sekolah Dasar ) HISTORIA: Jurnal Program Studi Pendidikan Sejarah Journal of Teaching and Learning in Elementary Education Pendas : Jurnah Ilmiah Pendidikan Dasar Jurnal PGSD: Jurnal Ilmiah Pendidikan Guru Sekolah Dasar Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Basicedu Parole (Jurnal Pendidikan Bahasa dan Sastra Indonesia) JMB : Jurnal Manajemen dan Bisnis PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal ABDINUS : Jurnal Pengabdian Nusantara Didaktik : Jurnal Ilmiah PGSD STKIP Subang Jurnal SIAR ILMUWAN TANI HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan Jurnal Didactique Bahasa Indonesia Jurnal Basicedu Jurnal Pendidikan Dasar Eduvest - Journal of Universal Studies Journal of International Multidisciplinary Research Jurnal Elementaria Edukasia Jurnal Terapan Pendidikan Dasar dan Menengah Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal)
Ratih Purnamasari, Ratih
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Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Analysis of the Public Service Agency (BLUD) System on the Management of the Health Center Budget in the City of Cilegon Uma, Novita Ambar; Setiaji, Bambang; Purnamasari, Ratih
Eduvest - Journal of Universal Studies Vol. 6 No. 1 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i1.52091

Abstract

The implementation of the Regional Public Service Agency Financial Management Pattern (PPK-BLUD) in community health centers aims to improve the flexibility and effectiveness of service management. However, its impact on overall managerial performance has not been widely evaluated. This study aims to analyze the Regional Public Service Agency (BLUD) system in relation to budget management at community health centers in Cilegon City and to provide evidence-based policy recommendations. This study is qualitative, using in-depth interviews with informants at nine community health centers. Data were collected through in-depth interviews, observations, exploratory questionnaires, and document reviews. Data validity was strengthened through manual triangulation of sources and methods and analyzed using the Miles and Huberman model. Most health centers demonstrated financial efficiency and effectiveness above 90%. However, there were no new service innovations, service quality remained in the “good” category, and human resource training averaged below 30% of the total healthcare workforce. A gap exists between actual and ideal performance in BLUD implementation. To address this, it is necessary to strengthen performance-based financial management, improve a service culture oriented toward public satisfaction, develop service innovations, and plan human resource training based on all employees' needs. BLUD implementation has shown progress in financial efficiency but has not yet been optimal in terms of new service innovations and human resource development. The Balanced Scorecard (BSC) approach can serve as a strategic evaluative tool to drive managerial transformation at health centers.
Co-Authors Abdul Gani, Resyi Arfani, Keysha Alifa Bambang Setiaji Bastian, Elvin Billa, Salsa Dadang Kurnia, Dadang Desma Yulia, Desma Doni Samaya Edy Fernandez Efendy Efendy Eni Rosnija Febriyani, Erni Firdaini Aulia Fitriawati, Novia Fitriyah Nurhidayah Galuh Silvia Halil Halil, Halil Harimat Hendarwan Hartana, Arief Dharma Helmi Yazid Hery Widijanto Imam Abu Hanifah Jaja Sudarjat Kusumastuti, Istiana Latifah, Suci Siti Lia Uzliawati Lina Novita Lina Novita, Lina Meutia, Meutia Mira Mirawati Muhammad Arfan Fadiah Mukarromah, Umniyyatul Mursida Alfitra Nabilah, Sharfina Nina Nina Novia Nurfalah, Igna Nur Alifia Ananda Nuralida, Dica Asri Putri Mutira Ramadhani, Nur Rizky Ramdhani, Dadan Regina Regina Resyi A. Gani Rukmini Handayani, Rukmini Safitri, Destriani Safitri, Nurlinda Salam, Anis Fuad Sari, Alisya Widia Sholikhan Yulianto, Agus Sinaga, Frida Rismauli Siti Aisyah Siti Farah Delina Sri Mulyawati Sri Rezeki Subuh, Subuh Sumayanti Suseno, Bambang Dwi Tajidan, Tajidan Teti Sobari, Teti Tubagus Ismail TUSTIYANA WINDIYANI Uli Wildan Nuryanto Uma, Novita Ambar Wardani, Ardita Wulandari, Madu Mitha Yanti Yanti Yeni, Yulia Fitri Yudhie Suchyadi