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All Journal Jurnal Riset Kesehatan Jurnal Administrasi Kesehatan Indonesia Unnes Journal of Public Health Poltekita : Jurnal Ilmu Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Medika Hutama Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Jurnal Health Sains Jurnal Locus Penelitian dan Pengabdian INJURITY: Journal of Interdisciplinary Studies Jurnal Indonesia Sosial Teknologi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Malahayati International Journal of Nursing and Health Science Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Ilmu Kesehatan Masyarakat
Basabih, Masyitoh
Fakultas Kesehatan Masyarakat, Universitas Indonesia
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Opportunities and Challenges in Implementing Regional Public Service Agency Policy in Regional Hospitals: Systematic Review Masyitoh Basabih; Indriaswari Widhakuswara
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.1-20

Abstract

The Policy of the Regional Public Service Agency (Badan Layanan Umum Daerah or BLUD) is a form of autonomy for Regional Public Hospitals (Rumah Sakit Umum Daerah or RSD) born from healthcare service reforms. Despite being implemented for over two decades, several challenges in persist policy implementation. This research aims to analyze the opportunities and challenges in implementing the BLUD policy in RSD within the context of public services. The research method employed is a systematic review using inclusion criteria. Searches were conducted using the keywords policy implementation, BLUD, and RSD, utilizing the Garuda database and Google Scholar. This systematic review analyzes articles published from 2007 to 2022. The study identifies challenges such as resource quality, organizational fragmentation, and suboptimal communication. On the other hand, there is evidence of positive acceptance or response from implementers towards the BLUD policy. Based on the analysis, it can be concluded that the BLUD policy provides opportunities for RSD to enhance performance through its flexibility. Human resource capacity and communication pose challenges in BLUD policy implementation within RSDs. Implement targeted training programs for both regional governments and hospitals should address the specific needs and challenges of BLUD implementation, such as potential knowledge gaps arising from differing educational backgrounds.
Performance Analysis of Inpatient Unit at Universitas Indonesia Hospital Using the Malcolm Baldrige Framework in 2024 Ambarwati, Maulaya Istafa Tiwikrama; Basabih, Masyitoh; Sultoni, Siti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.530

Abstract

The increasing number of hospitals each year has intensified competition. Hospitals must continuously improve their performance to survive and remain competitive. Inpatient performance assessment can help achieve more optimal results, as it represents the largest contributor to hospital revenue. This study aims to obtain results from an inpatient performance analysis using the Baldrige Excellence Framework at the Universitas Indonesia Hospital in 2024. This study used a cross-sectional design with a quantitative approach to obtain perceptions of performance assessment from the employee's perspective. The research sample was recruited using convenience sampling, comprising 58 respondents. This research reveals that the highest percentage index is the measurement, analysis, and knowledge management category (78,1%), while the lowest is the workforce category (70,8%). Bivariate analysis results uncover that the strategy category (r = 0.437) has a moderate correlation with result, while the other five categories have strong correlations: leadership (r = 0.572), customers (r = 0.640), measurement, analysis, and knowledge management (r = 0.716), workforce (r = 0.683), and operations (r = 0.630). Result category is influenced by suboptimal workforce management, including recruitment systems, allocation, planning, engagement, incentives, rewards, and efforts to prevent workforce reductions driven by high turnover. Management needs to place greater focus on the workforce by aligning with the characteristics of Generation Z, which currently dominates the workforce, to achieve better performance.
Co-Authors Adisasmito, Wiku Bakti Bawono Ambarwati, Maulaya Istafa Tiwikrama Andang Evrilianto Andriani, Helen Anggika Yelzi Pratiwi Anhari Achadi Anisa Eka Amalia Ariani Shinta Azzahra Asmawati, Dika Basrin Harsono Sigalingging Dharmaningsih, Dwi Diara Oktania Ede Surya Darmawan Eszwara, Wendy Fauziyyah, Rifa Firdaus, Mentari Kirana Giri, Salsabilla Kaulika Rinalda Putri Gultom, Chiefriana Dearni Hilda Melissa Ida Bagus Sila Wiweka Illiyana, Himma Ilmansyah, Vicky Danis Indriaswari Widhakuswara Irham, Hanifan Jimmy Sakti Nanda Berguna Karina, Ristanti Kristi, Gandhi Lia Gardenia Partakusuma Marisa Anggraini Indah Sari Br Haloho Mentari Kirana Firdaus Mila Fitriana Mulyani, Fifi Mulyani, Fify Nani Handayani Nurmadani, Labbaika Pertiwi, Tasya Caesarena Pratiwi, Anggika Yelzi Rahmalina, Septia Rifa Fauziyyah Robbiyani Ilma Rojak, Thasya Sabilla Putri Salsabilla Kaulika Rinalda Putri Giri saputera, christina Sari, Erna Puspita Septia Rahmalina Shalawa, Radhica El Sigalingging, Basrin Harsono Simbolon, Monalisa Sjaaf, Amal Chalik Styfanni Mahury Sultoni, Siti Suranta, Roy Michael Suryoputra, Daffaldo Susanna Muthmainnah Tahir, Hadijah Tambun, Sondang Whita Kristina Tarigan, Ade Margaretha Lister Tasya Caesarena Pertiwi Tiara Fani Yolanda Trisnawati, Wisda Valencia Imelda Triastuti Widhakuswara, Indriaswari WINARTO Yolanda, Tiara Fani Zhafirah Salsabila