scholarly journals PRIVATISASI SISTEM PELAYANAN KESEHATAN DAN IMPUKASINYA BAGI PERUMUSAN AGENDA PENELITIAN DAN KEBIJAKAN PUBLIK

Populasi ◽  
2016 ◽  
Vol 14 (2) ◽  
Author(s):  
Nasikun Nasikun

In the face of the increasing potential of negative first generation impactsof medical industrialization and the privatization of health services in anera of globalization (i.e., increased incidence of infectious deseases andmalnutrition among the poorest poor of Indonesian population), the authorof this article proposes the imperative of finding a middle-way policy solutionto integrate the public and private systems of health services to guaranteethe provision of high quality services and the availability of accessible healthservices for the poor. After presenting a short discussion of the weaknesses ofthe public health system, he discusses the issue of medical industrializationand the privatization of health service institutions, and ends up with thepresentation of five possible alternative of health service systems at thePUSKESMAS level.

2020 ◽  
Vol 13 (1) ◽  
pp. 28
Author(s):  
Ratih Ariningrum ◽  
Vita Kartika ◽  
Rozana Ika Agustiya ◽  
Choirum Latifah

Kanekes Village, where Baduy people live, is the biggest contributor to maternal deaths in the District of Lebak. Baduy awareness to check pregnancy at midwives has begun to increase, but for childbirth and childbirth examination has not been carried out. That is because there is a culture in the Baduy community regarding childbirth itself, as well as their adherence to the rules that have been issued by traditional leaders. The research uses a qualitative approach with the Participatory Action Research (PAR) approach. This study aims to examine the constraints and analyze the process of the formation of relationships between health workers, cadres, and heads of RT with the Baduy community in effective communication to improve modern health services during pregnancy, give birth, and postpartum in the Baduy community. The results showed that modern health services can be applied to the behavior of pregnancy, childbirth, and the puerperal of the Baduy community if the agents of change (organic intellectual) can change the idea of the modern health service into an ideology, then popular belief is obtained, then hegemony is formed from the agents of change. The final stage is that the country must be able to accommodate this effort. The efforts of agents of change (organic intellectuals) from the idea of modern health services to the created hegemony are sought by effective communication. Implementation of effective communication is pursued by provding explanations that are easily understood by the public through simulations.


2018 ◽  
Vol 10 (1) ◽  
pp. 45-75 ◽  
Author(s):  
Ramesh Chandra Das ◽  
Amaresh Das ◽  
Kamal Ray

Proper working of forward and backward linkages between the public and private investments in the face of balanced development of an economy is an already established fact in the literature of development economics.The present article is aimed at examining the working of these two linkage effects upon the economies of 24 countries in different economic status: whether public capital is more productive than private capital and finally to test whether public investments crowd-in or crowd-out the private investments for the period 1988–2013. The results show that, for the entire period, forward linkage has worked for Spain, Senegal and Ecuador and backward linkages worked for United States of America, United Kingdom, Thailand, South Africa, Nigeria, Cambodia, Rwanda and Paraguay. Both forward and backward linkages have happened for Ireland, China, India, Brazil and Peru. For the second objective, the numbers of instances of the income-generative capacities of both types of investments are a few in the entire as well pre-crisis phases unlike that of the post-crisis phase. And the results of the third objective show that there are the maximum instances in favour of crowding-in effects from either private to public or from public to private in all the time phases and a few instances in crowding-out effects. JEL: O18, H54, E22, E01


2015 ◽  
pp. 1159-1176
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.


2001 ◽  
Vol 2 (17) ◽  
Author(s):  
Claus Binder

After the terrorists' attacks of September 11, 2001, a lot of war rhetoric came out of the public and private sphere within the United States of America. On October 7, 2001, however, the rhetoric turned into reality as President George W. Bush countered the terrorist attacks and the threat of future terrorism with military means. While waging that new war U.S. governmental officials constantly make one important point, and that is that the United States are just exercising their right of self-defense. Moreover, on the day after the attacks, the Security Council of the United Nations unanimously reaffirmed the inherent right of self-defense as recognized by the Charter of the United Nations. Does that mean that international law is just that clear?


2015 ◽  
Vol 35 (6) ◽  
pp. 925-945 ◽  
Author(s):  
Mervi Vähätalo ◽  
Tomi Juhani Kallio

Purpose – The purpose of this paper is to analyse the way in which the factors influencing a transformation towards or away from modularity, according to general modular systems theory, appear in the context of health services, and the extent to which the special characteristics of health services might support or prevent its application. Design/methodology/approach – The arguments constructed in the study are based on the theme of modularity, reflected against the special characteristics of health services identified in the context of health economics. Findings – The results include 11 proposition pairs that direct health services both towards and away from modularity. Research limitations/implications – Health services are highly heterogeneous in nature and the authors illustrate this with a wide range of examples from elderly care as the authors discuss the application of modularity in this context. Nevertheless, the authors recognise that modularity might suit some health services better than others. The findings provide potentially important information to health service managers and providers, enabling them to understand how modularity would benefit health service provision and where contradictions are to be expected. Originality/value – This study contributes to the discourse on service modularity in general, and complements the literature on modularity with reference to both public and private health services.


2020 ◽  
Vol 44 (3) ◽  
pp. 434
Author(s):  
Sandra G. Leggat ◽  
Zhanming Liang ◽  
Peter F. Howard

ObjectiveEnsuring sufficient qualified and experienced managers is difficult for public sector healthcare organisations in Australia, with a limited labour market and competition with the private sector for talented staff. Although both competency-based management and talent management have received empirical support in association with individual and organisational performance, there have been few studies exploring these concepts in the public healthcare sector. This study addresses this gap by exploring the perceived differences in demonstration of core competencies between average and higher-performing managers in public sector healthcare organisations. MethodsMixed methods were used to define and measure a set of competencies for health service managers. In addition, supervisors of managers were asked to identify the differences in competence between the average and high-performing managers reporting to them. ResultsSupervisors could clearly distinguish between average and higher-performing managers and identified related competencies. ConclusionsThe consistent pattern of competence among community health and hospital public sector managers demonstrated by this study could be used to develop a strategic approach to talent management for the public healthcare sector in Australia. What is known about this topic?Although there are validated competency frameworks for health service managers, they are rarely used in practice in Australia. What does this paper add?This paper illustrates the perceived differences in competencies between top and average health services managers using a validated framework. What are the implications for practitioners?The public health sector could work together to provide a more effective and efficient approach to talent management for public hospitals and community health services.


2017 ◽  
Vol 4 (2) ◽  
pp. 184-195
Author(s):  
Indah Wahyu Maesarini ◽  
Yuni Subiyanti

The government of Indonesia guarantees equal rights and status of every citizen in obtaining services. However, in reality, various problems still occurredsuch as complicated service procedures andthe length of time and infrastructure services. Ineffective and inefficient bureaucracy services hamper health service processes to officers/employees and their families in the Ministry of the State Secretariat. Therefore, the Minister of State Secretary issued the Ministerial Decree of the State Secretary No. 14 year 2012 regarding Service Standard of Working Unit in the Ministry of the State Secretariat. The purpose of this study is to find out how the Ministerial Decree of the State Secretary No. 14 year 2012 is implemented, especially Basic Health Service Standard in the Division of Health Services, General Bureau, The Public Ministry of the State Secretariat. This research used a qualitative descriptive approach to describe the implementation of Basic Health Service Standard in the Division of Health Services, General Bureau, The Ministry of the State Secretariat. The study found that the Division of Health Services, General Bureau, General Affairs, the Ministry of the State Secretariat has not implemented all the policies of basic health service standard. However, in most cases it does not hamper the implementation of health services to the officers/employees and their employees in The Ministry of the State Secretariat.


Sign in / Sign up

Export Citation Format

Share Document