IMPLEMENTASI KEBIJAKAN DISKRESI PADA PELAYANAN KESEHATAN BADAN PENYELENGGARA JAMINAN KESEHATAN (BPJS)

2020 ◽  
Author(s):  
Ns. suprapto S.Kep

Bureaucratic discretion in regional government as an effort to publish public service effectiveness in a state of urgency, which is a situation that emerges suddenly concerning the public interest that must be resolved quickly, where to resolve the issue, laws and regulations have not yet regulated it. Constraints In bureaucratic discretion in local government as one of the efforts in the effectiveness of public services is the insufficient cost due to excessive demand from the bureaucratic discretion program, policy participants who swell are not in accordance with the established plans, for example, participants who are not categorized as poor but ask to be classified as poor families and administrative services are not smooth because the bureaucratic discretion policy is more a spontaneous program from the local government. The ideal discretion model to overcome the problem of delegation of authority that occurs during diving This is to provide additional competency training in medical action to nurses with the aim that nurses are able to provide limited medical treatment services in accordance with the duties and authorities listed in the Nursing Act. In the development of public administration so many dynamics arise, starting from the role of separate public administration at all with the political world. The next understanding that then emerged was that administration was part of politics. The paradigm that arises is "when political ends administration begins". These understandings later led to many opinions both from scientists and practitioners to re-explore the essence of the science of public administration. Regional governments need to take legal action of discretion (freies ermessen) for those in remote or rural areas. The discretion is all activities that involve the process of policy making or decision making or action on its own initiative, not fixed on the provisions of the rules or laws with a variety of mature, contextual and accountable considerations

Media Iuris ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. 251 ◽  
Author(s):  
Galih Arya Prathama

The increase of regional capacity in managing the needs of Regional Development accompanied by the Delegation of Authority from Central Government to Regional Government, has implications in increasing the need for Development Funds, while the Regions can’t continue to rely on the fulfillment of these needs to the Central Government. In response to this, in implementing Autonomy, the Regions are given additional Authority of Financial Management. Such authority, creates demands for the Regions to be creative and focused in achieving the Government Goals that have been established.,As an effort to execute duties and functions of Regional Government in the form of Regional Financial Management, then a region must be able to recognize the potential and explore all the resources it has. Local Government is expected to dig deeper related to the potential derived from its own financial resources, especially in order to meet the needs of government financing and development in the region, one of them through Local Own Revenue as one of the main sources of Regional Financial Reception. Independence of Local Own Revenue for a Regional Government, giving positive support to the ability of the region in meeting the needs to build the region. Thus, the greater source of income derived from the potential owned by a region, the more freely the area can accommodate the needs of community without the interest of Central Government which is not in accordance with the needs of people in the region.


Author(s):  
Rahyunir Rauf

In the Indonesian national government system is recognized the existence of local government, the region consists of provincial, district and municipal areas. The Provincial Region is headed by a Governor, a Regency area headed by a Regent and a City area headed by a Mayor. Based on Law Number 23 Year 2014 on Regional Government placed the Governor in 2 (two) functions, namely; As Head of Region and As Deputy of Central Government in Region. The governor as the representative of the central government in the regions gained the delegation of authority from the government to carry out central government affairs in the regions. As a representative of the central government in the region the governor carries out the absolute affairs and implements the concurrent governmental affairs which are the authority of the central government and conducts the guidance and supervision of the districts / municipalities in carrying out the concurrent affairs which are the authority of the district / city government. In the implementation of central government affairs in the region it is necessary to have central government representatives in the regions and vertical institutions. Prior to the issuance of Law Number 23 Year 2014 in relation to the Governor as the representative of the central government in the regions is regulated in Law Number 32 Year 2004 regarding regional government and followed up by Government Regulation No. 7 of 2008 on Deconcentration and Co-Administration. In Act No. 23 of 2014 on Regional Government it is stated that the representative of central government in the regions is only given to the Governor, while the Regent / Mayor does not get the authority as a representative of the central government in the region. In carrying out the guidance and supervision on the implementation of government affairs which is the authority of the district / city and the task of assistance by the district / city, the President is assisted by the Governor as the representative of the central government.  


Yuridika ◽  
2016 ◽  
Vol 28 (2) ◽  
Author(s):  
Riko Eka Kusuma

AbstractSince the enactment of Law No. 12 Year 2008 on the second Amendment to the Law Number 32 Year 2004 on Regional Government, as an interpretation of Article 18 , to bring new changes in governance in the region. This law has fundamentally changed the practices of government, one of which is related to the position, duties and functions of the District. The main changes was in the definition of the township itself besides the other changes such as the shape of the organization, financing, personnel appointments, logistics fulfillments and accountability,. Previously, the District was an administrative region in the context of the work environment that organizes the implementation of tasks in the area of public administration. While according to the Law No. 12 of 2008, Article 126 Section 3, the District is the district/city in the context of the principle of decentralization. That is, if used within the framework of the principle of deconcentration district, it is one of the administrative area, in addition to national, provincial, district and municipality, as well as administrative city. At the present time the Districts is the working area of the districts of the region. However, districts are not a territory, it is a service areas.Keywords: Delegation of authority, Head of District, Regional Government


Yurispruden ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. 175
Author(s):  
Afifuddin Afifuddin

 ABSTRACTThe implementation of public services is still going on with the old public administration practices. Therefore, it is time for the bureaucracy to change its mindset. The development of the paradigm of public administration can bring enlightenment to the bureaucracy. Public Service innovation and creativity is one of the right solutions in the era of regional autonomy in achieving the welfare of modern regional government. The Indonesian state in running the government, the relationship between the central government and local governments must be well and harmoniously established. The intertwined goal is for the prosperity of the people. Regional autonomy can provide flexibility for regions to innovate and create local community creativity as material for local government policies. Therefore, several important discourses in Public Administration Science can be a reference for modernizing the administration of local government in the era of regional autonomy. Keywords        : Innovation, Public Service Creativity, Regional Autonomy, Center,                          Region and Local Government ABSTRAKPenyelenggarakan pelayanan publik masih saja terjadi praktik-praktik old public administration. Oleh karena itu sudah saatnya birokrasi merubah mindsetnya. Perkembangan paradigma administrasi publik dapat membawa pencerahan bagi birokrasi. Inovasi dan kreativitas Public Service merupakan salah satu solusi yang tepat di era otonomi daerah dalam mencapai kesejahteraan pemerintahan daerah yang modern. Negara Indonesia dalam menjalankan pemerintahan, hubungan pemerintah pusat dan pemerintah daerah harus terjalin dengan baik dan harmonis. Tujuan yang terjalin tersebut untuk kemakmuran rakyat. Otonomi daerah dapat memberikan keleluasaan bagi daerah untuk melakukan innovasi dan kreativitas masyarakat setempat sebagai bahan kebijakan local government. Oleh karena itu beberapa wacana penting dalam Ilmu Administrasi Publik dapat menjadi rujukan untuk memodernisasi penyelenggaraan pemerintah daerah dalam era otonomi daerah. Kata Kunci    : Inovasi, kreativitas Public Service, Otonomi Daerah, Pusat, Daerah dan                          Local Government 


2019 ◽  
Vol 1 (2) ◽  
pp. 244-258
Author(s):  
Novie Indrawati Sagita

Regional autonomy provides broad and tangible authority to local governments to carry out public services. Acceleration of improving service quality requires creativity and innovation so that services can be carried out effectively and efficiently. The government wants public services to be closer to the community, so that the sub-district becomes the spearhead of services provided by the regional government. A set of regulations issued by the government that gives authority to the sub-district to carry out licensing and non-licensing services. One of the policies issued is the integrated sub-district administrative service (PATEN), this policy is reinforced by the issuance of Bandung City Regulation No. 185/2015 concerning the delegation of mayor's authority to the sub-district and village heads. PATENT policy requires the sub-district as a node of one-stop integrated services. In practice, there is a dilemma in delegating the authority of the mayor to the sub-district head regarding the implementation of PATENT in the city of Bandung.              Some of the factors that inhibit the implementation of the PATENT include the limits of authority delegated to the sub-district head in the licensing service is unclear, there are different interpretations that the sub-district does not need to provide licensing services because Bandung has BPMPTSP besides geographically not too large so that service institutions it can be reached by the community, there is no incentive / disincentive for the region to implement or not implement integrated administrative services in the sub-district, the sub-district institutional capacity, especially the availability and competency of human resources that are not sufficient to carry out delegated service authority. Suggestions that can be conveyed regarding the implementation of the PATENT policy, must be considered that the delegation of authority should consider the typology of sub-districts based on the scale, type of service, impact and level of responsibility of the services provided.


Author(s):  
Oleksandr M. Nepomnyashchyy ◽  
Oleksandra A. Marusheva ◽  
Oksana V. Medvedchuk ◽  
Iryna A. Lahunova ◽  
Denis V. Kislov

The article considers the implementation of decentralization processes in the national system of public administration. In the context of socio-economic and political problems in Ukraine, the issues of ensuring the effectiveness of regional development are becoming increasingly important. The existing system of administrative-territorial organization and hierarchy of power, distribution of powers between public administration bodies at the national and regional levels and local self-government bodies was not able to ensure balanced development of territories. The priority was to ensure equal access to social, administrative, communal and other services for the population of both large cities and rural areas. An important aspect of development is the issue of community responsibility for management decisions. Representation of the community in matters of territorial development is of increased relevance. A retrospective analysis of the development of decentralization reform in Ukraine and a system of legislative support for the functioning of amalgamated territorial communities were conducted in order to determine the prospects for further implementation of decentralization reform in Ukraine. Thus, the article considers the regulatory framework for the introduction of a system of decentralization of power in Ukraine. Certain aspects have been identified that have not been elaborated by law and hinder the further development of the system of amalgamated territorial communities. The analysis of the legal framework made it possible to identify the main normative documents regulating decentralization processes in Ukraine, outline their role in the development of decentralization processes, and determine the legal limits of capabilities and obligations of different levels of government, including local government and local government


2019 ◽  
Vol 41 (1) ◽  
pp. 33-47
Author(s):  
Małgorzata Czuryk ◽  
Jarosław Kostrubiec

THE LEGAL STATUS OF LOCAL SELF-GOVERNMENT IN THE FIELD OF PUBLIC SECURITYThe vast array of responsibilities assigned to local self-government include also public security. This is all the more important as it must be ensured at every tier of administration, including in the regions. The local self-government, as the basic form of decentralised public administration, is situated closest to citizens and is therefore most responsive to their needs, with security needs being fundamental needs that must be addressed on a continuous basis.The jurisdiction of local and regional government bodies in the field of public security concerns many areas, but it is the local government which holds most of these responsibilities while the regional government is entrusted with less responsibility in this matter. This characteristic covers the institution of emergency states, crisis management, or issuing public order regulations.


Author(s):  
Vytautas Pilipavičius ◽  
Inga Vidrevičienė

Nowadays, in public administration observed high dichotomy between legal regulation of selfgovernment (de jure) and local self-government practice (de facto) – self management. This makes communication, harmony and compatibility problem between local self-organization and organization of self-management in rural areas. Today this problem is related to the formation of selfgoverning as a systematic practice of local self-government in rural areas. Research aim – an analysis of historical and cultural sites of self-government and self-management and provide guidelines for the formation of self-governing in rural areas. The research design consists of local selfgovernment and the assumptions of self-management analysis, the development of local selfgovernment, decentralization of management and local government, local government and government institutions regulatory authority, public administration, trends and prospects, and local government strategic planning contexts. Studies the use of the scientific literature and analysis of documentary sources, content and structure analysis methods. The article highlighted the historical and cultural assumptions of local self-government, and for self-management and provided guidelines for the formation of self-governing of Lithuanian rural areas.


2014 ◽  
Vol 1 (2) ◽  
pp. 200
Author(s):  
Ikmal Jaya

Bureaucratic discretion in local government as one of the efforts the effectiveness of public services in Tegal city publication in urgent circumstances is a condition that arises suddenly public interest that must be resolved quickly, which to resolve the issue, the legislation has not been set. The approach used in this study is a socio-juridical approach, the method or procedure used to solve research problems by examining secondary data such as material laws or regulations applicable law followed by conducting research on primary data in the field. The results obtained that 1) Discretion Policy Implementation bureaucracy in local government as one of the efforts the effectiveness of public services in Tegal publication in urgent circumstances is a condition that arises suddenly public interest that must be resolved quickly, which to resolve the issue the legislation has not been set or just set in general and the situation should not be created due to error or action by the Board of Administration officials who perform discretionary, 2) Constraints in the discretion of the bureaucracy in local government as one of the efforts of service effectiveness public in Tegal is insufficient fee due to excessive demand of bureaucratic discretion program.


2021 ◽  
Author(s):  
GOVERNANCE: JURNAL POLITIK LOKAL DAN PEMBANGUNAN

This research discusses about the decentralization of public service delivery by local government through the delegation of authority from the regent to the head of sub district, which is based on Permendagri No. 4 Tahun 2010 tentang Pedoman Pelayanan Administrasi Terpadu Kecamatan (The Guidelines for Integrated Administrative Services by Sub District). The purpose of this research was to describe the implementation stages of PATEN and determine the factors that influence the implementation of Permendagri No. 4 of 2010 on guidelines for integrated administrative services by sub district in Padangsidimpuan. By using the qualitative methods, this research resulted several important findings such as the coordination between relevant agencies have not maximized, the quality and quantity of sub district officials have not adequately, and also the availability of facilities and infrastructure owned in Implementation Policies Permendagri No. 4 of 2010. Based on the content and context of policy, the most influential factors in the implementation of PATEN in Padangsidimpuan consist of the parties whose interests are affected, the position of the policy makers, the availability of resources, and also the compliance and responsiveness. Based on the result of research analysis, sub district plays an important role as a service center that closest to the community, especially in the large areas and hard to reach. Therefore, beside the broad authority according to its portion, sub district also needs to be supported by the funding, facilities and infrastructure, and the adequate of both quality and quantity of sub district officials.


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