scholarly journals Penguatan Kapasitas Puskesmas Sebagai Organisasi Publik (Kajian dalam Perspektif Teori Organisasi)

2018 ◽  
Vol 7 (1) ◽  
pp. 70
Author(s):  
Yusuf Gabriel Maniagasi

Many of our society at villages in Papua Province are not getting maximum health services by puskesmas for various reasons. Unfortunatly, the condition of the puskemas—which can be interpreted as the face and image of the government—does not indicated the expected the attraction to visit. People prefer to visit local public hospital or to practice doctors in the afternoon. This situation affirms the poor image of puskesmas. What is wrong in Puskesmas?. This question should be disclosed to fined what is really with our healh centers? The aims of this study was to find the root of the problems of lack of capacity of puskesmas as public organization in doing health service to society. This study uses literature study methods supported by data and documentation. The results of the study shows that to solve the problems related to puskesmas as the basis of public healt service hence there are two aspects that must be done that are 1). Structuring Organizational Structure and 2). Changing Organizational Culture. As the conlucion of this study is to bring well and qualified health service to the community can be started by optimizing task and function of puskesmas as public organization followed by commitment, good leadership, change of perspective, regulation arrangement and strong will to improve the performance of puskesmas. Banyak masyarakat kita, di pedesaan (baca : kampung-kampung) di Provinsi Papua kurang mendapatkan pelayanan maksimal oleh Pusat Kesehatan Masyarakat (Puskesmas) karena beragam alasan. Sayangnya, keadaan Puskesmas—yang dapat dimaknai sebagai wajah dan citra pemerintah—tidak menunjukkan keadaan yang diharapkan, bahkan nyaris kehilangan daya tarik untuk dikunjungi. Masyarakat lebih memilih berkunjung ke rumah sakit umum daerah (RSUD) atau ke dokter praktek pada sore hari. Keadaan ini memberi penegasan pada buruknya citra Puskesmas. Ada apa di Puskesmas? Pertanyaan ini patut diungkapkan untuk ditemukan ada apa sebenarnya dengan Puskesmas-Puskesmas kita. Tujuan penelitian untuk menemukan akar masalah lemahnya kapasitas puskesmas sebagai organisasi publik dalam melakukan pelayanan kesehatan kepada masyarakat. Kajian ini menggunakan metode studi literatur yang didukung dengan data-data dan dokument. Hasil kajian menunjukkan untuk menyelesaikan masalah-masalah yang berkaitan dengan Puskesmas sebagai basis pelayanan kesehatan masyarakat maka ada dua aspek yang harus dilakukan yakni 1). Penataan Struktur Organisasi Puskesmas dan 2). Melakukan Perubahan Budaya Organisasi. Sebagai simpulan kajian ini adalah untuk mendekatkan pelayanan kesehatan yang layak dan bermutu prima kepada masyarakat dapat dimulai dengan optimalisasi tugas dan fungsi Puskesmas sebagai organisasi publik yang diikuti dengan komitmen, kepemimpinan, perubahan cara pandang, pengaturan regulasi, dan kemauan yang kuat untuk memperbaiki kinerja puskesmas

2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.


2020 ◽  
Vol 7 (10) ◽  
pp. 317-329
Author(s):  
Kartoli Cato

Pandemic coronavirus disease -2019 (COVID-19) resulted in various aspects of the life of Indonesian people, including aspects of defense and security. The defense state classifies threats into military threats, nonmilitary, and combined or hybrid threats. The epidemic of COVID-19 is a non - military threat with a public safety dimension against the national defense. The bureaucracy that has not been properly integrated, sectoral egos, and negative news about the pandemic have become obstacles in the handling of the COV ID-19 pandemic by the Government of Indonesia. This research aims to analyze the simple handling of the pandemic COVID-19 by the Indonesian Government from the perspective of nonmilitary defense principles. This becomes important to unravel and minimize the obstacles faced so that subsequent handling will be more effective and efficient.  This paper uses descriptive analysis with a qualitative approach and a literature study. With the theory principles of defense strategy of nonmilitary, the author is looking at steps undertaken by Indonesia Government in handling the pandemic COVID-19. The principle of unity of command, coordination principle, the principle of anticipation, and the principle of transparency still need to be improved in a concrete way so that the handling of the pandemic COVID-19 is effective and efficient, could be reached. Building synergies and integrity policymakers consistently and continuously, inevitability to improve the defense state ability in the face of threats, military, nonmilitary and hybrid threats


Nuansa ◽  
2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Qolbi Khoiri

Th e purpose of writing this article is to explain the phenomenon of globalization from its understanding of the shape and impact of globalization which then impacts Islamic boarding schools and how Islamic boarding schools respond to them. Analysis of this article is done using a literature study. Th e results of the analysis found that Islamic boarding schools view globalization as an age dynamic that cannot be avoided. Th erefore, pesantren choose to be active while maintaining the identity and characteristics of the pesantren that function as a pioneer of reform (agent of change). Th e impact of globalization faced by pesantren must be made with several changes, namely changes in infrastructure and physical buildings of Islamic boarding schools. Changes involve the management and management of Islamic boarding schools. Changes in the widening of the scope and level of education in pesantren. Changes in the way the pesantren behave are no longer closed. Changes in boarding schools in the face of change will not be successful without a positive attitude from the government.


Author(s):  
Asyari Asyari

<em>Poverty is the enemy of the government in order to create public welfare. The policies and programs undertaken by the government for the purpose of reducing poverty. Policies and programs exist that succeed in reducing poverty but there is also spawned new poverty. The following article is a literature study on the model of survival of poor households that are not touched by the poverty alleviation program. The method used is to examine some of the results of studies that have been published in journals that describe how poor households to survive and get out of the winding poverty. The findings of this study to inform the causes of poverty are many. This is because poverty is a multidimensional concept. Forms of survival (survival) and exit (exit) on poverty conducted by the poor and poor households will vary according to the cause of poverty. Reduce poor households is not a program and policy apart from the causes of poverty. A separate program will create new poverty because the program did not aim at poverty reduction.</em> Kemiskinan adalah musuh pemerintah dalam rangka menciptakan kesejahteraan masyarakat. Berbagai kebijakan dan program dilakukan oleh pemerintah untuk tujuan mengurangi angka kemiskinan. Kebijakan dan program tersebut ada yang berhasil dalam mengurangi angka kemiskinan namun ada pula yang melahirkan kemiskinan baru. Tulisan berikut adalah studi literature tentang model bertahan hidup rumah tangga miskin yang tidak tersentuh oleh program pengentasan kemiskinan. Metode yang digunakan adalah menelaah beberapa hasil-hasil penelitian yang pernah dimuat di jurnal-jurnal yang menjelaskan bagaimana rumah tangga miskin bertahan hidup dan keluar dari lilitan kemiskinan. Temuan penelitian ini menginformasikan penyebab kemiskinan sangat banyak dan beragam. Hal ini karena kemiskinan merupakan konsep yang multidimensi. Bentuk-bentuk bertahan hidup (survival) dan keluar (exit) dari kemiskinan yang dilakukan oleh orang miskin dan rumah tangga miskin beragam sesuai dengan penyebab kemiskinan. Mengurangi rumah tangga miskin bukanlah dengan program dan kebijakan yang terpisah dari penyebab kemiskinan. Program yang terpisah tersebut akan membuat kemiskinan baru karena program tersebut tidak menyasar pengurangan kemiskinan.


1996 ◽  
Vol 30 (5) ◽  
pp. 672-680 ◽  
Author(s):  
Paul Coombe

This paper is an account of the principles and practices of treatment offered at the Cassel Hospital, London, with a particular focus on the Inpatient Families Unit. The Cassel Hospital is an internationally renowned therapeutic community, the operation of which is based on psychoanalytic principles and which has operated within the British National Health Service for nearly 50 years. An account of the historical development of the hospital is given as well as a description of its structure and function. The following three innovative structures are elaborated: a complex network within which patients can develop, Cassel-style nursing care, and nurse-therapist supervision. Theoretical underpinnings are outlined, which together with two case studies facilitate an appreciation of the capacity of the therapeutic network to foster the successful treatment of a range of severely disordered individuals and families. Such treatment may approach a level perhaps otherwise unattainable and which is widely applicable in the public hospital and clinic settings in Australia.


Al-Qalam ◽  
2021 ◽  
Vol 27 (1) ◽  
pp. 39
Author(s):  
Nur Setiawati ◽  
Bisyri Abdul Karim

<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><span>This study aims to analyze the access and needs of poor women in the Tallo district in relation to preaching activities. This study used a preaching communication perspective to identify the challenges of preaching strategies and empowering poor women in urban areas. This study used a mixed method between quantitative and qualitative research. The data was collected through literature study, observation, questionnaires, and in-depth interviews. Data analysis used in this study was the interactive model of Miles &amp; Huberman. The results showed that most of the poor women in the Tallo district defined preaching as a lecture and face-to-face activity. They consider that the government should be more responsible for its implementation rather than other organizations or communities. Most of them prefer the theme of worship, family, and morals when dealing with preaching messages. The preferred media for delivering preaching is through lectures and face-to- face compared with electronic and social media.</span></p></div></div></div>


Author(s):  
Claire Hilton

This chapter considers Barbara Robb, who wrote the bestseller, Sans Everything, in 1967. The book described degrading and undignified care provided to elderly patients on the long-stay wards of psychiatric hospitals, such as teasing, hitting, lack of privacy, and stripping of personal possessions including hearing aids, dentures, and spectacles. Sans Everything also contained suggestions to improve care. Barbara mobilized the media in her campaign, which placed significant pressure on the government. Her book and reputation for dealing with complaints led to revelations of other scandals of care, and investigations. She had remarkable strength of character to keep fighting in the face of public humiliation by the Ministry of Health. Ultimately, she made significant contributions to health service policy and practice.


2012 ◽  
Vol 7 (5) ◽  
pp. 208
Author(s):  
Pujiyanto Pujiyanto

Improvement of per capita income will boost the demand for outpatient care and lead enhanced expectation of service quality of hospital. People perceived that private hospital has better services than public hospital. Based on these, we assumed that private hospital users have particularcharacteristics. This study aimed to investigate factors associated with utilization of private hospitals for outpatient care and who get the benefits, the rich or the poor. This study used data of 42,540 respondents from IFLS-4 collected in 2007. Analyses showed the higher the income the higher the demand. Insured’s groups have higher demand than uninsured. Demand analyses revealed that increased price of private hospital caused higher demand. This evidence indicated that outpatient care of private hospital was perceived as luxuries goods. However increased price of public hospital didnot influence the demand of private hospital. It is indicate that private hospital has different type with patients of public hospital. It means that the two types of hospital comprise different segment of patients. The rich benefited more outpatient care in private hospital than the poor. It implies that the government should enforced Ministry of Health’s regulation on hospital social function.Keywords: demand, elasticity, outpatient care, private hospitalAbstrakPeningkatan pendapatan per kapita menaikkan permintaan rawat jalan dan harapan mutu pelayanan rumah sakit. Masyarakat memiliki persepsi pelayanan rumah sakit swasta lebih bermutu daripada rumah sakit pemerintah, sehingga terdapat asumsi pelanggan rumah sakit swasta mempunyaikarakteristik khusus. Tujuan studi ini adalah menginvestigasi berbagai faktor yang berhubungan dengan utilisasi rawat jalan dan kelompok yang mendapat manfaat. Studi ini menggunakan 42.540 responden rumah sakit swasta IFLS-4 tahun 2007. Semakin tinggi pendapatan semakin tinggi pulapermintaan, kelompok jaminan/asuransi mempunyai permintaan yang lebih tinggi daripada non-jaminan. Kenaikan tarif rawat jalan rumah sakit swasta yang dipersepsi masyarakat sebagai barang mewah meningkatkan permintaan. Namun, kenaikan tarif rawat jalan rumah sakit pemerintah tidak memengaruhi permintaan rawat jalan rumah sakit swasta. Hal tersebut mengindikasikan karakteristik pasien rumah sakit swasta yang berbeda dari rumah sakit pemerintah. Kelompok kaya mendapatkan manfaat rawat jalan rumah sakit swasta lebih besar daripada kelompok miskin. Untuk mengoreksikeadaan ini pemerintah perlu menegakkan peraturan menteri kesehatan tentang fungsi sosial rumah sakit.Kata kunci: permintaan, elastisitas, rawat jalan, rumah sakit swasta


2021 ◽  
Vol 5 (S3) ◽  
pp. 65-73
Author(s):  
Dahlan Fanani ◽  
Julizar Idris ◽  
Ramlan Siregar ◽  
A. Rahim ◽  
Zaman Zaini

The business entity model development in the market-driven health sector must be carried out on a condition that the poor and other need a help are guaranteed the health service access. In this case, the Social Safety Net (JPS) concept is known. In addition, a lot of experts argue, including Anthony Culyer from the University of York stating that various public services in health services are still obliged to be provided by the government that determining the fair budget distribution. The financing system for the poor must still be maintained through various mechanisms, for example by: (1) the government subsidy through the central tax mechanism, local revenue, foreign assistance; or (2) from humanity fund. In order to develop a fund source for health services that lead to the mutual cooperation principle, the capable central or regional government can enact the regulations that order the community having a health service assurance. The health assurance membership is a mandatory, because the Indonesian culture is still unfamiliar with the disease risk management. Currently, the voluntary health assurance and Community Health Care (JPKM) entity tend to experience difficulties developing widely, especially in operating the low-income segment.


Author(s):  
Rahma Putri Khasanah ◽  
Eko Priyo Purnomo ◽  
Aulia Nur Kasiwi

This article aims to describe the role of the stakeholders involved in forming collaborative governance in community empowerment programs. The problem is focused on poverty alleviation. To approach this problem, the theoretical references from Ansell and Gash 2007 regarding the implementation of collaborative governance are used. Data is collected through literature study based on previous research and direct observation and analyzed qualitatively. This study concludes that research where collaborative governance among stakeholders, where the government is a facilitator, community activeness as well as institutional strengthening within it, as well as private sector assistance in community empowerment will produce a real contribution in national poverty reduction. The poor are no longer the object of mitigation, but rather the subject which in the whole process involves the community. With the empowerment program, the community has a job and eliminates the poor culture of the poor who only depend on direct assistance from the government.


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