Analisis rencana operasional Rumahsakit Kota Madiun tahun 2004

LESTANTINI, Resti, Agastya, SE.,MBA.,MPM

2004 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar belakang: Rumah sakit merupakan institusi yang memberikan pelayanan kesehatan yang bersifat dasar, spesialistik dan subspesialistik. Berdasarkan perbedaan tingkat kemampuan dalam menyediakan sarana pelayanan kesehatan diklasifikasikan rumah sakit kelas A, B, C dan kelas D. Salah satu faktor penyebab kegagalan pendirian rumah sakit adalah tidak adanya studi kelayakan untuk menentukan jenis pelayanan yang dibutuhkan oleh masyarakat. Pemda Madiun berencana membangun rumah sakit, berdasar proposal yang diajukan Dinkes Madiun,direncanakan operasional tahun 2004. Kesiapan SDM, sumber dana dan penunjang lainnya dalam rangka operasionalisasi rumah sakit tahun 2004 belum ada. Penelitian bertujuan untuk identifikasi lebih mendalam kesenjangan antara profil RS saat ini dengan standar pembangunan RS yang diterbitkan Depkes RI dan untuk mengetahui pendapat dan kebijakan stakeholder dengan adanya kesenjangan RS yang berencana operasional tahun 2004. Metode Penelitian: Utarini (2003) mengolah instrumen uji coba pendirian dan penyelenggaraan rumah sakit non pendidikan, dengan mengisi cek lis untuk mengetahui lebih mendalam kesenjangan antara profil RS dengan standar RS tipe C Depkes tahun 1994 dan wawancara mendalam untuk mengetahui pendapat dan kebijakan stakeholders dengan adanya kesenjangan RS yang berencana operasional tahun 2004. Penelitian bersifat deskriptif menggunakan pedoman wawancara mendalam kepada Komisi E DPRD Kota Madiun; Sekda kota Madiun dan Kepala Dinkes kota Madiun. Hasil: Dengan Standar RS tipe C Depkes tahun 1994 profil RS Kota Madiun jauh dari ideal. Terutama SDM kurang juga alat kesehatan, rencana pengadaan obat disediakan Dinkes belum disusun,. Sarana fisik sesuai dengan standar RS Depkes tahun 1972, adanya perubahan lay out dan tata ruang, belum adanya struktur organisasi. Berdasar cek lis, rumah sakit saat ini dalam tahap melengkapi instrumen pendirian RS. Pada awalnya Stakeholder merencanakan puskesmas plus, kemudian berubah menjadi RS.. Stakeholders berpendapat RS tetap operasional tahun 2004 sesuai kemampuan meskipun belum sesuai standar, tahun ini ada rencana melengkapi RS. Pembangunan rumah sakit bertahap paripurna tahun 2005. Kesimpulan: Adanya kesenjangan antar profil RSUD Kota Madiun dengan standar rumah sakit kelas C Depkes tahun 1994, terutama pada ketersediaan sumber daya manusia.Menurut stakeholders adanya perbedaan profil RSUD Kota Madiun dengan standar yang dikeluarkan Depkes tahun 1994 terutama kekurangan SDM dan alat kesehatan serta struktur yang masih disiapkan. Rumah sakit Akan operasional tahun 2004 sesuai kemampuan, direncanakan paripurna tahun 2005.

Background: Hospital is an institution that should gives basic, specialist and sub-specialist health service. It is called type A, type B, type C and type D hospitals based on their ability to give facility service. One of the cause factors of hospital failure was that there was no visibility study to determine the type of service that needed by community. Regional government of Madiun planned to build a hospital, based on a proposal of Health office in Madiun in building a hospital, for operationalisation in the year of 2004. The preparation of human resources, fund resource and other supporting factors for hospital operationalisation plan was not yet available. This research was aimed to identify the gap of hospital profile during this time with the hospital standard that was issued by Department of Health Republic of Indonesia, and to find out opinion and policy of stakeholder regarding the gap of hospital that was planned to have operationalisation in the year of 2004. Method: Utarini (2003) processed the try out instrument of building and implementing the non education hospital, by filling the check list in order to find out the gap of hospital profile with type C hospital standard of Department of Health in the year of 1994 and, interview was done to find out opinion and policy of stakeholder regarding hospital gap which was planned to have operational in the year of 2004. This was a descriptive research by using in-depth interview guidance toward the Commission E of regional government of Madiun city; Regional Secretariat of Madiun city and Head of Health Office in Madiun. Result: Based on the standard of type C hospital of Department of Health in the year of 1994 the hospital profile in Madiun was far from the ideal. The unavailability of hospital’s structure, 29 health personals, lack of health equipment and the plan of medicine that is provided by Health Office was not yet arranged, the physical building of the hospital almost the same with the standard in the year of 1972, and there was changes of lay out and room architecture. Based on the checklist, the hospital still in the level of completing instrument of its building. The beginning thoughts of stakeholders to build a hospital was started from primary health care plus which then changed to hospital. Development was built in stages according to the ability of the district that would be finished in the year of 2005. Stakeholder wanted the hospital to be still operational based on its ability where there is a requirement to complete the hospital in the year of 2004. Conclusion: There was a gap between the profile of hospital of Madiun city with the hospital standard type C of Department of Health in the year of 1994, especially insuffiency of Human Resource and health appliance and also organization chart which is being prepared.. The hospital fixed stakeholder policy will have operational in the year of 2004 although still not fits with standard planned plenary of year 2005.

Kata Kunci : Manajemen Rumah Sakit,Rencana Operasional