Pendekatan EMIC dalam pendekatan standar jasa medis berdasarkan persepsi dokter spesialis empat pelayanan dasar di RSU Pandan Arang Boyolali

ANDARWATI, Prof.dr. Laksono Trisnantoro, MSc.,Ph.D

2006 | Tesis | S2 Ilmu Kesehatan Masyarakat (Manajemen Rumah Saki

Latar Belakang : Biaya pelayanan kesehatan saat ini cukup besar. Salah satu faktor penyebabnya adalah jasa medis dokter. Sampai saat ini belum ada aturan yang jelas tentang besaran jasa tersebut. Peranan organisasi profesi dan institusi pelayanan kesehatan sangat besar dalam mewujudkan standar jasa medis. Tujuan Penelitian: 1) Mengetahui keinginan dan harapan dokter spesialis terhadap jasa medis dengan pendekatan emic, (2) Mengetahui makna jasa medis terhadap kehidupan dokter spesialis 4 pelayanan dasar. Metode Penelitian: penelitian ini memakai metode kualitatif dengan pendekatan emic. Data diperoleh dengan wawancara mendalam, observasi. Hasil Penelitian: Salah satu Faktor yang menyebabkan tingginya biaya pelayanan kesehatan adalah jasa medis. Belum adanya peraturan yang jelas dalam menyusun besaran jasa, sehingga sampai saat ini masih banyak variasinya. Di rumah sakit pemerintah ditentukan oleh peraturan daerah, sedangkan di praktek pribadi dan rumah sakit swasta penetapannya tidak ada dasar yang jelas. Dokter spesialis sebagai profesi bekerja dalam kompensasi materi. Banyaknya sumber pendapatan dokter menyebabkan jumlahnya bisa tidak terukur. Peran organisasi profesi dan institusi pelayanan sangat besar. Faktor-faktor yang harus dipertimbangkan dalam menyusun besaran jasa medis adalah persepsi, kebutuhan, harapan, dan arti jasa itu sendiri bagi kehidupan dokter spesialis. Kesimpulan : Faktor-faktor yang harus dipertimbangkan dalam menyusun standar jasa medis adalah persepsi, kebutuhan dan harapan, dan arti jasa itu sendiri bagi kehidupan dokter spesialis. Peran organisasi profesi dan institusi pelayanan sangat besar besar dalam penyusunan standar jasa medis.

Background: For the time being, cost for health service is high enough. One of the causal factors is medical service of doctor. There is no clear regulation about the quantity of its service. The role of profession organization and medical service institution has a crucial part in creating the standard of medical service. Objectives This study is aimed 1) to identify specialist’s wish and expectation towards the medical service with emic approach, and 2) to understand the meaning of medical service towards four basic services of specialist doctor. Method This study uses qualitative method with emic approach. The data is obtained by deeply interviews and observations. Result One of the factors which cause cost of health service quite high is medical services. Due to that no clear regulation in creating the service quantity, the variation in creating the quantity are still a lot. In government hospitals, it is determined by the local regulation, meanwhile in personal practices and private hospitals there is no clear regulation prevailing. The specialist doctor as a professional works in material compensation. Since the income sources for doctors are numerous, the amount of their income cannot be measurable. The role of profession organization and medical institution are extremely essential. The factors which have to be considered in organizing medical service quantity are perception, necessity, expectation, and the meaning of the service itself for the life of specialist doctors. Conclusion The factors which have to be considered in organizing medical service standard are perception, necessity, expectation, and the meaning of the service itself for the life of specialist doctor. The role of profession organization and service institution are really crucial in organizing the medical service standard.

Kata Kunci : Standar Layanan Medis,Dokter Spesialis,EMIC