Analisis Stakeholder terhadap pengembangan Sistem Imformasi Manajemen Rumah Sakit Umum Daerah Prof.dr. H. Aloei Saboe Kota Gorontalo Propinsi Gorontalo

BASTIAAN, Tito E.M, Prof.dr. Hari Kusnanto, DrPH

2007 | Tesis | S2 Ilmu Kesehatan Masyarakat (Manaj. Rumah Sakit)-

Latar Belakang. Pengembangan sistem informasi manajemen rumahsakit Prof dr H Aloei Saboe yang berbasis komputer yang dikembangkan sejak tahun 2005 belum memberikan hasil yang signifikan, karena belum direncanakan secara matang. Dalam penentuan suatu pengambilan kebijakan banyak berperan individu/organisasi. Oleh karena analisis stakeholder dalam pengembangan sistem informasi manajemen rumahsakit merupakan kajian yang menarik. Tujuan. Mengidentifikasi peran, interaksi dari seluruh stakeholder rumah sakit dalam pengembangan sistem informasi rumah sakit. Metode. Penelitian ini merupakan studi kasus tunggal terpancang dengan metode kualitatif. Subyek penelitian ini adalah stakeholder rumah sakit Prof dr H Aloei Saboe yang meliputi; Direktur, Sekretaris direktur, Spesialis, Walikota, anggota DPRD komisi B Kepala Dinas Kesehatan, vendor, dan operator sistem. Instrumen penelitian berupa pedoman wawancara mendalam dan focus group discussion, serta cek dokumen. Hasil. Peran Walikota dan DPRD, serta Direktur karena posisi, kekuatan pengaruh dan keterlibatan yang dominan, sedangkan Vendor berperan karena memiliki pengetahuan konsep dan mempunyai kepentingan tinggi (pendukung dan fasilitas). Stakeholder yang paling berperan dalam pengembangan sistem informasi manajemen rumah sakit adalah Direktur RS karena tenaga fungsional, manajer madya dan operator tidak dilibatkan dalam pengembangan program tersebut. Pengembangan sistem informasi manajemen RS Prof dr H Aloei Saboe lebih mengutamakan trend dibandingkan kebutuhan rumah sakit. Pola interaksi antar stakeholder dalam penentuan kebijakan pengembangan sistem informasi manajemen rumah sakit bersifat hirarki karena posisi dan kekuatan pengaruh lebih dominan. Hal tersebut berakibat pengembangan sistem informasi manajemen rumahsakit kurang optimal Kesimpulan. Peran dan interaksi Stakeholder dalam pengembangan sistem informasi manajemen RS Prof dr H Aloei Saboe dipengaruhi hirarki dalam struktur organisasi pemerintahan, sehingga pengembangan sistem informasi manajemen rumahsakit kurang optimal.

Background: Development of Computer based hospital management which has been developed since the year of 2005 was not yet giving a significant result, as it has not been well planned. Individuals/organizations have many roles in decision making. Therefor, stakeholder analysis in development of management informatics system in hospital is necessary to be conducted. Objective: This research was aimed to identify role and interaction from the whole hospital stakeholder in development of hospital informatics system Method: This way a case study that used qualitative method. The subject was stakeholder of Prof dr H Aloei Saboe hospital which consists of: director, middle manajer, specialist, mayor, member of legislative (DPRD) commission B, head of health office, vendor and operator system. The research instrument was guidance on in depth interview and focus group discussion, as well as document check. Result: The role of major and DPRD as well as director was influenced by their position, strength of influence and dominant involvement while vendor had a role as he/she concept knowledge and had high importance (supporting and facility). Stakeholder who had a great role in the development of hospital informatics system was director was the hospital as he or she was a functional staf; middle manager and operator did not involved in program development. The development of management informatics system of Prof dr H Aloei Saboe hospital was more following the trand rather than need. Interaction method between stakeholders in determining policy of management informatics system in hospital was hierarchy as the reault of position and strength which was more dominant.This is affected on the development of management informatics system in hospital was less optimum. Conclusion: The role and interaction of stakeholder in the development of management informatics system of Prof dr H Aloei Saboe hospital was influenced by hierarchy in the government organization structure, so that the development of management informatics system was less optimum

Kata Kunci : Sistem Informasi Manajemen Kesehatan,Peran Stakeholder