ANALISIS IMPLEMENTASI PENYELENGGARAAN PROMOSI KESEHATAN RUMAH SAKIT DI ERA JAMINAN KESEHATAN NASIONAL
Abstract
Latar Belakang: Promosi kesehatan rumah sakit (PKRS) merupakan kewajiban yang sangat penting pada era Jaminan Kesehatan Nasional (JKN) dalam melindungi dan meningkatkan status kesehatan masyarakat. Namun saat ini perkembangan PKRS masih berjalan lambat di Indonesia karena belum terjaga prosesnya. Hal tersebut juga terjadi pada salah satu rumah sakit swasta di Tangerang Selatan, dimana berdasarkan studi pendahuluan secara garis besar masih belum optimal seperti standar di Permenkes No. 44 Tahun 2018 tentang PKRS.
Metode: Penelitian ini merupakan penelitian kualitatif yang bersifat deskriptif dan analitik dengan tujuan untuk meninjau faktor yang dapat mempengaruhi implementasi PKRS. Pengambilan data dilakukan dengan menggunakan wawancara mendalam, observasi dan telaah dokumen pendukung penelitian. Analisis data dilakukan dengan menggunakan konsep triangulasi sumber, metode maupun teori. Informan dalam penelitian ini berjumlah 8 orang, yang terdiri dari petugas struktural, fungsional maupun keluarga pasien.
Hasil: Hasil penelitian menunjukkan bahwa implementasi penyelenggaraan PKRS masih belum optimal pelaksanaannya. Meskipun telah adanya dukungan dan komitmen pelaksana yang baik, namun ada faktor lain yang bisa mempengaruhi implementasi konsep tersebut seperti masih belum lengkapnya sumber daya yang dimiliki, komunikasi yang terjalin antar petugas masih kurang terkait aktivitas PKRS, dan masih adanya hambatan sikap pelaksana terkait konsep ini. Diharapkan pihak rumah sakit agar merealisasikan dukungan dan komitmen menjadi suatu kebutuhan untuk mengimplementasikan PKRS dengan optimal.
Kata Kunci : Promosi Kesehatan, Rumah Sakit, Kebijakan
Analysis of Implementation of Hospital Health Promotion Implementation in the Era of National Health Insurance
Background: Health promotion hospital (HPH) is an obligation that very important in national health insurance (NHI) era for protecting and improving public health status. But nowadays, HPH development is still low in Indonesia because the process is not maintained. The same thing comes from one of private hospital in South Tangerang, where based on early studied in general, it’s still not optimal yet as the standards in ministry of health regulation number 44/2018 about HPH.
Method: This is descriptive and analitical from qualitative study with the aim of reviewing factors that can affect implementation of HPH. Data retrieval is done from indepth interview, observation, and document review that support this research. Data analysis is done with triangulation concept (source, methods, theory). Informants in this research were 8 people, comes from structural officer, functional officer and patient family.
Results: Results from this study is showing that implementation of organizing HPH is still not good. Even there are good supports and commitments, but there are still another factors that could affect it concepts such as lack of resources, lack of communication between stakeholders about HPH, and there is barrier attitudes about this concept. Expected the hospital have to realization their supports and commitments into their needs for implementing optimal HPH.
Keywords : Health Promotion, Hospital, Policy
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