Open AccessImplementasi Kebijakan Remunerasi di Rumah Sakit Pemerintah
Author(s) -
Iwan Dakota,
Dumilah Ayuningtyas,
Ratih Oktarina,
Misnaniarti Misnaniarti
Publication year - 2017
Publication title -
jurnal kebijakan kesehatan indonesia
Language(s) - English
Resource type - Journals
eISSN - 2620-4703
pISSN - 2089-2624
DOI - 10.22146/jkki.v6i3.29669
Subject(s) - remuneration , bureaucracy , transparency (behavior) , focus group , business , perception , qualitative research , work (physics) , public relations , nursing , accounting , psychology , medicine , political science , marketing , finance , sociology , engineering , mechanical engineering , social science , neuroscience , politics , law
Background: Since 2008, Hospital A began implementing remuneration. However, this system gets the refusal of some parties. Therefore, aims this research was to determine the remuneration policy implementation at the Hospital A Jakarta. Method: The study was conducted with a qualitative approach through in-depth interviews and focus group discussions, each with 10 medical personnel involved. Result: The results of this study indicate that aspects of the environment in general have a positive perception of the organization while the relationship between negative perceptions obtained. Negative perceptions are also found on the organization’s resources and budget allocation accuracy especially bureaucratic commitment is relatively low. Meanwhile, the characteristic aspects and capabilities of implementing agencies received a positive perception. Secondary data showed an increase in financial performance and hospital services after the implementation of the remuneration. Conclusion: Implementation of the remuneration policy in Hospital A goes pretty well with a few flaws that need attention. Therefore, the necessary changes to the paradigm of gradual and continuous work culture of employees, improving the quality and quantity of communication between the organization and management of the employees regarding transparency, optimization remuneration policy dissemination and implementation of monitoring and evaluation on a regular basis with the involvement of all stakeholders. Keyword : Implementation, Policy, Remuneration, Hospital ABSTRAKLatar Belakang: Sejak tahun 2008, Rumah Sakit A mulai menerapkan kebijakan remunerasi. Akan tetapi sistem ini mendapat penolakan dari sejumlah pihak. Oleh karena itu, tujuan studi ini adalah untuk mengetahui implementasi kebijakan remunerasi di Rumah Sakit A di Jakarta. Metode: Studi dilakukan dengan pendekatan kualitatif melalui wawancara mendalam dan diskusi kelompok terfokus, masing-masing dengan 10 tenaga medis yang terkait. Hasil: Hasil penelitian ini menunjukkan bahwa aspek kondisi lingkungan secara umum memiliki persepsi positif sedangkan hubungan antar organisasi didapatkan persepsi yang negatif. Persepsi yang negatif juga dijumpai pada sumber daya organisasi khususnyaketepatan alokasi anggaran dan komitmen birokrasi yang relatif rendah. Sementara, aspek karakteristik dan kapabilitas instansi pelaksana mendapat persepsi positif. Data sekunder menunjukkan adanya peningkatan kinerja pelayanan dan keuangan rumah sakit setelah pelaksanaan remunerasi. Kesimpulan: Impelementasi kebijakan remunerasi di Rumah Sakit A berlangsung cukup baik dengan beberapa kekurangan yang perlu mendapatkan perhatian. Oleh karena itu, diperlukan perubahan bertahap dan berkesinambungan terhadap paradigma budaya kerja karyawan, peningkatan kualitas dan kuantitas komunikasi antar organisasi maupun manajemen dengan karyawan menyangkut tranparansi, pengoptimalan sosialisasi kebijakan remunerasi serta pelaksanaan monitoring dan evaluasi secara berkala dengan melibatkan semua pemangku kepentingan. Kata kunci: Implementasi, kebijakan, remunerasi, rumah rakit