Dumilah Ayuningtyas

Fiscal Capacity, Geographical Conditions, and Demography as Contributing Factors to the Availability of Medical Specialist in Public Hospitals in a Remote Area of Banten Province

Meeting the shortage of medical specialist in remote areas is a challenge for local governments in the era of decentralization. Many factors such as the socio-economic, geographic, and demographic conditions contribute to this challenge. This research analyzes the various factors that influence the availability of medical specialist in the Malingping District Hospital in a remote area of Banten Province. A qualitative approach was taken, employing in-depth interviews and research observations in Malingping District Hospital. Malingping is a remote and underdeveloped area in Banten Province. The research revealed that the availability of medical specialist in Malingping District Hospital was inadequate, both in terms of number and type. Difficult geographical conditions and inadequate infrastructure cause there are limited means of transportation for reaching Malingping, which greatly affects the flow of people and goods. Remote location and heavy terrain with curving, uphill and downhill contours makes access to Malingping so difficult. The size and growth of the population is relatively stagnant. Moreover, development tends to be slow, and the economy of the region is still underdeveloped. Many medical specialist do not want to visit, work, and settle in Malingping. Based on this study, it can be concluded that the motivation of medical specialist to work in a region, particularly a remote area, is greatly influenced by the location, geographical condition, economic development, population number, and significant growth. Concrete efforts are needed to provide access to remote areas, as are efforts that strive toward regional development that directly affects the regional economy, attracting professionals including medical specialist to work in these regions.

Influence of good governance implementation on healthcare performance in three Provinces in Indonesia

This study analyzes the role of good governance and its impact on the performance of regional governments in the three Indonesian provinces that showed the greatest progress in Millennium Development Goals (MDGs): DKI Jakarta, Aceh, and West Nusa Tenggara. This study was a narrative review, a critical appraisal of the chosen articles was done according to the method for preferred reporting items for systematic reviews and meta-analyses (PRISMA). Based on government performance reviews according to the Indonesian Governance Index (IGI), DKI Jakarta is far above the national average score of 6.37. Overall the three provinces have implemented good governance based on good leadership, commitment, and integrity to public service. Poor internal control, partly caused by the lack of an accountable and transparent mindset, was identified as an obstacle in the implementation of good governance in the three provinces. Thus, the implementation of good governance is necessary for improving the quality of healthcare services. A correlation is evident between improved growth and development indices and good governance. The government plays an important role and need to adjust according to local wisdom should be further explored in the future.

Analisis Potensi Pasar dan Atribut Pelayanan Rumah Sakit Islam Depok

Di Kota Depok masyarakat muslim yang menjadi komunitas terbesar ( 91,94%) merupakan pasar potensial rumah sakit. Tujuan penelitian ini adalah mendapat gambaran potensi pasar dan atribut pelayanan rumah sakit yang diharapkan masyarakat muslim. Penelitian yang menggunakan model SERVQUAL ini dimodifikasi dengan 4 karakteristik syariah marketing dan dikelompokkan dalam people, place, symbols, equipment, dan price. Desain penelitian menggunakan metode survey self administered questionaire. Sampel berjumlah 120 diambil dari pasien yang berobat di rumah sakit di Kota Depok. Selain itu, dilakukan studi kualitatif dengan metode indepth interview kepada pakar terkait. Atribut pelayanan rumah sakit Islam pilihan responden yang bersifat universal berupa bentuk pelayanan yang diinginkan. Atribut spesifik tersebut meliputi cara berpakaian, tata ruang, petunjuk arah kiblat, petunjuk dan perlengkapan wudhu pasien, disain interior Islami, mushola di setiap lantai. Atribut fasilitas berupa bimbingan pasien kritis dan bimbingan ruhani. Atribut tarif meliputi komitmen melayani pasien tak mampu, pelayanan tidak terpengaruh tarif kelas dan tidak sepenuhnya profit oriented. Dari hasil indeph interview pakar diformulasikan atribut pelayanan rumah sakit Islam yang bersifat universal dan spesifik. Atribut pelayanan spesifik meliputi aspek fisik, aspek SDM, dan aspek fasilitas. Atribut pembiayaan yang tidak ada pembedaan tarif, tidak menerapkan uang muka. Atribut prosedur pelayanan medis berupa pelayanan bersalin dengan konsep pure gender dan adanya standar operasional prosedur yang memperhatikan aspek layanan gender. Manajemen rumah sakit Islam perlu mempertimbangkan potensi pasar dan merealisasikan atribut universal dan spesifik. Kata kunci : Pasar potensial, atribut servis, rumah sakit islam Abstract Muslim community as the largest population in Indonesia as well as in the city of Depok with the percentage of 91.94%, has been considered as prospective market for Islamic-based business including hospital business. The objective of this study is to investigate the market potential and the service attributes of the Islamic hospitals. The design of study is analytic descriptive with quantitative approach using survey method through self administered questionnaires. The number of samples was 120 taken from the patients nursed in the hospitals in Depok. Qualitative approach was conducted using in-depth interview of related experts. The attributes of service of Islamic hospitals selected by the respondents were universal and specific. The universal attributes were the service models. The specific attribute which indicated Islamic services physically comprised of : Muslim costumes, availability of sign of the direction of kiblah, Islamic interior design, and availability of prayer room. The attributes of facilities including guide for critical patients by particular staff, and costumes for prayer for serious patients, and religious guide for the patients and their family. The attributes of price were to serve poor patients, the services are not influenced by the class tariff and not fully profit-oriented. The specific attributes of service including physical aspects, facility aspects, and human resources aspect. The attributes of costing comprise of: the absence of tariff differences, there is no deposit. The attributes of medical services consist of purely gender-based maternity services, and the existence standard operation procedures which considers the aspects gender-based services. The management of Islamic hospitals should consider their market potencies and implement the universal and specific attributes to enable them to perform Islamic high-quality services. Keywords : Potential market, services attribute, islamic hospital