PENGEMBANGAN MODEL PELAYANAN PUSKESMAS MANDIRI DI ERA DESENTRALISASI (Studi Kasus Di Propinsi Kalimantan Timur)

Abstract

<p>One of the challenge on implementation the UU No.22/1999 about Govermental Autonomy is the health center services management. Data and information showed that the health center is not well responsed in live with the autonomous principles of health center. Such as (1) health center still carried out 18 basic activities and has not separated between compulsory programs and innovative programs, (2) health center still employ the old management style (Perencanaan Tingkat Puskesmas, Lokakarya Mini, and Stratifikasi), and (3) there was no clear-cut separation of financing aspects between public goods and pnvate goods.</p> <p>Thts study is a crosssecltonal study carried out in Kalimantan Timur Provmce. The aim of this study was to develope an autonomous specific health center model in Kutat Kertanegara and Baltkpapan based on mdepth interview and focus group discusston among the health center leaders and the Balikpapan and Kutei Kertanegara health distncts.</p> <p>The result of thts study showed that the criteria of health center autonomous model in Kalimantan Province is able to carry out 'discretion of management' m the way that a health center can determme the types of programs/services, able to compete in health services market by privatisizing private goods (out-patient clinics, laboratory, m-patient climes), able to run an appropriate management effort corresponding to the type of programs/services to be managed.</p> <p> </p> <p>Keywords: autonomous health center, decentralization, management discretion</p><br />