Discipline of hospital staff

Oct 13, 2025 by windailys.com 92 views

Analysis of Hospital Readiness in Implementation of National Health Insurance Program Policy Based on Aspects of Organizational Behavior in Dr. Djasamen Saragih Regional Hospital Pematangsiantar City in 2014

Introduction

The implementation of the National Health Insurance Program (JKN) at Dr. Djasamen Saragih Regional Hospital in Pematangsiantar City has shown several challenges, both in terms of technical and operational aspects. This study aims to analyze the readiness of hospitals in the implementation of the JKN program through the lens of organizational behavior. The research was conducted from April to June 2014 involving 12 informants, using a qualitative approach with data collection through in-depth interviews and questionnaires.

Background of the Study

The National Health Insurance Program (JKN) is a government program aimed at providing health insurance coverage to all citizens in Indonesia. The program was implemented in 2014, and Dr. Djasamen Saragih Regional Hospital was one of the hospitals that participated in the program. However, the implementation of the JKN program at the hospital showed several challenges, including technical and operational issues. This study aims to analyze the readiness of the hospital in implementing the JKN program, focusing on the aspects of organizational behavior.

Methodology

This study used a qualitative approach, involving 12 informants, including hospital staff and JKN participants. The data collection was done through in-depth interviews and questionnaires. The study was conducted from April to June 2014.

Results

The results of the study showed that the readiness of Dr. Djasamen Saragih Regional Hospital in implementing the JKN program is still less than optimal. This can be seen from the aspect of organizational behavior, both at the level of individuals, groups, and organizations as a whole. The study found that the hospital staff's work discipline needs to be improved, including attendance, attitudes, and ways to interact with patients. The study also found that the hospital's persuasive approach to officers needs to be done to increase their motivation and awareness in providing quality services.

Organizational Readiness Analysis

From the point of view of organizational behavior, there are several factors that are inhibiting the implementation of the JKN program. One of them is the work discipline of hospital employees who need to be improved. This discipline not only includes attendance, but also attitudes and ways to interact with patients. The persuasive approach to officers also needs to be done to increase their motivation and awareness in providing quality services.

Short-term Recommendations

In the short term, a number of actions can be taken to increase the readiness of Dr. Djasamen Saragih Regional Hospital in the implementation of JKN:

Discipline of hospital staff: Strengthening the rules and supervisory systems related to employee discipline.
Persuasive Approach: Providing training and guidance to increase officers' understanding of the importance of good service.
Employee Performance Contract: Make a clear performance contract to ensure employees understand their responsibilities.
Appropriate incentive division: Develop a fair and motivative incentive system for employees.
Cooperation with third parties: Building collaboration with other organizations to expand resources and support.

Medium and Long-term Recommendations

On the other hand, for the medium term, Dr. Djasamen Saragih Regional Hospital is advised to do:

Identification, Monitoring, and Evaluation: Perform periodic evaluations of the implementation of JKN to find areas that need to be improved.
Improve facilities: Striving for the completeness of hospital facilities to support better health services.

For the long run, proposing equipment needs to the central government through the North Sumatra Provincial Government needs to be done so that hospitals can be more prepared in facing various challenges that arise in the implementation of JKN.

Conclusion

In conclusion, Dr. Djasamen Saragih Regional Hospital has not been fully prepared in implementing the JKN program, especially from the aspect of organizational behavior. There needs to be a joint effort to improve this condition, both in terms of employee discipline, improvement of communication, to the provision of adequate facilities. By paying attention to the existing recommendations, it is expected that health services in this hospital can increase, and the satisfaction of JKN participants can be realized.

Recommendations for Future Research

This study provides several recommendations for future research, including:

Conducting a study on the impact of organizational behavior on the implementation of JKN program in other hospitals.
Conducting a study on the effectiveness of short-term and medium-term recommendations in improving the readiness of hospitals in implementing JKN program.
Conducting a study on the role of hospital leadership in improving the readiness of hospitals in implementing JKN program.

Limitations of the Study

This study has several limitations, including:

The study was conducted in a single hospital, which may limit the generalizability of the findings.
The study used a qualitative approach, which may limit the ability to generalize the findings to other hospitals.
The study did not collect data on the impact of JKN program on the health outcomes of patients.

Future Directions

This study provides several future directions, including:

Conducting a study on the impact of JKN program on the health outcomes of patients.
Conducting a study on the effectiveness of long-term recommendations in improving the readiness of hospitals in implementing JKN program.
Conducting a study on the role of hospital leadership in improving the readiness of hospitals in implementing JKN program.
Q&A: Analysis of Hospital Readiness in Implementation of National Health Insurance Program Policy Based on Aspects of Organizational Behavior in Dr. Djasamen Saragih Regional Hospital Pematangsiantar City in 2014

Q: What is the main objective of this study?

A: The main objective of this study is to analyze the readiness of Dr. Djasamen Saragih Regional Hospital in implementing the National Health Insurance Program (JKN) policy based on aspects of organizational behavior.

Q: What are the challenges faced by Dr. Djasamen Saragih Regional Hospital in implementing the JKN program?

A: The study found that the hospital faced several challenges, including technical and operational issues, such as work discipline of hospital employees, persuasive approach to officers, and provision of adequate facilities.

Q: What are the short-term recommendations for improving the readiness of Dr. Djasamen Saragih Regional Hospital in implementing the JKN program?

A: The short-term recommendations include:

Discipline of hospital staff: Strengthening the rules and supervisory systems related to employee discipline.
Persuasive Approach: Providing training and guidance to increase officers' understanding of the importance of good service.
Employee Performance Contract: Make a clear performance contract to ensure employees understand their responsibilities.
Appropriate incentive division: Develop a fair and motivative incentive system for employees.
Cooperation with third parties: Building collaboration with other organizations to expand resources and support.

Q: What are the medium-term recommendations for improving the readiness of Dr. Djasamen Saragih Regional Hospital in implementing the JKN program?

A: The medium-term recommendations include:

Identification, Monitoring, and Evaluation: Perform periodic evaluations of the implementation of JKN to find areas that need to be improved.
Improve facilities: Striving for the completeness of hospital facilities to support better health services.

Q: What are the long-term recommendations for improving the readiness of Dr. Djasamen Saragih Regional Hospital in implementing the JKN program?

A: The long-term recommendations include proposing equipment needs to the central government through the North Sumatra Provincial Government to ensure that hospitals can be more prepared in facing various challenges that arise in the implementation of JKN.

Q: What are the limitations of this study?

A: The study has several limitations, including:

The study was conducted in a single hospital, which may limit the generalizability of the findings.
The study used a qualitative approach, which may limit the ability to generalize the findings to other hospitals.
The study did not collect data on the impact of JKN program on the health outcomes of patients.

Q: What are the future directions for this study?

A: The future directions for this study include:

Conducting a study on the impact of JKN program on the health outcomes of patients.
Conducting a study on the effectiveness of long-term recommendations in improving the readiness of hospitals in implementing JKN program.
Conducting a study on the role of hospital leadership in improving the readiness of hospitals in implementing JKN program.

Q: What are the implications of this study for hospital administrators and policymakers?

A: The study has several implications for hospital administrators and policymakers, including:

The need to improve the work discipline of hospital employees.
The need to provide training and guidance to increase officers' understanding of the importance of good service.
The need to develop a fair and motivative incentive system for employees.
The need to build collaboration with other organizations to expand resources and support.
The need to propose equipment needs to the central government through the North Sumatra Provincial Government to ensure that hospitals can be more prepared in facing various challenges that arise in the implementation of JKN.