IMPLEMENTASI TATA KELOLA KLINIS OLEH KOMITE MEDIK DI RUMAH SAKIT UMUM DAERAH DI PROVINSI JAWA TENGAH
| Main Authors: | , Kasyfi Hartati, , Prof. dr. Adi Utarini, M.Sc., MPH, Ph.D. |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/126939/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=67178 |
Daftar Isi:
- Background: Clicinal governance is a quality system developed since the 1990s . With this system, people are guaranteed to get the best clinical care . In Indonesia, the clinical governance issues stipulated in Law No. 44 of 2009 on Hospital. Implementation rules are the Minister of Health Decree No. 755/Menkes/Per/IV/2011 on the Iplementation of Medical Committee on the Hospital. Medical committee in hospital is in charge of implementing cinical governance so that the medical staff at the hospital maintained their professionalism. Objective: Measure the level of implementation of clinical governance by the medical committee at district general hospitals in Central Java Province. Methods : This study was a descriptive study with cross-sectional survey research design . The study subjects were 48 District General Hospitals in Central Java consisting of 1 class A hospital , 17 class B hospital , 26 class C hospital and 4 class D hospital. Data obtained using questionnaires adapted from the Clinical Governance Standarts for Western Australian Health Services , Clinical Governance Survey by Lugon & Secker-Walker , Optimizing Health Care Governance (OPTIGOV) , Minister of Health of the Republic of Indonesia rules No. 755/Menkes/Per/IV/2011 and Accreditation Standards 2007. Questionaires measure structure and proses clinical governance implementation. There are 8 variables on clinical governance structures and 13 variables on clinical governance processes. Questionnaires sent to respondents through a courier service and answers given by interviews or written responses . Descriptive data analysis . Results and discussion : Data obtained from 30 hospitals (1 class A hospital, 12 class B hospital , 14 class C hospital and 3 class D hospital). The average level of clinical governance implementation in district�s hospitals in Central Java is 67%, the average level of fulfillment of clinical governance structure is 75% and the average rate of implementation of clinical governance processes 58%. Implementation of the medical committee assignments is a medical audit 3.3%, credentialing 3.3%, sustainable professional development for medical staff 50% and professional development medicine 70% . There is several constraints in implementation the Minister of Health Decree No. 755/Menkes/Per/IV/2011 because of: the uneven spread of specialists, lack of support from hospital management. Conclusions and suggestions : Implementation of clinical governance by the medical committee in district hospitals in Central Java has not been in accordance with existing regulations. There needs to be strengthened for the medical committee. It would need to manufacture clinical governance guidelines by the authorities and monitoring its implementation.