Environment factors (government policy) that affect public health center’s performance: a case study of public health center in the national health insurance era
Daftar Isi:
- Background: Health development is an integral part of national development. Public Health Center (PHC) as a place that facilitates the first level of health services still faced various problems, which is still faced high maternal, infant, and toddler mortality. The high mortality rates indicate that the standard of success of the program is still low even though more people need high quality service and fast along with the enactment of National Health Insurance (NHI) system per January 1, 2014. This study aims to analyze the environment factors (government policy) that affect the performance of PHCs. Materials and Methods: The research method used is qualitative method with case study approach. Case study approach is used to specifically identify the input factors that affect the performance of PHCs so that the researchers get a clear description from different points of view. The object of this research is 5 PHCs in Padang City. Data obtained by in-depth interview, questionnaire, and FGD. Results: PHCs haven’t had high quality yet. This is shown from the findings of research that the environmental factor that feel its influence in PHCs is the NHI Law which requires all residents to be NHI participants. Conclusions: Environment factors (government policy) at PHCs II (Andalas and Lubuk Buaya PHC) are better than PHCs I (Bungus, Lubuk Begalung, and Ambacang). Keywords: Environment, Government Policy, NHI, PHC, Performance.