Analisis Hubungan Clinical Autonomy Terhadap Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional

https://doi.org/10.22146/jkr.49209

Nasrudin Andi Mappaware(1*), Ova Emilia(2), Soerjo Hadijono(3), Umar Malinta(4), Mohammad Hakimi(5), Soetrisno Soetrisno(6), Eddy Tiro(7)

(1) Fakultas Kedokteran, FK UMI
(2) Departemen Obstetri dan Ginekologi, FK-KMK, UGM
(3) Departemen Obstetri dan Ginekologi, FK UNDIP
(4) Departemen Obstetri dan Ginekologi, FK UNHAS
(5) Departemen Obstetri dan Ginekologi, FK-KMK, UGM
(6) Departemen Obstetri dan Ginekologi, FK UNS
(7) Departemen Obstetri dan Ginekologi, FK UNHAS
(*) Corresponding Author

Abstract


Background: In Indonesia, the National Health Insurance System (NHIS) is an implementation of law No. 40 of 2004 on the National Social Insurance System in health sector with universal health coverage (UHC) concept. Therefore, the satisfaction of specialist’s work will be very influence towards hospital works. The previous research (Nasruddin, 2017) about factor analysis related to job satisfaction of doctor specialist for obstetrics and gynecology (SpOG) toward Sectio Caesarea (SC) on NHI showed that medical service (transparency and remuneration) and working condition have significant correlation towards work satisfaction of doctor SpOG in SC on NHI.    

Objective: to analyze the correlation of clinical autonomy on job satisfaction of doctor SpOG on Sectio Caesarea on National Health Insurance system.

Method: A quantitative research by applying analytic observational study with cross sectional design.

Materials and Research: This research was conducted in Makassar. A number of sample was 73 doctors SpOG. Data was obtained by clinical autonomy questionnaire having been tested its validity and reliability. The result of the research was analyzed by using chi-square test.  

Result: Based on the correlation of characteristics towards work satisfaction of doctor SpOG in SC on National Health Insurance system found that age category between 36 – 45 years old is satisfied, female is satisfied, working duration more than 5 years is dissatisfied and public hospital status is dissatisfied. There is no correlation between clinical autonomy in this case is control overwork (p = 0.170) and prerogative obtain need service (p = 0.240) on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System.

Conclusion: There is no relation between clinical autonomy on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Even though the doctors SpOG are not satisfied with NHI (medical service and working condition) but the doctors are able to work professionally with clinical autonomy. 

Keywords: clinical autonomy, doctor SpOG, National Health Insurance System 


Keywords


clinical autonomy; doctor SpOG; National Health Insurance System

Full Text:

PDF


References

ACOG. 2013. Cesarean Delivery on Maternal Request. Amreican College of Obstetricians and Gynecologists.

ACOG. 2014. Safe Prevention of the Primary Cesarean Delivery. American College of Obstetricians and Gynecologists.

Alwini Evi. 2014. Faktor-faktor yang berhubungan dengan kepuasan kerja dokter spesialis di rumah sakit Mohammad Ridwan Meuraksa Jakarta. Tesis Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit Program Pasca Sarjana Universitas Indonesia Tahun 2014.

Anggraeni, A.C. 2012. Asuhan Gizi Nutrional Care Proccess. Yogyakarta : Graha Ilmu.

Arikunto, S. 2010. Prosedur Penelitian : Suatu Pendekatan Praktik. Jakarta : PT. Rineka Cipta

As’ad, Moh. 1995. Psikologi Industri. Yogyakarta : Liberty.

As'ad, Moh. 2003. Psikologi Industri: Seri Sumber Daya Manusia, Yogyakarta : Liberty.

As’ad, Moh, 2004. Psikologi Industri: Seri ilmu Sumber Daya Manusia, Yogyakarta : Liberty.

Azwar, Azrul. 1996. Menjaga Mutu Pelayanan Kesehatan. Jakarta : Sinar Harapan.

Barata, A. A. 2003. Dasar-dasar Pelayanan Prima. Jakarta : PT. Elex Media Komputindo.

Bem, D. J. 1972. Self-perception theory. In L. Berkowitz (ed), Advances in experimental social psychology, (Vol. 6. pp. 1-62), New York: Academic Press

Blum, M. l. 1956. Industrial psychology and its social foundations. New York: Harper & Row, Publishers.

Bovier, P. A. & Perneger, T. V. 2003. Predictors of work satisfaction among physicians. The European Journal of Public Health, 13, 299-305.

Brown, dan Ghiselli. (1950).Personnel dan Industrial Psychology. Mc New York: Graw- Hill.

Bungin, B. 2008. Metode Penelitian Kuantitatif. Jakarta, Kencana Prenada Media Group.

Burdi, M. D. & Baker, L. C. 1997. Market-level health maintenance organization activity and physician autonomy and satisfaction. The American journal of managed care, 3, 1357-1366.

Casalino, LP, Wu, FM, Ryan, AM, Copeland, K, Rittenhouse, DR, Ramsay, PP & Shortell, SM. 2013. 'Independent practice associations and physician-hospital organizations can improve care management for smaller practices' Health Affairs, vol 32, no. 8, pp. 1376-1382.

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., Casey, B. M. & Sheffield, J. S. 2014. Cesarean Delivery and Peripartum Hysterectomy. Williams Obstetrics 24th edition.

Dahlan, M. 2011. Statistik untuk Kedokteran dan Kesehatan: Deskriptif, Bivariat, dan Multivariat, Jakarta, Salemba Medika.

Denhardt, Janet V.and Denhardt Robert B, 2003. The New Public Service: Serving Not Steering. New York, M. E. Sharpe, Inc.

Departemen Kesehatan RI. 2004. Undang-undang Republik Indonesia No. 29 Tahun 2004 Tentang Praktik Kedokteran Indonesia. Jakarta : Depkes RI.

Depkes RI. 2009. Sistem Kesehatan Nasional. Jakarta

Departemen Kesehatan Republik Indonesia. 2010. Peraturan Menteri Kesehatan Republik Indonesia Nomor 340/Menkes/perIII/2010. Depkes RI. Jakarta.

Departemen Kesehatan Republik Indonesia. 2012. Pedoman Sistem Rujukan Nasional. Jakarta: Direktorat Jenderal BUK (Bina Upaya Kesehatan) Kementerian Kesehatan Republik Indonesia.

Dewan Pertimbangan Perkumpulan Obstetri Dan Ginekologi Indonesia. 2011. Panduan Etika Dan Profesi Obstetri dan Ginekologi di Indonesia (Good Practice In Obstetrics & Gynekology) Jakarta: Perkumpulan Obstetri dan Ginekologi Indonesia.

Diliana Suci Angela, Noor Noer Bahry, Maria Ida Leida. (2014). Kepuasan kerja dokter spesialis RS Nene Malommo Kab Sidrap dan RSUD Kota Makassar pada pelaksanaan JKN tahun 2014. Tesis Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit Program Pasca Sarjana Universitas Hasanuddin Tahun 2014.

Elston, M. A. 1991. The politics of professional power: medicine in a changing health service. The sociology of the health service, 58-88.

Emanuel, E. J. & Pearson, S. D. 2012. Physician autonomy and health care reform. JAMA, 307, 367-368.

Engel, G. V. 1969. The effect of bureaucracy on the professional autonomy of the physician. Journal of Health and Social Behavior, 30-41.

Eraut, M. 1994. Developing professional knowledge and competence, Psychology Press.

Evans, D. B., HSU, J., & Boerma, T. 2013. (UHC) Universal Health Coverage & Universal Access, Vol. 91: 8 (2013). Pro Quest, 546. 546A

Festinger, L.1954. A theory of social comparison processes, Human relations, 1, 117–140.

Freidson, E. 1988. Profession of medicine: a study of the sociology of applied knowledge, University of Chicago Press.

Friedberg, M. W. 2012. The Potential Impact of the Medical Home on Job Satisfaction in Primary Care: Comment on “Patient-Centered Medical Home Characteristics and Staff Morale in Safety Net Clinics”. Archives of internal medicine, 172, 31-32.

Gilmer, V. H. 1966. Industrial Psychology. USA: McGraw Hill Book Company Inc.

Gitosudarmo, D. 1997. Perilaku Keorganisasian Yogyakarta, BPFE.

Gothe, H., Köster, A.-D., Storz, P., Nolting, H.-D. & Häussler, B. 2007. Job satisfaction among doctors. Dtsch Arztebl, 104, 1394-9.

Guzman, E., Ludmir, J. & Defrancesco, M. 2015. High Cesarean Section Rates, a Reflection of Different Approach to Labor? Journal of Obstetrics and Gynecology.

Hackman, J.R. & Oldham, G.R. 1974. The Job Diagnostic Survey: An Instrument for The Diagnosis of Jobs and The Evaluation of Job Redesign Projects [DX Reader version]. New Haven: Department of Administrative Sciences Yale University.

Handoko, T. Hani. 2000. Manajemen Sumber Daya Manusia. Yogyakarta:BPFE.

Hashimoto, N. 2006. Professional autonomy. JAPAN MEDICAL ASSOCIATION JOURNAL, 49, 125.

Hasibuan (2005) Horner, J. S. 2000. Autonomy in the medical profession in the United Kingdom–an historical perspective. Theoretical medicine and bioethics, 21, 409-423.

Hosea Rimon Ambrauw, 2015. Akuntabilitas Pemerintah Daerah di Bidang Pelayanan Kesehatan dalam Perspektif Otonomi Khusus di Kabupaten Raja Ampat. Disertasi, Program Pascasarjana Universitas Hasanuddin, Makassar.

Hulin, C., 1991. Adaptation, Persistence, and Commitment in Organizations. In: Dunnette, M. And Hough, L. (Eds) Handbook of Industrial and Organizational Psychology, Vol. 2, 2nd edn, Consulting Psychologists Press, Palo Alto, CA, pp. 445-506.

Hungu. 2007. Demografi Kesehatan Indonesia. Jakarta: Grasindo

Jewell, L. & Siegall, M. 1998. Psikologi industri/organisasi modern. Edisi Kedua. Jakarta: Arcan.

Kaplan, D. 2009. Determinants of job satisfaction and turnover among physicians.

Kementerian Kesehatan Republik Indonesia. 2014. Buku Pegangan Jaminan Kesehatan Nasional (JKN) dalam Sistem Jaminan Sosial Nasional. Jakarta.

Kompasiana. 2014. Fee for Service Vs INA CBGs :Mana yang Lebih Menguntungkan (online), (http://www.kompasiana.com/infobpjskesehatan/fee-for-service-vs-INA CBGs-mana-yg-lebih-menguntungkan_54f773dda3331114638b4584) diakses tanggal 9 November 2018.

Konrad, T. R., Williams, E. S., Linzer, M., Mcmurray, J., Pathman, D. E., Gerrity, M., Schwartz, M. D., Scheckler, W. E., Van Kirk, J. & Rhodes, E. 1999. Measuring physician job satisfaction in a changing workplace and a challenging environment. Medical care, 1174-1182.

Kreitner, Robert., Kinicki, Angelo. 2005. Perilaku Organisasi, Jakarta: Salemba Empat.

Landon, B. E., Reschovsky, J. & Blumenthal, D. 2003. Changes in career satisfaction among primary care and specialist physicians, 1997-2001. Jama, 289, 442-449.

Landon, M. B. 2015. Cesarean Delivery. In: GABBE, S. G., NIEBYL, J. R. & SIMPSON, K. L. (eds.) Obstetrics Normal and Problem Pregnancies.

Leigh, J. P., Kravitz, R. L., Schembri, M., Samuels, S. J. & Mobley, S. 2002. Physician career satisfaction across specialties. Archives of internal medicine, 162, 1577-1584.

Lichtenstein, R. L. 1984. Review Article: The Job Satisfaction and Retention of Physicians in Organized Settings: a Literature Review. Medical Care Research and Review, 41, 139-179.

Linzer, M., Konrad, T. R., Douglas, J., Mcmurray, J. E., Pathman, D. E., Williams, E. S., Schwartz, M. D., Gerrity, M., Scheckler, W. & Bigby, J. 2009. Managed care, time pressure, and physician job satisfaction: results from the physician worklife study. Journal of general internal medicine, 15, 441-450.

Manuaba, Ida Bagus. 2012. Teknik Operasi Obstetri dan Keluarga Berencana. Jakarta : CV.Trans Info Media.

Mckinlay, J. B. & Stoeckle, J. D. 1988. Corporatization and the social transformation of doctoring. International Journal of Health Services, 18, 191-205.

Meutuah Latifa Dara, Ishak Saifuddin, 2015. Analisis kepuasan dokter spesialis terhadap program JKN di RSUD Dr. Zainoel Abidin tahun 2014. Jurnal Kedokteran Syiah Kuala Volume 15 Nomor 1.

Muchlas, M. 1997. Perilaku Organisasi jilid I (Organizational Behaviour) dengan Studi Kasus Perumahsakitan.

Murray, A., Montgomery, J. E., Chang, H., Rogers, W. H., Inui, T. & Safran, D. G. 2001. Doctor discontent. Journal of general internal medicine, 16, 452-459.

Nasrudin. (2017). Analisis Faktor Yang Berhubungan Dengan Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Hal Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional. Tesis Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Manajemen Rumah Sakit Program Pasca Sarjana Universitas Hasanuddin.

Nurhayani, S. 2006. Beberapa Faktor yang Berhubungan dengan Kepuasan Kerja Dokter Spesialis di Poliklinik Rawat Jalan RSU DR. Kanujoso Djatiwibowo Kota Balikpapan Tahun 2006. Program Pasca Sarjana Universitas Diponegoro.

Peraturan Pemerintah Nomor 101 Tahun 2012 Tentang PenerimaBantuan Iuran Jaminan Nasional.

Peraturan Pemerintah Nomor 12 Tahun 2013 Tentang Jaminan Kesehatan Nasional.

Priyatno, D. 2008. Mandiri Belajar SPSS (Statistical Product and Services Solution) Untuk Analisis Data & Uji Statistik. Yogyakarta: Media Com.

Pusat KPMAK UGM, 2013, ‘2nd Annual health Insurance meeting: Action for Achieving universal health coverage in Indonesia,’ (12 Skp IDI), diakses tanggal 26 februari 2014, dari http://m.kompasiana.com/post/read/541719/2/2nd-annual-health-insurance-meeting-action-for-achieving-universal-health-coverage-in-indonesia-12-skp-i di Republik Indonesia. 2009. Undang-Undang Nomor. 44 Tahun 2009 tentang Rumah Sakit. Jakarta.

Rahman A, 2017. Persepsi kepuasan pasien BPJS Seksio sesarea terhadap pelayanan dokter SpOG di RS Ibnu Sina Makassaar.Disertasi S3, UNM, Makassar.

Rivai, V. 2009. Manajemen SDM untuk Perusahaan: Dari Teori ke Praktek, Jakarta, Rajawali Pers.

Robbins, S. P. 1996. PERILAKU organisasi konsep, kontroversi.

Robbins, S.P dan Timothy JA. 2002. Perilaku Organisasi. Jilid I. Jakarta : PT. Indeks Kelompok Garmedia.

Sekaran, U. 2006. Metodologi Penelitian Untuk Bisnis, Jakarta, Salemba Empat.

Skolnik, N., Dave R. Smith, and James Diamond 1993. Professional Satisfaction and Dissatisfaction of Family Physicians. . The Journal of Family Practice, 37.

Stang. 2014. Cara Praktis Penggunaan Uji Statistik dalam Penelitian Kesehatan dan Kedokteran. Jakarta, Mitra Wacana Media.

Stoddard, J. J., Hargraves, J. L., Reed, M. & Vratil, A. 2001. Managed care, professional autonomy, and income. Journal of general internal medicine, 16, 675-684.

Syaiin. 2007. Beberapa Faktor yang Berhubungan dengan Kepuasan Kerja Dokter Spesialis di Poliklinik Rawat Jalan RSU Dr. Kanujoso Djatiwibowo Kota Balikpapan Tahun 2006., Program Pascasarjana Universitas Sumatra Utara Medan.

Tarwaka, 2010. Ergonomi Industri. Surakarta, Harapan Press.

Undang-Undang RI No. 1 Tahun 1970 Tentang Keselamatan Kerja. 1970. Jakarta.

Undang-Undang RI No. 29 Tahun 2004 Tentang Praktik Kedokteran. 2004. Jakarta.

Undang-Undang RI No. 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional. 2004. Jakarta.

Undang-Undang RI No. 44 Tahun 2009 Tentang Rumah Sakit. 2009. Jakarta.

Undang-Undang RI No. 24 Tahun 2011 Tentang Badan Penyelenggara Jaminan Sosial. 2011. Jakarta.

Wiknjosastro, H. 2005. Ilmu Kebidanan Jakarta : Yayasan Bina Pustaka Sarwono Prawirohardjo.

Wiyono, A. 2006. Studi tentang kualitas pelayanan dan kepuasan konsumen di Rumah Sakit Islam Manisrenggo Klaten. Disertasi Program Pasca Sarjana, Universitas Sebelas Maret, Surakarta.



DOI: https://doi.org/10.22146/jkr.49209

Article Metrics

Abstract views : 1954 | views : 2138

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kesehatan Reproduksi Indexed by:

 

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043