ROLES OF THE STAKE HOLDER AND PROVIDER OF BATAM CITY IN AN ATTEMPT TO ENHANCE CLINICAL GOVERNANCE OF HEALTH SERVICES IN CONNECTION WITH DOCTOR PRACTICE LAWS

Abstract

Background: Deming (1984), Crosby (1979, 1985), and Juran
(1988), all found that more than 85% of errors are related to a
system; whereas, only 15% of them constitute human error,
or an employee’s. According to NGO coordinator, Iskandar
Sitorus, 2000 victims of malpractice have been recorded
throughout Kepulauan Riau. This malpractice occurs when a
system does not have a proper policy, standard procedure,
and equipment needed.
Objective: The purpose of this research is to find out the
management, obstacles, and expectations with regards to
clinical governance management from the point of view of the
stakeholder and provider of Batam City.
Method: The method used in this research was a qualitative
method with a grounded theory. The primary data are derived
from in-depth interview. The respondents involved are the
commission IV chairperson of Batam City local Parliament,
Kepulauan Riau, chairperson of Medical Committee of Batu Aji
Local Public Hospital Kepulauan Riau using a purposive
sampling with an extreme case sampling approach.
Result and conclusion: The research shows that clinical
governance by the stakeholder and provider still needs further
improvement. There are still obstacles in terms of regulations
and implementation of clinical governance. Based on the
Minimum Service Standard, some indicators of Batam City in
2008 did not meet the performance target and national standard.
Therefore, the clinical governance system has not been
implemented throughout health services in Batam City.
Suggestions: For IV Legislative Commission for People’s
Welfare and Human Resources Batam Riau Islands are
expected to lack of regulation and appropriate systems in
improving health services. And then for Hospital Medical
Committee Batu Aji, Batam Riau Islands is expected to implement
Clinical Governance.
It is expected that the recording and reporting systems as well
as obtaining accurate data in making the next Batam health
profile based on the quality of evidence-based.
Keywords: Clinical Governance, stakeholder, provider