Analisis Peran Serta Komite Medik dalam Proses Akreditasi Rumah Sakit di Rumah Sakit Umum Daerah Simo Kabupaten Boyolali

Abstract

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit 2015 ABSTRAK Agung Budi Prasetya Analisis Peran Serta Komite Medik dalam Proses Akreditasi Rumah Sakit di Rumah Sakit Umum Daerah Simo Kabupaten Boyolali xiv + 80 halaman + 3 tabel + 8 lampiran Akreditasi rumah sakit merupakan investasi bagi setiap unsur di rumah sakit yang terkait dengan aspek yang dinilai. Penilaian akreditasi dari pelayanan medis adalah gambaran dan penilaian dari kinerja para dokter dan komite medik dalam melaksanakan pekerjaan pelayanan di rumah sakit. Tujuan penelitian ini untuk menganalisis peran serta komite medik dalam proses akreditasi rumah sakit di Rumah Sakit Umum Daerah Simo Kabupaten Boyolali. Jenis penelitian ini adalah kualitatif. Pengumpulan data dilakukan dengan wawancara mendalam dan observasi langsung dengan variabel menyusun standar pelayanan medis, proses kredensial, kewenangan klinis, peningkatan mutu, penelitian dan pengembangan, dan etika medis. Informan utama dalam penelitian ini adalah lima dokter yang menjadi ketua subkomite di organisasi komite medik. Informan triangulasinya adalah, direktur rumah sakit, ketua tim akreditasi, dan ketua komite keperawatan. Teknik analisis data dengan analisis isi. Hasil penelitian ini menunjukkan komite medik belum bekerja secara optimal, diantaranya SPM merupakan duplikasi dari rumah sakit lain, proses kredensial meskipun hanya formalitas, kewenangan klinis disamaratakan. Proses etika medis serta persiapan akreditasi sudah dilakukan. Komite medik belum melakukan peningkatan mutu berdasar hasil penelitian karena belum pernah ada penelitian. Penelitian ini merekomendasikan peningkatan fungsi komite medik melalui proses kredensial sesuai Permenkes. Selain itu perlu dilakukan restrukturisasi organisasi komite medik dan study banding ke Rumah Sakit yang setara dan mempunyai komite medik yang baik. Kata kunci : komite medik, rumah sakit, akreditasi, mutu, dokter umum Referensi : 28 (1984-2007) Diponegoro University Faculty of Public Health Master’s Program in Public Health Majoring in Hospital Administration 2015 ABSTRACT Agung Budi Prasetya Analysis of Medical Committee Participation in the Process of Hospital Accreditation at Simo Public Hospital in District of Boyolali xiv + 80 pages + 3 tables + 8 enclosures Hospital accreditation is an investment for all elements at a hospital relating to assessed aspects. Accreditation of medical services describes and evaluates work performance of physicians and a medical committee in providing services at a hospital. The aim of this study was to analyse medical committee participation in the process of hospital accreditation at Simo Public Hospital in District of Boyolali. This was a qualitative study. Data were collected using methods of indepth interview and direct observation. Research variables consisted of arranging a standard of medical service, credential process, clinical authority, quality improvement, research and development, and medical ethics. Main informants involved five physicians who were heads of sub-committees in medical committee organisation. Meanwhile, informant for triangulation purpose consisted of a hospital director, head of an accreditation team, and head of nursing committee. Furthermore, content analysis was used to analyse data. The results of this research showed that some aspects that had not been well implemented by the medical committee were as follows: Minimum Service Standards (MSS) was a duplication from another hospital; a credential process was just formality; and a clinical authority was generalised. The process of medical ethics and preparation of accreditation had been conducted. The medical committee had not improved quality based on research because there was no result of research. As suggestions, a function of the medical committee needs to be improved by a credential process in accordance with Health Minister Regulations. In addition, there needs to restructure the medical committee organisation and conduct a comparative study to another hospital that has the same level and has good medical committee. Key Words : medical committee; hospital; accreditation; quality; medical doctor Bibliography : 28 (1984-2007)