Great Power Comes Great Responsibility :  How is the Regional Public Service Agency (BLUD) Policy Implementation in RSUD dr.Soegiri Lamongan?

Alifin; Rudy Handoko; Achluddin Ibnu Rochim; Nihayatul Munaa

doi:10.63922/ijebir.v4i04.2060

Alifin Fakultas Ilmu Sosial dan Ilmu Politik, Universitas 17 Agustus 1945 Surabaya
Rudy Handoko Fakultas Ilmu Sosial dan Ilmu Politik, Universitas 17 Agustus 1945 Surabaya
Achluddin Ibnu Rochim Fakultas Ilmu Sosial dan Ilmu Politik, Universitas 17 Agustus 1945 Surabaya
Nihayatul Munaa Department of Hospital Administration, Faculty of Health Sciences, Universitas Muhammadiyah Lamongan

DOI: https://doi.org/10.63922/ijebir.v4i04.2060

Keywords: Hospital administration, Public Hospital, Policy, Regional Public Service Agency (BLUD).

Abstract

Regional Public Service Agency (BLUD) in government agencies aims to improve services to the community based on the principles of efficiency and productivity. Regional hospitals as government agencies have not all turned into Regional Public Service Agency. In fact, by implementing the BLUD, hospitals get autonomy over the management of finances and other resources. This study aims to understand the implementation of BLUD policies in RSUD dr. Soegiri Lamongan. This study uses a qualitative design with in-depth interview data collection process on several key informants, namely financial director, head of nursing department, head of medical support department and patients. This research was conducted in RSUD dr. Soegiri Lamongan from April to June 2021. The results of this study obtained four themes that support the successful implementation of BLUD in RSUD dr. Soegiri Lamongan including communication, resources, dispositions or attitudes, and bureaucratic structures. Some of the findings of the implementation of BLUD in RSUD dr. Soegiri Lamongan still lacks in human resources and funds, communication between officers is still weak, services are lacking and incompatible with SOPs. Hospital management dr. Soegiri Lamongan needs to focus on changing the work system and work culture based on BLUD governance and minimizing resource shortages so as to be able to efficiently create maximum health services to the community.

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