There have been a few conceptual drawbacks of National Health Insurance (NHI) implementation since it was launched in 2014. One of which is in its policy implemented in which there is a wide gap of the available facilities and health workers in diverse regions in Indonesia. The government can optimize Public Health Workers (PHW) so as to conduct promotional and preventive efforts in cooperation with Family Doctors as a part of Primary Health Care (PHC). Still, there has not been a partnership model in that it is referred to Public Health Workers-Family Doctors (FD) collaboration. The research aimed to design an implementation model that Public Health Workers-Family Doctors partnership was executed in Kuningan Regency. It was a qualitative study whose data collection method was Focus Group Discussion (FGD). The research participants were the ones from Social Insurance Institution (SII), Indonesian Medical Association (IMA), Family Doctor Association, Indonesia Public Health Association (IPHA) and Regional Health Office. The data analysis was content analysis approach. It yielded that the model was congruent with George Edward (GE) one comprising communication components (communication patterns among Public Health Workers, Family Doctors, Social Insurance Administration Organization, Regional Health Office, and Society), Resources (Finance, involved Human Resources, utilized facilities) and Bureaucracy Structure (available Operational Instructions), Tendency (Honesty, commitment, loyalty, obidience, and responsibility). It was concluded that there is an approved implementation model of PHW-FD partnership. It is imperative that targeted Public Health Workers subjects be expanded and the implementation of approved model consider the pertinent rules of law.
Pelayanan kesehatan dalam Pelaksanaan JKN di Indonesia terdiri dari Promotif, Preventif, kuratif dan rehablitiatif, namun pada pelaksanaannya pelayanan promotive dan preventif oleh FKTP belum dilaksanakan secara optimal, salah satunya disebakan karena tidak tersedia Tenaga Kesehatan Masyarakat. Tenaga Kesehatan Masyarakat atau Sarjana Keshatan Masyarakat (SKM) dapat bermitra dengan FKTP untuk melaksanakan upaya promotive dan preventif dengan persyatakan tenaga kesehatan masyarakat harus siap melaksanakan kemitraan sebagai implementasi prakatik kesehatan masyarakat. Sampai dengan saat ini tidak tersedia data tentang kesiapan tenaga kesehatan masyarakat untuk bermitra dengan FKTP. Tujuan penelitian untuk mengetahui gambaran kesiapan Tenaga Kesehatan Masyarakat/SKM yang mandiri untuk bermitra dengan FKTP di Kab. Kuningan. Hasil penelitian menunjukan bahwa sebanyak 80% responden tidak memiliki STR, sebanyak 85% belum menjadi anggota IAKMI, 90% tidak memiliki pengalaman bermitra dengan FKTP. Sebanyak 100 persen SKM siap bermita dengan FKTP dan memiliki kepercayaan diri atas kompetensinya. Simpulan bahwa sebagain besar tidak memiliki STR, bukan anggota IAKMI, pengetahuan baik, tidak memiliki pengalaman bermitra dan memiliki kepercayaan diri. Saran diharapkan SKM meningkatkan kompetensi untuk mendapatkan STR dan tergabung dalam orgnisasi profesi IAKMI dan bagi IAKMI dan AIPTKMI harus menyusun panduan praktik kesehatan masyarakat dan kemitraan dengan FKTP sebagai bagian dari praktik mandiri kesehatan masyarakat.
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