Potrait of Public Private Partnership Policy Substances in Regional Hospitals in Indonesia

Abstract

Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting document analysis related to the operational cooperation policies of regional hospitals and reviewing the substance of operational cooperation policies at the national and regional levels. Study found that there are no articles governing service level agreements; no performance indicators of cooperation in monitoring and evaluation, limited autonomy; several regional head regulations are not accompanied by technical guidelines; and there are variations in the substance of the regional head regulations. This study concludes that the KSO policy framework for regional hospitals is inadequate, incomplete, and limits the autonomy of regional hospitals.

Analysis of Ministry of Health Regulation No. 30 of 2022 on Hospital Service Quality In Indonesia

“…For example, Wahyudi (2020) criticize the absence of minimum requirements for specialist doctors in the previous hospital classification regulation, which caused an uneven distribution of specialist doctors and affected the quality of healthcare services in Indonesia (Wahyudi et al, 2021). Additionally, research by Basabih (2023) reveals that an inadequate Public Private Partnership (PPP) framework can limit the autonomy of regional hospitals and hinder the improvement of healthcare services (Basabih, 2023). Martha (2020) also indicated that the effective occupational health and safety management system at Gadjah Mada University Hospital has not yet implemented an internal audit, which is a crucial element to ensure the consistent application of standards (Martha, 2020).…”