PROSES PERENCANAAN PENGADAAN KEBUTUHAN ALAT KESEHATAN DI UNIT KERJA POLIKLINIK GIGIN RUMAH SAKIT ANGKATAN DARAT ROBERT WOLTER MONGISIDI MANADO

Sondakh G. H*, Massie R. G**

* Program Studi Ilmu Kesehatan Masyarakat Pascasarjana UNSRAT

** Kementerian Kesehatan Indonesia

 ABSTRAK

Salah satu komponen penting dalam mendukung upaya penyembuhan adalah peralatan kesehatan. Rumah Sakit Angkatan Darat Robert Wolter Mongisidi merupakan rumah sakit tipe C yang berusaha memenuhi pelayanan sesuai dengan standar pelayanan klasifikasinya. Data awal yang diperoleh dari laporan tahunan Rumah Sakit Robert Wolter Mongisidi Teling terdapat 67 pasien yang dirujuk ke rumah sakit lain. Berdasarkan observasi yang menyatakan beberapa peralatan tidak berfungsi, jumlah dental unit yang kurang, tidak tersedianya peralatan bedah mulut dan rontgen foto menyebabkan pasien dirujuk dan jumlah kunjungan pasien menurun. Hal tersebut dapat dikarenakan proses perencanaan yang berjalan tidak optimal. Tujuan penelitian ini yaitu diketahuinya proses perencanaan pengadaan kebutuhan alat kesehatan di unit kerja poliklinik gigi Rumah Sakit Robert Wolter Mongisidi Manado. Jenis penelitian menggunakan metode kualitatif yang bertujuan untuk mendapatkan informasi yang lebih mendalam tentang proses perencanaan pengadaan alat kesehatan di unit kerja Poliklinik Gigi Rumah Sakit Angkatan Darat Robert Wolter Mongisidi Manado. Informan dalam penelitian ini berjumlah 9 informan yang merupakan pihak yang terlibat langsung dalam perencanaan kebutuhan alat kesehatan di Poliklinik Gigi RSAD Mongisidi Manado. Dari hasil penelitian ini dapat disimpulkan bahwa pemilihan kebutuhan alat kesehatan di RSAD Robert Wolter Mongisidi didasari oleh data pasien, jumlah kunjungan, jenis penyakit dan tindakan perawatan, namun belum sesuai dengan pedoman teknis standarisasi alat kesehatan untuk rumah sakit tingkat III. Kompilasi pemakaian dilakukan dengan rekapitulasi data pemakaian perbekalan kesehatan yang bersumber dari laporan pemakaian dan lembar permintaan untuk memperoleh informasi pemakaian tiap jenis perbekalan kesehatan. Dalam menentukan dan menghitung kebutuhan alat kesehatan di poliklinik gigi didasarkan pada data pemakaian yang lalu, data alat yang rusak dan alat yang baru diajukan sesuai kebutuhan dan standar rumah sakit, namun hal tersebut belum berdasarkan analisis dan metode perhitungan yang baku.Tahap proyeksi kebutuhan alat kesehatan dan penyesuaian dengan alokasi dana dilakukan dengan melakukan rekapitulasi data serta perkiraan kebutuhan yang akan datang berdasarkan pemakaian lalu namun tidak melakukan analisa sesuai dengan pedoman baku untuk menghitung perkiraan anggaran untuk total kebutuhan perbekalan kesehatan. Untuk itu disarankan agar kinerja dari pihak yang terkait dalam kegiatan perencanaan kebutuhan alat kesehatan ini terus ditingkatkan dengan melaksanakan tugas pokok masing-masing sehingga perencanaan berjalan optimal sesuai prosedur dan alat dapat diadakan dengan efektif dan efisien.

 Kata Kunci : Perencanaan, Alat kesehatan, Poliklinik gigi

 

 

Abstract

One of the important component to supporting the healing is medical equipments. Law of the Republic of Indonesia Number 44th in 2009 stated that hospitals must ensure the availability of medical equipment. The availability of equipments by the hospital will greatly affect the quality of health services provided, including the satisfaction of the patient. Therefore, the equipment must be complete and the condition and function of the physical means of medical devices must be in a good condition and can support health care, which require the good management in particular to seek the optimal planning process. Army Hospital of Robert Wolter Mongisidi is the C type hospital which gives the standard service accordingly to its classification. Preliminary data was obtained from the annual report which consist of 67 patients referred to other hospitals.

Based on the observation, the number of dental units was less, no X-ray photograph, no set oral surgery equipments and some equipments are not functioning that may cause the patients referred to another hospitals and number of patients visits decrease. This may be because the planning process is not running optimally. The purpose of this study is knowing the process of planning for the procurement needs of medical equipments in the dental polyclinic of the Robert Wolter Mongisidi Hospital Manado. The type of research is qualitative method aiming to obtain a more in-depth information about the planning process procurement of medical equipment in the Dental Polyclinic of the Army Hospital Robert Wolter Mongisidi Manado. Data were collected from interviews, reduction of the perform data, data presentation in narrative form and check the validity of the data with triangulation source and triangulation methods. Data were analyzed using content analysis to compare the results with existing theories. Informants in this study amounted to 9 informants who are the parties directly involved in the planning needs of medical equipment Dental Polyclinic RSAD Mongisidi Manado.

The results showed that the selection of medical equipment needs in RSAD Robert Wolter Mongisidi based on the patient data, the number of visits, type of illness and treatment measures, but not in accordance with the technical guidelines for the standardization of medical equipments regarding to the hospital of 3rd level. Compilation is done with the use of health supplies usage data summary from the reports on usage and sheets requests to obtain user information for each type of medical supplies. In determining and calculating the needs of medical equipment in the dental clinic were based to the past consumption data, number of damaged tools and the new tools in proposed according to the needs and standards of the hospital, but it is not based on the analysis and standard methods of calculation. Projection stage needs medical devices and adjustments to the allocations made by the recapitulation data and forecasts future needs compared to the past usage without the analysis in accordance with standard guidelines for calculating budget estimates for the total needs of medical supplies.

From the result, it can be concluded that there are weakness of logistic management esspescially the process of planning for the procurement needs of medical equipment in the dental polyclinic of the Robert Wolter Mongisidi Hospital Manado. For that, the suggestions are enhance the performance of peoples who related for planning process the procurement needs of medical equipment in the dental polyclinic with theirs own assignment, so it can be optimized the planning process as the procedure and get the efficiency of the medical equipments.

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