Faktor yang Mempengaruhi Niat Pindah Mahasiswa Peserta Program Bantuan Pendidikan Dokter Spesialis dan Gigi Spesialis

  • Asep Hermawan Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat, Jalan Percetakan Negara No. 29 Jakarta 10560, Indonesia
  • Harimat Hendrawan Pusat Penelitian dan Pengembangan Sumber Daya dan Pelayanan Kesehatan, Jalan Percetakan Negara No. 29 Jakarta 10560, Indonesia
Keywords: Niat pindah, Retensi dokter spesialis/dokter gigi spesialis, Penghasilan, Intention to leave, Medical/dentist specialist retention, Income

Abstract

Abstrak

Akses pelayanan kesehatan yang berkualitas sangat penting untuk meningkatkan indikator derajat kesehatan masyarakat salah satunya pelayanan spesialistik. Distribusi tenaga dokter spesialis dan dokter gigi spesialis di Indonesia belum merata. Salah satu upaya pemerintah adalah dengan melakukan rekruitmen spesialis melalui Program Bantuan Pendidikan Dokter Spesialis/Dokter Gigi Spesialis (PDS/PDGS). Artikel ini bertujuan mendapatkan gambaran faktor–faktor yang mempengaruhi niat pindah dokter spesialis/dokter gigi spesialis pasca penugasan peserta program bantuan PDS/PDGS. Sumber data penelitian adalah data kajian implementasi program PDS/PDGS yang diselenggarakan oleh Badan Pendayagunaan dan Pemberdayaan SDM Kesehatan (BPPSDMK) dan Badan Penelitian dan Pengembangan Kesehatan (Balitbangkes). Penelitian ini menggunakan desain potong lintang (cross sectional), populasi dan sampel adalah seluruh mahasiswa peserta program bantuan PDS/PDGS yang berada di tempat pada saat pengumpulan data yang berasal dari beberapa Fakultas Kedokteran yang ditunjuk/bekerjasama dengan Kementerian Kesehatan sebagai penyelengaraan program. Data dianalisis secara bivariat menggunakan uji Chi squere. Hasil analisis menunjukan bahwa, berdasarkan karakteristik individu, niat pindah berhubungan dengan status kepegawaian dan status perkawinan (nilai P<0,05). Faktor keamanan, penghasilan, pengembangan pengetahuan dan keterampilan serta kemudahan untuk mendapatkan pendidikan anak berpengaruh signifikan terhadap keinginan pindah (nilai P< 0,05).

Kata kunci: Niat pindah, Retensi dokter spesialis/dokter gigi spesialis, Penghasilan

Abstract

Access to quality health services, including specialist services is important to improve public health indicator. Medical specialist and dental specialists in Indonesia has not been evenly distributed. Recruitment through financial support program for medical specialist/dental specialist education is one of the government’s efforts. The objective of this article is to describe the factors affecting intentions to leave after compulsory practice of the participants of the program. The data sources was assessment data of the implementation of the program conducted by the Board of Development and Empowerment of Human Resources for Health and National Institute of Health Research and Development. This study used crosssectional design. Population and samples were all student of the program participants were in place at the time of data collection. Students come from several medical school appointed / cooperated with the ministry of health in organizing this program. Data were analyzed bivariately by using Chi squere test. The results of the analysis show that, based on individual characteristics, the intentions of leave relate to employment status and marital status (P <0.05). In addition, the factors of security, income, development of knowledge and skills and the ease of getting a child’s education have a significant effect on the intention to leave (P-value <0.05).

Keywords: Intention to leave, Medical/dentist specialist retention, Income

References

World Health Organization. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations: World Health Organization; 2010.

Kemenkes RI. Laporan Akhir Riset Fasilitas Kesehatan 2011: Rumah Sakit. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2012.

Ilyas Y. Determinan Distribusi Dokter Spesialis di Kota/Kabupaten Indonesia. Jurnal Manajemen Pelayanan Kesehatan. 2006;VOLUME 09 No. 03, September 2006(146 - 155).

Konsil Kedokteran Indonesia. Laporan Tahunan 2015. Jakarta: KKI; 2015.

Bach S. International mobility of health professionals: Brain drain or brain exchange? The international mobility of talent: Types, causes, and development impact. 2008:202-35.

Henderson LN, Tulloch J. Incentives for retaining and motivating health workers in Pacific and Asian countries. Human resources for health. 2008;6(1):18.

Kemenkes RI. Kepmenkes RI No. 1235/MENKES/SK/XII/2007 Tentang Pemberian insentif bagi SDM kesehatan yang melaksanakan penugasan khusus Jakarta: Kemenkes; 2007.

Kemenkes RI. Kepmenkes RI No. 156/Menkes/SK/I/2010 Tentang Pemberian insentif bagi tenaga kesehatan dalam rangka penugasan khusus di puskesmas daerah terpencil, perbatasan dan kepulauan. Jakarta: Kemenkes; 2010.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 44 Tahun 2015 Tentang Program Bantuan Pendidikan Dokter Spesialis/Pendidikan Dokter Gigi Spesialis [database on the Internet]. 2015.

Presiden RI. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2012 Tentang Sistem Kesehatan Nasional. Jakarta: Sekertariat Kabinet RI; 2012.

Pahlevi I. Pengelolaan pemerintahan di wilayah perbatasan Jakarta: Setjen DPR RI; 2011.

Humphreys J, Wakerman J, Wells R, Kuipers P, Jones J, Entwistle P, et al. Improving primary health care workforce retention in small rural and remote communities: how important is ongoing education and training. Canberra: Australian Primary Health Care Research Institute. 2007.

Humphreys J, Wakerman J, Pashen D, Buykx P. Retention strategies and incentives for health workers in rural and remote areas: What works. Canberra: Australian Primary Health Care Research Institute, The Australian National University. 2009.

Steinmetz S, de Vries DH, Tijdens KG. Should I stay or should I go? The impact of working time and wages on retention in the health workforce. Human resources for health. 2014;12(1):23.

Padarath A, Chamberlain C, McCoy D, Ntuli A, Rowson M, Loewenson R. Health personnel in Southern Africa: confronting maldistribution and brain drain. Durban: Health Systems Trust. 2003.

Taati Keley E, Ravaghi H, Salehi M, Nasiripour A, Abdi Z, Meshkini A. Relationship between personal characteristics of specialist physicians and choice of practice location in Iran. Rural and Remote health. 2016:0.557-0.781.

Chaudhury NH, Jeffrey. Ghost Doctors: Absenteeism in Bangladeshi Health Facilities. 2003(http://elibrary.worldbank.org/action/showCitFormats?doi=10.1596%2F1813-9450-3065).

Clark A, Postel-Vinay F. Job security and job protection. Oxford Economic Papers. 2009;61(2):207-39.

Cho YJ, Lewis GB. Turnover intention and turnover behavior: Implications for retaining federal employees. Review of Public Personnel Administration. 2012;32(1):4-23.

Kabungaidze T, Mahlatshana N, Ngirande H. The impact of job satisfaction and some demographic variables on employee turnover intentions. International Journal of Business Administration. 2013;4(1):53.

Kevany S, Hatfield A, Workneh NG, Durrani BAZ, Bekele Y, Khan U, et al. Diplomatic and operational adaptations to global health programmes in post-conflict settings: contributions of monitoring and evaluation systems to health sector development and ‘nation-building’in South Sudan. Medicine, Conflict and Survival. 2012;28(3):247-62.

Trijono L. Pembangunan Perdamaian Pasca-Konflik di Indonesia: Kaitan perdamaian, pembangunan dan demokrasi dalam pengembangan kelembagaan pasca-konflik. Jurnal Ilmu Sosial dan Ilmu Politik. 2009;13(1):48-70.

Mustikowatil S, Trisnantoro L, Meliala A. Faktor-faktor yang mempengaruhi penerimaan penempatan dokter spesialis ikatan dinas. Jurnal Manajemen Pelayanan Kesehatan. 2006;9(2006).

Sempowski IP. Effectiveness of financial incentives in exchange for rural and underserviced area return-of-service commitments: systematic review of the literature. Can J Rural Med. 2004;9(2):82-8.

How to Recruit and Retain Health Workers in Rural and Remote Areas in Developing Countries. A Guidance Note [database on the Internet]. The World Bank, available at http://documents.worldbank.org/curated/en/273821468154769065/pdf/785060WP0HRHDC00Box377346B00PUBLIC0.pdf. 2013.

Curran VR, Fleet L, Kirby F. Factors influencing rural health care professionals’ access to continuing professional education. Australian Journal of Rural Health. 2006;14(2):51-5.

Dolea C, Stormont L, Braichet J-M. Evaluated strategies to increase attraction and retention of health workers in remote and rural areas. Bulletin of the World Health Organization. 2010;88(5):379-85.

Zurn P, Dal Poz MR, Stilwell B, Adams O. Imbalance in the health workforce. Human resources for health. 2004;2(1):13.

Published
2018-04-26
How to Cite
Hermawan, A., & Hendrawan, H. (2018). Faktor yang Mempengaruhi Niat Pindah Mahasiswa Peserta Program Bantuan Pendidikan Dokter Spesialis dan Gigi Spesialis. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 2(1), 1-9. https://doi.org/10.22435/jpppk.v2i1.34
Section
Articles