AGENSIFIKASI (AGENCIFICATION) DAN EFIENSI: ANALANALISIS PADA BADAN LAYANAN UMUM RUMAH SAKIT

Authors

  • - Aditia Direktorat Jenderal Perbendaharaan, Kementrian Keuangan
  • Budi Waluyo Politeknik Keuangan Negara STAN, Kementerian Keuangan

DOI:

https://doi.org/10.31092/jia.v1i1.108

Keywords:

Agencification, efficiency, Public Service Agency, Data Envelopment Analysis

Abstract

Agencification is a kind of public service reform aimed to achieving good governance. Agencification on several public agencies in Indonesia is conducted through the implementation of Financial Management Pattern on Public Service Agency. This model emphasizes the application of financial flexibility, the principles of productivity, effiency, and effectiveness. In health sector, the government has required the implementation of Financial Management Pattern Public Service Agency for government hospitals.

The purpose of this study is to measure the efficiency of the selected Hospitals, which implement Public Service Agency, based on the hospital classification and identify input variavbles that significantly affect the efficiency of the Hospitals. This study describes a through and deep understanding around the calculation and analysis of the efficiency of the central Hospitals. This study uses a quantitative approuch to obtain evidence related to the measurement of Hospitals efficiency. Data and information obtained through observation and study of documentation. Furthermore, the data were statistically analyzed using Data Envelopment Analysis models.

The analysis showed that for General Hospital, 9 of 17 instituctions are efficient in relative and 8 institutions are inefficient relative to the other. Meanwhile, for Special Hospital, 10 of 17 institutions are efficient in relative and 7 instutions are infficient relative to the other. Input variables that significantly influence the efficiency of the Hospitals are considered the number of beds (with coefficient 114.6217), the number of doctors (with coefficient -55.52), and the number of health workers other than doctors (with coefficient -1.849583). While the other two input variables, namely the number of non-health personnel and operating expenses do not significantly affect the efficiency of the Hospitals.

References

Asmaliza, Anis Fuad, dan Adi Utarini. 2007. Efisiensi Rumah Sakit Umum Daerah di Provinsi Sumatera Barat dengan Data Envelopment Analysis. Jurnal Manajemen Pelayanan Kesehatan,2(6),85-89.

Cahyani, Nita, Muhammad Sjahid Akbar, dan Destri Susilaningrum. 2012. Kajian tentang Tingkat Effisiensi Pelayanan Kesehatan Rumah Sakit Umum Pemerintah Kabupaten/Kota di Jawa Timur Menggunakan Metode PCA-DEA. Jurnal Sains dan Seni ITS,1(1),D-25-D-30.

Charnes,A., W.W. Cooper, dan E.Rhodes. 1978. Measuring the efficiency of decision making units. European Journal of Operational Research,2(6),429-444

Cook, W. D., K.Tone, dan J.Zhu. 2014. Data envelopment analysis: Prior to choosing a model.Omega,44,1-4.

Cooper, W.W., L. M.Seiford, dan K.Tone. 2007. Data envelopment analysis: A comprehensive text with models, application, references and DEA-Solver Software. Second editions. Springer,ISBN,387452818, 490.

Cooper, W. W., L. M.Seiford, dan J,Zhu. 2011. Handbook on data envelopment analysis(Vol. 164). Springer Science&Business Media.

Farrell, Michael James. 1957. The measurement of productive effucuency. Journal of the Royal Statistical Society. Series A (General) : 253-290

Golany, B., dan Y. Roll. 1989. An application procedure for DEA. Omega, 17(3),237-250.

Gujarati, Damodar N. 2003. Basic econometrics (4th ed). New York: Mc GrawHill.

Haryadi, Arianto. 2011. Analisis Efisiensi Teknis Bidang Pendidikan (Penerapan Data Envelopment Analysis). Tesis. Jakarta: Program Pascasarjana Universitas Indonesia.

Hyman, David. 2010. Public Finance: Upper Lever Economics Tittle Series. Cengage Learning.

Kalb, A. 2010. Public Sector Efficiency: Application to Local Governments in Germany.Springer.

Lukman,Mediya. 2013. Badan Layanan Umum: Dari Birokrasi Menuju Korporasi. Bumi Aksara: Jakarta.

Mulya, Andi. 2012. Multiple Input-Output Analysis on The Performance Evaluation of Regional Tax Offices in Indonesia. Tesis. Depok: Program Pascasajarna Universitas Indonesia.

O’Neill, L., M. Rauner, K.Heidenberger, dan M.Kraus. 2008. A cross-national comparison and taxonomy of DEA-based hospital efficiency studies. Socio-Economic Planning Sciences,42(3),158-189

Ozcan, Y. A., dan Ismet Sahin. 2000. Public sector hospital efficiency for provincial markets in Turkeys. Journal of Medical System,24(6),307-320.

Ozcan, Y. A. 2014. Health care benchmarking and performance evaluation. An Assessment using DEA 2nd Edition.Springer,USA.

Ramanathan, R. 2003. An introduction to data envelopment analysis: a tool for performance measurement. Sage Publications India Private Ltd:New Delhi

Saidi, Djafar. Lecture Material: Hukum Keuangan Negara. Universitas Hasanuddin. (diakses 11 maret 2015).

Sunarto. 2010. Evaluasi Kinerja Kantor-Kantor Pelayanan Pajak Pratama di Pulau Jawa: Penerapan Data Envelopment Analysis (DEA). Tesis. Jakarta: Program Pascasajarna Universitas Indonesia.

The Jakarta Post. Indonesia’s healthcare spending set to expand. http://www.thejakartapost.com/news/2013/03/30/indonesia-s-healthcare-spending-set-expand.html(diakses pada 8 maret 2015)

Republik Indonesia. Undang-Undang Nomor 44 Tahun 2009 tentang Rumah Sakit.

----------. Peraturan Pmerintah Nomor 23 Tahun 2005 tentang Pengelolaan Keuangan Badan Layanan Umum.

----------. Peraturan Pemerintah Nomor 74 Tahun 2012 tentang Perubahan atas Peraturan Pemerintah Nomor 23 Tahun 20015 tentang Pengelolaan Keuangan Badan Layanan Umum.

----------. Peraturan Menteri Keuangan Nomor 76/PMK.05/2008 tentang Pedoman Akuntansi dan Pelaporan Keuangan Badan Layanan Umum.

----------. Peraturan Menteri Keuangan Nomor 4 Tahun 2013 tentang Pedoman Penyusunan Rencana Bisnis dan Anggaran Badan Layanan Umum di Lingkungan Direktorat Jenderal Bina Upaya Kesehatan.

----------. Peraturan Menteri Kesehatan Nomor 56 Tahun 2016 tentang Klasifikasi dan Perizinan Rumah Sakit.

----------. Peraturan Direktur Jenderal Perbendaharaan Nomor 34 Tahun 2014 tentang Pedoman Penilaian Kinerja Badan Layanan Umum Bidang Layanan Kesehatan.

Downloads

Published

2017-07-24

Issue

Section

Articles