Opportunities and Challenges in Implementing Regional Public Service Agency (BLUD) Policy in Regional Hospitals: Systematic Review IN PRESS

Masyitoh Basabih (1) , Indriaswari Widhakuswara (2)
(1) Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Indonesia , Indonesia
(2) Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Indonesia , Indonesia

Abstract

The Policy of Regional Public Service Agency (BLUD) is a form of autonomy for Regional Public Hospitals (RSD), born out of healthcare service reforms. Despite being implemented for over two decades, several challenges in policy implementation persist. This research aims to analyze the opportunities and challenges in implementing the BLUD policy in RSD within the context of public services. The research method employed is a systematic review using inclusion criteria. Searches were conducted using the keywords policy implementation, BLUD, and RSD, utilizing the Garuda database and Google Scholar. This systematic review analyzes articles published from 2013 to 2021. The study identifies challenges such as resource quality, organizational fragmentation, and suboptimal communication. On the other hand, there is evidence of positive acceptance or response from implementers towards the BLUD policy. Based on the analysis, it can be concluded that the BLUD policy provides opportunities for RSD to enhance performance through its flexibility. Human resource capacity and communication pose challenges in BLUD policy implementation within RSDs. The Ministry of Home Affairs should evaluate the BLUD policy that has been in place for twenty-seven years. Local Governments and Hospital Directors should undergo periodic training related to BLUD. Further research is needed to demonstrate the success of the BLUD policy.

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Authors

Masyitoh Basabih
masyitoh10@ui.ac.id (Primary Contact)
Indriaswari Widhakuswara
Author Biography

Indriaswari Widhakuswara, Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Indonesia

 

   
1.
Basabih M, Widhakuswara I. Opportunities and Challenges in Implementing Regional Public Service Agency (BLUD) Policy in Regional Hospitals: Systematic Review: IN PRESS. JIKM [Internet]. 2024 Apr. 1 [cited 2024 Apr. 16];15(1). Available from: https://ejournal.fkm.unsri.ac.id/index.php/jikm/article/view/1528

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