Persepsi Stakeholders tentang Kinerja Fungsi Sistem Penelitian Kesehatan Nasional

Anni Yulianti
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Abstract

National health research system (NHRS) performance assessment will be very important to strengthen the capability of NHRS in order to improve the advancement of knowledge and health equity. The objective of this study is to measure the three functions performance of stewardship, creating and sustaining resources and producing and utilizing of health research based on the perceptions of NHRS stakeholders (researchers, policy makers, and users). This study used secondary data WHO pilot study which was carried out in Jakarta and Makassar in 2003-2004. The study design used is cross sectional with quantitative and qualitative data analysis for 278 respondents of NHRS individual survey. The respondents consist of NHRS stakeholders such as researchers (62,2%), policy makers (21,6%), and research users (16,2%). Overall performance of NHRS functions has been perceived as not well performed by 50,4% respondents. Good performances only on stewardship and producing research have been perceived by respondents. In the other hand, the performance of creating and sustaining resources, research utilization, access to scientific literatures and to media have been perceived unsatisfactorily by the respondents. Important contribution areas in improvement and strengthening the NHRS in Indonesia are: networking, facility, budget, collaboration and communication. While important contribution components in Indonesia are vision, human resources, ethics, budget, and allocation. The main research priorities were identified as future health problem and persistent health problem in all respondent’s groups. In summary, NHRS were not yet in optimum well functions, to strengthen the system: pledged to increase budget allocation and improve budget accountability; activating the national and local net working of health research and development, improvement of stewardship function of NHRS in its capacity as ‘good scientific leadership'. Key words: Health research system, performance assessment
利益相关者对国家卫生研究系统功能性能的感知
国家卫生科研系统绩效评估对于加强国家卫生科研系统的能力建设,促进知识的进步和卫生公平具有重要意义。本研究的目的是基于国家卫生制度利益相关者(研究人员、政策制定者和使用者)的看法,衡量管理、创造和维持资源以及生产和利用卫生研究的三个职能绩效。本研究使用了2003-2004年在雅加达和望加锡开展的世卫组织试点研究的二手数据。采用横断面研究设计,对278名国家健康保险制度个体调查对象进行定量和定性数据分析。受访者包括NHRS利益相关者,如研究人员(62.2%)、政策制定者(21.6%)和研究用户(16.2%)。50.4%的受访者认为国家卫生服务系统功能的总体表现不佳。受访者认为只有在管理和生产研究方面表现良好。另一方面,被调查者对创造和维持资源、研究利用、获取科学文献和媒体的表现感到不满意。改善和加强印度尼西亚国家卫生服务体系的重要贡献领域是:网络、设施、预算、合作和沟通。虽然印尼的重要贡献组成部分是愿景、人力资源、道德、预算和分配。在所有应答者群体中,主要的研究重点被确定为未来的健康问题和持续的健康问题。总而言之,国家保健服务制度尚未发挥最佳的良好作用,为加强该制度:承诺增加预算拨款和改进预算问责制;激活国家和地方卫生研究与发展网络,改进国家卫生服务体系作为"良好科学领导"的管理职能。关键词:卫生科研体系;绩效考核
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