Analisis Hubungan Clinical Autonomy Terhadap Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional

Jurnal Kesehatan Reproduksi Pub Date : 2019-12-28 DOI:10.22146/JKR.49209

N. Mappaware, Ova Emilia, Soerjo Hadijono, Umar Malinta, Mohammad Hakimi, Soetrisno Soetrisno, Eddy Tiro

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Abstract

Background: In Indonesia, the National Health Insurance System (NHIS) is an implementation of law No. 40 of 2004 on the National Social Insurance System in health sector with universal health coverage (UHC) concept. Therefore, the satisfaction of specialist’s work will be very influence towards hospital works. The previous research (Nasruddin, 2017) about factor analysis related to job satisfaction of doctor specialist for obstetrics and gynecology (SpOG) toward Sectio Caesarea (SC) on NHI showed that medical service (transparency and remuneration) and working condition have significant correlation towards work satisfaction of doctor SpOG in SC on NHI. Objective : to analyze the correlation of clinical autonomy on job satisfaction of doctor SpOG on Sectio Caesarea on National Health Insurance system. Method : A quantitative research by applying analytic observational study with cross sectional design. Materials and Research : This research was conducted in Makassar. A number of sample was 73 doctors SpOG. Data was obtained by clinical autonomy questionnaire having been tested its validity and reliability. The result of the research was analyzed by using chi-square test. Result : Based on the correlation of characteristics towards work satisfaction of doctor SpOG in SC on National Health Insurance system found that age category between 36 – 45 years old is satisfied, female is satisfied, working duration more than 5 years is dissatisfied and public hospital status is dissatisfied. There is no correlation between clinical autonomy in this case is control overwork (p = 0.170) and prerogative obtain need service (p = 0.240) on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Conclusion : There is no relation between clinical autonomy on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Even though the doctors SpOG are not satisfied with NHI (medical service and working condition) but the doctors are able to work professionally with clinical autonomy. Keywords: clinical autonomy, doctor SpOG, National Health Insurance System

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临床自主关系分析

背景:在印度尼西亚，国家健康保险制度(NHIS)是2004年关于全民健康覆盖(UHC)概念的国家社会保险制度在卫生部门的第40号法律的实施。因此，专科医生的工作满意度对医院的工作有很大的影响。Nasruddin, 2017)对妇产科专科医生(SpOG)对全国全民健康保险的工作满意度相关因素分析的研究表明，医疗服务(透明度和报酬)和工作条件对全国全民健康保险中产科专科医生的工作满意度有显著的相关关系。目的:分析临床自主性与国民健康保险剖宫产科医师工作满意度的相关性。方法:采用横断面设计的分析观察法进行定量研究。材料与研究:本研究在望加锡进行。样本数量为73名SpOG医生。采用临床自主调查问卷，对问卷的效度和信度进行检验。采用卡方检验对研究结果进行分析。结果:通过对参保基层基层医生SpOG工作满意度特征的相关性分析发现，36 ~ 45岁满意、女性满意、工作年限5年以上不满意、公立医院身份不满意。临床自主性、控制性过度工作(p = 0.170)和特权获得需要服务(p = 0.240)对国民健康保险凯撒科医生的工作满意度没有相关性。结论:临床自主性与国民健康保险凯撒科医师工作满意度之间无相关性。尽管医生的SpOG对NHI(医疗服务和工作条件)不满意，但医生能够专业地工作，具有临床自主权。关键词:临床自主医生SpOG国民健康保险制度

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