NEW PUBLIC MANAGEMENT PADA INSTANSI KESEHATAN MASYARAKAT UNTUK MENDUKUNG PUBLIC SERVICES

Iftita Nuria Khalida; Erna Setijaningrum

doi:10.31539/costing.v7i6.13210

Iftita Nuria Khalida Universitas Airlangga
Erna Setijaningrum Universitas Airlangga

DOI: https://doi.org/10.31539/costing.v7i6.13210

Keywords: Layanan Kesehatan, New Public Management, New Public Services

Abstract

Studi ini bertujuan untuk mengkaji hubungan antara penerapan prinsip-prinsip New Public Management (NPM) dan peningkatan kualitas New Public Services (NPS) di sektor kesehatan. Melalui analisis studi kasus di Iran, Britania Raya, Swedia, dan Amerika Serikat, penelitian ini mengeksplorasi dampak reformasi NPM, seperti desentralisasi, orientasi pelanggan, pengukuran kinerja, dan reformasi akuntansi, terhadap efisiensi, responsivitas, dan kualitas layanan kesehatan. Temuan menunjukkan bahwa hubungan antara NPM dan NPS bersifat kompleks dan sering kali tidak langsung, dipengaruhi oleh faktor kontekstual dan organisasi. Keberhasilan implementasi NPM sangat bergantung pada keselarasan prinsip NPM dengan budaya organisasi yang ada, serta kemampuan untuk mengintegrasikan perubahan ke dalam prosedur dan rutinitas operasional. Studi ini juga mengungkapkan adanya potensi ketegangan antara standarisasi yang didorong oleh NPM dan otonomi profesional serta penilaian klinis individual. Untuk mengoptimalkan manfaat NPM dalam meningkatkan NPS di sektor kesehatan, studi ini menyarankan agar organisasi kesehatan menyelaraskan prinsip NPM dengan budaya organisasi dan praktik profesional yang ada, melibatkan profesional kesehatan dalam merancang dan menerapkan reformasi NPM, menyeimbangkan standarisasi dengan ruang bagi kebijaksanaan profesional dan penilaian klinis individual, memantau dan mengevaluasi dampak reformasi NPM secara berkelanjutan, serta mengadopsi pendekatan holistik dalam penerapan NPM. Dengan mempertimbangkan kompleksitas dan tantangan yang terlibat, penerapan prinsip NPM yang hati-hati dan kontekstual dapat berkontribusi pada peningkatan kualitas NPS di sektor kesehatan.

References

Aqsa, Q., & Nugroho, B. Y. (2023). A Literature Review: Cross-Sector Collaboration Arrangements to Deliver Public Services and Goods. Technium Soc. Sci. J., 40, 1.
Bielicki, J. A., Duval, X., Gobat, N., Goossens, H., Koopmans, M., Tacconelli, E., & van der Werf, S. (2020). Monitoring approaches for health-care workers during the COVID-19 pandemic. The Lancet infectious diseases, 20(10), e261-e267.
Boman, C. D. (2021). Examining characteristics of prebunking strategies to overcome PR disinformation attacks. Public Relations Review, 47(5), 102105.
Denhardt, R. B., & Denhardt, J. V. (2000). The new public service: Serving rather than steering. Public administration review, 60(6), 549-559.
Gebreiter, F. (2017). Accounting and the emergence of care pathways in the National Health Service. Financial Accountability & Management, 33(3), 299-310.
Glette, M. K., & Wiig, S. (2021). The role of organizational factors in how efficiency-thoroughness trade-offs potentially affect clinical quality dimensions–a review of the literature. International Journal of Health Governance, 26(3), 250-265.
Goniewicz, K., & Goniewicz, M. (2020). Disaster preparedness and professional competence among healthcare providers: Pilot study results. Sustainability, 12(12), 4931.
Grosso, A. L., & Van Ryzin, G. G. (2012). Public management reform and citizen perceptions of the UK health system. International Review of Administrative Sciences, 78(3), 494-513.
Hood, C. (1995). The “new public management” in the 1980s: Variations on a theme. Accounting, organizations and society, 20(2-3), 93-109.
Jansen, E. P. (2008). New public management: Perspectives on performance and the use of performance information. Financial Accountability & Management, 24(2), 169-191.
Lapuente, V., & Van de Walle, S. (2020). The effects of new public management on the quality of public services. Governance, 33(3), 461-475.
Mervyn, K., Amoo, N., & Malby, R. (2019). Challenges and insights in inter-organizational collaborative healthcare networks: an empirical case study of a place-based network. International Journal of Organizational Analysis, 27(4), 875-902.
Omaghomi, T. T., Elufioye, O. A., Onwumere, C., Arowoogun, J. O., Odilibe, I. P., & Owolabi, O. R. (2024). General healthcare policy and its influence on management practices: A review. World Journal of Advanced Research and Reviews, 21(2), 441-450.
Pereno, A., & Eriksson, D. (2020). A multi-stakeholder perspective on sustainable healthcare: From 2030 onwards. Futures, 122, 102605.
Riveros, A. J., & Gronenberg, W. (2012). Decision-making and associative color learning in harnessed bumblebees (Bombus impatiens). Animal cognition, 15, 1183-1193.
Ståhl, C., & Andersson, F. (2018). Shifting to value-based principles in sickness insurance: challenges in changing roles and culture. Journal of Occupational Rehabilitation, 28(4), 730-739.
Sun, S., & Andrews, R. (2023). Intra‐provincial fiscal decentralization, relative wealth, and healthcare efficiency: Empirical evidence from China. Public Administration, 101(3), 973-992.
Tabrizi, J. S., HaghGoshayie, E., Doshmangir, L., & Yousefi, M. (2018). New public management in Iran’s health complex: a management framework for primary health care system. Primary health care research & development, 19(3), 264-276.
Varda, D. M., Chandra, A., Stern, S. A., & Lurie, N. (2008). Core dimensions of connectivity in public health collaboratives. Journal of Public Health Management and Practice, 14(5), E1-E7.