Evaluasi Implementasi Kebijakan Badan Layanan Umum Daerah (BLUD) di Puskesmas
DOI:
https://doi.org/10.31539/z4pn0s57Abstract
This study aims to analyze the implementation of the Regional Public Service Agency (BLUD) policy at a public health center using Edwards III’s model, namely communication, resources, disposition, and bureaucratic structure. The study used a qualitative approach with a case study design from September to October 2026. Five informants took part: the Head of the Health Center, the BLUD Treasurer/Financial Management Officer, the Head of Administration, and representatives of the city and provincial Health Offices. Data were collected through in-depth interviews, observation, and documentation, and validated through source and technique triangulation. The findings showed that communication was carried out through official letters, meetings, socialization, and direct communication. Regarding resources, task and authority allocation supported implementation, but staff competence in financial management and report preparation still needed improvement. Regarding disposition, implementers showed commitment, and incentives supported motivation. Regarding bureaucratic structure, standard operating procedures (SOPs) and task distribution were in place, but procedural consistency and coordination needed strengthening. The study concludes that BLUD implementation is supported by communication and an established work structure, but staff competence, consistent SOP implementation, and coordination among stakeholders need to be strengthened.
Keywords: BLUD, Bureaucratic Structure, Evaluation, Policy Implementation, Public Health Center.
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