ANALISIS HUBUNGAN STATUS OTONOMI PUSKESMAS DENGAN MOTIVASI KARYAWAN DI KABUPATEN SLEMAN, PASURUAN DAN KOTA BLITAR

Rukmini Rukmini, Siswanto Siswanto, Betty Roosihermiatie

ANALISIS HUBUNGAN STATUS OTONOMI PUSKESMAS DENGAN MOTIVASI KARYAWAN DI KABUPATEN SLEMAN, PASURUAN DAN KOTA BLITAR

Abstract


ABSTRACT

Backgrounds: Since decentralization year 2001, various innovations have been made by the districts or municipalities, especially on delegating broader decision space for management of community health centers to meet demands for qualified medical care. Objective: This study aimed to determine the relationship on autonomy level at health centers (decision space) of employee motivation. The motivation of employees was related to the concept of Motivating Potential Score, that composed of Skill Variety, Task Identity, Task Significance, Autonomy, and Job Feedback. Methods: tt was an observational study with a cross sectional design, carried out at Puskesmas Depok /I (150 type), Sleman District, Yogyakarta Province and at Puskesmas Bangil (self-management type), Pasuruan District, and Puskesmas Karangsari (free type), Blitar Municipality both in East Java Province. The study was done from May to December 2009. Respondents were employees at public health centers taken by random sampling to proportional size. Analysis were to assess the status of autonomy relationship with employee motivation at public health centers, tested by anova and combined with qualitative analysis from in-depth interviews to heads of the centers. Results: Results showed that most employeer motivation at each type of health centers was cathegorized as fairly autonomy status for public health center with 150 (62.5%), self-management (72%) and free type (75.7%). The Anova test were F = 1.450 at p-value = 0.240 (p > 0.05). Hence, it could be said there was no difference on employee motivation at health center type, 150, self-managed and free type. Recommendations:

This study recommends that heads of community health centers should be able to encourage development of intrinsic motivation to create leadership to give inspiration for employees and supportive work environment, empowering employees, delegating meaningful work and enhancing employee competency

Key words: motivation of employee, motivating potential score, autonomy status, public health center

ABSTRAK

Sejak diberlakukannya otonomi daerah tahun 2001, berbagai inovasi telah dilakukan oleh pemerintah kabupaten/kota, khususnya menyangkut pemberian decision space yang lebih luas kepada manajemen puskesmas dalam memenuhi tuntutan masyarakat akan pelayanan kesehatan yang berkualitas. Penelitian ini bertujuan untuk mengkaji hubungan tingkatan otonomi pada puskesmas (decision space) terhadap motivasi karyawan. Motivasi karyawan adalah terkait dengan konsep Motivating Potential Score, yang terdiri dari Skill Variety, Task Identity, Task Significance, Autonomy, dan Job Feedback. Penelitian ini adalah penelitian observasional dengan disain cross sectional, lokasi di Provinsi 0.1 Yogyakarta Kabupaten Sleman untuk Puskesmas Depok /I (tipe 150) dan Jawa Timur di Kabupaten Pasuruan yaitu Puskesmas Bangil (tipe swakelola) dan Kota Blitar di Puskesmas Karangsari (tipe gratis) pada bulan Mei-Desember 2009. Jumlah sampel karyawan puskesmas diambil secara proportional random to size di puskesmas yang diteliti. Analisis untuk menilai hubungan status otonomi puskesmas dengan motovasi karyawan, dilakukan uji ANOVA dan didukung dengan analisis data kualitatif dari hasil wawancara mendalam dengan kepala puskesmas. Hasil penelitian menunjukkan bahwa sebagian besar motivasi karyawan puskesmas disetiap tipe status otonomi adalah kategori cukup, yaitu puskesmas 150 (62,5%), swakelola (72%) dan gratis (75,7%), sedangkan hasil uji Anova menunjukkan bahwa F adalah 1,450 dan P value 0,240 (P> 0,05), sehingga dapat dikatakan bahwa tidak ada perbedaan motivasi karyawan di puskesmas, 150, swakelola dan gratis. Penelitian ini merekomendasikan kepala puskesmas harus mampu mendorong terbentuknya motivasi intrinsik yaitu menciptakan kepemimpinan (leadership) yang memberi inspirarasi kepada karyawan dan lingkungan kerja yang mendukung, memberi kuasa pada karyawan dan menoeteqeslken pekerjaan yang berarti dan meningkatkan kompetensi karyawan. Kata kunci; motivasi karyawan, motivasi potensial skor, status otonomi, puskesmas

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Buletin Penelitian Sistem Kesehatan (Bulletin of Health System Research, ISSN 1410-2935. e-ISSN 2354-8738) published by Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia

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