Pengaruh Karakteristik Individu dan Organisasi terhadap Kinerja Dokter Spesialis Kebidanan dan Penyakit Kandungan Pasca diberlakukannya UUPK No 29 Tahun 2004 di Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2010

Abstract

Percentage of maternal deaths due to haemorrhage, pre-eclampsia and sepsis in Haji Adam Malik General Hospital is still high, exceeding the Ministry of Health standards, as well as the percentage of infant mortality. AKI (Maternal Mortality Rate) and AKB (Infant Mortality Rate) are the indicator that shows the performance of health workers who play role in maternal and child health services, including specialists, obstetrics and gynecology. The Implementation of UUPK No.29/2004 by limiting third for the doctor's practice aims to provide a quality service. The purpose of this study to analyze the influence of characteristics of individual (number of places of practice, length of service, age, and sex) and the characteristics of organization (control of service provided, service facilities, and reward) on the performance of Obstetrician and Gynecologist after the passing of UUPK No.29/2004 at Haji Adam Malik General Hospital, with an explanatory survey . The population of this study were all of 52 Obstetricians and Gynecologists and all of them were selected to be sample. The data for this study were obtained through interviews using questionnaires. The data obtained were analyzed through multiple linear regression test at α = 0.05. The result of this study showed that statistically the variables of individual characteristics (number of places of practice, length of service, age, and sex) and the characteristics of organization (control of service provided, service facilities, and reward) had significant influence on the performance of Obstetrician and Gynecologist. The variable of number of places of practice was the dominant variable influenced on the performance of Obstetrician and Gynecologist. Based on UUPK No.29/2004, the management of Haji Adam Malik General Hospital suggested to evaluate the number of places where the Obstetricians and Gynecologists do their medical practice and to equip the places with the service facilities needed by the Obstetrics and Gynecology service. The hospital role and function of the Medical Committee of Haji Adam Malik General Hospital in controlling the performance of the Obstetricians and Gynecologists need to be improved to avoid the Obstetricians and Gynecologists from doing malpractice.