Defining the Integration of Primary Health Services: Perspectives from Leaders of Puskesmas
DOI:
https://doi.org/10.26630/jk.v15i3.4721Keywords:
Community Health Centers, Leadership, Qualitative studyAbstract
Integrating primary health services is crucial for improving the quality and accessibility of healthcare at the community level. This qualitative study investigates how leaders of Puskesmas define and implement integration within their services, as well as the challenges and factors that influence this process. Ten Puskesmas leaders in several Municipalities of the Province of Jambi and one key informant from the Municipal Department of Health were interviewed to obtain in-depth insights. Data collection was conducted through semi-structured interviews, and the information was analyzed using content analysis methods. The findings indicate that integration is viewed as a multi-dimensional strategy to enhance patient care coordination, maximize resource efficiency, and improve community health outcomes. Key factors affecting integration include leadership styles, inter-departmental collaboration, and the support provided by municipal health authorities. This study underscores the importance of robust leadership and strategic partnerships in facilitating service integration at the primary health center level, providing valuable insights for policymakers and healthcare administrators.
References
Anita, B., Febriawati, H., & Yandrizal, Y. (2016). The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance. Jurnal Kesehatan Masyarakat, 12(1). https://doi.org/10.15294/kemas.v12i1.3933
Carstensen, K., Kjeldsen, A. M., & Nielsen, C. P. (2024). Distributed leadership in health quality improvement collaboratives. Health care management review, 49(1), 46-58.
Fausett, C. M., Korentsides, J. M., Miller, Z. N., & Keebler, J. R. (2024). Adaptive leadership in health care organizations: Five insights to promote effective teamwork. Psychology of Leaders and Leadership, 27(1), 6. https://doi.org/10.1037/mgr0000148
Flick, U. (2022). The SAGE handbook of qualitative research design.
Gauly, J., Court, R., Currie, G., Seers, K., Clarke, A., Metcalfe, A., & Grove, A. L. (2023). Advancing leadership in surgery: a realist review of interventions and strategies to promote evidence-based leadership in healthcare. Implementation Science, 18(1), 15. https://doi.org/10.1186/s13012-023-01274-3
Grimani, A., & Gotsis, G. (2022). Inclusive Leadership in Health Care Organizations: Promises and Prospects. In Leading With Diversity, Equity and Inclusion: Approaches, Practices and Cases for Integral Leadership Strategy (pp. 183-201). Cham: Springer International Publishing.
Kartikasari, E. P., Intiasari, A. D., & Aji, B. (2024). The Role of Leadership in Improving the Quality of Healthcare Services at Community Health Centers: A Systematic Review. Eduvest-Journal of Universal Studies, 4(9), 7969-7973. https://doi.org/10.59188/eduvest.v4i9.16745
Ministry of Health of Republic Indonesia (2024). Penerapan Integrasi Layanan Primer di Puskesmas. https://lms.kemkes.go.id/courses/06bee9a5-7df2-4e7a-aa88-3d9b83eb5aa1
Natsir, R., Ramli, M., & Putra, A. H. P. K. (2024). The Effect of Leadership Style, Compensation and Competence on Optimizing Organizational Performance. Golden Ratio of Human Resource Management, 4(2), 146-157. https://doi.org/10.52970/grhrm.v4i2.510
Pahwa, M., Cavanagh, A., & Vanstone, M. (2023). Key informants in applied qualitative health research. Qualitative Health Research, 33(14), 1251–1261. https://doi.org/10.1177/10497323231198796
Pope, C., & Mays, N. (Eds.). (2020). Qualitative research in health care (pp. 111–133). Oxford, UK: Wiley-Blackwell.
Pyo, J., Lee, W., Choi, E. Y., Jang, S. G., & Ock, M. (2023). Qualitative research in healthcare: necessity and characteristics. Journal of preventive medicine and public health, 56(1), 12. https://doi.org/10.3961/jpmph.22.451
Solarino, A. M., & Aguinis, H. (2021). Challenges and best-practice recommendations for designing and conducting interviews with elite informants. Journal of Management Studies, 58, 649–672.
Tedla, B. A., & Hamid, A. S. (2022). Leadership in healthcare organizations: A retrospective study. International Journal of Health Sciences, 6(6), 733–746. https://doi.org/10.53730/ijhs.v6nS3.5427
Van Dam, P. J., Griffin, P., Peterson, G. M., Reeves, N. S., Kirkwood, L., & Prior, S. J. (2020). Organizational support in healthcare redesign education: a mixed-methods exploratory study of expert coach and executive sponsor experiences. International Journal of Environmental Research and Public Health, 17(15), 5308. https://doi.org/10.3390/ijerph17155308
Zandroto, S. A., & Tobing, P. S. M. L. (2024). Kesehatan Layanan Primer. Medical Methodist Journal (MediMeth), 2(1), 1–8. https://doi.org/10.46880/mm.v2i1.2747
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