The Community Health Center (Puskesmas) is a health service in Indonesia which aims to carry out community health activities and individual primary services. Puskesmas prioritizes promotive and preventive efforts to achieve optimal public health. These health efforts are implemented with an emphasis on services to the wider community to achieve optimal health without ignoring the quality of service to individuals. Puskes are managed by Puskesmas managers who are responsible for district/city health services. The principles of Puskesmas organization include: The health paradigm or Puskesmas encourages all interest groups to commit to working for the welfare of the community. prevention and reduction of health. risks faced by individuals, families, groups and communities. Regional responsibility, meaning that the Community Health Center leads and is responsible for health development in its work area. Community independence, meaning that the Community Health Center encourages individuals, families, groups and communities to live independently and healthily. Equality, This means that the Community Health Center provides health services that are accessible and affordable to all people in their working area, regardless of social, economic, religious, cultural or belief status. Appropriate technology, e.g. that Valla Tervisekeskus produces health services using technology that suits service needs, is easy to use and does not harm the environment. Integration and sustainability, meaning that the Puskesmas integrates and coordinates the implementation of UKM and UKP across programs and sectors and implements a referral system supported by the Puskes administration. A total of 4,444 health jobs at the Community Health Center are divided into public health activities and individual health activities. Activities related to public health include: core public health activities, which include health promotion, environmental health, maternal, child and family planning services; food service; disease prevention and control services. Development of public health interventions tailored to priority health problems in the work area and the resource potential of the health center. Individual health services, which include: Outpatient services, emergency services, daytime services, home services, institutional services based on health services.
The organizational structure First Level Health Facilities (PUSKESMAS)
The organizational structure is determined with clarity of duties, authority, responsibilities, work relationship arrangements and position requirements
a) The management structure of the Puskesmas is determined in accordance with statutory provisions and must be organized to achieve the main objectives and activities of the agency.
b) Each position in the established organizational structure must have duties, authority, responsibilities and position requirements. c) Labor relations must be fostered in the established organizational structure.
d) The provision of vacancies in the management structure is carried out in accordance with the needs of the position of director of the Community Health Center through the determination of the PJ for each position.
e) The effectiveness of the structure and provision of positions at community health centers must be evaluated periodically in order to improve the effectiveness of the existing structure and organization so that it can adapt to developments and needs.
f) In carrying out its main functions and activities, the Puskesmas is obliged to follow the management procedures that apply to all workers working at the Puskesmas and are determined by the Director of the Puskesmas. The ethical management system describes the vision, mission, goals and values of the Community Health Center, including its safety culture. Ethical management principles must be applied to all Puskesmas staff. Evaluation of the implementation of the Code of Ethics is carried out at least once a year. Assessment can be carried out using performance assessment methods, such as assessing employee behavior based on values and value-based performance. Based on the results of the review, steps will be taken to better implement personnel policies.
g) As a form of responsibility for providing services at the health center, it is necessary to develop policies and procedures for delegating the authority of the head of the health center regarding the activities and duties of PJs and PJs to services. If there is a vacancy or position that has been determined by the director of the community health center in accordance with the provisions, then the job will move from the service coordinator to the service provider. Delegation of authority is called Management Delegation.
Easy access to information about patient rights and obligations, access to delivery of feedback First Level Health Facilities (PUSKESMAS)
The community as the beneficiary of cross-program & cross-sector services gets easy access to information about patient rights & obligations, types of services, & Puskesmas activities as well as access to services & access to provide feedback
a) As a First Level Community Health Center (FKTP), the Community Health Center is obliged to provide health services in accordance with statutory provisions, taking into account the needs and expectations of the community.
b) If the community needs preventive, promotive, treatment and/or rehabilitation services according to the community's capabilities, then the community must have easy access to the community health center, including information, implementation and services.
c) Patients/service users must be identified and informed about the type of service provided, as well as their rights and obligations based on the provisions of the Law and the implementation schedule. Patients are also informed of their obligations to provide accurate information to staff and respect their rights. A patient is defined as a person, rightly or wrongly, who goes to a health care center because of his or her health condition to receive necessary health services.
d) During treatment, workers must respect the rights of patients. Therefore, all staff must understand the law and practice to comply with the patient's rights and obligations to participate in the care process.
e) So that the services provided by community health centers and their associations are recognized by the community as service users in all necessary programs and sectors, this will strengthen cooperation and mutual support in the implementation of health and other health-related activities. to provide For the purposes of health development, what is meant by service users are people who benefit from health services provided by the government and the private sector.
f) In the desire to participate in services, various communication strategies can be used to communicate with the public, including the use of simple and easy to understand language, the use of information technology that is known to the public and attention. Under current conditions, information can be conveyed through various means of communication known to the public, including billboards, billboards, billboards, telephone, short message service (SMS), email, social media and the internet.
g) Improving the service system and work implementation of the Community Health Center must have a way to receive comments from service users to facilitate access and suggestions for improving services.
h) There is a mechanism for resolving complaints/complaints from service users which is prepared according to established standards and can be accessed by the public. i) Service user satisfaction is the result of service users' opinions and evaluation of the services provided by the Puskesmas, and patient satisfaction is the result of patient opinions and reviews Community Health Center activities. Service user/patient satisfaction can be achieved if the services provided meet or exceed the expectations of service users/patients. Therefore, it is necessary to routinely assess the satisfaction of service users/patients and follow up.