Abstract
The local government in improving health care visits of policy instruments used by local governments is mandatory instruments. This required the use of instruments is evident from the role of government in health care without the intervention of the private sector. The supporting factors consist of: full support financing of medical facilities and the cost of hospital operations, the rules on which the service work and visit patients continued to increase from year to year. While the factors that may hinder the improvement of the quality of health care include: unbalance the ratio between the number of medical patients, the still small site allowance for hospital employees, they still lack the human resources development program, and the limited facilities and infrastructure of the hospital.
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