Abstract
Study results from early 2016 across 20 private general hospitals around Medan city, show there are 10 hospitals that have a physician performance measurement. However, the Medical Committee perceived some unknown barriers on measurement of physician performance. Should it be known, the hospitals can improve and enhance physician performance measurement effectively and efficiently. Therefore, this study aims to uncover the barriers on physician performance measurement in Private General Hospitals around Medan city. From the interviews with 10 Medical Committees and 6 document studies in 10 Private General Hospitals around Medan city which have a physician performance measurement, we found that the barriers on physician performance measurement are: unsupportive human resources, improper Medical Committee monitoring, unwillingness of physicians to be assessed, and assessors tendency toward giving moderate and good score. Therefore, we recommended that Medical Committee in each Private General Hospital around Medan or supervisors who will assess the performance of the physicians to attend performance measurement training to minimize biases and errors in filling out the sheet of physician performance measurement. Training should also be followed by an explanation that physicians should treat this performance measurement as a positive thing, because it can help the medical profession improve its professionalism.
Highlights
A hospital is a very complex and high risk institution, especially in conditions of global and regional environment that is changing dynamically
From the interviews with 10 Medical Committees and 6 document studies in 10 Private General Hospitals around Medan city which have a physician performance measurement, we found that the barriers on physician performance measurement are: unsupportive human resources, improper Medical Committee monitoring, unwillingness of physicians to be assessed, and assessors tendency toward giving moderate and good score
Result and Discussion From the 10 Private General Hospitals around Medan city which followed the research, we found that only 6 hospitals were willing to give their sheet of physician performance measurement, namely RSU MT, RSU D, RSU MSW, RSU Mt, RSU BM, and RSU KMB
Summary
A hospital is a very complex and high risk institution, especially in conditions of global and regional environment that is changing dynamically. One of the pillars of medical service is Clinical Governance, a way to guarantee the implementation of quality health services. In line with the mandate of the legislation related to the health and hospitals (Act of the Republic of Indonesia Number 36 in 2009 about health and ACT Number 44 in 2009 about the hospital), hospitals must guarantee the implementation of the quality health services by organizing a clinical governance to protect patients, where medical staff performance will greatly affect the safety of patients (Peraturan Menteri Kesehatan Republik Indonesia Nomor 755 tahun 2011). Since 2006 to 2012, 182 cases of medi-
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