Regional Public Service Research Articles

FINANCIAL PERFORMANCE ANALYSIS BEFORE AND AFTER THE IMPLEMENTATION OF FINANCIAL MANAGEMENT PATTERNS OF REGIONAL GENERAL SERVICES AGENCY AT CUT MEUTIA REGIONAL GENERAL HOSPITAL, ACEH UTARA REGENCY

This study analyzed differences in financial performance before and after the implementation of the Financial Management Pattern of the Regional Public Service Agency (PPK-BLUD) at Cut Meutia Public Hospital, North Aceh Regency. Financial performance was proxied by the ratio of profitability, liquidity, solvency, and activity. The periods used were 2012-2015 (Before KDP-BLUD) and 2016-2019 (After KDP-BLUD). This study used secondary data in the form of quantitative data. The data analysis method used was Paired T-Test. The results showed that in financial performance ratios, there were significant differences in the ratio of profitability, liquidity, and activity before and after the implementation of PPK-BLUD, but the solvency ratio did not differ before and after the implementation of PPK-BLUD at Cut Meutia Hospital, North Aceh Regency.

Performance Of Regional Public Service Agencies: Accountability As A Moderating Variable

This study aims to empirically examine the influence of leadership style and technology on the performance of the Regional Public Service Agency (RPSA) Health Center in Pekanbaru City. This study also examines Accountability moderation. This research was conducted using a survey method through a questionnaire. All RPSA Public Health Centers in Pekanbaru City were sampled in this study, with 140 RPSA managers as respondents. The results of data analysis using Moderated Regression Analysis (MRA) with SPSS show that leadership style and use of technology affect the performance of the RPSA Health Center. The results also show that accountability does not moderate the influence of leadership style on the performance of the PSA Public health center but moderates the effect of using technology on the performance of the RPSA Public health center. The results of this study contribute to improving the performance of health organizations, especially health centers in the city of Pekanbaru.

Fiscal Decentralization, Public Health Expenditure and Public Health–Evidence From China

Since the beginning of the COVID-19 outbreak and the launch of the “Healthy China 2030” strategy in 2019, public health has become a relevant topic of discussion both within and outside China. The provision of public health services, which is determined by public health expenditure, is critical to the regional public health sector. Fiscal decentralization provides local governments with more financial freedom, which may result in changes to public health spending; thus, fiscal decentralization may influence public health at the regional level. In order to study the effects of fiscal decentralization on local public health expenditure and local public health levels, we applied a two-way fixed effect model as well as threshold regression and intermediate effect models to 2008–2019 panel data from China's 30 mainland provinces as well as from four municipalities and autonomous regions to study the effects of fiscal decentralization on public health. The study found that fiscal decentralization has a positive effect on increasing public health expenditure. Moreover, fiscal decentralization can promote improvements in regional public health by increasing public health expenditure and by improving the availability of regional medical public service resources. In addition, fiscal decentralization has a non-linear effect on public health.

Patronage effects of off-peak service improvements in regional public transport

The purpose of this study is to look into patronage effects of extended supply outside peak hours on regional public transport services. Previous studies have shown that the service frequency is an attribute of great importance for regional passengers, but little is known about the details regarding peak and off-peak frequencies or service hours. The present study addresses this knowledge gap, departing from the hypothesis that additional off-peak supply means more flexibility for the passengers in terms of departure time options, and possibly also a sense of security for passengers who are uncertain about the time of their (return) trips. Essentially, the added off-peak departures may attract more passengers even if they normally do not or only occasionally use the off-peak services. The patronage effects are explored through four case studies from the region of Scania in southern Sweden. The cases include regional rail and bus services where substantial improvements have been made outside peak hours, resulting in at least hourly all-day services. The results of the study provide new insights into the fundamental planning policy trade-off between maximum frequency and span of public transport services in urban peripheries and rural areas. Importantly, the results suggest that improved time coverage may lead to substantial patronage growth, and this growth is evident also during peak hours, despite unaltered peak hour frequencies. Hence, off-peak departures cannot be assessed only through patronage levels in isolated time periods, let alone on the individual departures.

The Effectiveness of Internal Audit in Regional Public Hospitals as Regional Public Service Agencies

Public hospitals as mandated by regulation, managed as a public service agency, which given the flexibility on financial and resources management to perform good business practices in order to improve community services. As a public enterprise, regional hospitals must conduct good corporate governance by optimizing resources and providing quality services. The internal audit function have important role in this area. The purpose of this study was to determine the effectiveness of the implementation of internal audit in regional public hospitals as public service agencies. The research method was descriptive with qualitative approach. Research data was collected by observation of documents and in-depth interviews in 2 hospital, regional public hospital in district and regional public hospital at Central Java Province. The research subjects consisted of directors, Internal Auditor Unit ( SPI), service department, , finance and general affair. Data was processed and then content analyzed. Based on the research, internal audit unit structure were just formed to fully regulations. The internal audit team were incompetent, no training, job descriptions of staff had not been detailed and auditor team was double job as additional task. Audit function was more focused on the compliance of financial aspects and accountability. The function of performance evaluation and compliance on regulations had not been carried out. The constraints are the limited number of personnel and double jobs. Hospital directors were usually immediately aware of problems that arise even without reports from the internal audit unit. Monitoring and evaluation of internal audit unit has not been carried out intensively. Internal audit function had not been effectively performed. It is need to appoint staff with appropriate competencies, the role and function of the internal audit unit have to be improved through the establishment of specific job descriptions and the granting of broader authority to audit in all units.

Budgeting for inventory of personal protection equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital southeast Sulawesi Province, Indonesia

Budgeting for inventory of personal protection equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital southeast Sulawesi Province, Indonesia

Storage and distribution of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital Southeast Sulawesi Province, Indonesia

The rate of transmission of the Covid-19 disease is very high so that it spreads very quickly throughout the world with very high morbidity and mortality rates. In an effort to handle Covid-19 at the Bahteramas Regional Public Service Agency (RPSA) Hospital, Southeast Sulawesi Province, it is necessary to have Personal Protective Equipment (PPE) for health workers to prevent cross-infection between patients and officers. The purpose of the study was to determine the storage and distribution of Personal Protective Equipment during the Covid-19 pandemic at the Bahteramas RPSA Hospital, Southeast Sulawesi Province. This type of qualitative research with a case study approach. The research was conducted at the Bahteramas RPSA Hospital, Southeast Sulawesi Province, Kendari City, with the reason that this hospital is a referral hospital for Covid-19 patient services. The informants in the study consisted of 2 regular informants and 5 key informants. Data was collected using observation, document review and in-depth interviews. Data analysis is done by matrix Content Analysis. The results showed that the process of storing PPE in the storage warehouse, during storage there are no obstacles found. The warehouse capacity is very sufficient for the storage and storage of PPE logistics supplies. The PPE storage is in accordance with the applicable SOP. There were no obstacles encountered when distributing PPE from logistics to health workers. Conclusion; The storage and distribution of PPE at the Bahteramas RPSA Hospital is considered quite good, because the storage of PPE in the pharmacy warehouse is in accordance with the applicable SOP. Meanwhile, the distribution of PPE to health workers is carried out through requests from each hospital service unit, according to the number of needs that will be used so that the needs of PPE in each service unit can be met properly.

THE EFFECT OF DISCIPLINE AND WORK MOTIVATION ON THE PERFORMANCE OF EMPLOYEES OF REGIONAL GENERAL SERVICES AGENCY (BLUD) BANGKINANG HOSPITAL

This study aims to determine the effect of discipline and work motivation simultaneously and partially on the performance of employees of the Regional Public Service Agency (BLUD) Bangkinang Hospital. The population in this study were all employees of the Regional Public Service Agency (BLUD) of Bangkinang Hospital which were known to be 124 employees. The sampling method in this study was the total sample method using the saturated census technique so that the number of samples in this study was 124 respondents. Data analysis was carried out using multiple linear regression models. Based on the test results simultaneously and partially, the variables of discipline and work motivation proved to have a significant effect on the performance of the employees of the Regional Public Service Agency (BLUD) Bangkinang Hospital. The close relationship that occurs between the variables of discipline and work motivation on employee performance is strong. The contribution of the independent variable to the dependent variable is 63.6% while the remaining 36.4% is influenced by other variables not examined in this study.

Storage and distribution of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital Southeast Sulawesi Province, Indonesia

Storage and distribution of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital Southeast Sulawesi Province, Indonesia

Procurement of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas Regional public service agency hospital Southeast Sulawesi Province, Indonesia

Procurement of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas Regional public service agency hospital Southeast Sulawesi Province, Indonesia

Budgeting for inventory of personal protection equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital southeast Sulawesi Province, Indonesia

Background: When the first Covid-19 case appeared in China in 2020, it didn't take long for it to spread throughout the world. In Indonesia, the entry of this disease is the most serious threat as a global pandemic with a fairly high morbidity and mortality rate that has a broad impact on life safety and disrupts the national economy. The availability of personal protective equipment in hospitals is an important part of patient care for the National Health Insurance (NHI). Objective: To determine the budget for the supply of personal protective equipment (PPE) for NHI patient services during the Covid-19 pandemic at the Bahteramas Regional Public Service Agency (RPSA) Hospital Southeast Sulawesi Province. Methods: This type of qualitative research with a case study approach. The research was conducted at the Bahteramas RPSA Hospital, Southeast Sulawesi Province, Kendari City. The research informants consisted of 1 regular informant and 3 key informants. The selection of informants is based on the depth of understanding or experience of the informants. Data was collected using observation, document review, and in-depth interviews. Data analysis is done by matrix Content Analysis. Results: The availability of funds for Covid-19 patient services is not yet available, funding sources are obtained from the regional government and the Central Government, but to fulfill the need for PPE in the early days of the Covid-19 pandemic using the Hospital RPSA budget. The budget for purchasing PPE for Covid-19 services has not been planned in advance because the occurrence of the Covid-19 outbreak is an incident that appears spontaneously without being predicted beforehand. Planning for PPE needs based on the needs of each hospital service unit. The preparation of the budget is based on the applicable Standard Operating Procedures. Conclusion: The decision of the Bahteramas RPSA Hospital to use the RPSA Hospital's funds for the procurement of PPE in the early days of the Covid-19 pandemic was the right decision. When viewed from the increasing need for PPE in the early stages of the pandemic and the limitations of previous PPE planning, the RPSA Hospital budget became an option for Bahteramas Hospital as an alternative to procuring PPE prior to government assistance.

Procurement of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas Regional public service agency hospital Southeast Sulawesi Province, Indonesia

Currently, the incidence of morbidity and mortality due to the Covid-19 disease outbreak in Indonesia is still quite high, with the intensity of transmission being very fast in the community. The occurrence of contact between patients and health workers becomes very vulnerable to the emergence of illness and death in health workers. The importance of the use and availability of personal protective equipment (PPE) in hospitals needs to be continuously pursued. The purpose of the study was to determine the supply of personal protective equipment for the service of national health insurance patients during the Covid-19 pandemic at the Bahteramas Regional Public Service Agency (RPSA) Hospital, Southeast Sulawesi Province. This type of qualitative research with a case study approach. The study was conducted at the Bahteramas RPSA Hospital, Southeast Sulawesi Province, Kendari City, with the reason that this hospital is a referral center for Covid-19 patient services. The informants in the study consisted of 3 regular informants and 6 key informants. Data was collected using observation, document review and in-depth interviews. Data analysis is done by matrix Content Analysis. The results of the study show that the procurement of PPE for Hospitals is carried out through E-catalogs and direct procurement. The vacancy of PPE is caused by internal factors where the hospital procurement party minimizes stock procurement as needed with evaluations carried out every month. Evaluation is carried out to determine the availability of sufficient stock until the deadline for the next PPE purchase, but if the stock is insufficient then the purchase of PPE can be made before the stock period is empty. The external factor causing the stock vacancy is caused by the delay in the distribution of PPE. Conclusion: Procurement of supplies for PPE needs for RPSA Hospitals, apart from making their own procurement from the hospital, also borrows and requests assistance from related agencies. The availability of hospital PPE is influenced by internal factors and external factors. Suggestion; The Hospital Logistics Section should always monitor the procurement of PPE to ensure the availability of PPE is still met as needed.

How Can We Better Study the Links between Regional Governance and Public Service Outcomes? Governance Topologies in Metropolitan Public Transportation Systems

Metropolitan public transportation systems vary in their performance and governance, and evidence suggests linkages between these. However, such linkages remain largely untested due to the complexity of governance and the absence of reliable and valid measures of it. We develop a conceptual framework for understanding metropolitan public transportation system governance using the familiar concepts of polycentricity and fragmentation. We introduce the novel concept of governance topology to parse the complexity of the many organizational arrangements and interorganizational relationships that comprise metropolitan governance. We then propose a method of measurement using a concentration index, and apply it to the Chicagoland region.

Ambulance Operational Services Information System At The Jakarta Department Of Health

Information regarding monitoring of operational expenditures of the Regional Public Service Agency at the Emergency Ambulance Service Unit of the DKI Jakarta Health Office. Because the finances issued or used must be accurately informed. In this case, monitoring the operational expenses of the Regional Public Service Agency at the Emergency Ambulance Service Unit of the DKI Jakarta Health Service still has many obstacles. Constraints faced are such as the technical executor. The activity of submitting an accountability letter still has a long stage, the Verifier is not there so that the process of checking the accountability letter stops, the input of reports is carried out one by one by the Spending Treasurer using Microsoft Excel. The process of monitoring the operational expenses of the Regional Public Service Agency at the Emergency Ambulance Service Unit of the DKI Jakarta Health Office takes a long time. And another obstacle is the occurrence of classifying the type of operational expenditure. In this data analysis method, using Balanced Scorecard (BSC) analysis, system design uses Visual Paradigm to create UML (Unified Modeling Language), PHP programming language, MySQL to create databases. The result of this research is that an information system for monitoring operational expenditures of the Regional Public Service Agency can create and submit a letter of accountability and verification letters are carried out computerized, the Expenditure Treasurer no longer enters the general cash books one by one, the Expenditure Treasurer no longer classifies the types of operational expenditure in recap operational expenditure.

Current Issues on Regulation: A View from France

The objective of the article is first to show there are worrying signs that the consensus about independent regulation is cracking in several countries that matter. We then go on to demonstrate that there are blind spots in the European framework of public service regulation. Regulation in the EU focuses too much on competition and not enough on other objectives. Finally we attempt to rethink the regulatory framework of public services in Europe in a way that would take all the competing interests of society into account. Although the main focus of the article falls on French and European experiences, it also adopts a broader view. regulation, public services, competition law, monetary policy, cost-benefit analysis, indirect administration, accountability

Публічні послуги у сфері публічного управління: теоретичні аспекти

Розглянуто теоретичні підходи до здійснення публічних послуг у сфері публічного управління. Проаналізовано різні підходи до трактування сутності поняття “публічні послуги” і на основі цього представлено авторське розуміння згаданого поняття. Розглянуто класифікаційні підходи до розуміння публічних послуг. Представлено алгоритм надання публічних послуг у сфері публічного управління. Обґрунтовано процедуру здійснення публічних послуг, враховуючи надавачів та споживачів у сфері публічного управління. Аргументовано, що публічні послуги є ширшим поняттям, аніж державні послуги.

The Design of Regional Cultural Service of the Maritime Silk Road Based on Symbolic Semantics

Objective to solve the puzzle of the lack of guiding theory of regional culture public goods service design in the field of service design, and to explore the psychological and emotional representation and association connotation of public goods service under specific regional culture. Methods By symbolic semantics, the cultural semantics, folk semantics and regional environment semantics of regional cultural public goods service design were characterized and analyzed from three levels: personal emotion, group affiliation and historical folklore. Combining symbolic semantic analysis with user behavior model, the historical intention of regional culture is abstracted and decomposed into multidimensional design factors layer by layer, and the framework of service design factors is further established. Results Taking the product service system of "Maritime Silk Road in western Guangdong" as an example, with the help of image scale map and semantic style analysis of symbolic semantics, the common feelings on the cultural level of "Maritime Silk Road Culture" were analyzed, and the folk journey scenarios and service blueprints were constructed, which were presented in the form of the design of regional cultural service system in western Guangdong. Conclusion It promotes the emotional resonance and cultural identity experience of users in the design of public goods and services by regional culture, and provides theoretical guidance for the design of regional culture products and services.

Emotional labour in the collaborative data practices of repurposing healthcare data and building data technologies

This article focuses on emotions, conceptualised as emotional labour, evoked during data practices used to repurpose and enable healthcare data journeys for Finnish public healthcare. Combined approaches from critical data studies and the sociology of emotions were used to contribute to a better understanding of the mundane but often invisible work of the emotions of experts involved in data practices, such as facilitating data journeys and building data technologies. The article is based on a two-and-a-half-year ethnographic study conducted in a Finnish regional public healthcare and social service organisation. The study results were derived from the analysis of 39 interviews and fieldnotes produced by observing 170 h of various meetings, events and work activities performed by experts. The results were organised into three forms of observed experts’ emotional labour related to three phases of healthcare data journeys: (a) caring for data production and preparing data for travel, (b) managing excitement and frustration in data processing for continually building the data management system, and (c) reassuring users in making sense of obtained data analytics. The results contribute to a greater understanding of the emotions and emotional labour generated by healthcare data journeys and in relation to the volatile nature of healthcare data and the collaborative character of data practices. This work advocates for a better recognition of the emotional aspects of data practices and their implications on data-based knowledge and datafication processes in healthcare.

ПРАВОВОЕ РЕГУЛИРОВАНИЕ ГОСУДАРСТВЕННОЙ СЛУЖБЫ

The work is a comprehensive consideration of the issues of legal regulation of the civil service of the Russian Federation. The prospects for the development of this sphere are formulated. The analysis of the theoretical and legal foundations, system and internal structure of the civil service is carried out. Its legal regulation, constitutional norms and federal legislation on it are investigated. The measures of systematization and improvement of the legal regulation of public service in the Russian Federation are presented: it is proposed to develop a unified code of public service of the Russian Federation, approve a specific list of positions of other types of public service and fix them in the Federal Law of the Russian Federation “On Public Service of other types”. The methodology and methodology of the research consists in a systematic approach to the analysis of the object of research – the totality of public relations regulated by legislative and subordinate normative legal acts, which develops in the process of legal regulation of the legal institute of the civil service of the Russian Federation, as well as a complex of scientific methods of cognition: comparative legal and other private dialectical methods of cognition. Formal and logical analysis of the conceptual apparatus, a comprehensive analysis of the legal basis of this legal institution were also applied.

Tariff Optimization under Incentive Regulation of Public Services Using Simplex method

The tariffs of regulated public services under price cap regulation are variables defined in the tariff review process, subject to a major technical complexity and many restrictions. Given the complex scenario that involves the tariffs definition, the present paper seeks to verify the effectiveness of the implementation of a Linear Programming model to support decision-making in optimal tariffs definition. The Solver add-in of Microsoft Excel software was used to generate the optimal solution for the proposed model. The results indicated that the proposed model generated a reasonable result, incorporating the various restrictions for modeling and ensuring details at a sufficient level for modeling adjustments throughout the process, if necessary.