Relationship between institution status and the organizational culture of community health centres in Bali

Authors

  • Maria Magdalena Zulian Puji Astuti Kintamani I Public Health Center Bangli Bali, Public Health Postgraduate Program Udayana University
  • Ni Made Sri Nopiyani Public Health Postgraduate Program Udayana University, School of Public Health Faculty of Medicine Udayana University
  • Pande Putu Januraga Public Health Postgraduate Program Udayana University, School of Public Health Faculty of Medicine Udayana University

DOI:

https://doi.org/10.53638/phpma.2017.v5.i2.p12

Keywords:

organizational culture, OCAI, CVF, PHCs, BLUD

Abstract

Background and purpose: The adoption of an appropriate organizational culture model can be instrumental in ensuring the success of an institution. Currently, public health centres (PHCs) in Indonesia are being remodeled to function as independent units managed as regional public service agencies (BLUD). This study aims to determine whether there are differences in the organizational culture of BLUD PHCs with non BLUD PHCs.

Methods: Survey was conducted with 142 staff from BLUD PHCs and with 109 staff from non BLUD PHCs, selected using stratified random sampling technique. Data were collected by completing the organizational culture assessment instrument (OCAI) according to the concept of Competing Values ​​Framework (CVF) and analyzed descriptively to determine aspects of the organizational culture.

Results: Staff at the BLUD PHCs presented with lower education levels, were older and with an average longer working period compared to staff at the non BLUD PHCs. A hierarchical organizational culture was found in three BLUD PHCs and in one BLUD PHCs, while the other two non BLUD PHCs indicated a tendency towards a clan culture. It is hoped that in the next two years all PHC will adhere to a clan organizational culture model.

Conclusions: Significant differences in age, education and number of working years between BLUD PHCs and non BLUD PHCs determine the organizational culture model adopted. The current adopted organizational culture is hierarchical whereas a transition to clan culture is desired.

References

Robbins S. Organizational Behaviour. 12th ed. Jakarta: Salemba Empat; 2007.

Silalahi B. Kepemimpinan transformasional, motivasi kerja, budaya organisasi, dan komitmen organisasi [Transformational leadership, work motivation, organizational culture, and organizational commitment]. Jurnal Ilmu Psikologi. 2011; 2(100): 14–20.

Jeffrey I, Hermawan A, Hubeis M, Djohar S. Pengaruh kecocokan gaya kepemimpinan dan budaya organisasi terhadap kinerja individu: studi kasus PT. XYZ [The influence of matching between leadership style and organizational culture with the individual performance: case study on PT. XYZ]. Jurnal Manajemen Agribsnis. 2011; 8(2).

Sutiarini NIK. Analisis SWOT untuk rencana strategik pengembangan badan layanan umum daerah (BLUD) puskesmas di Kabupaten Gianyar [SWOT analysis for strategic plan of development of local public service agency (BLUD) of puskesmas in Gianyar Regency] [thesis]. Denpasar: Udayana University; 2011.

Nofitasari D. Analisis kinerja rumah sakit paru jember sebelum dan sesudah badan layanan umum (BLU) [Analysis of jember lung hospitals performance before and after become the public service agency (BLU) [thesis]. Jember; University of Jember; 2013.

Katuwo MA, Idris A, Kusuma AR. Evaluasi kinerja BLUD RSUD Bontang Taman Husada Kota Bontang [Evaluation of BLUD Bontang Hospital Husada Hospital Bontang City performance]. eJournal Administrative Reform. 2014; 2(3): 2068–79.

Indrayathi PA, Listyowati R, Nopiyani NMS, Ulandari LPS. Mutu pelayanan puskesmas perawatan yang berstatus badan layanan umum daerah [Quality of services in health care center with general services agency status]. National Public Health Journal. 2014;9(2):164.

Ratna Kusumawati. Analisis Pengaruh budaya organisasi dan gaya kepemimpinan terhadap kepuasan kerja untuk meningkatkan kinerja karyawan [Analysis the influence of organizational culture and leadership style on employee’s job satisfaction that influence the employee’s performance] [thesis]. Semarang: Diponegoro University; 2008.

Pramadewi A. Pengaruh Budaya organisasi terhadap kinerja pegawai bagian rawat inap pada Rumah Sakit Umum Daerah Teluk Kuantan Kabupaten Singingi [The influence of organizational culture on the performance of inpatient personnel at Teluk Kuantan General Hospital, Singingi District]. Jurnal Pendidikan Ekonomi dan Bisnis. 2010; 2(3): 364–71.

Cameron KS, Quinn RE. Diagnosing and Changing Organizational Culture. First edit. Addison Wesley, editor. The Jossey-Bass Business & Management Series. San Fransisco: Josessy-Bass; 2006. 242 p.

Wijayani A, Utami S, Witcahyo E. Hubungan antara profil budaya organisasi (menggunakan pendekatan competing values framework) dengan kinerja organisasi puskesmas di Kabupaten Jember Tahun 2012 [The relationship between rganizational culture profile (using competing values framework approach) with organizational performance of community health centers in Jember 2012]. e-Jurnal Pustaka Kesehatan. 2014; 2(2): 300-307.

Sani M, Ahmad LOAI, Farzan A. Studi tentang budaya organisasi dengan pendekatan organizational culture of assesment instrument (OCAI) di Puskesmas Rumbia Tengah Kecamatan Rumbia Tengah Kabupaten Bombana Tahun 2016 [The study of the type of organizational culture with organizational culture of assessment instrument (OCAI) approach in public health center of Middle Rumbia Subdistrict of Middle Rumbia Regency of Bombana 2016]. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat. 2017; 1: 1–7.

Tobari. Membangun budaya organisasi pada instansi pemerintahan [Building organizational culture in government agencies]. Yogyakarta: Deepublish; 2015.

Indah HM, Diah K, Muji IT. Perbedaan komitmen organisasi ditinjau dari masa kerja karyawan [The difference of organizational commitment that evaluated from period of work employees]. Kudus: Proceedings of the National Seminar, Maria Kudus University; 2013.

Murti M, Bakti NL. Pengaruh motivasi dan disiplin terhadap efektivitas kerja karyawan (studi pada karyawan PT. PLN (persero) distribusi Jawa Timur [The influence of motivation and discipline on effectiveness of employees (study on employee of PT. PLN (persero) Jawa Timur area]. Jurnal Administrasi Bisnis. 2013:

Jones T. Kebudayaan dan kekuasaan di indonesia kebijakan budaya selama abad ke-20 hingga era reformasi [Culture and power in Indonesia's cultural policy during the 20th century until the reform era] I. Terre ER, editor. Jakarta: Yayasan Pustaka Obor Indonesia; 2013.

Susandi Trio N, Budiartha K, Suprasto HB. Kinerja keuangan dan efisiensi proses internal sebelum dan sesudah penerapan PPK-BLUD pada RSUD Kabupaten Klungkung [Financial performance and efficiency of internal processes before and after the implementation of KDP-BLUD at RSUD Klungkung District]. E-Jurnal Ekonomi dan Bisnis Universitas Udayana. 2017; 4(6): 1701–30.

Rondonuwu J, Trisnantoro L, Sakit R, Provinsi J, Tenggara N, Studi P, et al. Manajemen perubahan di lembaga pemerintah: studi kasus implementasi kebijakan pelaksanaan PPK-BLUD di Rumah Sakit Jiwa Provinsi NTB [Change management in government agency: case study of the implementation of PPK-BLUD policy in NTB Provincial Mental Hospital]. Jurnal Kebijakan Kesehatan Indonesia. 2013; 2(4): 163–70.

Pratami DA, Supatmoko D, Ekonomi F, Unej UJ, Kalimantan J. Evaluasi kinerja rumah sakit daerah kalisat sebelum dan sesudah badan layanan umum daerah (BLUD) [Performance evaluation of Kalisat Regional Hospital before and after being the public service board) [thesis]. Jember; University of Jember; 2014;

Acar AZ, Pınar A. Organizational Culture Types and Their Effects on Organizational Performance in Turkish Hospitals Organizational Culture Types and Their Effects on Organizational Performance. Emerg Mark J. 2014; 3(3).

Tandiarrang S, Jonathan LR, Suyatin. Pengaruh kepemimpinan dan budaya organisasi terhadap efektivitas kerja karyawan (studi kasus pada Puskesmas Sergiri) [The influence of leadership and organizational culture with employee effectiveness (case study on Sergiri Public Health Center)] [thesis]. Samarinda: University of 17 Agustus 1945; 2010.

Bangli Distric Health Office. Bangli Distric Health Profile 2014. Bangli: Bangli Distric Health Office; 2015.

Bate P. Strategy For Cultural Change. London: Butterworth Heinemann; 1994.

Cartwright S, Cooper CL. Organizational Marriage: “Hard” Versus “Soft” Issues? Emerald insight. 1995; 42(35): 32–42.

Wilkin AL, W.G. O. Efficient Culture: Exploring the Relationship Between Culture and Organization Perfomance. Silvio De. San Fransisco; 1998: 468-481

Kotter JP, J.L. H. Corporate Culture and Perfomance 13th ed. &SchusternInc division of S, editor. New York: The Free Pres; 1992.

Schein E. Organizational Culture and Leadership. 5th ed. Bass J, editor. New Jersey: Jhon Wiley & Sons,Inc.; 1992.

Klinge RS, Burgoon HM, Afifi WA, Callister M. Rethinking How to Measure Organizational Culture in the Hospital Setting The Hospital Culture Scale. Sage Journal. 1995; 18(2):166–86.

Downloads

Published

2017-12-01

How to Cite

Astuti, M. M. Z. P. ., Nopiyani, N. M. S. ., & Januraga, P. P. . (2017). Relationship between institution status and the organizational culture of community health centres in Bali. Public Health and Preventive Medicine Archive, 5(2), 135–139. https://doi.org/10.53638/phpma.2017.v5.i2.p12

Issue

Section

Articles

Most read articles by the same author(s)

1 2 3 4 5 > >>