Joko Mulyanto

CHEM IV - 2009

Role of Medical Doctor

Healthcare System Environment
Definition of Management
Function of Management
Concept of Organization

WHO Five star doctor (1994): Care provider,

Decision-maker, Communicator,
Community leader, Manager.
GMC tomorrows doctor (2002): doctors are
either be managed or a manager.
National Standard of Medical Doctor
Competence by Indonesian Medical Council
(2006): Medical Doctor must be able to act as
manager at primary health care level.

To deliver the best possible healthcare for the

people, It is IMPOSSIBLE for doctor to work

alone
The best possible healthcare usually involve a
group of multidisciplinary medical and
non-medical personal, use comprehensive
and holistic approach.

NATIONAL
OBJECTIVES
Social Welfare
Health is basic
human right
Health status of
the people

National Health
System

Healthcare
Delivery
System
Health Service
Organization

Medical
Profession

 Healthcare is needed to improve peoples

health status.
HSO is the main actor to deliver healthcare.
HSO is a formal organization.
Health workers (including MD) is the most
important part of HSO.
Management is the science of
organization.
Therefore, management is needed by HSO
and health workers.

The process, composed of interrelated social

and technical functions and activities

(including roles), occurring in a formal
organizational setting for the purpose of
accomplishing predetermined objectives
through the utilization of human and other
resources.

It is a process a set of interactive and

interrelated ongoing functions and activities.

It involves accomplishing organizational
goals and objectives.
It involves achieving these objectives
through people and the utilization of
other resources.
It occurs in formal organizational setting.

Planning
Organizing
Staffing
Directing
Controlling
Decision-making

A basic social unit that has been established

for the purposes of achieving a goal.

Characterized by:
- a common goal
- a set of shared values
- continuity of goal-oriented interaction
- a division of labor (PEMBAGIAN TUGAS)
- chain of command

HEALTH SERVICE ORGANIZATION

MANAGER

INPUT

CONVERSION
(PROCESS)

EXTERNAL ENVIRONMENT

OUTPUT

 Input (resources)

Resources acquired and used to generate output

(Human, material, technology, information, capital)
Conversion (process) = integration
(MENYATUKAN)
Integrate structure, task, people in organizational
culture.
Output (objective)
Organizational work produced by conversion of
input. To achieve the objectives which why
organization exists.

Primary level

Preventive and primary care; outpatient care.

Secondary level
Emergency and critical care (intense and
elaborate diagnosis and treatment); inpatient;
acute and chronic.
Tertiary level
Highly specialized care, specialty hospitals.

Dr. R, an idealist recently graduated MD serves his

public obligation service in primary health centre at
Sangihe island, a remote island near Indonesia
Philippines border.
Dr. R found that the health status of the people in
Sangihe island are very low. PHC is lack of competence
health personnel, facilities are very limited, and there
is a significant geographical barrier.
What should Dr. R do to improve the health status of
Sangihe island people ?

djokomoeljanto2009