REMUNERATION SYSTEM AT FIRDAUS CLINIC: ACTION RESEARCH
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Background: Since 2014, the health financing system to health service providers in Indonesia has changed to be prospective. In regard to the issue mentioned, it should improve the clinic payment system to the health employees in order not to use the fee-for service. Remuneration system has been proved to be able to encourage the improvement of health workers’ performance and cost containment. Objective: This case study seeks to examine the changing nature of health workers’ performance in primary health service through performance indicators. Method: This research adopted mixed method with action research approach at Firdaus clinic of Yogyakarta. Focus Group Discussion was also used in this research conducted by involving all employees and managers of Firdaus clinic to set the performance indicators. Then, the achievement of performance targets was associated with the amount of income received. Results: The action conducted in the first cycle was the preparation of performance indicators associated with the duties and functions of each profession and associated with the clinical accreditation standard. Besides, the performance indicators organized were expected to be fair, self-assessed, transparent and encouraging the achievement of clinic accreditation. In the second cycle, it conducted the implementation of five (5) performance indicators which were about discipline, service orientation, communication skills, job neatness, and compliance. During 3 months of research conducted, the results showed the increasing achievement graph of each individual’s indicator. Hence, the outcome of clinical accreditation readiness was achieved Conclusion: Remuneration model based on the performance indicators at clinic can be applied by adjusting requirement and able to improve clinical performance in achieving the target.