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Abstrak :
Tujuan penelitian ini adalah untuk mendapatkan informasi tentang variasi waktu penyelesaian masalah pelanggaran disiplin kerja PNS yang bekerja dilingkungan Kanwil Depkes Propinsi Sumatera Barat serta mengidentifikasi masalah yang timbul dalam proses penyelesaian dan alternatif pemecahan untuk meminimalkan keterlambatan dalam penyelesaiannya. Penelitian bersifat kualitatif, dengan teknik wawancara mendalam pada 6 orang informan. Hasil analisis menunjukkan bahwa kasus yang dilimpahkan ke Kanwil sebagian besar belum dilampiri dokumen yang lengkap dan sebagian besar kasus diolah dalam waktu lebih dari 3 bulan. Sanksi baru diberikan pada yang melakukan pelanggaran disiplin ringan, namun belum untuk pelanggaran disiplin berat. Masalah utama yang dirasakan di Kabupaten/UPT adalah PNS tidak memenuhi panggilan Kepala Dinas/RS dan Kepala Tata Usaha belum dilibatkan dalam penetapan sanksi. Sanksi diberikan dalam bentuk teguran lisan dan tertulis. Masalah yang dihadapi di Provinsi meliputi ; Tidak lengkapnya dokumen Kabupaten dan pendataan kepegawaian ; PNS tidak memenuhi panggilan ; Staf bekerja kurang profesional ; Masalah kepegawaian belum menjadi kegiatan prioritas ; Pada kondisi tertentu motivasi kerja staff menurun ; Pembinaan atasan belum optimal. Upaya penting yang harus dilakukan meliputi ; Pembentukan tim pelanggaran disiplin tingkat provinsi ; Dirancangnya daftar pertanyaan baku untuk pelanggaran disiplin ; Pelatihan /seminar kepegawaian bagi pejabat struktural ; Pembinaan oleh Kepala Bagian Kepegawaian ditingkatkan ; Pembuatan dan keharusan mematuhi Protab ; Monitoring dan evaluasi kasus ; Menindak lanjuti realisasi surat usulan jabatan fungsional kepegawaian ke pusat.

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Analysis of Problem solving time in violation of work discipline at Health Department Provincial office of West Sumatera Province in year 2000.In the time being most of cases can be solved in longer than 3 months. The aim of this study is to collect the information related with the violation of time needed to solve the disobedience against rules and regulation and to identify others related problem and, in order to find out the alternative solution, which is, in turn, will minimize delay time in solving the problem. Qualitative study based in depth interview method on 6 informant, Analysis of case tracing indicate up graded cases to be solved at provincial office are most of attached with insufficient documents and most of cases which can be solved longer than 3 months. The understanding of Manager /Hospital Manager as well as head of administration on rules and regulation is not sufficient which is in turn contribute to process of problem solving is not conducted in accordance with approved standard operating procedure. Head of administration concludes the main problem are ;The employee did not respond accordingly to the letter of warning issued by health department staff at recent level l hospital manager. Therefore, investigation report could not be prepared.; Sanction is sentenced without any participation and involvement from head of administration.; Insufficient attention and appreciation of superior to administration activities in turn, lesser the employee motivation. Case 1 problem solving process at provincial level is conducted implemented through out the following stages ; Insufficient data & documents of employee at regency office; Employee did not respond to the warning letter; Lack of professionalism at personal office ; Less priority is given to administration personal; Monitoring as well as evaluation is not optimal; There is no program to motivate the employee and staff . Urgent and important effort shall be conducted to over come the delay in disobedience problem solving process, in order, the process itself shall be conducted and terminated on the right time, covering the following ; To develop the team for violation of rules and regulation case at provincial level; To design standardized check sheet for disobedience; To train structural officer in personal administration management , both of provincial and regency level; To intensively develop and training program provided and managed by head of personal office and its team.; To prepare and to obey the standard operation procedure; To monitor and to evaluate cases.; To follow up the realization of recommendation letter; To implement and to activate functional occupation for personal.

Abstrak :
Kartu Sehat adalah kartu jaminan pemeliharaan kesehatan bagi keluarga miskin yang dapat digunakan untuk mendapatkan paket pelayanan kesehatan secara cuma-cuma di sarana pelayanan kesehatan yang ditetapkan oleh Pemerintah Daerah setempat. Tujuan dari penelitian ini adalah untuk mendapatkan gambaran pemanfaatan kartu sehat dan faktor-faktor yang berhubungan dengan pemanfaatannya, serta mencari faktor yang paling signifikan terhadap pernanfaatan kartu sehat. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan rancangan studi " Cross Sectional ". Populasi dalam penelitian ini adalah kepala keluarga yang mendapatkan kartu sehat di wilayah kerja Puskesmas Kejaksan. Jumlah responden terpilih sebesar 204 orang. Faktor-faktor yang diteliti meliputi faktor predisposisi (pendidikan, pengetahuan, sikap, persepsi sakit dan jumlah anggota keluarga), faktor memungkinkan (ketersediaan pelayanan, jarak, sarana transportasi, dan biaya transportasi), faktor menguatkan (sikap petugas kesehatan dan kader kesehatan) dan faktor kebutuhan pelayanan kesehatan. Pengolahan data dengan menggunakan program SPSS for windows versi 10.01. Hasil penelitian menunjukkan bahwa pemanfaatan kartu sehat di wilayah kerja Puskesmas Kejaksan sebesar 42 % dan yang tidak memanfaatkan kartu sehat sebesar 58 %. Hasil analisis dengan menggunakan chi-square diperoleh faktor-faktor yang berhubungan secara bermakna dengan pemanfaatan kartu sehat adalah pengetahuan, persepsi sakit, ketersediaan pelayanan kesehatan, kader kesehatan dan kebutuhan pelayanan kesehatan. Analisis multivariat pada penelitian ini bertujuan untuk mencari faktor-faktor yang sangat berhubungan dengan pemanfaatan kartu sehat. Dari analisis multivariat ini bahwa faktor pengetahuan, sikap responden, persepsi sakit, ketersediaan pelayanan kesehatan dan jarak mempunyai hubungan yang signifikan dengan pemanfaatan kartu sehat. Variabel yang paling signifikan terhadap pemanfaatan kartu sehat adalah ketersediaan pelayanan kesehatan. Disarankan dalam era desentralisasi, Pemerintah Daerah bersama DPRD melalui Dinas Kesehatan perlu mengupayakan bentuk konkrit untuk mensubsidi pelayanan kesehatan bagi golongan miskin dalam menjamin ketersediaan pelayanan kesehatan. Mampu membuat perencanaan program JPS-BK yang dapat disatukan dengan program sosial lainnya (integrated) dengan memperhatikan sumberdaya yang tersedia. Disarankan juga adanya peninjauan kembali penetapan wilayah berlakunya kartu sehat dengan mempertimbangkan kemudahan pencapaian tempat pelayanan, selain itu perlu adanya peningkatan pengetahuan bagi kader kesehatan tentang tujuan dan manfaat kartu sehat serta meningkatkan persepsi sakit masyarakat. Penelitian lanjutan diperlukan dengan rancangan penelitian gabungan antara kuantitatif dengan kualitatif. ......Health card is a guarantee health care card for the poverty. which can use to get a free health service package at the public health service centre as the local government already maintain. The aim from this research is to have a view of the utilization health card and the relation factors by the usage, and to look the most significant factor for utilization health card. This research is a quantitative method using a " crops sectional " study design. In this research population are the head of family who got a health card at the Kejaksan health service centre district . The choosen respondence quantity were 204 people. The factors which had been researched , predisposition factors involved education, knowledge, act, sick perception and a quantity of family member. Enabling factors involved health service facility, distance, transportation media and transportation fee, reinforcing factors involved provider behaviour and health cadre and health service needs factors. The data processing by using SPSS program for window 10.01 version. Result of research showed utilization health card at the Kejaksan health service centre district are 42 % and who didn't utilization of health card are 58 %. The analysis result by using chi-square have factors are correlated with the utilization of health card are knowledge, disease perception, and health service facility, health cadre and health service needs. Multivariate analysis was use in this research are aim to find most related factors with utilization health card. From this mukivariale analysis that knowledge factors, respondence attitude, disease perception, health service facility and distance, were found significantly related to the utilization health card. The most significant variable for utilization health card is health service facilities. In desentralization era suggested, the local government together with DPRD through Health Departement needs to work out the concrete shape to afford health service for poverty in order to guarantee the availability of health service. Able to make The Sosial Safety Net plan program which can be unified by another Social Program ( integrated ) concern by the resources. Also suggested to reorganization of the geographical coverage of the health card by considering the case of service location achievrnent, besides that it's very important there's a knowledge increasing for the health cadre about the purpose and aim of health card and increasing perception about disease. The advanced research needed by researched combination design between quantitative and qualitative.