Workload Analysis of Doctors at Puskesmas Using Workload Indicators of Staffing Need in Denpasar

摘要

Background and purpose: Ratio of health staff instead of workload have been used to determine quota of staff atprimary health centers. There is no study assessing workload of functional medical doctors (general practioners) atprimary health centers in Bali. The objective of this study were to describe functional medical doctors workload, thenumber and distribution which is needed in primary health centers in Denpasar. Methods: Descriptive cross-sectional study was conducted among functional medical doctors at 11 primary healthcenters across Denpasar. Data were collected by interview and participatory observation to the study participans. Datawas analyzed using WISN English Version 1.1.132.0 software. Results: Among 34 study participans, majority were female (73.5%), aged 35-44 years (61.8%), working as agovernment employe (97.1%), with tenure of 6-10 years (55.9%) and almost all of them (95.6%) had additional dutiesbesides providing medical care to patients. Results indicated that workload of functional medical doctors at primaryhealth centers was high with WISN ratio 0.5-0.9 compared to the ideal ratio=1. Based on workload analysis shortagesof functional medical doctors was found in all primary health centers in Denpasar. Conclusion: When using the ratio of functional medical doctors per population, the number was sufficient. However,when using workload analysis indicated shortage.