IMPLEMENTATION PROCESS OF STRATEGIC PLANNING AT DISTRICT GENERAL HOSPITAL

Abstract

Background: A strategic plan is the main reference for management in endeavoring to become better and more developed with regard to customers’ needs. A preliminary study of documents was conducted at the District General Hospital of Dr. (H.C.) Ir. Soekarno in Bangka, Belitung Province, which has implemented such a strategic plan. This review revealed that there were gaps between expectations and the implementation of the plan. Aim: This study aimed to analyze that factors that affect the implementation of a strategic plan, such as communication, resources, disposition, and bureaucratic structure. Methods: This was a descriptive study using a qualitative approach. Primary data were obtained from in-depth interviews with 10 informants, while secondary data were obtained from document analysis. Data processing and analysis were performed using content analysis. Research was conducted from January 2–31, 2019 at the District General Hospital of Dr. (H.C.) Ir. Soekarno. Results: Some gaps in the implementation process of the strategic plan were revealed. These included: (1) ineffective communication, (2) resource factors (e.g., lack of quality and quantity of human resources, inadequate information, ineffective utilization of budget), (3) weak disposition of some of the implementers, and (4) an irrelevant and maldjusted bureaucratic structure. Conclusion: The implementation process of the strategic plan was not appropriate because some of its aspects—such as communication, resources, disposition, and bureaucratic structure—were not appropriately executed. This study suggests that formulators should represent all elements and that strategic planning should involve both internal and external parties. Monitoring, evaluation, communication, and coordination between stakeholders should also take place. Resources need to be improved, and the hospital needs to develop organizational structure and conduct better disposition guidance for executives and implementers.