HAMBATAN DAN HARAPAN SISTEM KREDENSIAL DOKTER: STUDI KUALITATIF DI EMPAT RUMAH SAKIT INDONESIA

Abstract

Background : The accountability of the physicians serving in
health care is a crucial factor to establish the patient safety.
The credentialing system, a process to grant clinical privilege,
aims to ensure the accountability. Credentialing processes vary
in different Indonesian Institutions, and frequently are
inadequately performed. Information about obstacles and
expectations on current credentialing process is needed to
design a strategy to develop credentialing system.
Methods: A qualitative study using Focus Group Discussions
(FGD) were conducted in four hospitals in Indonesia with
different characteristics. Every FGD was attended by 10-20
participants, consisted of physicians and hospital management.
The results of the FGDs were analyzed with qualitative
approach.
Results: The obstacles of the establishment of ideal credential
system rooted in the inappropriate perception that credential is
the same as physicians recruitment as hospital employees.
The expectations of the participants are the needs of monitoring
process, sound relationship between credential team and
hospital management, standardization of policy and credential
instruments, existence of objective credential team, and good
relationships among colleagues.
Conclusions: Indonesia needs a credentialing system that is
able to establish the patient safety. The expectations of
participants are in line with the recommended credential
system, which is based on the concept of professionalism.
Keywords: physicians credentialing system, professionalism,
patient safety