LOCAL GOVERNMENT INTERVENTION ON STREET LEVEL BUREAUCRACY OF BASIC HEALTH PROVISION IN DECENTRALIZED ERA
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Abstract
In health care provision, puskesmas (Community Health Center) can be described as street level bureaucracy that has important role in improving health services. The study aimed to analyze political intervetion in health service provision. This study used Michael Lipsky theory about street level bureaucracy and Karl Marx theory about class and state to analyze pattern of intervention. This case study research was conducted in South Krembangan, Surabaya. Observation and secondary data analysis are the main tools to trace the pattern of local government intervention in primary health care at puskesmas. The result shows that local government has been being admitted indirect intervention in health service provision. The intervention was proved by the puskesmas treatment that referred to implement curative program from promotive and preventive that was actually its duty and main function.
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References
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