The Influence of the PTT Doctor Management System on Work Discipline at the Langkat Regency Puskesmas North Sumatra Province

Oct 13, 2025 by wbrum.org 132 views

The Influence of the PTT Doctor Management System on Work Discipline at the Langkat Regency Puskesmas North Sumatra Province

Introduction

The Indonesian government's policy regarding the appointment of PTT doctors is an effort to improve public health services. However, based on observations over the past four years (1999-2002), PTT doctor's work discipline problems in Langkat Regency are still found. This is allegedly caused by several factors in the PTT doctor management system, such as the placement of tasks, payroll systems, employee acceptance systems, specialist education systems, official periods, and disciplinary violations. The purpose of this study is to investigate the effect of the PTT doctor management system on PTT doctor's work discipline in Langkat Regency.

Background

The PTT doctor management system is a complex system that involves various factors that can affect the work discipline of PTT doctors. The system includes the placement of tasks, payroll systems, employee acceptance systems, specialist education systems, official periods, and disciplinary violations. The placement of tasks can affect the motivation and commitment of PTT doctors, while the payroll system can affect their sense of security and job satisfaction. The employee acceptance system can also affect their motivation and commitment, while the specialist education system can affect their career development. The official periods and disciplinary violations can also affect their work discipline.

Methodology

To understand the effect of the PTT doctor management system on PTT doctor's work discipline in Langkat Regency, a survey research with the *Explanatory Survey *type was conducted, using a double linear regression statistical test. The sample in this study was all PTT doctors placed in Langkat Regency, totaling 41 people. Data collection was carried out through an interview method with direct interview techniques based on the questionnaire.

Results

The results of the analysis showed that there were two variables that had a significant effect on PTT doctor's work discipline: Payroll System (P = 0.03) and Employee Acceptance (P = 0.011). Both of these variables have a contribution of 43.8% to the level of work discipline. Based on the results of multiple regression analysis, the theoretical equation is formulated as follows:

Work Discipline = 7,637 + 1,325 (payroll system) + 0.940 (Employee Acceptance)

This equation shows that the improvement of the payroll system and employee acceptance system, will make a positive contribution to the improvement of the work discipline of PTT doctors.

Deeper Analysis

Payroll System

The payroll system that is less transparent, unfair, and not on time can be a demotivation for PTT doctors. Increasing the amount of salary, clear and easily accessible payment procedures, and the timeliness of payments can increase the sense of security and job satisfaction. A transparent and fair payroll system can also increase the motivation and commitment of PTT doctors.

Employee Acceptance System

The employee acceptance system that is uncertain, unclear, and not supportive can affect the motivation and commitment of PTT doctors. Provide certainty of staffing status, providing a clear tenure, and opening opportunities for career development can increase security and job satisfaction. A supportive employee acceptance system can also increase the motivation and commitment of PTT doctors.

Suggestion

Increasing the work discipline of PTT doctors can be achieved by increasing the payroll system and employee acceptance system. Payroll system development includes the amount of salary, payment procedures, payment time and payment place. In addition, it is necessary to provide certainty of staffing status, thus causing a sense of security among staff and can be an effective media to improve the work discipline of PTT doctors.

Conclusion

The results showed that the payroll system and employee acceptance system had a significant influence on the work discipline of PTT doctors in Langkat Regency. Increasing the two systems can be a strategic step to improve work discipline and quality of health services in the area. The findings of this study can be used as a reference for policymakers and healthcare administrators to improve the work discipline of PTT doctors and the quality of health services in Langkat Regency.

Recommendation

Based on the findings of this study, the following recommendations are made:

Improve the payroll system by increasing the amount of salary, making payment procedures clear and easily accessible, and ensuring timely payments.
Improve the employee acceptance system by providing certainty of staffing status, providing a clear tenure, and opening opportunities for career development.
Provide training and development programs for PTT doctors to improve their skills and knowledge.
Encourage PTT doctors to participate in decision-making processes and provide them with a sense of ownership and responsibility.
Monitor and evaluate the work discipline of PTT doctors regularly to identify areas for improvement.

Limitation

This study has several limitations. Firstly, the sample size was small, which may limit the generalizability of the findings. Secondly, the study only focused on the payroll system and employee acceptance system, which may not be the only factors that affect the work discipline of PTT doctors. Finally, the study only investigated the effect of the PTT doctor management system on work discipline in Langkat Regency, which may not be applicable to other regions.

Future Research

Future research can build on the findings of this study by investigating the effect of other factors on the work discipline of PTT doctors. For example, the study can investigate the effect of the specialist education system, official periods, and disciplinary violations on work discipline. Additionally, the study can investigate the effect of the PTT doctor management system on work discipline in other regions.
Frequently Asked Questions (FAQs) about the PTT Doctor Management System and Work Discipline

Q: What is the PTT doctor management system?

A: The PTT doctor management system is a complex system that involves various factors that can affect the work discipline of PTT doctors. The system includes the placement of tasks, payroll systems, employee acceptance systems, specialist education systems, official periods, and disciplinary violations.

Q: What are the main factors that affect the work discipline of PTT doctors?

A: The main factors that affect the work discipline of PTT doctors are the payroll system and employee acceptance system. These two factors have a significant contribution of 43.8% to the level of work discipline.

Q: What is the role of the payroll system in affecting work discipline?

A: The payroll system that is less transparent, unfair, and not on time can be a demotivation for PTT doctors. Increasing the amount of salary, clear and easily accessible payment procedures, and the timeliness of payments can increase the sense of security and job satisfaction.

Q: What is the role of the employee acceptance system in affecting work discipline?

A: The employee acceptance system that is uncertain, unclear, and not supportive can affect the motivation and commitment of PTT doctors. Provide certainty of staffing status, providing a clear tenure, and opening opportunities for career development can increase security and job satisfaction.

Q: How can the work discipline of PTT doctors be improved?

A: The work discipline of PTT doctors can be improved by increasing the payroll system and employee acceptance system. Payroll system development includes the amount of salary, payment procedures, payment time and payment place. In addition, it is necessary to provide certainty of staffing status, thus causing a sense of security among staff and can be an effective media to improve the work discipline of PTT doctors.

Q: What are the benefits of improving the work discipline of PTT doctors?

A: Improving the work discipline of PTT doctors can lead to better health services, increased patient satisfaction, and improved healthcare outcomes. It can also lead to increased job satisfaction, reduced turnover rates, and improved morale among PTT doctors.

Q: What are the challenges of implementing the PTT doctor management system?

A: The challenges of implementing the PTT doctor management system include resistance to change, lack of resources, and inadequate training. It also requires a significant investment of time and resources to develop and implement the system.

Q: How can the PTT doctor management system be evaluated?

A: The PTT doctor management system can be evaluated using various metrics, including work discipline, job satisfaction, patient satisfaction, and healthcare outcomes. Regular monitoring and evaluation can help identify areas for improvement and ensure that the system is effective in achieving its goals.

Q: What are the future directions for research on the PTT doctor management system?

A: Future research can build on the findings of this study by investigating the effect of other factors on the work discipline of PTT doctors. For example, the study can investigate the effect of the specialist education system, official periods, and disciplinary violations on work discipline. Additionally, the study can investigate the effect of the PTT doctor management system on work discipline in other regions.

Q: What are the implications of this study for policymakers and healthcare administrators?

A: The findings of this study have implications for policymakers and healthcare administrators to improve the work discipline of PTT doctors and the quality of health services in Langkat Regency. They can use the findings to develop and implement effective policies and programs to improve the work discipline of PTT doctors and the quality of health services.

Q: What are the limitations of this study?

A: This study has several limitations, including a small sample size, which may limit the generalizability of the findings. The study only focused on the payroll system and employee acceptance system, which may not be the only factors that affect the work discipline of PTT doctors. Finally, the study only investigated the effect of the PTT doctor management system on work discipline in Langkat Regency, which may not be applicable to other regions.