@article{MAKHILLTSS2017121124501,
    title = {The Role of Regulations to Improve Quality of
Services in Public Organizations},
    journal = {The Social Sciences},
    volume = {12},
    number = {11},
    pages = {2008-2017},
    year = {2017},
    issn = {1818-5800},
    doi = {sscience.2017.2008.2017},
    url = {https://makhillpublications.co/view-article.php?issn=1818-5800&doi=sscience.2017.2008.2017},
    author = {Wulan I.R.},
    keywords = {Regulations,quality,improvement,public,organizations,hospital},
    abstract = {The established practice of Indonesia’s public sector is to follow government regulations set out in
umbrella laws or policies. Such laws or policies ensure public goods such as health services are appropriate and
delivered effectively. Regulations establish the government’s authority to check the quality of care and in this
way the national government is encouraging public organizations such as hospitals to achieve improvements
in the quality of health services. In contrast, there is a tension between the macro (the roles from government)
the meso (the public hospitals) and the micro (the actors and employees in the public hospitals). To understand
how government regulations can work in Indonesian public organizations, the purpose of the study is to
explore how government regulations influence structure, process and outcome in improving quality of care. A
qualitative approach and a multiple case study design are used to explore the relationship between government
regulations and the quality of health care in Indonesia’s public hospitals. Results show the four public
hospitals are used to dealing with external regulators and regulations. These requirements from external
regulators drive public hospitals to be more reactive to government regulations, rather than anticipate them and
there are too many reports for external regulators. In short, government regulations influence improvements in
the quality of services provided by public hospitals. However, public hospitals need to adapt those regulations
to the hospital management and governance. In this sense regulation is a breakthrough in solving the problem
of public hospitals.}
    }