Bureaucratic Reform of Health services in Merauke Regency Under an Institutional Perspective

Health Services in Merauke Regency have not been adequate yet for the demand of society and therefore, institutional bureaucratic reform needs to be done in order to provide services that can give satisfaction to communities. This research aims to give an overview of health service bureaucracy reform under an institutional perspective in Merauke Regency as well as to further develop this theoretical perspective in order to improve its use in empirical researches. For the analysis, this research employs a qualitative approach with an interactive analysis in which the use of four institutional dimensions such as autonomy, adaptation, complexity, and coherence employed in the analysis of health service reform greatly influences the process of providing services, especially health care for communities. From the institutional point of view, the health service reform has been implemented but its result does not meet the expectation of society. Furthermore, the results of this study are expected to provide input for the Indonesian government to conduct bureaucratic reform so that institutions can run effectively and efficiently.