ABSTRAK Latar Belakang : Rumah Sakit Pertamedika Tarakan melihat kondisi lingkungan yang dinamis dalam menjalankan misinya menjadi pemberi pelayanan kesehatan yang berkualitas dan kompetitif. Peluang tampak pada masih adanya kapasitas sisa di Poliklinik Rawat Jalan, pasar yang memiliki daya beli yang baik, serta nama baik rumah sakit yang cukup di masyarakat. Ancaman datang dari persaingan di dalam industri yang sama dan perubahan kebijakan pelayanan kesehatan dari pemerintah. Rumah Sakit Pertamedika Tarakan belum mempunyai strategi yang komprehensif untuk berhasil mencapai tujuan usaha dan menjalankan misinya. Untuk itu dipandang perlu untuk membuat strategi pemasaran yang tepat bagi Rumah Sakit Pertamedika Tarakan Tujuan: Mendapatkan strategi pemasaran yang sesuai untuk meningkatkan kunjungan poliklinik rawat jalan di Rumah Sakit Pertamedika Tarakan. Metode : Rancangan penelitian ini adalah studi kasus deskriptif. Data diperoleh dari penelusuran dokumen, kuesioner, dan diskusi kelompok terarah. Responden adalah para wakil direktur dan para kepala bagian di Rumah Sakit Pertamedika Tarakan, serta pasien poliklinik rawat jalan. Data dianalisis secara kualitatif dan kuantitatif deskriptif. Hasil dan Pembahasan: Pernyataan misi perlu lebih spesifik ada sasaran terukur dan nilai-nilai kemandirian, serta perlu perbaikan strategi yang dimiliki. Variabel kekuatan, kelemahan, peluang dan ancaman diidentifikasi dan dibandingkan dengan persepsi pelanggan. Dilakukan kajian dengan analisis SWOT terhadap variabel yang teridentifikasi dan dipetakan ke skema rencana strategi generik dari Porter. Kesimpulan dan rekomendasi : Persepsi pelanggan mendukung identifikasi variabel. Terdapat kelemahan penting dalam pemenuhan perijinan dan ancaman perubahan peta penjaminan pasien yang sulit diantisipasi karena keterbatasan fisik rumahsakit. Posisi rumahsakit dalam diagram kartesius analisis SWOT ada di kuadran III – kelemahan dan peluang dominan. Perlu dilakukan strategi generik diferensiasi yang menyeluruh menghadapi perubahan peta penjaminan pasien. Perlu dukungan dari luar rumahsakit untuk mengatasi persyaratan perijinan rumahsakit ke depan. Kata kunci: Strategi Pemasaran Fokus dan Diferensiasi, kunjungan rawat jalan, rumah sakit ABSTRACT Background : Pertamedika Hospital Tarakan faces a dynamic environment changes while carrying out its missions to be a competitive and excellent health provider. There are opportunities in optimizing capacity of out-patient clinics, availability of markets with sufficient buying power, and good reputation of the hospital. Threat comes from the competition within the health industry and changing government policy to regulate health sector. The hospital has not stated a comprehensive strategy to direct itself achieving its goals and carrying out its missions. Therefore the hospital needs to create a suitable and effective marketing strategy that fits its condition. Objective: Defining the right marketing strategy to increase out-patient visit in Policlinics of Pertamedika Hospital Tarakan. Method: Design of this study was a descriptive case study. Data collected by conducting document investigation, questioners, and focus group discussion. Respondent were among deputy directors and heads of units of Pertamedika Hospital Tarakan. Analysis were performed by descriptive qualitative and quantitative methods. Results and Discussion: The mission statement should consist more specific objectives, and should state theindependency value. The existing strategy should be developed. Strength, weakness, opportunity and threat variables were identified and compared to customer perception. SWOT analysis was conducted to the identified variables and the variables were mapped to generic strategy theory of Porter. Conclusion: Customer perception were in line to the identified variables. There was a significant weakness of fulfilling requirements of government hospital regulations in the future. There was also threat from on-going alteration of market segmentation to government-insurred managed care which the hospital hard to anticipate because of its physical restriction. The hospital position in SWOT analysis diagram was in the third quadrant which showed the dominance of weakness over strength and opportunity over threat. It is required to implement generic strategy of differentiation in hospital-wide action to cope the on-going market segmentation alteration to managed care. It is needed to seek support from externals of the hospital to gain the ability to fullfil the health sector regulations in the future. Keywords: marketing strategy, focus and differentiation, out-patient visit, hospital