Arya Brahmanta
Student Master of Hospital Administration Program, Faculty of Medicine, Universitas Muhammadiyah Surabaya, Indonesia

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Islamic Ethics and Fiqh in Hospital Financial Governance and Sharia Health Insurance: A Systematic Literature Review of Muhammadiyah Healthcare Perspectives Arya Brahmanta; Tontowi Ashari; Pipit Festi Wiliyanarti
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 2 (2026): May 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i2.652

Abstract

The increasing complexity of healthcare systems has intensified challenges in hospital financial management, particularly within Islamic healthcare institutions. Muhammadiyah hospitals are expected to maintain financial efficiency and sustainability while adhering to Islamic ethical values and fiqh principles. Similarly, sharia health insurance requires governance founded on justice, transparency, and mutual assistance (ta'awun). However, existing studies addressing hospital financial governance and sharia health insurance from Muhammadiyah perspectives remain fragmented. This study aimed to synthesize the ethical and fiqh principles underlying hospital financial management and sharia health insurance within Muhammadiyah healthcare through a systematic literature review. A Systematic Literature Review (SLR) was conducted following the PRISMA 2020 guidelines. Literature searches were performed in Scopus, PubMed, Google Scholar, Garuda, and DOAJ databases covering publications from 2015 to 2026. Studies meeting predefined inclusion and exclusion criteria were selected and analyzed using thematic synthesis. A total of 32 studies were included in the final review. Five major themes emerged: ethical principles of financial governance, fiqh-based financing mechanisms, implementation of takaful, Muhammadiyah perspectives on BPJS Health, and the integration of maqashid al-shariah into healthcare financing systems. The findings identified five key foundations of Muhammadiyah hospital financial governance: justice (‘adl), transparency, accountability (amanah), public benefit (maslahah), and avoidance of prohibited financial elements such as riba, gharar, and risywah. Sharia health insurance was consistently viewed as a cooperative mechanism based on tabarru’ and risk-sharing principles. Muhammadiyah also supports participation in Indonesia’s National Health Insurance system (BPJS Kesehatan) provided it upholds justice, transparency, and social welfare. These findings suggest that integrating sharia-based financial ethics into hospital governance may contribute to sustainable, equitable, and socially responsible healthcare systems
Factors Influencing Healthcare Worker Performance: A Systematic Literature Review Using Thematic Analysis Tontowi Ashari; Arya Brahmanta; Pipit Festi Wiliyanarti
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 2 (2026): May 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i2.654

Abstract

Background: Healthcare worker performance is a critical determinant of healthcare quality, patient safety, organizational effectiveness, and health system sustainability. Despite extensive research on individual determinants of performance, evidence regarding fragmented analyses remains insufficient and inconclusive. Objective: This systematic literature review aimed to identify factors influencing healthcare worker performance and evaluate their interactions within organizational and professional contexts.Methods: A systematic literature review was conducted following the PRISMA 2020 guidelines. Literature searches were performed across multiple international databases, including Google Scholar, Scopus, Web of Science, Emerald, and Garuda. Eligible studies published between 2020 and 2025 were analyzed using thematic synthesis. Fourteen studies meeting the inclusion criteria were reviewed.Results: Findings indicate that healthcare worker performance is shaped by a combination of psychological, organizational, leadership, and technological factors. Emotional intelligence and spiritual intelligence demonstrated significant positive associations with performance, whereas organizational commitment and job satisfaction frequently acted as mediating variables. Leadership style particularly transformational, digital, and spiritual leadership was associated with improved motivation, adaptability, and organizational effectiveness. Organizational Citizenship Behavior (OCB), effective communication, and digital competence further enhanced healthcare worker performance. Conversely, excessive workload and workplace violence adversely affected employee well-being and productivity. Emerging evidence also highlights the influence of digital transformation and artificial intelligence readiness in modern healthcare settings.Conclusion: Healthcare worker performance is multidimensional and results from interactions among psychological, organizational, and leadership-related factors. Strengthening adaptive leadership, supportive organizational culture, digital readiness, and employee well-being may substantially improve workforce performance and healthcare quality. Further interdisciplinary research is recommended to support evidence-based workforce development in healthcare institutions.