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All Journal Indonesian Journal of Health Science
Nadia Putri Untiami
Universitas Pembangunan Nasional Veteran Jakarta
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Evaluation of Public-Private Partnership (PPP) policies in service delivery access, quality, and accountability: A literature review Nadia Putri Untiami; Siti Aisyah; Amanda Safitri; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2207

Abstract

Public-Private Partnership (PPP) has emerged as a strategic instrument to address fiscal and infrastructure constraints in achieving Universal Health Coverage (UHC) in Indonesia. However, its implementation effectiveness is often hindered by governance complexities and low transparency. This study aims to evaluate PPP policies in the healthcare sector, focusing on implementation dynamics, performance determinants, and policy improvement implications for access, quality, and accountability. This research utilizes a descriptive-analytical literature review method through systematic searches of Google Scholar, PubMed, BMC, and IJHPM databases for the period 2018–2025. The findings indicate that PPP significantly expands service access at primary and referral levels and fosters medical technology innovation. In Indonesia, the flexibility of BLUD status in regional hospitals supports Operational Cooperation (KSO), while at the primary level, private primary care facility (FKTP) integration strengthens basic service coverage. Nonetheless, major identified barriers include low contract transparency, information asymmetry, fragmented health information systems, and a shortage of competent medical personnel. Strengthening PPP governance requires more standardized regulations, rigorous independent oversight, and active public-interest-oriented contract management to ensure the sustainability of healthcare service quality and accountability.
Health information systems as suport for public health service governance: A literature review Nadia Putri Untiami; Tuanku Banang Rabbani Imsyaamru; Acim Heri Iswanto
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2208

Abstract

The management of public health services currenly relies heavily on the integration of digital technology to minimize information fragmentation and support accurate managerial decision-making. This study aims to synthesize national data on the utilization of Health Information Systems (HIS) and evaluate the role of digital maturity in supporting the efficient management of public health service. The research method employs a qualitative approach with a literature review design through a systematic search of the Google Scholar and PubMed databases for literature published over the past 10 years. The results indicate that effective HIS imlementation positively correlates with improved healthcare worker perfomance and accelerated clinical administration, where accurate data can systematically optimize operational workflows. However, challenges were identified in the form of technical system constraits that cause long queues and the potential for increased administrative workload for nurses if the system is not holistically integrated. It is recommended that future EHR development focus on strengthening cross-system interoperability, simplifying reporting variables, and enhancing human resource capacity through continuous training.
Evaluation of lean six sigma implementation in reducing patient waiting time in hospitals: A literature review Assyifa Ramadhani; Nadia Putri Untiami; Reynanda Sabrina; Acim Heri Iswanto
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2209

Abstract

The surge in National Health Insurance (JKN) participants to 267.3 million by the end of 2023 has significantly increased hospital operational workloads, leading to prolonged patient waiting times. Excessive waiting time reflects low process efficiency driven by non-value-added activities (waste). This issue severely diminishes patient satisfaction and contributes to global healthcare financial inefficiencies estimated at 20–40%. This study aims to synthesize empirical evidence regarding the effectiveness of DMAIC-based Lean Six Sigma (LSS) in reducing patient waiting times in hospitals, identify implementation challenges, and formulate strategic management recommendations. A systematic literature review was conducted by analyzing nine original research articles sourced from Google Scholar, PubMed, and PMC databases. Data were extracted based on methodology (DMAIC, VSM, pre-post trial), key findings, and field challenges, followed by a narrative synthesis. The synthesis demonstrates that LSS consistently and significantly reduces patient waiting times without requiring substantial capital investment. Primary barriers include Hospital Management Information System (SIMRS) instability, unergonomic facility layouts, manual prescribing practices, and slow adaptation to statistical competencies among staff. Effective improvement strategies focus on waste elimination, Lean tools application (5S, Kanban), and digitalizing administrative workflows. The implementation of DMAIC-based LSS proves to be an effective, measurable, and sustainable approach to reducing patient waiting times. Hospital management is highly recommended to integrate LSS as an internal quality regulation, enhance integrated IT infrastructure, and conduct periodic training on DMAIC methodologies for healthcare personnel.
Data security and public trust in the digitalization of health insurance in Indonesia: A literature review Amanda Safitri; Nadia Putri Untiami; Siti Aisyah; Cahya Arbitera
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2245

Abstract

The digitalization of health insurance in Indonesia, particularly in the implementation of the National Health Insurance (JKN) program, offers significant benefits in improving the efficiency and accessibility of healthcare services. However, this digital transformation also presents serious challenges related to data security and public trust. This study aims to examine the relationship between data security and public trust in the context of health insurance digitalization through a literature review approach. The method used is descriptive-analytical by reviewing relevant scientific articles published between 2020 and 2026, obtained from databases such as Google Scholar, Garuda, and other international sources. The findings indicate that data security risks, including data breaches, cybercrime, and weak data governance, are key factors that may reduce public trust in digital health insurance services. In addition, non-technical factors such as low privacy literacy and human error further increase system vulnerabilities. On the other hand, public trust is influenced not only by technical security but also by perceived benefits, transparency, and ethical governance. Therefore, strengthening data security systems, adopting innovative technologies, and developing trust-based governance are essential to support the sustainability of health insurance digitalization in Indonesia.
The role of auditing in ensuring the quality of healthcare services: A literature review Nadia Putri Untiami; Reynanda Sabrina; Assyifa Ramadhani; Acim Heri Iswanto
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2248

Abstract

Audits, as systematic evaluation tools, play a strategic role in ensuring and improving the quality of healthcare services. This literature review aims to analyze the contribution of audits—including clinical audits, operational audits, and information system audits—to service quality standards in healthcare facilities. The method used was a systematic literature review with a narrative synthesis approach of nine selected scientific articles published between 2016 and 2026. The results of the study indicate that ISO 9001:2015-based internal audits, operational audits, clinical coding audits, and Hospital Management Information System (HMIS) audits have a positive impact on service effectiveness, patient safety, and the accuracy of clinical data. Audit implementation still faces various obstacles, such as the high workload of healthcare personnel, limited human resource competencies, the perception of audits as an administrative burden, and limitations in information technology infrastructure. The conclusion of this study emphasizes that optimizing audits requires the integration of human resource capacity building, the development of reliable information systems, and a supportive organizational culture of quality. The application of the Plan-Do-Check-Act (PDCA) cycle is recommended as a framework to drive continuous improvement in service quality.
Co-Authors A. Heri Iswanto Amanda Safitri Assyifa Ramadhani Cahya Arbitera Reynanda Sabrina Riswandy Wasir Siti Aisyah Tuanku Banang Rabbani Imsyaamru