Siti Aisyah
Universitas Pembangunan Nasional Veteran Jakarta

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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.
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.