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All Journal Indonesian Journal of Health Science Jurnal Penelitian dan Pengkajian Ilmiah
Salsabila Firdausi
Universitas Pembangunan Nasional Veteran Jakarta
Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Penerapan Root Cause Analysis (RCA) dalam Meningkatkan Kualitas Pelayanan Kesehatan: Literature Review Tuanku Banang Rabbani Imsyaamru; Salsabila Firdausi; Acim Heri Iswanto
CENDEKIA : Jurnal Penelitian dan Pengkajian Ilmiah Vol. 3 No. 6 (2026): CENDEKIA : Jurnal Penelitian Dan Pengkajian Ilmiah, Juni 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/cendekia.v3i6.2648

Abstract

The quality of healthcare services and patient safety are critical aspects of healthcare delivery. Various patient safety incidents and quality-related problems continue to occur, most of which are caused by system failures rather than individual errors. Root Cause Analysis (RCA) is a systematic method used to identify the underlying causes of incidents, enabling preventive and sustainable improvement efforts. This study aims to identify, analyze, and synthesize research findings related to the implementation of RCA in improving healthcare service quality. A literature review method was applied by searching articles from Google Scholar, PubMed, ScienceDirect, Springer, and Sage Journals. Eight relevant articles published between 2023 and 2026 were included, focusing on RCA, patient safety, healthcare service quality, quality management, and continuous improvement. The findings indicate that RCA implementation is effective in enhancing patient safety, improving service processes, reducing errors and waste, and supporting organizational learning and quality management. However, several challenges remain, including limited resources, lack of training, increased workload for healthcare professionals, and insufficient follow-up of RCA recommendations. Therefore, strong managerial support, continuous RCA training, and the development of a non-blaming patient safety culture are essential to optimize RCA implementation as a strategy for improving healthcare service quality.
Faktor-Faktor Keberhasilan Strategy Execution dalam Organisasi Pelayanan Kesehatan: Literature Review Salsabila Firdausi; Tuanku Banang Rabbani Imsyaamru; Acim Heri Iswanto
CENDEKIA : Jurnal Penelitian dan Pengkajian Ilmiah Vol. 3 No. 6 (2026): CENDEKIA : Jurnal Penelitian Dan Pengkajian Ilmiah, Juni 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/cendekia.v3i6.2651

Abstract

Healthcare organizations face challenges in improving service quality, patient safety, operational efficiency, and the ability to adapt to change. An organization’s success depends not only on strategic planning but also on the effectiveness of strategy execution. This study aims to identify and summarize the factors influencing the success of strategy execution in healthcare organizations. The method used was a literature review by searching scientific articles from Google Scholar, PubMed, ScienceDirect, and Frontiers using relevant keywords. A total of ten articles meeting the inclusion criteria were analyzed narratively. The findings indicate that the success of strategy execution is influenced by effective leadership, organizational readiness, human resource management, infrastructure and technology support, a quality-oriented organizational culture, change management, and collaboration among units and stakeholders. Leadership plays a role in guiding strategy implementation and building readiness for change, while a quality-oriented culture and collaboration support continuous improvement. It is concluded that the synergy between leadership, organizational readiness, a quality-oriented culture, change management, and collaboration is a key factor in improving service quality, organizational efficiency, and patient satisfaction.
Employee development strategies as a means of improving performance in healthcare organizations: A literature review Siti Rahima Kiram; Salsabila Firdausi; Evita Mutiara; 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.v6i3.2290

Abstract

Healthcare organizations require a qualified workforce to provide efficient, safe, and high-quality services; therefore, employee development is a crucial step in improving organizational performance. This study aims to synthesize various research findings to understand effective employee development methods and their impact on the performance of healthcare organizations by conducting a literature review through a search of articles from various data sources between 2021 and 2025. The results of the analysis indicate that human resource development strategies—including systematic workforce planning, continuous training, career development, talent management implementation, and a clear performance evaluation system accompanied by feedback—have been proven to enhance the capabilities, motivation, and productivity of healthcare workers.However, in practice, challenges remain, such as a mismatch between workforce qualifications, suboptimal post-training evaluations, a lack of communication across management levels, and a career development system that remains disorganized. Additionally, supporting factors such as supportive leadership, a positive work environment, effective communication, and recognition play a crucial role in enhancing the positive impact of employee development on performance. This study concludes that employee coaching that is coordinated, sustainable, and tailored to the organization’s needs and advancements in health technology is the key to achieving superior performance in healthcare organizations and providing quality services to the public.
Performance contracts in the procurement of primary care services under the national health insurance program and lessons learned from the Netherlands: A literature review Evita Mutiara; Siti Rahima Kiram; Salsabila Firdausi; Cahya Arbitera; 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.v6i3.2260

Abstract

Primary health care plays a crucial role in the National Health Insurance (JKN) program, making performance contracts essential for improving the quality and efficiency of services. Lessons learned from the Netherlands can serve as a reference for strengthening their implementation in Indonesia. This study evaluates performance contracts in the strategic procurement of primary health care services under the JKN program and identifies lessons from the Netherlands to improve service quality. This study is a literature review of eight articles published between 2017 and 2026 to analyze performance contracts in the procurement of primary care services under the JKN and lessons from the Netherlands. Performance contracts have proven effective in improving the efficiency and quality of primary care services when designed with balanced incentives between cost control and service quality achievement. The success of their implementation is highly dependent on relevant performance indicators, an integrated information system, and continuous monitoring and evaluation. The Dutch experience demonstrates that a combination of population-based payments, shared savings, contractual flexibility, and strong regulation can provide important lessons for strengthening strategic purchasing and improving the quality of primary care services within the JKN. Performance contracts have the potential to improve the efficiency and quality of primary care services if supported by relevant indicators, an integrated information system, and ongoing monitoring. Lessons from the Netherlands show that population-based payments, shared savings, and strong regulations can serve as a model for strengthening the implementation of performance contracts within the National Health Insurance (JKN) program.
Evaluation of health financial protection policies through cost control and strengthening of JKN benefits: A literature review Salsabila Firdausi; Evita Mutiara; Siti Rahima Kiram; 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.v6i3.2277

Abstract

The National Health Insurance (JKN) has increased population coverage in Indonesia through financial protection determined by cost control, service payment governance, and benefit design. Its implementation has not completely eliminated the financial burden on households, with high out-of-pocket (OOP) spending on healthcare services and the associated risk of catastrophic health expenditure (CHE). This study aims to map the drivers of OOP spending and the risk of CHE, as well as strategies for improving financial protection. The method used is a literature review through searching articles obtained from several databases, namely Google Scholar, Garuda, Sciencedirect, Scopus, and Pubmed between 2017 and 2026. The results of the study indicate that JKN participation has proven effective in reducing OOP health expenditure by households, contributing to a reduced risk of CHE. However, the risk of CHE is still influenced by various other factors, such as the number of family members, high utilization of healthcare services, and limited healthcare facilities. Strengthening strategic purchasing, increasing benefits and equal access to healthcare services, and sustainable JKN financing are needed to improve financial protection. Thus, JKN has a role in reducing OOP expenditure which has an impact on reducing the risk of CHE, but financial protection is not yet fully optimal so that cost control and strengthening of JKN benefits are needed.
Co-Authors A. Heri Iswanto Cahya Arbitera Evita Mutiara Riswandy Wasir Siti Rahima Kiram Tuanku Banang Rabbani Imsyaamru