p-Index From 2021 - 2026
6.804
P-Index
Claim Missing Document
Check
Articles

Efektivitas Pertemuan Tim Multidisiplin dalam Meningkatkan Outcome Tata Laksana Kanker di Rumah Sakit: Literature Review Ganapati, Ngakan Putu Daksa; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Optimal cancer management requires a multidisciplinary approach to improve the quality of patient care. Multidisciplinary teams (MDTs) enable interprofessional collaboration in designing comprehensive, patient-centered care. However, the implementation of MDTs in Indonesia still faces various challenges, necessitating a systematic review to understand their effectiveness in improving cancer management outcomes. This systematic review employed the PRISMA method, searching articles from the ScienceDirect, Semantic Scholar, and PubMed databases, published between 2014 and 2024. Ten scientific articles were analyzed from 745 articles retrieved to understand the effectiveness of MDTs in improving cancer management outcomes. The results indicate that MDTs improve the quality of clinical decisions, expedite diagnosis, and increase adherence to treatment protocols. MDTs also reduce postoperative complications and improve patients' quality of life through a more holistic approach. However, limitations such as resource constraints, decision fatigue, and communication challenges can hinder their effectiveness. MDTs improve the quality of clinical decisions, expedite diagnosis, and optimize patient care plans by holistically considering medical, psychosocial, and nutritional needs. Therefore, the development and implementation of more effective MDTs are crucial to ensure equitable access and quality of cancer care.
Factors Associated with Healthcare Fraud and Fraud Prevention in Indonesia’s National Health Insurance Hospitals: A PRISMA-Guided Literature Review Mutmainnah, Susanna; Sulistiadi, Wahyu
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4369

Abstract

Background: This PRISMA-guided literature review synthesizes available evidence on factors associated with fraud risk and fraud-prevention practices in hospitals participating in Indonesia’s National Health Insurance (Jaminan Kesehatan Nasional/JKN) program. Methods: Literature searches were conducted in Scopus, PubMed, and Google Scholar for studies published between 2020 and 2025. A total of six studies (n=6) met the inclusion criteria, consisting of qualitative, quantitative, and socio-legal research designs. Due to heterogeneity in study methods and outcomes, findings were integrated using a thematic literature review approach rather than statistical aggregation. Results: The reviewed studies suggest that fraud-related risks are associated with interacting individual, organizational, and systemic contexts, including financial pressures, coding practices, internal control environments, organizational commitment, information systems, and regulatory implementation factors. Several studies also indicate that strengthened governance mechanisms, such as internal controls and antifraud teams, may support fraud-prevention capacity, although most findings remain perception-based. Overall, the review highlights the need for future empirical research using administrative claims data, audits, and evaluated antifraud interventions to strengthen governance within Indonesia’s national health insurance system. Conclusion: Strengthening governance mechanisms such as internal controls, anti-fraud teams, and integrated claim monitoring systems may support fraud-prevention capacity in JKN hospitals. Nevertheless, the current evidence base remains limited, highlighting the need for future empirical studies using administrative claims data, audits, and evaluated antifraud interventions to improve accountability within Indonesia’s national health insurance system.
Co-Authors Abriani, Fanny Annisa Adang Bachtiar Adik Wibowo Al Asyary Anggaratni G, Wayan Apriyanti, Hana Arbitera, Cahya Ardiani, Revy Arismen Arismen Azhar, Rodiyah Azis, Sri Juniarti Badra Al Aufa Bajri, Ahmad Bantolo, Suryo Bawazier, Nisma Boy Muchlis Bachtiar Damanik, Regina Destrina Damput, Fransiska Satriani Dewajanti, Hanny Dumilah Ayuningtyas Eka Ginanjar ekasari, ferti dwi Embu, Yoseph Kea Endah Lestari Endang Winiati Bachtiar Evi Martha Fairiska, Nindy Fatimah, Sarah Fenilho, Yunita Ganapati, Ngakan Putu Daksa Gustik, Vellyana Gustina, Ira Hadi , Putri Halley Sari Hamzah, Aries Hardjanti, Amalia Ari Ikhwan Rinaldi Izzan Hurruzia, Muhammad Jati, Prasetyaning Junaidi, M. Andri Kamaluddin, Rachmat Karolina, Sinta Kirana, Irin Koire, Ibrahim Isa Leawaty, Leawaty Liusono, Justinus Lova, Lovia Lubis, Ivan Reynaldo Mahdur, Rika Risalam MALA HAYATI, MALA Mangoma, Joyce Manik, Irfan Rohot Uli Maranggi, Octavianus Mayansari, Addinda Intan Melissa, Hilda Mochamad Iqbal Nurmansyah Muchtar muchtar Muhammad Tsany Saadi Muhammadi, Muhammadi Mulyanti Mulyanti Mutmainnah, Susanna nabella, nabella Nanda, Esi Daktari Nanny Harmani Natalia, Tiara Edithia Nova, Narizma Novolino, Novalino Nugroho, Bagus Nuryadi, Fitriana Mahawati Paramita, Bunga Listia Permanasari, Vetty Yulianty Pertiwi, Revita Anisa Primasari, Elsa Puput Oktamianti Putri, Kartika Qonita Putri, Rizkha Nadha Hasrizal Putrie Sesunan, Rheine Indira Rahmadini, Indah Mustika Rahmawati, Layli Ratna Ramadhani Refyan, Sarah Athiyyahmaulidya Rita Kumalasari Riupassa, Kelvin Riupassa, Kelvin E Safi’i, Akhmad Salimah, Nahda Sari, Noormaya Sembiluh, Dhini Sembiluh, Dhini Sari Setyaningsih, Tyas Shameela, Alika Sjaaf, Amal Chalik SRI RAHAYU Suwandi, Indah Pratiwi Syiroj, Agung T R Taufik, Nadya Aviliyani Thomas, Parulian Tjen Dravinne Winata Utami, Sintha Veruswati, Meita Widyasanti, Nisrina Wijaya, Andreas Wijaya, Ody Yuliana S, Rina Zuhdi, Nadya Adina