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Financial Incentive Reforms and Hospital Performance: A Systematic Review of Governance Mechanisms and Institutional Effects Merlin Hatumena; Nyoman Sri Subawa; Ida Ayu Oka Martini; Made Suidarma
International Journal of Accounting and Finance in Asia Pasific (IJAFAP) Vol 9, No 1 (2026): February 2026
Publisher : AIBPM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32535/ijafap.v9i1.4442

Abstract

Hospital payment reforms, including pay-for-performance (P4P), diagnosis-related groups (DRG), bundled payments, value-based purchasing, and hybrid incentive systems, have been widely implemented to improve hospital quality, efficiency, and accountability, although empirical findings remain inconsistent across healthcare settings. This study aims to synthesize and evaluate the effectiveness of financial incentive reforms on hospital-level performance outcomes and identify the contextual factors influencing their implementation. Using a systematic review approach based on the PRISMA 2020 guidelines, this study analyzed 28 hospital-level studies published in Scopus-indexed journals (Q1–Q3) between 2015 and 2026. The findings indicate that 67.9% of the reviewed studies reported positive associations between payment reforms and hospital performance, particularly in process-based quality indicators, readmission outcomes, and selected efficiency measures. However, the effects on mortality, equity, utilization, and cost efficiency remain heterogeneous and context-dependent. The effectiveness of reforms is influenced by incentive magnitude, payment model type, indicator specificity, regulatory environment, baseline institutional performance, and digital monitoring capacity. These findings suggest that financial incentives are more effective when integrated into coherent governance and accountability systems.
Implementation of The Electronic Application for Marriage and Pregnancy (Elsimil) to Accelerate Stunting Reduction Ida Ayu Komang Wulansari; Ida Ayu Oka Martini; Gede Sri Darma; Luh Putu Mahyuni
Jurnal Penelitian Pendidikan IPA Vol 10 No 9 (2024): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i9.8231

Abstract

Denpasar City is one of the areas that has succeeded in reducing the prevalence to 5.5%, one of which is by providing guidance to prospective brides to reduce the risk of stunting cases by implementing the ELSIMIL application. This study was conducted to obtain an overview of the factors that influence the behavior of using the ELSIMIL application in Denpasar City so that it can be an effort to accelerate stunting reduction. Data were collected from 14 informants, both users and policy holders. Data collection methods through interviews, observations, and document studies with validity testing through source triangulation and method triangulation. The results of the description of the ELSIMIL application implementation show that performance expectations, effort expectations, social influences, and facility conditions affect usage behavior along with behavioral intentions according to UTAUT theory. Performance expectations, which include perceived usefulness, motivation, relative advantage, and belief in the future potential of the application, are the main factors supporting usage behavior. Effort expectations include perceived ease and complexity of information can be a factor that supports behavioral intentions. Social support from family and friends and application conditions can also influence ELSIMIL usage behavior
Determinants of successful digital adoption : A Meta-Synthesis Analysis using The TOE Framework Ni Wayan Rena Mariani; Ida Bagus Raka Suardana; Ida Ayu Oka Martini
Sharia Economic and Management Business Journal (SEMBJ) Vol. 7 No. 1 (2026): Sharia Economic and Management Business
Publisher : Yayasan Darussalam Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62159/sembj.v7i1.1983

Abstract

undertake. This is a form of organizational management's response to increasingly sophisticated technological developments. However, organizations cannot simply digitize and stop there to combat disruption caused by technological developments. In line with the development of AI and increasing public enthusiasm for utilizing technology, organizations must undertake Digital Transformation. Many organizations simply stop at the digitalization process without being able to increase the use of digital technology in their business processes to maximize services. Organizations are unable to carry out digital transformation to maximize the benefits of technology use within the organization. Method: By utilizing the TOE Framework, this study analyzed 85 selected articles using the Prisma protocol. The data analysis technique used bibliometric analysis with VOS viewer and content analysis to identify thematic codes found in the selected articles. Results: There are 4 factors included in the technology component, 6 factors included in the organizational component and 2 factors included in the environmental component. Conclusion: The results of this study explain that the success of digital transformation is not only determined by the technology adopted by the organization, but also the organization's ability to integrate technology with business strategy, organizational capabilities and changes that occur in the organization's external environment
Investigating Business Opportunities of Griya Event Space in Bali to Strengthen the Household Economy Desak Made Febri Purnama Sari; Ida Ayu Iswari Pidada; Ida Ayu Oka Martini
Jurnal Ilmiah Manajemen Kesatuan Vol. 14 No. 3 (2026): JIMKES Edisi Mei 2026
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v14i3.5199

Abstract

Hindu communities have shifted ceremonial practices from household settings to organized venues known as Griya in contemporary times. This study aims to examine the business opportunities of Griya Event Spaces as a potential solution to household economic challenges in Tampaksiring, Gianyar. This study employed a qualitative research design with a descriptive approach to gain an in-depth understanding of business opportunities. Data were collected through observation, interviews, and documentation, employing a qualitative descriptive approach. The findings reveal that griya event spaces demonstrate a strong customer-oriented approach, as reflected in the quality of services provided. Nevertheless, its marketing practices remain inadequate. The management primarily adopts a passive strategy, relying on customers to initiate contact and attend ceremonies without actively engaging in promotional activities or efforts to attract visitors. Consequently, the involvement of the local community, particularly those acting as pengayah or supporting business actors, has not been optimized. Furthermore, the study identifies limitations in the proportional recording of employees and the management of human resources. The absence of a formal customer service system further reflects the reliance on conventional practices, characterized by a passive approach and a lack of proactive promotional strategies.
Destination Stewardship for Regenerative Tourism: Governance Mechanisms, Implementation Pathways, and Measurable Outcomes I Wayan Sudiartha; Luh Putu Mahyuni; Ida Ayu Oka Martini
Jurnal Ilmiah Manajemen Kesatuan Vol. 14 No. 3 (2026): JIMKES Edisi Mei 2026
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v14i3.5283

Abstract

Regenerative tourism addresses the limits of growth-led models, but literature remains fragmented in explaining how destination transitions are conceptualized, governed, implemented, and evaluated in practice. This study systematically reviews how destination stewardship is understood and operationalized within regenerative tourism transitions, focusing on five related questions concerning conceptualization, governance mechanisms and stakeholder arrangements, implementation pathways, measurable outcomes and indicators, and practical destination application. A Scopus-based systematic literature review of English- language, journal articles published between 2016 and 2026 was conducted, and 18 studies were included following PRISMA-based screening and eligibility assessment. The findings show that destination stewardship is emerging less as a settled concept than as a place-based, multi-actor, and restorative governance orientation. Governance is the primary operational mechanism through which regenerative transition is pursued, implementation pathways are adaptive, staged, and context-sensitive, and measurable outcomes remain the weakest part of the evidence base. Practical application is most consistently expressed through five principles: reframing destination purpose beyond growth, building governance capacity, implementing adaptively, tailoring strategy to place, and monitoring beyond conventional tourism metrics. The review contributes a review-derived analytical framework and highlights the need for clearer conceptual boundaries, stronger comparative research, and more robust destination-level regenerative indicators.
EDUKASI PEMILAHAN SAMPAH ORGANIK DAN ANORGANIK DI LINGKUNGAN SEKOLAH MENENGAH ATAS I Gusti Ayu Ketut Meliyani; Ida Ayu Oka Martini
Jurnal Pengabdian Masyarakat : BAKTI KITA Vol. 7 No. 1 (2026): Nopember - April
Publisher : LPPM Universitas Islam Darul 'Ulum Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52166/baktikita.v7i1.12476

Abstract

The Community Service Program (KKN) of Universitas Pendidikan Nasional (Undiknas) with the theme Eco Smart Community was conducted in Pemecutan Klod Village, West Denpasar District, as a form of students’ contribution to sustainable development. The main problem faced by the village is the lack of effective waste management, particularly in the separation between organic and inorganic waste. To address this issue, KKN students implemented the activity “Education on Organic and Inorganic Waste Sorting in High School Environments” at SMAN 12 Denpasar. The aim was to improve students’ awareness, knowledge, and behavior in waste management through education and direct practice. The methods used included socialization, sorting practice, and the creation of creative products such as organic and inorganic waste bins. The results showed an increased awareness among students about waste separation and a cleaner school environment. This program supports the Denpasar Clean and Green policy and encourages youth involvement in environmentally conscious community development. Keywords: Education, Waste Sorting, Organic, Inorganic, School
Revisit Intention Shaped by Digital Appeal and Interpersonal Recommendation Ni Made Karisma Surya Putri; Ida Ayu Oka Martini
INVEST : Jurnal Inovasi Bisnis dan Akuntansi Vol. 7 No. 1 (2026): INVEST : Jurnal Inovasi Bisnis dan Akuntansi
Publisher : Lembaga Riset dan Inovasi Al-Matani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55583/invest.v7i1.2095

Abstract

This study proposes a research model and empirically examines the factors influencing patients’ revisit intention toward private dental practices. Drawing upon the Theory of Planned Behavior (TPB) and Customer-Based Brand Equity (CBBE), the study develops a theoretically grounded framework to analyze how communication strategies shape behavioral intentions. Using a quantitative approach, data were collected through questionnaires administered to 131 patients who had visited private dental practices in Bali Province within the past six months. The data were analyzed using Structural Equation Modeling (SEM) with SmartPLS 4.0. The results reveal that word of mouth significantly influences patients’ revisit intention both directly and indirectly, while social media content affects revisit intention through the mediating role of brand image. These findings underscore the critical role of brand image in translating communication efforts into patients’ behavioral intentions. The study provides managerial insights for private dental practice managers in designing effective, adaptive, and sustainable communication strategies to strengthen brand image and enhance patients’ likelihood of returning.
Triad Triggers of Clinical Injury: The Effect of Workload and Organizational Culture on Needle Stick Injury through Risk Perception Ida Ayu Gede Karuni Sutengsu; Ida Ayu Oka Martini
INVEST : Jurnal Inovasi Bisnis dan Akuntansi Vol. 7 No. 1 (2026): INVEST : Jurnal Inovasi Bisnis dan Akuntansi
Publisher : Lembaga Riset dan Inovasi Al-Matani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55583/invest.v7i1.2097

Abstract

Needle stick injury (NSI) remains a significant occupational health problem among healthcare workers due to continuous exposure to sharp instruments and biological hazards. This study aims to analyze the direct and indirect effects of workload and organizational culture on needle stick injury through risk perception among healthcare workers in Denpasar City, Indonesia. A quantitative associative causal design was employed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with SmartPLS 4.0. Data were collected from 126 healthcare professionals, including physicians, dentists, nurses, and midwives, through a structured questionnaire. The findings indicate that workload and organizational culture do not directly influence needle stick injury. However, workload has a significant positive effect on risk perception, and risk perception is positively associated with needle stick injury. Furthermore, risk perception significantly mediates the relationship between workload and needle stick injury, while it does not mediate the relationship between organizational culture and injury occurrence. These findings suggest that needle stick injury is a multicausal phenomenon shaped by the interaction of systemic pressures and psychological responses rather than isolated organizational factors. Grounded in Reason’s Swiss Cheese Model and the Cultural Theory of Risk, this study highlights the importance of integrating workload management and systemic safety interventions to strengthen occupational safety strategies in healthcare settings.
Determinants of Employee Engagement: The Role of Work Stress, Toxic Leadership and Work–Life Balance Ni Kadek Evita Cahyati Ningrum; Ida Ayu Oka Martini
INVEST : Jurnal Inovasi Bisnis dan Akuntansi Vol. 7 No. 1 (2026): INVEST : Jurnal Inovasi Bisnis dan Akuntansi
Publisher : Lembaga Riset dan Inovasi Al-Matani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55583/invest.v7i1.2098

Abstract

This study examines the effects of work stress and toxic leadership on employee engagement, with work–life balance serving as a mediating variable among Generation Z employees in the tourism sector, particularly in hotels and restaurants in Bali. The study employed a quantitative approach using Structural Equation Modeling (SEM) based on Partial Least Squares (PLS) with SmartPLS 4.0. Data were collected from 150 Generation Z employees aged 17–28 years who work as permanent staff in the hospitality sector in Bali. The findings indicate that work stress positively influences both work–life balance and employee engagement, suggesting that challenging stress can function as a motivating factor that enhances adaptive behavior and involvement at work. Toxic leadership, however, negatively and significantly affects employee engagement but does not significantly influence work–life balance. Furthermore, work–life balance positively impacts employee engagement and significantly mediates the relationship between work stress and engagement. However, it does not mediate the relationship between toxic leadership and engagement, indicating that the destructive nature of toxic leadership directly reduces employees’ psychological attachment to their work. Theoretically, this study contributes to the Job Demands–Resources (JD-R) model and the Theory of Reasoned Action (TRA) by distinguishing between constructive job demands and destructive leadership behaviors in shaping engagement. Practically, the findings highlight the importance of adaptive stress management, leadership development, and work–life balance policies in sustaining Generation Z employee engagement in the hospitality industry.
Revealing Purchase Intention as a Mediator Between Influencers and Gen Z Purchase Decisions Ida Ayu Oka Martini; Ni Kadek Wiwin Asrya Wijayanti; Made Ermawan Yoga Antara
BIMA Journal (Business, Management, & Accounting Journal) Vol. 6 No. 2 (2025)
Publisher : Perkumpulan Dosen Muda (PDM) Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/bima.6.2.1479-1490

Abstract

Purpose: This study will focus on the consumer behavior of generation Z in purchasing makeup products, namely by exploring makeup brand preferences among generation Z. For the wider community, this study can increase understanding of how purchasing decisions are influenced by social and digital factors, as well as the importance of digital literacy in dealing with the rapid flow of information. Methodology: This study aims to examine the influence of influencers on interest and purchasing decisions for Maybelline makeup products on Generation Z in Denpasar City, using the Structural Equation Modeling-Partial Least Square (SEM-PLS) approach. Generation Z was chosen because it is a digital-native generation with a high dependence on social media and the dominant population in Indonesia. The research sample consisted of 130 respondents selected using the purposive sampling method. Results: The results of the study show that influencers have a positive and significant effect on purchase intention, which means that choosing the right influencer can increase consumer interest. Purchase intention also has a positive and significant effect on purchase decisions, indicating that the higher the consumer interest, the more likely they are to buy the product. In addition, influencers also have a positive and significant direct effect on purchase decisions, confirming their important role in shaping consumer behavior. Findings: This study found that purchase intention mediates the relationship between influencers and purchase decisions. This means that purchase intention plays an important role in strengthening the influence of influencers on consumer decisions. Novelty: the results of this study strengthen the literature on the relationship between influencers, purchase intention, and purchase decisions in the digital era.Originality: This study provides practical implications for companies in selecting relevant influencers and designing appropriate marketing content for Generation Z. Conclusion: This study highlight the importance of influencer-based marketing strategies in increasing product appeal and conversion among Generation Z. Type of Paper: Research article.
Co-Authors A.A.N. Oka Suryadinatha Gorda Adnyana, I Gede Suka Adriati, I Gusti. Ayu Wirati Agus Fredy Maradona AMARTHA, Made Putra Jaya Anak Agung Ayu Ngurah Sri Rahayu Gorda Anak Agung Dwi Widyani Anak Agung Ngurah Eddy Supriyadinata Gorda Anak Agung Ngurah Wahyu Baskara Anak Agung Putu Suryandari Anak Agung Sagung Dinda Savitri Devi Anak Agung Sagung Dinda Savitri Devi Ananta Wijaya, Gede Tika Antara, Made Ermawan Yoga Apriliathi, Ni Putu Siska Ari, Gede Yona Krisna Ayu Mas Yindu Kirana Bellinda Octavia, Vania Cintya Dewi, Putu Cremadin, Putu Shata Desak Made Febri Purnama Sari Dewi, Luh Gede Rusmaya DHARMA, I Nyoman Setia Dimastari, Ni Nyoman Diwya, Ketut Gede Sri Eka Pratama, I Gusti Bagus Agung Cahya Diatmika Elly Sutrisni Fadlilah, Muhammad Arif Febri Purnama Sari, Desak Galang Aristha, I Dewa Made Gede Sri Darma Gede Sri Darma Gorda, A.A Ngr Oka Suryadinatha Gorda, Anak Agung Ngurah Oka Suryadinatha Gusi Putu Lestara Permana Gusti Alit Suputra Handayani, Kadek I Gede Sanica I Gede Suka Adnyana I Gusti Ayu Ketut Meliyani I Gusti Ayu Tirtayani I Gusti Bagus Udayana I Kadek Eko Bayu Satria I Made Adhitya Dwinata G I Made Darma Prasada I Made Suidarma I Nyoman Dede Diva Prasetia I Putu Abdi Putra Budiartha I Putu Bagus Purnama Putra I Putu Dharmawan Pradhana I Putu Satria Bintara Yuda I Wayan Artha Pradana I Wayan Gde Sarmawa I Wayan Septa Wijaya I Wayan Sudiartha Ida Ayu Gede Karuni Sutengsu Ida Ayu Intan Swandewi Ida Ayu Iswari Pidada Ida Ayu Iswari Pidada Ida Ayu Komang Wulansari Ida Ayu Parwati Ida Ayu Putu Widani Sugianingrat Ida Ayu Putu Widani Sugianingrat Ida Bagus Raka Suardana Ida Bagus Raka Suardana Ida Nyoman Basmantara Ida Nyoman Basmantra Indriastuti, Ratih Jaya, I Ketut Aditya Jaya, I Ketut Wira Dharma Jaya, Putu Primayana Surya Kadek Ayu Maysia Danalia Mas Kadek Ayu Silvia Yuliaratih Kadek Pande Widana Putra Kadek Paramitha Mega Widya Dewi Komang Santi Sapitri Komang Sri Rahayu Komang Sri Widiantari Lestari Widya Lim, Rebecca Kristanti Lingga Aqila Maharani Luh Putu Mahyuni Luh Putu Mahyuni Made Egie Tresna Wismawan Made Ermawan Yoga Antara Made Ermawan Yoga Antara Made Handayani Made Pradnya Wulandari Mahyuni, Luh Putu Manik Parasari, Nyoman Sri Manuaba, Ida Bagus Purwa Arsha Merlin Hatumena Mirah, Gusti Ayu Mirandasari, Ni Made Indah Mulyawan, I Putu Agoes Hendriki Ngakan Bagus Prasasta Sudiatmika Ni Kadek Evita Cahyati Ningrum Ni Kadek Wiwin Asrya Wijayanti Ni Ketut Elly Sutrisni, Ni Ketut Elly Ni Ketut Karwini Ni Ketut Mira Ayu Agustin Ni Luh Ayu Trisna Dewi Ni Luh Bintang Maha Putri Ni Luh Yogiswari Ananda Laksmi Ni Made Karisma Surya Putri Ni Made Margareta Ni Nyoman Raditya Juli Widiantari Ni Nyoman Sri Wisudawati Ni Putu Ari Krismajayanti Ni Putu Deby Angraini Ni Putu Friska Ayu Damayanti Ni Putu Sintya Paramita Ni Wayan Bella Astika Dewi Ni Wayan Lasmi Ni Wayan Rena Mariani Nilna Muna NK Jaya NK Jaya, NK Nurul Qomariah Nyoman Sri Subawa Oktavenia, Kadek Ayuk Riska P.Wiryawan Paritranaya Pandiangan, Predik Parasari, Nyoman Sri Manik Pika, Putu Ayu Titha Paramita Pradipta Arba, Ida Bagus Agung Rama Putra, Kadek Pande Widana Putri, Ni Luh Putu Mahasuri Harnelia Putu Aryantini Sangging Putu Ayu Titha Paramitha Pika Putu Cintya Dewi Putu Irma Yunita Raka, Anak Agung Gede Resmini, Komang Tri Resubun, Richard Irianto Ridwan, Wachid Rosmiati, Kadek Ayu Anjani Sagitarini, Ni Km Tri Sukma Sari, Eulis Intan Sari, Putu Ratna Juwita Sarmawa, I Wayan Gde Sufridayani, Kadek Sukmana, Oktiana Triperani Suputra , Gusti Alit Susanti, Gusti Ayu Komang Viona Ary Suwira, I Wayan Tantra, I Gusti Lanang Putu Tiara Dewi, Ni Kadek Ajus Vinco, Yeo Wijayanti, Ni Kadek Wiwin Asrya Wirajaya, Anak Agung Ngurah Mayun Wirsa, I Nengah Yudiari, Luh Gede Ervina Asri