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All Journal International Journal of Health, Economics, and Social Sciences (IJHESS) Usada Nusantara: Jurnal Kesehatan Tradisional
Nabilla Suci Ramadhani
Unknown Affiliation
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Transformational Leadership as a Key Factor in Improving the Performance of Healthcare Organizations Dewi Agustina; Restu Rahayani Padang; Tia Wahyuni Dolok Saribu; Karin; Ririn Hasrat Kartika Zalukhu; Nabilla Suci Ramadhani; Silvya Rahma; Muhammad Ramadhan Ginting; Sofia Nabila; Siti Nurhamidah Harahap; Zahra Dwi Andini; Aprilyautami; Susan Limbong
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.8793

Abstract

The performance of healthcare organizations is significantly influenced by the quality of leadership applied. This study aims to comprehensively examine the role of transformational leadership in improving healthcare organizational performance through a systematic literature review approach. The literature search was conducted through Google Scholar, PubMed, ScienceDirect, and ResearchGate using the keywords "transformational leadership" and "healthcare organizational performance." Of the 358 articles found, only 10 articles published between 2019 and 2024 met the inclusion criteria and were subjected to further analysis. The results of the study indicate that transformational leadership contributes significantly to increased productivity, loyalty, innovative work behavior, and employee commitment in various healthcare institutions, including hospitals, community health centers, and health offices. This leadership style has been shown to encourage the formation of a collaborative work culture and is oriented towards quality service, although its influence is not always direct because it is mediated by factors such as organizational culture, job satisfaction, and self-efficacy. These findings confirm that the implementation of transformational leadership, supported by a solid organizational system, is an effective strategy for improving performance and quality of service in the healthcare sector.
Analisis Komparatif Ketimpangan Akses Pelayanan Kesehatan Peserta JKN di Sumatera Utara Berdasarkan Data BPS Periode 2021–2025 Alya Najwa; Fazri Khoirunnisa Purba; Fitri Annisa; Nabilla Suci Ramadhani; Fitriani Pramita Gurning
USADA NUSANTARA : Jurnal Kesehatan Tradisional Vol. 4 No. 2 (2026): USADA NUSANTARA : Jurnal Kesehatan Tradisional
Publisher : Institut Nalanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47861/usd.v4i2.2441

Abstract

In an era marked by the expanding coverage of the National Health Insurance (JKN), the utilization of health services remains influenced by disparities in access and the availability of health facilities across various regions. This study aims to analyze whether the expansion of JKN coverage has been accompanied by equitable access to health services in North Sumatra Province during the 2021–2025 period, based on the socioeconomic conditions of the population and the availability of health facilities. This study employs a quantitative approach with a comparative study design based on secondary data sourced from the Central Statistics Agency (BPS) publications for the years 2021–2025. The results indicate that JKN enrollment has increased in areas with high poverty rates, yet the availability of healthcare facilities in those regions tends to remain stagnant or decline. Conversely, regions with higher per capita expenditure exhibit relatively stable or increasing availability of health facilities. This disparity is reflected in the rising unmet health care needs in North Sumatra Province, which increased from 3.83% in 2021 to 5.07% in 2025. Based on the research findings, it can be concluded that the increase in JKN coverage in North Sumatra Province has not been fully accompanied by equitable access to health services. This situation is particularly prevalent in areas with high poverty rates, such as the Nias Islands and Gunungsitoli, which still face limitations in the availability of health facilities and access to adequate healthcare services.
Co-Authors Alya Najwa Aprilyautami Dewi Agustina Fazri Khoirunnisa Purba Fitri Annisa Fitriani Pramita Gurning Karin Muhammad Ramadhan Ginting Restu Rahayani Padang Ririn Hasrat Kartika Zalukhu Silvya Rahma Siti Nurhamidah Harahap Sofia Nabila Susan Limbong Tia Wahyuni Dolok Saribu Zahra Dwi Andini