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All Journal Journal Interdisciplinary Health Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Jessy Andre Mangaya Takke
Department of Health Information Management, Politeknik Sandi Karsa, South Sulawesi
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Digital Governance and Health Innovation for Strengthening Community Health Systems: A Cross-Sectional Study in Indonesia Wa Ode Novi Angraeni; Jessy Andre Mangaya Takke; Muh Ihsan Kamaruddin
Journal Interdisciplinary Health Vol. 2 No. 2 (2026): Volume 2 Number 2 May 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v2i2.258

Abstract

Introduction: Digital transformation has become an important strategy for strengthening community health systems and improving the effectiveness of primary healthcare services. Digital governance and health innovation can support better coordination, data management, and accessibility of health services. However, empirical evidence examining the role of digital governance and innovation in strengthening community health systems in developing countries remains limited. This study aimed to examine the relationship between digital governance, health innovation, and community health system strengthening in primary healthcare facilities in Indonesia. Research Methodology: This study employed a cross-sectional design conducted in primary healthcare facilities in Indonesia between January and April 2025. A total of 150 healthcare professionals and administrative staff participated in the study. Data were collected using a structured questionnaire assessing digital governance, health innovation, and community health system strengthening. Descriptive statistics were used to summarize respondent characteristics. Bivariate analysis and multivariate logistic regression were performed to examine associations between variables. Statistical significance was determined at p < 0.05 with 95% confidence intervals. Results: Among the 150 respondents, most participants reported experience using digital health systems (81.3%). Bivariate analysis showed that digital governance was significantly associated with community health system strengthening (p = 0.003). Health innovation also demonstrated a significant association with community health system strengthening (p = 0.005). Multivariate logistic regression analysis indicated that facilities with higher digital governance had greater odds of stronger community health system performance (AOR = 2.36; 95% CI: 1.29–4.31; p = 0.004). Similarly, higher levels of health innovation were associated with improved community health system indicators (AOR = 2.08; 95% CI: 1.14–3.77; p = 0.016). Conclusions: Digital governance and health innovation play significant roles in strengthening community health systems within primary healthcare settings. Strengthening digital governance frameworks, expanding digital health infrastructure, and enhancing digital competencies among healthcare workers may improve the effectiveness of community-based healthcare delivery. Future research should explore longitudinal approaches to better understand the long-term impact of digital transformation on health system performance.
Medical record analysis in supporting bpjs health claims in a hospital: A retrospective descriptive quantitative study Wa Ode Novi Angraeni; Jessy Andre Mangaya Takke; NurZetty Sofia Zainuddin
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.246

Abstract

Introduction: Delays in inpatient BPJS Health claims represent a persistent operational challenge within Indonesia’s National Health Insurance (JKN) system and may compromise hospital financial stability under case-based reimbursement (INA-CBGs). Inefficiencies are frequently attributed to incomplete medical documentation and weak integration with health information systems. This study aimed to analyze the role of the Hospital Management Information System (HMIS), medical record completeness, and coding accuracy in determining inpatient BPJS claim pending status at a tertiary teaching hospital. Research Methodology: An analytical cross-sectional study with retrospective document review was conducted at Hasanuddin University Hospital from November to December 2025. A total of 156 inpatient BPJS claim files for May 2025 were included using total sampling. Data were extracted from casemix records, HMIS databases, and medical documentation. Bivariate associations were tested using chi-square analysis, and multivariate predictors were identified through binary logistic regression (α = 0.05). Results: Of 156 claims, 66.7% were classified as pending. Incomplete medical records (AOR = 9.84; 95% CI: 3.21–30.18; p < 0.001), HMIS data non-conformity (AOR = 8.92; 95% CI: 3.45–23.06; p < 0.001), and coding inaccuracies (AOR = 6.17; 95% CI: 1.78–21.42; p = 0.004) were independently associated with increased odds of pending claims. Conclusion: Inpatient BPJS claim delays are primarily driven by weaknesses in documentation governance and digital system integration. Strengthening standardized clinical documentation, enhancing coder competency, and improving HMIS interoperability are critical to reducing claim discrepancies, improving reimbursement efficiency, and supporting the financial sustainability of Indonesia’s National Health Insurance system
Co-Authors Muh Ihsan Kamaruddin NurZetty Sofia Zainuddin Wa Ode Novi Angraeni