Journal of Health Service Administration and Hospital Management
Vol. 1 No. 2 (2025): July, 2025

Analysis of the Ratio of Strategic Health Workers (Specialist Doctors) to Bed Capacity: HR Distribution Mapping and Its Implications for Hospital Talent Management in Indonesia

Hairudin La Patilaiya (Universitas Muhamadiyah Maluku Utara)



Article Info

Publish Date
04 Aug 2025

Abstract

This study investigates the distribution of specialist doctors relative to hospital bed capacity (DS/TT Ratio) across Indonesian provinces and explores its implications for hospital talent management strategies. The current healthcare landscape in Indonesia exhibits a significant gap; while hospital bed capacity has increased by approximately 12% annually, specialist recruitment has stagnated at 3.5%, leading to critical workload imbalances. Unlike population-based metrics, the DS/TT Ratio provides a more precise measure of clinical demand. Using quantitative analysis of official secondary data (2020–2024), this research maps geographic disparities and correlates them with socio-economic factors. Results reveal extreme spatial disparities: the national average ratio is 10.5 per 100 beds, but ranges from 23.20 in DKI Jakarta to only 4.40 in West Papua. A strong positive correlation (Spearman's  ) between the DS/TT Ratio and Gross Regional Domestic Product (GRDP) per capita identifies economic attractiveness as the primary driver of maldistribution. To address these disparities, this study provides strategic recommendations for stakeholders: the Ministry of Health should integrate DS/TT standards into hospital accreditation, while regional governments must utilize these ratios to justify targeted fiscal incentives and "service-bound" scholarship placement. By shifting the talent management paradigm from population-based to workload-based allocation, Indonesia can better address market failures in specialist distribution and ensure equitable access to quality care.

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Journal Info

Abbrev

laceri

Publisher

Subject

Health Professions

Description

Journal of Health Service Administration and Hospital Management (LACERI) is an open-access, peer-reviewed scientific journal managed by CV. Get Press Indonesia. This journal focuses on the advancement of knowledge and practice to improve the effectiveness, efficiency, and quality of hospital ...