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Arlina Dewi
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Ruang Jurnal JMMR, Gedung Pascasarjana Universitas Muhammadiyah Yogyakarta, Brawijaya Street, Tamantirto, Kasihan, Bantul, D.I. Yogyakarta, Indonesia
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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 10 Documents
 1 
Search results for , issue "Vol. 14 No. 3 (2025): December 2025" : 10 Documents clear
Shariah Hospitals in Indonesia: Bridging Islamic Values and Healthcare Management
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.559

Abstract

This systematic review summarizes evidence related to the implementation of Sharia-compliant hospitals in Indonesia. The researchers conducted a search on Google Scholar, SAGE Journals, and PubMed (2019–2024; English/Bahasa Indonesia) utilizing Boolean and MeSH terms, excluding non-Sharia contexts, general healthcare without Sharia content, and non-empirical materials. Eligible studies consisted of empirical articles that examined Sharia-compliant hospital management, service processes, or patient-reported experiences. Supplementary searches included citation chasing and hand-searching; targeted checks in Scopus and Web of Science revealed no further eligible records. Out of 3,583 records screened, 18 studies fulfilled the inclusion criteria. The review adhered to PRISMA 2020 guidelines, incorporating dual independent screening and quality appraisal suitable for the design. Numerous studies have shown that enhanced Sharia compliance, through certification, halal-compliant pharmacy and nutrition, gender-sensitive services, and organized spiritual support, correlates with increased patient satisfaction and trust. Compliance varied among facilities. System-level constraints comprised restricted availability of halal medicine, inadequate implementation of standard operating procedures, limitations in staffing for gender-sensitive care, and inconsistent oversight. Future research ought to employ comparable measures, quasi-experimental or multicenter designs, and cross-country benchmarks to evaluate the compliance and satisfaction pathway and guide policy development. This synthesis sets a policy and management-ready agenda: standardized compliance metrics and common satisfaction instruments; strengthened halal-medicine supply chains and workforce planning; and transparent, feedback-linked complaint handling to drive continuous improvement. 
Effectiveness of Lean Management to Reduce Waiting Time for Medicines at Hospital Outpatient Pharmacy
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.560

Abstract

Prolonged prescription waiting times continue to be a persistent challenge in many Indonesian hospitals, where studies on Lean management applications are still limited. The Indonesia Ministry of Health mandates a maximum 30-minute standard, yet compliance is often unmet, risking patient satisfaction and safety. This study employed a two-cycle action research approach using Value Stream Mapping (VSM) to analyze workflows and design targeted interventions in the outpatient pharmacy of a public hospital in Central Java. Across the two cycles—diagnosing, planning, action, and evaluation—both qualitative and quantitative assessments were conducted. The pharmacy processed an average of 150 prescriptions daily, with drug production identified as the main bottleneck, accounting for 61% of lead time. Lean interventions reduced non-value-added activities from eight to four, resulting in a 14.3% decrease in lead time (from 51.09 to 43.77 minutes) and an increase in the value-added ratio from 29.3% to 45.6%. Although the national target of ≤30 minutes was not achieved, the intervention demonstrated Lean’s potential to improve efficiency and foster staff awareness of waste reduction. This study presents a practical Lean model for hospitals in resource-limited settings, emphasizing the importance of sustained leadership and digital integration to achieve long-term improvement.
Trends and Research Directions in Perioperative Antibiotic Use: A Bibliometric Study
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.563

Abstract

The problem of antibiotic resistance has developed as a growing global health problem that substantially impacts the surgical site infections (SSIs). Perioperative antibiotics should be used in the prevention of surgical site infections; however, misuse of antibiotics can affect antibiotic resistance. This research paper aims to discuss the trends and the research directions of studying the use of perioperative antibiotics through bibliometric analysis with respect to detecting the trends in publishing, topic development, and future research directions. A systematic literature review (SLR) was conducted using 67 papers retrieved in the Web of Science database. R Studio and VOSviewer were used to analyze data to describe trends in the field of publications, collaboration of scholars, and the development of keywords. The information demonstrates that the research regarding the use of antibiotics during perioperative has increased significantly over time since 2015, which proves to be a primary focus of the prevention of surgical site infections (SSI). A double shift observed in bibliometric analysis was the focus of research towards prevention and more focused and evidence-based antibiotic treatment. The problem of antibiotic resistance emerged as one of the central themes that were based on such aspects as the time of treatment, the type of antibiotic, and adherence to clinical standards. The cartographic analysis demonstrated the development streams of research in the past two decades. This study emphasizes the increasing significance of perioperative antibiotic administration in the prevention of surgical site infections and illustrates the pressing necessity for evidence-based guidelines. It also delineates essential avenues for future research, encompassing the optimization of antibiotic prophylaxis, measures to mitigate resistance, adherence to therapeutic procedures, and socio-economic factors in perioperative antibiotic management.
Determinants of National Health Insurance (JKN) Coverage in Indonesia: Evidence from the 2023 Health Profile
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.614

Abstract

The National Health Insurance (JKN) is one of the Indonesian government’s strategic programs aimed at achieving universal healthcare coverage in Indonesia. Despite the growing number of participants, regional inequities in JKN coverage persist. The purpose of this study is to examine the factors that significantly determine the coverage level of active participation in the JKN in Indonesia, based on data available per province. The data used are secondary data from the Indonesian Health Profile in 2023, and multiple regression analysis was employed on data from 34 provinces in Indonesia. The independent variables are the percentage of poor persons in Indonesia, Contribution Assistance Recipients or participants of PBI, the ratio of the number of healthcare centers to the number of sub-districts, and the number of physicians per 100,000 persons in Indonesia. The findings disclosed that the percentage of persons in poverty had a negative effect on JKN coverage. In contrast, the effect of PBI participants and the number of physicians had a significantly positive effect on JKN coverage. The effect of healthcare centers was less consistent with the hypothesis of enhanced coverage, establishing that while the expansion of healthcare centers was not a guaranteed factor in improving healthcare coverage in JKN, distributing healthcare evenly can still yield relatively good coverage for Indonesian society in general.
Analyzing Information Systems to Manage Hospitals Through Application Using the HOT-FIT (Human Organisation Technology-FIT) Concept
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.627

Abstract

The Hospital Management Information System (SIMRS) is a technology-based solution that facilitates seamless interaction and coordination among hospital departments. It enhances administrative workflows, reporting accuracy, and overall operational efficiency, while maintaining the integrity and reliability of the data collected. A quantitative research methodology was employed, with data collected through a meticulously designed questionnaire that incorporated closed-ended questions and a Likert scale. The data from 98 respondents were examined using PLS-SEM through SmartPLS 3 software. The analysis revealed several strategies to enhance the performance of SIMRS. User satisfaction and the state of the facilities made up 60.6% of the perceived benefits. System quality, information quality, service quality, and organizational structure collectively had a 61.5% effect on user satisfaction. System quality and user involvement had a 55% effect on the development of the system. System quality, user satisfaction, and leadership support were found to contribute 61.5% to user engagement. Hospital administrators are advised to adopt the HOT-FIT model as a strategic framework for ongoing performance evaluations and assessments. By consistently monitoring system quality, user satisfaction, and organizational backing, they can detect issues early and foster continuous improvements in digital healthcare services.
Risks and Opportunities of Artificial Intelligence Integration in Rural Hospital Entrepreneurship: Perspectives from Healthcare Practitioners
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.638

Abstract

Artificial Intelligence (AI) has become a key innovation in improving healthcare service quality and efficiency; however, its adoption in rural hospitals presents both opportunities and challenges. This study aims to explore the integration of AI in hospital entrepreneurship within Wonogiri, Central Java, to identify its benefits and risks in a rural context. A qualitative approach was employed through in-depth interviews with seven healthcare practitioners, including hospital and clinic owners or directors. Data were transcribed, coded, and thematically analyzed to obtain comprehensive insights. The findings revealed that AI offers several opportunities, including reducing operational costs, enhancing patient adherence through automated reminders, improving efficiency in human resource management, and optimizing inventory systems. Nevertheless, notable risks include patients' limited technological readiness, the low digital competence of healthcare staff, infrastructure and maintenance challenges, and high initial investment costs. This study makes a unique contribution by presenting an in-depth examination of AI implementation in rural healthcare entrepreneurship—an area that has been rarely examined in prior studies. The results provide both academic insight and practical guidance for hospital managers and policymakers in balancing technological innovation with local constraints to support inclusive digital transformation.
Aspects of Fraud Prevention in The National Health Insurance Program in Bengkulu Province, Indonesia: A Realist Evaluation
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.642

Abstract

Fraud in Indonesia’s National Health Insurance (JKN) program threatens the integrity and sustainability of the national health system. Although there have been anti-fraud regulations, their implementation varies across institutional levels. This study aims to identify and evaluate evaluate the mechanisms and contextual factors influencing the implementation of anti-fraud policies at healthcare facilities in Bengkulu Province. Conducted between 2018 and 2019, this realist evaluation involved purposively selected hospitals and primary health centers with experience in fraud prevention. Data were collected through in-depth semi-structured interviews with twelve key informants, including hospital directors, provincial and district health officials, members of anti-fraud teams, and representatives of BPJS Health, supported by policy document reviews. Thematic analysis using the Context–Mechanism–Outcome (CMO) framework identified three key challenges. At the provincial level, anti-fraud teams were not established due to perceived overlap with clinical governance roles. At the district/city level, teams functioned administratively with limited authority and technical capacity. At the hospital level, internal audit initiatives improved claim verification but faced obstacles in coordination, training, and communication constraints with BPJS Health. Additional vulnerabilities included limited access of specialists, strict referral pathways, and frequent claim code mismatches, all of which increased fraud risk. The findings highlight the importance of clrear role differentiation for anti-fraud actors, stronger audit systems, and imporved collaboration and communication between health facilities and BPJS Health. Continuous technical education and context-adapte policies are considered vital for effective fraud prevention. The study provides practical guidance for enhancing the design and implementation of anti-fraud policies in the JKN program and a short time frame. Future research should broaden the geogrhaphic scope and extend the duration, while exploring digital and inncovative approaches for anti-fraud measures.
The Impact of Fraud Awareness and Religiosity on Internal Control and Sustainable Financial Performance
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.650

Abstract

Internal control is a crucial practice in ensuring the sustainable financial performance of the Community Health Centers and Regional General Hospitals, especially after becoming a Regional Public Service Agency. This study aims to empirically test the effect of internal control on sustainable financial performance moderated by fraud awareness and religiosity in Regional Public Service Agencies in the health sector in Indonesia. This investigation used a quantitative approach. The distribution of questionnaires served as the main source of data. The study focuses on Indonesia's BLUD health sector, which includes Community Health Centers and Regional General Hospitals. The head of the RSUD, the head of the Puskesmas, the finance department, midwives, nurses, and personnel are among the 160 respondents in the research data. WarpPLS version 7.0 is the statistical tool used in the structural equation model, partial least squares data analysis process. The findings demonstrated that internal control significantly improves BLUD's sustainable financial performance and that internal control's beneficial effects are amplified by fraud awareness and religiosity.
The Quality of Insurance and Non-Insurance Patient Services and Their Effect on Loyalty Mediated by Patient Satisfaction
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.658

Abstract

The world is currently navigating challenges in reaching UHC by 2030. In Indonesia, the Health Services Coverage Index (SCI) recovered significantly however, its downturn in 2021 highlighted a prominent challenge. Eka Hospital, as a reputable referral hospital, has developed its services through innovations and technology; however, little has been discussed regarding the differences in service quality between insured and uninsured patients. This research aims to investigate the variance in service quality between insurance and non-insurance services, as well as its impact on customer satisfaction and loyalty. You'll also discover which service attributes need to be upgraded to meet the needs of patients. Research employed a cross-sectional study design. Regarding its design, this research utilized SERVQUAL, IPA, and Partial Least Squares Multigroup Analysis (PLS-MA) to test the hypothesis. The population consisted of outpatients of Eka Hospital in 2024. At least 110 samples are known, according to the consecutive sampling method/service and the 10-times rule SEM analysis. After excluding non-eligible participants, 415 participants were deemed valid. Results indicated no difference in services between insured and non-insured patients, indicating equivalent service. Some elements that require improvement include better medical equipment, trust in doctors' diagnoses, fair medical fees when treating patients, convenience in the procedure process, procedural effectiveness, and the enhancement or even remission of symptoms after treatment. Quality of service is closely linked to patient satisfaction, which in turn promotes patient loyalty. Hospitals should consider both the technical and emotional aspects of care to create a satisfying experience, which is crucial for UHC success in Indonesia.
Toxic Workplace Environment, Not Job Stress, as a Predictor of Diminished Nurse Performance in Indonesia
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.661

Abstract

Nurse performance is critical for ensuring hospital services are good.” This study examines the influence of a hazardous work environment and job stress on nurses' work at Cideres Regional Hospital in Majalengka. A cross-sectional approach was employed, and data were collected from 107 inpatient nurses using structured questionnaires with validated instruments. We performed a multiple linear regression analysis to determine the extent to which each of these variables contributed to the prediction. The formulated model is Y = 54.783 − 0.310X₁ − 0.016X₂, where Y represents nursing performance, X₁ represents a toxic working environment, and X₂ represents job stress. The results revealed that working environment toxicity had a strong negative influence on nursing performance (β = –0.310, p < 0.05), indicating that stress does not significantly predict performance. The studies highlighted the value of organizational interventions that address toxic behaviors and promote respectful communication and psychological safety. Investing more effort in enhancing connections between people and leadership practices may have a greater impact on nursing performance than techniques that focus solely on reducing stress. The results indicated that reducing toxicity in the workplace is crucial for enhancing nurse performance and the quality of hospital care.

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