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Poltekita: Jurnal Ilmu Kesehatan
Published by Poltekkes Kemenkes Palu
ISSN : 1907459X     EISSN : 25277170     DOI : https://doi.org/10.33860/jik.v18i1.3700
Core Subject : Health, Science, Social,
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology
Poltekita : Jurnal Ilmu Kesehatan (e-ISSN: 2527-7170, p-ISSN: 1907-459X) is a peer-reviewed open access scientific journal published by Poltekkes Kemenkes Palu. The scope for Poltekita: Jurnal Ilmu Kesehatan includes nutrition, midwifery, nursing, public health, environmental health, food, and nutrition.Each volume of Poltekita: Jurnal Ilmu Kesehatan is counted in each calendar year that consists of 4 issues. Poltekita: Jurnal Ilmu Kesehatan is published two times per year every February, May, August, and November. Articles could be written in either Bahasa Indonesia or English
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 2 Documents
 1 
Search results for , issue "Vol. 20 No. 1 (2026)" : 2 Documents clear
Factors Associated with Healthcare Fraud and Fraud Prevention in Indonesia’s National Health Insurance Hospitals: A PRISMA-Guided Literature Review Mutmainnah, Susanna; Sulistiadi, Wahyu
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4369

Abstract

Background: This PRISMA-guided literature review synthesizes available evidence on factors associated with fraud risk and fraud-prevention practices in hospitals participating in Indonesia’s National Health Insurance (Jaminan Kesehatan Nasional/JKN) program. Methods: Literature searches were conducted in Scopus, PubMed, and Google Scholar for studies published between 2020 and 2025. A total of six studies (n=6) met the inclusion criteria, consisting of qualitative, quantitative, and socio-legal research designs. Due to heterogeneity in study methods and outcomes, findings were integrated using a thematic literature review approach rather than statistical aggregation. Results: The reviewed studies suggest that fraud-related risks are associated with interacting individual, organizational, and systemic contexts, including financial pressures, coding practices, internal control environments, organizational commitment, information systems, and regulatory implementation factors. Several studies also indicate that strengthened governance mechanisms, such as internal controls and antifraud teams, may support fraud-prevention capacity, although most findings remain perception-based. Overall, the review highlights the need for future empirical research using administrative claims data, audits, and evaluated antifraud interventions to strengthen governance within Indonesia’s national health insurance system. Conclusion: Strengthening governance mechanisms such as internal controls, anti-fraud teams, and integrated claim monitoring systems may support fraud-prevention capacity in JKN hospitals. Nevertheless, the current evidence base remains limited, highlighting the need for future empirical studies using administrative claims data, audits, and evaluated antifraud interventions to improve accountability within Indonesia’s national health insurance system.
Digital Fatigue and Performance Challenges in Smart Hospitals: A Workforce Resilience Perspective Nugroho, Anton; Sarjito, Aris; Setiawati, Deni; Lusianah, Lusianah; Mustika, Wenni
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4375

Abstract

Background: Digital transformation in hospital systems has accelerated globally, embedding electronic health records, clinical decision-support systems, interoperability platforms, and performance dashboards into governance architectures. Leading institutions, including the World Health Organization and the Organisation for Economic Co-operation and Development, position digital health as central to system resilience and efficiency. However, growing scholarship highlights unintended consequences, including documentation burden, alert overload, and clinician cognitive strain. This study develops a governance-oriented interpretive model linking digital work intensification, digital fatigue, performance paradox dynamics, and multilevel human resource (HR) resilience in smart hospitals. Methods: A qualitative secondary analysis was conducted on 28 documents (2020–2026), comprising peer-reviewed articles, international policy reports, and institutional governance frameworks. Reflexive thematic analysis, informed by socio-technical systems theory, performance paradox theory, and workforce resilience theory, was applied to examine documents as institutional artifacts shaping accountability regimes, workload structures, and adaptive capacities. Results: Four governance-mediated dynamics were identified. First, digital work intensification emerged through expanded documentation mandates, dense alert systems, and interoperability-driven coordination complexity. Second, digital fatigue was framed as an institutional risk marked by cumulative cognitive load and relational strain. Third, a performance paradox was evident, with efficiency gains coexisting alongside workforce strain. Fourth, HR resilience, through individual coping, team buffering, and participatory IT governance, functioned as an adaptive moderator but did not eliminate structural workload misalignment. Conclusion: Workforce sustainability in digitally intensive hospitals depends less on technological sophistication than on governance alignment among accountability systems, digital infrastructure, and human capacity.

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