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Journal of Health Service Administration and Hospital Management
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 31237185     DOI : http://dx.doi.org/10.69855/laceri
Core Subject : Health,
Health Professions
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 services, covering various topics such as hospital service management, hospital administration, health human resource management, hospital operations management, hospital strategic management and marketing, information technology in hospital management, hospital policies and regulations, as well as ethics and law in hospital management. Through the publication of research, ideas, and innovations, LACERI is committed to becoming a platform for disseminating relevant, applicable, and impactful knowledge that contributes to the improvement of health service quality at both national and global levels. Every published article undergoes an open peer review process to ensure scientific quality and integrity. Published twice a year, in January and July, LACERI provides full open access under the a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This ensures that all work can be freely accessed, utilized, and disseminated. We invite authors from diverse backgrounds to contribute to building a scientific literature that supports the advancement of health service administration and management at the national and global levels.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 6 Documents
 1 
Search results for , issue "Vol. 1 No. 2 (2025): July, 2025" : 6 Documents clear
Effect of the SISRUTE Online Referral System on Reducing Inappropriate Referrals at Advanced-Level Healthcare Facilities in Indonesia Sulaiman Putra Nagaring; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.399

Abstract

This study addresses the widespread administrative inefficiency caused by inappropriate referrals within Indonesia’s tiered healthcare system, threatening the sustainability of the Jaminan Kesehatan Nasional (JKN) program. The purpose of this research was to quantitatively evaluate the impact of the Online Referral System (SISRUTE) implementation on reducing the inappropriate referral rate at Advanced-Level Healthcare Facilities (FKRTLs). Using a quantitative Segmented Time Series Regression Model (SRM), the analysis utilized national aggregated secondary data, defining the High Utilization Threshold (HUT) (75% adoption) as the intervention point. The results show a highly significant structural improvement post HUT, confirmed by a sustained decline in the inappropriate referral rate (β₃ = -1.15, p < 0.001), leading to a 55.2% overall decrease. Key administrative failures, such as incomplete data entry and mismatched service tiers, dropped by 79.4% and 72.2% respectively, validating SISRUTE’s role as a digital administrative gatekeeper. This evidence establishes SISRUTE’s effectiveness in optimizing resource allocation and enhancing patient flow, thereby directly supporting the financial sustainability of the JKN system. The study strongly recommends prioritizing and expanding mandatory digital referral systems like SISRUTE as a core strategy for robust national health governance and efficiency.
Hospital Ownership and Minimum Service Standards Achievement: Empirical Evidence from Indonesia Helsy Desvitasari
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v1i2.406

Abstract

Healthcare service quality is a global priority, and in Indonesia it is assessed through the implementation of Minimum Service Standards (MSS) integrated with National Quality Indicators (NQI). MSS function as a standardized benchmark to evaluate hospital performance across different ownership types. This study aims to examine differences in MSS achievement between government and private hospitals. A quantitative comparative design was employed using secondary MSS/NQI data from 60 Type B and C general hospitals located in Java and Sumatra during 2023–2024. Hospitals were equally categorized by ownership (government and private). Data analysis included descriptive statistics, assumption testing, and independent sample t-tests to identify differences in composite MSS achievement between the two groups. The analysis demonstrated a statistically significant difference in MSS achievement based on hospital ownership. Private hospitals showed higher overall MSS attainment compared to government hospitals, with mean achievement scores of 94.05% and 87.21%, respectively (p < 0.001). This result indicates a measurable performance gap in meeting minimum service quality standards between ownership types. Hospital ownership is significantly associated with the achievement of Minimum Service Standards in Indonesia. Private hospitals consistently achieve higher MSS scores than government hospitals, suggesting structural differences in service quality performance. These findings provide empirical evidence on the role of ownership in hospital quality outcomes and highlight the importance of further investigation into organizational and management factors influencing MSS compliance.
Operational Efficiency and Profitability: A Comparative Financial Performance Analysis of Listed Hospital Corporations (MIKA, SILO, HEAL) on the Indonesia Stock Exchange During the JKN Era Made Dewi Sariyani; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.407

Abstract

This study analyzes the operational efficiency and profitability of three leading hospital corporations listed on the Indonesia Stock Exchange: PT Mitra Keluarga Karyasehat Tbk (MIKA), PT Siloam International Hospitals Tbk (SILO), and PT Medikaloka Hermina Tbk (HEAL) during the National Health Insurance (JKN) era. The research addresses the empirical gap where, despite a 20-30% surge in patient volume under JKN, hospitals face a potential 15-20% margin compression due to INA-CBG’s fixed-rate tariffs. The study focuses on the impact of cost structure (Operating Expense Ratio/OER) and capital efficiency (Asset Turnover Ratio/ATR) on profitability. Using a quantitative approach over the 2019–2023 period, the study employs secondary data and applies descriptive and non-parametric statistical analyses (Kruskal-Wallis). Results reveal two distinct strategic models: MIKA’s margin quality strategy, achieving a superior Net Profit Margin (average 18.5%) and the lowest OER (48.34%) through selective non-JKN focus. Conversely, SILO and HEAL adopted a volume-driven strategy, evidenced by higher ATR (0.85x and 0.81x respectively) and BOR (up to 72.1%), but with lower profit margins. Statistical tests confirm significant differences in Return on Assets (p < 0.01) among the three corporations. These findings highlight the critical trade-off between cost control and asset utilization. The study suggests future research focus on granular cost factors and strategic decision-making processes to navigate financial sustainability under universal health coverage systems.
Public Information Disclosure as a Reflection of Administrative Governance: A Content Analysis of the Official Websites of Ministry of Health's Vertical Hospitals Based on Law No. 14 of 2008 Inna Noor Inayati
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.408

Abstract

This study investigates the level of Public Information Disclosure (PID) on the official websites of the Ministry of Health's Vertical Hospitals (RSVKs) as a direct reflection of their adherence to Good Administrative Governance (GAG) principles, as mandated by Indonesian Law No. 14 of 2008. PID is theoretically critical for public accountability and preventing institutional misuse of authority (Cahyono & Haryadi, 2023; Amane et al., 2025). Objective: The research aimed to quantitatively measure the proactive disclosure compliance of RSVKs. Methods: A Systematic Quantitative Content Analysis was employed, utilizing a specialized Digital Information Disclosure Index (DIDI) and a binary coding scheme (N=40 mandatory items) to analyze the digital content of all RSVK websites in October 2025. Inter-coder reliability was ensured using Cohen’s Kappa (  0.80) (Krippendorff, 2019). Results: The overall digital compliance level was Moderate, with a mean DIDI score of μ= 65.4% SD = 10.8%). A significant disparity was found between compliance with Fiscal Accountability (Periodic Disclosure:μ=75.1%) and Procedural Responsiveness (Anytime Disclosure: = 55.7%), particularly concerning Procurement Data for Goods & Services (40%). Qualitative analysis highlighted technical barriers, including the pervasive use of non-searchable PDF formats and poor placement (Norris & Lloyd, 2020). Conclusion: RSVKs demonstrate a model of formalistic transparency (compliance of form) driven by top-down requirements, failing to achieve substantive transparency due to institutional risk-aversion and managerial constraints. Implication: The study recommends that the Ministry of Health issue regulations mandating the publication of all required documents in searchable digital formats and implement transparency-focused HR reforms (Wulandari, 2025) to transition from defensive administrative compliance to a genuine GAG commitment.
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
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v1i2.425

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.
The Influence of KARS Accreditation Status (Paripurna vs. Non-Paripurna) on Patient Satisfaction Ratings: A Case Study of Public Sentiment Analysis on Google Maps Reviews Rafika Aini; Mila Sari
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v1i2.429

Abstract

The quality stability of healthcare services in Indonesia is critically influenced by the Hospital Accreditation Commission (KARS) certification, which functions as a formal regulatory system ensuring compliance with national standards. Despite this, a gap persists between formal accreditation status (Paripurna vs. Non-Paripurna) and actual patient satisfaction, particularly as reflected in public sentiment on digital platforms like Google Maps. This study aims to analyze the correlation between KARS accreditation levels and patient satisfaction ratings derived from sentiment analysis of over 50,000 Indonesian-language Google Maps reviews spanning 2020–2025. Employing a quantitative correlational design, the research integrates ordinal accreditation data and sentiment classification results generated through advanced machine learning methods (LSTM/Naïve Bayes). The analysis utilized Spearman’s rank correlation to assess the association between hospital accreditation status and aggregated sentiment scores. Findings reveal a statistically significant but weak positive correlation (ρ = 0.215, p < 0.001), indicating that higher formal accreditation does not strongly predict better patient-perceived quality. Negative sentiments notably cluster around non-technical service issues such as staff empathy and administrative delays, highlighting deficiencies unaddressed by the accreditation framework. These results suggest the need for hospital management and policymakers to incorporate digital patient feedback as a critical complement to traditional quality assurance measures. The study advocates for integrating Patient Reported Experience Measures (PREMs) from online sources into KARS standards and encourages future research using diagnostic tools like Root Cause Analysis to target underlying causes of patient dissatisfaction. This comprehensive approach aims to close the gap between institutional compliance and patient experience, promoting sustainable improvements in healthcare service quality in Indonesia.

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