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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 27 Documents
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Improving Door-to-Balloon Time through Operational Efficiency and Patient Safety Culture in STEMI Patients: A Hospital-Based Quality Improvement Study Dr Swati Rai; Dr Amitha Marla; Dr Manjunath B V; Miss Priyanka K
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.565

Abstract

Background: Timely reperfusion is critical for reducing myocardial damage and mortality in ST-elevation myocardial infarction (STEMI). In many Indian settings, door-to-balloon (DTB) time remains prolonged due to operational and system-level barriers. Objective: To evaluate whether recommended DTB timelines can be achieved in a tertiary care hospital and to identify and address key delay factors. Methods: A prospective study was conducted in a 400-bed tertiary care hospital in South India (Oct 2018–Oct 2019), followed by an intervention phase (Nov 2019–Jan 2020). Phase I (n=282) identified delays using process mapping and Fishbone analysis. Phase II implemented Lean principles and the Plan–Do–Check–Act (PDCA) cycle. Statistical comparison of means was performed, with p < 0.05 considered significant. Results: Mean DTB time reduced from 372 minutes to 208 minutes (p < 0.05). The proportion achieving DTB <120 minutes increased from 24% to 47%. Shorter DTB times were associated with lower mortality. Conclusion: Structured protocols, early activation systems, and continuous quality improvement can significantly reduce DTB time. However, achieving global benchmarks requires sustained system-level strengthening.
Perceived Gender Diversity, Educational Background, and Transparency of Performance Reporting at Dr Rasidin Padang Regional General Hospital Rini Susanti; Aisyiyah Hanif Muallim
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.720

Abstract

Transparency of performance reporting is a key indicator of accountable hospital governance. Effective oversight by the Supervisory Board is essential to ensure organizational accountability; however, evidence regarding the association of perceived gender diversity and educational background of Supervisory Board members with reporting transparency in Indonesian regional public hospitals remains limited. This study aimed to analyze the association between perceived gender diversity and educational background of the Supervisory Board with the transparency of performance reporting at Dr. Rasidin Padang Regional General Hospital. A quantitative study with a cross-sectional observational design was conducted involving 48 respondents, including Supervisory Board members, directors, structural officials, heads of installation, and management personnel, using a total sampling technique. Data were collected through structured questionnaires, supported by document review and brief interviews. Data were analyzed using univariate statistics, Pearson correlation, and multiple linear regression at a 95% confidence level. Most respondents were female (58.3%) and held a bachelor's degree (52.1%). The mean transparency score was 82.40 ± 8.10. Perceived gender diversity was positively associated with transparency (r = 0.315; β = 0.315; p = 0.018), while educational background demonstrated a stronger association (r = 0.428; β = 0.428; p = 0.004). Together, both variables explained 45.1% of the variance in reporting transparency (Adjusted R² = 0.451). Perceived gender diversity and educational background of the Supervisory Board were significantly associated with transparency of performance reporting, with educational background showing the stronger association. Competency-based board appointments combined with balanced gender representation may strengthen governance effectiveness and accountability in regional public hospitals.
Spatial Analysis of Health Human Resources (SDMK) Readiness in Addressing the Double Burden of Diseases in Hospitals Across Indonesia Dodiet Aditya Setyawan; Mirza Aulia
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.721

Abstract

The double burden of disease characterized by the increase of non-communicable diseases along with the high level of infectious diseases requires adequate and equitable preparedness of Human Health Resources (SDMK) in hospitals. Inequality in the distribution of health workers between regions causes service capacity is not optimal, so spatial analysis becomes an important approach in planning SDMK. Purpose: This study aims to analyze the relationship between sdmk readiness and the ability of hospitals to cope with the double burden of disease in Indonesia, as well as mapping priority areas for strengthening SDMK through Geographic Information Systems (GIS), with field validation at Dr. M. Djamil Padang. Methods: quantitative research with GIS-based cross-sectional design involving 514 public hospitals selected using stratified random sampling by region. Data were obtained from the Ministry of Health, SDMK Information System, hospital profile, observation, and structured interviews. Analysis was conducted using univariate statistics, chi-square test, multiple logistic regression, Moran's I, and Hotspot Analysis (Getis-Ord Gi*). Results: a total of 61.3% of hospitals have high sdmk readiness, while 38.7% are still low. Hospitals with adequate SDMK were better able to manage the double burden of disease optimally than hospitals with inadequate SDMK (68.5% vs 42.1%; p=0.001; OR=2.94; 95% CI=1.98–4.36). Spatial analysis showed positive autocorrelation (Moran's I=0.41; p<0.001) with priority cluster in eastern Indonesia. Implication: Dr. M. Djamil Padang has the potential to become a reference Center for SDMK capacity development and strengthening spatial mapping-based service networks. Conclusion: Sdmk readiness is significantly related to the ability of hospitals to manage the double burden of disease, while spatial analysis effectively identifies priority areas for intervention and equitable distribution of national SDMK.
Projection of Inpatient Bed Needs at Andalas University Hospital Until 2030: A Retrospective Analysis of Elderly Utilization and Hospital Capacity Samuel Hadjo; Amrina Rasyada; Nelwetis
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.724

Abstract

The increasing proportion of the elderly population has raised the demand for inpatient services, requiring hospitals to implement evidence-based bed capacity planning. Andalas University Hospital has not yet developed a projection of inpatient bed requirements through 2030 based on trends in elderly service utilization. This study aimed to project inpatient bed requirements through 2030. A quantitative study with a retrospective longitudinal design was conducted using secondary data from medical records and daily inpatient census reports from 2020–2025 at Andalas University Hospital, Padang. The unit of analysis comprised hospitalized patients aged ≥60 years, totaling 5,482 observations (total sampling). Data were collected through document review and reconciliation of medical records, daily census, and management reports. Bed requirements were calculated using the formula: Bed = treatment days/(365 × target BOR), with a target BOR of 75–85%. Data analysis included descriptive statistics, linear trend analysis, and simple linear regression. The average BOR was 71.8%, ALOS 5.6 days, BTO 47.2 times/year, and TOI 2.3 days. The proportion of elderly patients increased by 6.8% annually (p<0.001). Regression analysis demonstrated a significant relationship between increasing elderly admissions and bed requirements (β=0.81; 95% CI: 0.65–0.97; R²=0.76; p<0.001). Based on the model, bed requirements are projected to increase from 220 beds in 2025 to 287 beds in 2030 (95% prediction interval: 276–298 beds). These projections can support phased bed expansion, optimization of human resources, budgeting, supporting facilities, strategic planning, inpatient capacity evaluation, and geriatric service development. Bed capacity should be gradually increased to maintain service efficiency and support hospital resource planning. These findings are projective and indicate associative rather than causal relationships.
The Relationship Between E-Purchasing Implementation, Perception of Supply Chain Management Integrity, and Procurement Price Efficiency in Regional General Hospital Dr. Muhammad Zein Painan: A Cross-Sectional Study Dimas Maulana Syafeli; Mila Sari
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.730

Abstract

Procurement of goods and services in government hospitals faces constraints of price inefficiency, distribution delays, and weak supply chain transparency. E-purchasing has been widely studied in terms of cost efficiency, but research that specifically relates it to the integrity of supply chain management in local government hospitals is still limited. As a result, the relationship between the two aspects has not been empirically confirmed in this context. Purpose: This study aims to analyze the relationship between the implementation of e-purchasing with supply chain management integrity and procurement price efficiency in Dr. Muhammad Zein Painan. Methods: this cross-sectional quantitative study involved 62 respondents directly involved in hospital procurement, selected purposively. Data were collected through questionnaires to measure the perception of e-purchasing implementation and supply chain integrity, as well as procurement transaction documentation to objectively measure price efficiency. The Data were analyzed using Chi-Square test and logistic regression. Results: a total of 74.2% of respondents rated the implementation of e-purchasing as good, and 69.4% had a high perception of supply chain integrity, with an average price efficiency of 12.6%. Bivariate analysis showed a significant relationship between e-purchasing with supply chain management integrity (p=0.002; OR=3.84) and procurement price efficiency (p=0.001; OR=4.21). Implications: hospital management needs to strengthen digital procurement governance through increasing the competence of system users, periodic evaluation of suppliers, and utilization of transaction data as a basis for cost control. Conclusion: the implementation of e-purchasing has been proven to contribute significantly to improving supply chain management integrity and procurement price efficiency. These findings complement the literature gap on supply chain integrity in the digital procurement of local government hospitals, as well as being the basis for technology-based procurement policy reference.
Comparative Analysis of Financial Resilience between Profit-Oriented and Non-Profit Private Hospitals Following Health Financing Policy Reforms Devid Leonard; Dartisah
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.736

Abstract

Changes in health incentive policies, particularly adjustments to payment mechanisms and National Health Insurance (JKN) claims, require private hospitals to strengthen financial resilience while maintaining service quality. Differences in institutional orientation between non-profit and profit-oriented hospitals may influence their capacity to adapt to these policy changes. This study aimed to analyse differences in financial resilience between non-profit and profit-oriented private hospitals following changes in health incentive policies. A quantitative study with a composite cross-sectional design was conducted at Ibnu Sina Islamic Hospital Bukittinggi (non-profit) and Madina Hospital Bukittinggi (profit-oriented). A total of 48 monthly financial reports from January 2023 to December 2024 were analysed using total sampling. Financial statements served as the primary data source, while structured interviews with financial managers were conducted solely to verify financial policy implementation and support the interpretation of quantitative findings. Interview data were not included in the statistical analysis. Univariate analysis described financial indicators, and differences between hospitals were examined using the Independent Samples t-test with a 95% confidence level. The non-profit hospital demonstrated a significantly higher current ratio than the profit-oriented hospital (2.29 ± 0.38 vs. 1.81 ± 0.34; t(46)=4.61; p<0.001; Cohen's d=1.33). Conversely, the profit-oriented hospital achieved a significantly higher operating margin (13.1 ± 3.4% vs. 9.2 ± 2.7%; t(46)=4.40; p<0.001; Cohen's d=1.27). Composite financial resilience analysis also showed a significant difference between the two hospitals (p=0.002). Institutional orientation significantly influences financial resilience after changes in health incentive policies. Non-profit hospitals demonstrate stronger liquidity, whereas profit-oriented hospitals achieve higher operational profitability. Strengthening revenue diversification, cost efficiency, cash flow management, and adaptive financial strategies is essential to improve resilience under evolving health financing policies.
Revenue Projection of Padang Panjang General Hospital Based on Standard Inpatient Class (KRIS) Policy Based on Ina-CBGs Tariff Simulation Mila Sari; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 2 No. 2 (2026): July, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i2.744

Abstract

The Standard Inpatient Class (KRIS) policy, which replaces the BPJS Kesehatan class 1, 2, and 3 system, poses financial implications for regional public hospitals, particularly regarding conformity of INA-CBGs tariffs to real service costs. This tariff gap can suppress hospital cash flow, leaving Padang Panjang Hospital, a Regional Referral Hospital, with uncertain revenue projections following KRIS implementation. Purpose: This study aims to analyze the projected revenue of Padang Panjang Hospital based on INA-CBGs tariff simulation under the KRIS scheme. Methods: The study used a quantitative descriptive design using a retrospective approach on secondary data, conducted at Padang Panjang Hospital, West Sumatra. The sample comprised all inpatient claims from January–December 2025, totaling 1,240 episodes, selected through total sampling. Data were collected via documentation study of medical record and INA-CBGs claim data. Univariate analysis described the distribution of tariffs and case volumes, while bivariate analysis used the Paired t-test/Wilcoxon test to examine tariff differences and Pearson correlation to examine the relationship between case severity and tariff differences. Results: Results showed a mean difference between real and INA-CBGs tariffs of IDR 387,500 per episode (SD = 112,300), with a projected revenue decrease of 8.7% following KRIS implementation. Bivariate analysis showed a significant relationship between case severity and tariff difference magnitude (p = 0.012; r = 0.341). Implications: These findings imply the need to strengthen clinical pathways and improve operational cost efficiency. Conclusion: Padang Panjang Hospital needs to develop a case-mix strategy and a real-time claims monitoring system to maintain financial sustainability in the KRIS era

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