Abstract :

The Indonesian healthcare system is undergoing significant transformation to meet the needs for improved service delivery, patient safety, and equity in accessing quality care. According to the World Health Organization (WHO), Indonesia faces substantial challenges within its healthcare system, including a high burden of disease, limited access to healthcare services, and disparities in health outcomes across different regions. Despite ongoing reforms, the country continues to grapple with issues such as inconsistent healthcare quality, inefficient resource management, and a lack of accountability among healthcare providers. This paper explores the critical role of hospital governance in addressing these challenges, emphasizing the need for clear governance structures, effective leadership, and stakeholder engagement to enhance healthcare quality and ensure equitable access to services. By examining the implications of governance frameworks on hospital performance, this study aims to contribute valuable insights for policymakers and healthcare administrators in Indonesia, ultimately fostering a more effective and equitable healthcare system.

---

Keywords :

Leadership, Management, System

---

References :

1. Peter D Hibbert, Sasha Stewart, Louise K Wiles, Jeffrey Braithwaite, William B Runciman, Matthew J W Thomas, Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts, International Journal for Quality in Health Care, Volume 35, Issue 4, 2023, Page 0, https://doi.org/10.1093/intqhc/mzad088
2. Kementerian Kesehatan Republik Indonesia. (2022). “Laporan Tahunan Kinerja Rumah Sakit di Indonesia.” Jakarta: Kementerian Kesehatan.
3. Bhati D, Deogade M S, Kanyal D (October 26, 2023) Improving Patient Outcomes Through Effective Hospital Administration: A Comprehensive Review. Cureus 15(10): e47731. doi:10.7759/cureus.47731
4. Tsapnidou, E., Kelesi, M., Rovithis, M., Katharakis, G., Gerogianni, G., Dafogianni, C., Toylia, G., Fasoi, G., & Stavropoulou, A. (2024). Transformational Leadership—Quality Achievements and Benefits for the Healthcare Organizations: A Scoping Review. Hospitals, 1(1), 87-103. https://doi.org/10.3390/hospitals1010008
5. World Health Organization. (2021). “Indonesia: Health System Review.” Health Systems in Transition, 11(1), 1-164.
6. De Clercq, Dirk & Pereira, Renato. (2022). Unfair, uncertain, and unwilling: How decision-making unfairness and unclear job tasks reduce problem-focused voice behavior, unless there is task conflict. European Management Journal. 10.1016/j.emj.2022.02.005.
7. Debie A, Khatri RB, Assefa Y. Successes and challenges of health systems governance towards universal health coverage and global health security: a narrative review and synthesis of the literature. Health Res Policy Syst. 2022 May 2;20(1):50. doi: 10.1186/s12961-022-00858-7. PMID: 35501898; PMCID: PMC9059443.
8. Adeusi, K. B., Jejeniwa, T. O., & Jejeniwa, T. O. (2024). Advancing financial transparency and ethical governance: Innovative cost management and accountability in higher education and industry. International Journal of Management & Entrepreneurship Research, 6(5), 1533-1546.