Hospital Ownership and Minimum Service Standards Achievement: Empirical Evidence from Indonesia

Authors

  • Helsy Desvitasari Sekolah Tinggi Ilmu Kesehatan Siti Khodijah

DOI:

https://doi.org/10.69855/laceri.v1i2.406

Keywords:

Hospital Ownership, Minimum Service Standards, Quality Management, Healthcare Performance, Indonesia

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.

References

Basabih, M., & Widhakuswara, I. (2025). Has Regional Hospital Autonomy Achieved Its Goals? Lessons Learned from Indonesia: A Systematic Review. Kesmas: National Public Health Journal, 20(3), 174–184. https://doi.org/10.7454/kesmas.v20i3.2248

Burns, L. R., & Reid, R. C. (2022). The Healthcare Management Challenge: Practice and Theory (3rd ed.). Health Administration Press: Chicago, IL, USA.

Chu, J. E., & James, M. L. (2020). Health Quality Improvement in Low- and Middle-Income Countries: Policy and Practice. Cambridge University Press: Cambridge, UK. https://doi.org/10.1017/9781108605510

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates: Hillsdale, NJ, USA.

Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th ed.). SAGE Publications: Thousand Oaks, CA, USA.

Deswita, K., Sudirman, H., & Widodo, S. (2021). Analysis of Quality Improvement Efforts through the Implementation of Total Quality Management (TQM) Method at Hospital X. Indonesian Journal of Public Health Research and Development, 2(1), 37–48. https://doi.org/10.15294/jppkmi.v2i1.47561

Field, A. (2018). Discovering Statistics Using IBM SPSS Statistics (5th ed.). SAGE Publications: Thousand Oaks, CA, USA.

Glied, S., & Stremikis, K. (2020). The Economics of Health and Health Care (9th ed.). Pearson Education: Boston, MA, USA.

Hinchcliff, P., Ruelas, E., & Johnson, B. (2020). The Role of Government in Mandatory Hospital Accreditation. Health Policy and Planning, 35(9), 1073–1081. https://doi.org/10.1093/heapol/czaa060

Hosmer, D. W., & Lemeshow, S. (2000). Applied Logistic Regression (2nd ed.). John Wiley & Sons, Inc.: New York, NY, USA.

Iorwena, J., & Kaja, K. (2020). Standards of Public Health Center Services. Journal of Health, 2(1), 6. https://doi.org/10.33403/jk.v2i1.17

Jauhary, M. C. N., & Irawan, A. P. (2025). Comparison of ServQual Dimensions in Assessing Service Quality of Private and Public Hospitals in Semarang. Journal of Business Management and Entrepreneurship, 9(5), 868–878. https://doi.org/10.24912/jmbk.v9i5.35329

Lee, D. S., & Stensland, J. G. (2023). Health Care Finance: Economics and Policy (6th ed.). SAGE Publications: Thousand Oaks, CA, USA.

Manan, F., Nasir, M., & Saidin, S. (2020). Health Service Innovation Strategies. Indonesian Journal of Health Administration, 6(2), 75–82. https://doi.org/10.20473/jaki.v6i2.2018.75-82

Ministry of Health of the Republic of Indonesia. (2022). Regulation of the Minister of Health of the Republic of Indonesia Number 30 of 2022 on National Quality Indicators of Health Services in Hospitals. Jakarta: Ministry of Health of the Republic of Indonesia.

Muninjaya, A. G. (2024). Quality Management of Health Services (3rd ed.). EGC: Jakarta, Indonesia.

Oktaviani, D., & Ramadhan, F. (2023). The Role of Minimum Service Standards (SPM) in Improving the Quality of Health Services. Hospital Administration Journal, 9(1), 21–28. https://doi.org/10.35451/mmj.v2i2.2709

Permata, R. (2025). Health Service Quality Management. Media Sains Indonesia: Bandung, Indonesia.

Raharjo, A. S., & Susilo, T. (2023). Determinant Factors of Minimum Service Standard Achievement in Regional General Hospitals: A Comparative Study. Indonesian Journal of Health Management, 11(2), 112–125. https://doi.org/10.14710/jmki.11.2.2023.112-125

Samsudin, S. (2021). Analysis of the Effect of Service Quality and Patient Emotion on Inpatient Satisfaction at Dr. Soeradji Tirtonegoro General Hospital, Klaten. Scientific Journal of Economics, 15(1), 78–90. https://doi.org/10.59680/medika.v1i1.299

Sartono, B. (2023). Econometrics and Panel Data Analysis. Faculty of Economics and Business, University of Indonesia Press: Jakarta, Indonesia.

Shortell, S. M., & Rundall, T. G. (2021). The Dynamics of Organizational Change in Health Care: Innovation, Transformation, and Leadership. Jossey-Bass: San Francisco, CA, USA.

Tabrizi, J. S., Alhawajreh, A., & Schmaltz, S. P. (2023). Assessing the Sustainability of Hospital Quality Improvement Programs in Developing Countries. BMJ Quality & Safety, 32(4), 220–228. https://doi.org/10.1136/bmjqs-2022-014457

Utami, L., & Permana, D. (2025). The Role of Hospital Ownership in the Efficiency and Effectiveness of Quality Budget Utilization. Indonesian Journal of Health Economics, 10(1), 5–18. https://doi.org/10.5186/jeki.v10i1.1500

Vequist IV, D. G., Geva, A., & Poe, S. (2021). The Impact of Accreditation on Hospital Service Quality: A Global Perspective. Journal of Health Care Management, 66(4), 269–281. https://doi.org/10.1097/JHM-D-21-00045

Wartana, A., Araujo, E., & Braithwaite, J. (2023). Organizational Culture and Quality Management Implementation in Public Hospitals. Journal of Health Organization and Management, 37(1), 1–18. https://doi.org/10.1108/JHOM-07-2022-0219

Widyastuti, R., & Hartono, S. (2024). The Effect of Management Autonomy on Financial and Non-Financial Performance of Regional Public Service Agency Hospitals. Journal of Public Accounting and Finance, 8(3), 201–215. https://doi.org/10.9760/jakp.v8i3.400

Downloads

Published

2025-08-03

Issue

Section

Articles