Engineering Hospital Management Policies for Clinical Service Performance: The Mediating Role of Inter-Unit Coordination

• Fahmi Ferdian Dalimarta

  Universitas Bhamada Slawi, Indonesia

  Author

• Zidan Ahmad

  Universitas Gunadarma, Indonesia

  Author

Hospitals operate in increasingly complex healthcare systems where improving clinical service performance has become a strategic priority. Engineering hospital management policies has emerged as an important approach to enhance governance, optimize service processes, and strengthen patient-centered care. However, the effectiveness of policy innovation often depends on how well it is implemented across organizational units. This study examines the role of inter-unit coordination as a mediating mechanism linking hospital management policy innovation to clinical service performance. This research adopts a qualitative descriptive approach using a literature review of recent studies on healthcare management, service quality, and organizational coordination in hospitals. Relevant scholarly sources were systematically analyzed to synthesize conceptual relationships among the research variables. The findings indicate that engineering hospital management policies—such as digital health information systems, clinical governance frameworks, and patient safety initiatives—positively influence clinical service performance. Nevertheless, the impact of these policies becomes significantly stronger when supported by effective inter-unit coordination. Cross-departmental coordination facilitates communication, integrates service workflows, and ensures consistent implementation of clinical procedures. The study concludes that inter-unit coordination acts as a crucial mediator that translates policy innovation into improved clinical performance. Therefore, hospitals should prioritize integrated coordination systems alongside policy innovation to achieve sustainable improvements in service quality and patient safety.

Ambari, A., Sunarsih, E., & Minarti, M. (2023). Studi literatur tentang peningkatan manajemen mutu pelayanan kesehatan di rumah sakit Indonesia. Journal of Nursing and Public Health, 11(2), 318– 330.

Carlof, C., & Mulyanti, D. (2023). Inovasi teknologi dalam manajemen kesehatan: Pemanfaatan sistem informasi kesehatan elektronik di rumah sakit. Journal of Management and Social Sciences, 2(2), 50–62.

Enadarlita, E., & Affiani, M. (2019). Hubungan budaya kerja dan koordinasi terhadap kinerja organisasi pada badan pengembangan sumber daya manusia (BPSDM) Provinsi Jambi. J-MAS (Jurnal Manajemen dan Sains), 4(1), 136–141.

Fachrurrozi, A., Prayogo, D. A., & Mulyanti, D. (2023). Strategi peningkatan mutu pelayanan kesehatan di rumah sakit: Systematic literature review. Jurnal Riset Rumpun Ilmu Kedokteran, 2(1), 123– 134.

Gumilang, W. S., Lazuardi, G. R., Indrawan, M. R., & Sulharis, H. F. (2024). Identifikasi faktor penentu dan penolak adopsi aplikasi telemedicine menggunakan teori difusi inovasi. El-Mujtama: Jurnal Pengabdian Masyarakat, 4(2), 1492–1504.

Istiono, W., Sutomo, A. H., Izhar, M. D., & Welembuntu, M. (2024). Strategi penerapan patient centered care pada pelayanan kesehatan primer. UGM Press.

Kuddi, A., Siregar, A. D., Putri, A. A. T., Purwadhi, P., & Widjaja, Y. R. (2024). Inovasi dan tantangan dalam manajemen strategi rumah sakit: Sebuah tinjauan literatur. Journal of Innovation Research and Knowledge, 4(5), 2593–2610.

Letelay, J. F. (2022). Affecting factors of service quality at the Maluku Provincial Health Laboratory Center during the COVID-19 pandemic (Doctoral dissertation, Universitas Hasanuddin).

Maranggi, O., Bacthiar, A., & Oktamianti, P. (2024). Analisa mutu pelayanan rumah sakit terhadap kepuasan dan loyalitas pasien. Jurnal Syntax Imperatif: Jurnal Ilmu Sosial dan Pendidikan, 4(6), 732–746.

Nosih, L. (2024). Analysis of the effects of employee engagement, job satisfaction, and interprofessional collaboration on patient safety culture in professional care providers at RSUD Sayang Rakyat, South Sulawesi Province (Doctoral dissertation, Universitas Hasanuddin).

Nurfaidah, N., Hafizha, Y. C., & Yeni, H. (2025). Transformasi efisiensi layanan kesehatan dengan sistem informasi manajemen rumah sakit (SIMRS). Jurnal Ekonomi Manajemen Sistem Informasi (JEMSI), 6(3).

Palenewen, A. A. P., & Mulyanti, D. (2023). Upaya peningkatan manajemen pelayanan kesehatan di rumah sakit: Tinjauan teoritis. Diagnosa: Jurnal Ilmu Kesehatan dan Keperawatan, 1(1), 53–59.

Pujiastutik, E., & Maulana, A. (2025). Evaluasi pelayanan kesehatan dalam pelayanan publik di Rumah Sakit Daerah Kalisat Kabupaten Jember. Interelasi Humaniora, 1(4), 315–327.

Rahmawati, L. (2022). Pentingnya penerapan manajemen strategis di rumah sakit untuk menjadi rumah sakit pilihan masyarakat. Jurnal Medika Hutama, 3(2), 2356–2365.

Rahmi, S. F., Dewi, N. H., Hartono, B., & Daud, A. G. (2025). Analisis kualitas software dan hardware dalam mendukung efisiensi layanan rumah sakit berbasis sistem informasi. RIGGS: Journal of Artificial Intelligence and Digital Business, 4(2), 4785–4791.

Salamah, U., & Rustiana, E. (2010). Meningkatkan mutu pelayanan medik melalui koordinasi antar unit dan profesionalisme petugas (Studi pada RSU Dr. Slamet Garut). Jurnal Pembangunan dan Kebijakan Publik, 1(2), 38–47.

Sari, R. S., Tasri, Y. D., & Shakila, R. (2021). Sosialisasi manajemen klinis untuk peningkatan mutu pelayanan kesehatan bagi profesional perekam medis. ABDINE: Jurnal Pengabdian Masyarakat, 1(2), 147–158.

Suhadi, M. A., Palutturi, S., Bahar, B., Nurmaladewi, Y., Junaid, L. D., & Astuty, E. (2019). Model permasalahan efektivitas sistem koordinasi pelayanan kesehatan di rumah sakit badan layanan umum daerah Bahteramas Provinsi Sulawesi Tenggara. Preventif Journal, 4(1), 31–35.

Tjiphanata, R., & Tumewu, F. J. (2024). Analisis penerapan manajemen mutu terpadu di Rumah Sakit Umum Daerah Maria Walanda Maramis. Jurnal EMBA: Jurnal Riset Ekonomi, Manajemen, Bisnis dan Akuntansi, 12(1), 521–531.

Wulandari, M., Novriyanti, T., Purwadhi, P., & Widjaja, Y. R. (2025). Pengaruh pengorganisasian terhadap efisiensi pelayanan pasien di rumah sakit: Studi kasus pendekatan kualitatif. Innovative: Journal of Social Science Research, 5(1), 1451–1462.

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