Kesenjangan Formulasi dan Implementasi Strategi Serta Dampaknya terhadap Kinerja Rumah Sakit

Authors

  • Nden Zulvia Afifah Universitas Adhirajasa Reswara Sanjaya
  • I Gede Sutawan Universitas Adhirajasa Reswara Sanjaya
  • Purwadhi Purwadhi Universitas Adhirajasa Reswara Sanjaya
  • Yani Restiani Widjaja Universitas Adhirajasa Reswara Sanjaya

DOI:

https://doi.org/10.55606/jimak.v5i2.6684

Keywords:

Hospital Management, Hospital Performance, Strategy Formulation, Strategy Gap, Strategy Implementation

Abstract

Hospital performance is highly influenced by the alignment between strategy formulation and implementation, yet gaps often occur, affecting operational efficiency, service quality, and patient satisfaction. This study aims to analyze the strategy gap and its impact on hospital performance, as well as to identify factors influencing the success of strategy execution, including human resources, resource allocation, and information technology support. A Systematic Literature Review (SLR) approach was employed, analyzing 35 articles published between 2015 and 2025 from Scopus, PubMed, Google Scholar, and Sinta databases. The results indicate that strategy gaps are caused by limited communication, uneven resource allocation, varying staff capacities, and insufficient monitoring and technological support. Hospitals that successfully align strategy formulation and implementation through staff involvement, effective leadership, integrated management information systems, and well-structured career paths and incentives demonstrate significant improvements in operational efficiency, service quality, and patient satisfaction. The study concludes that strategy alignment is a key factor in enhancing hospital performance and recommends developing integrated strategies, strengthening human resource development programs, utilizing technology, and implementing continuous monitoring to minimize gaps and ensure high-quality healthcare services.

 

References

Al-Hazmy, L., & Subahtiyar, A. (2025). Strategic management in developing and improving the quality of hospital health services. Global Journal of Health Administration, 1(1), 99–108.

Alsaqqa, H. H. (2025). Approaches that simplify implementation of complex interventions in healthcare system change: Scoping review. Journal of Multidisciplinary Healthcare, 18, 6719–6732. https://doi.org/10.2147/JMDH.S544368

Alsharari, Y. S. S., & Alsharari, M. (2025). The impact of strategic management practices on the quality of healthcare services in hospitals. International Journal of Education, Business and Economics Research, 5(6), 181–189. https://doi.org/10.59822/ijeber.2025.5615

Azwa, N. A., Deswita Mrp, A., Sikumbang, E. S., Hasibuan, N., Kesuma, A. I., Zahira, S., Rahayu, S., Hasanah, N., & Wasiyem. (2025). Analysis of health management strategies in improving hospital service quality: Literature review. International Journal of Health, Economics, and Social Sciences, 7(3), 1265–1271. https://doi.org/10.56338/ijhess.v7i3.7697

Bahari, E. S., Ellyana, E., Widjaja, Y. R., & Purwadhi. (2024). Analysis of the implementation of strategic management in increasing hospital competitiveness in the digital era. Journal of Innovation Research and Knowledge, 4(5), 2553–2566.

Bierbaum, M., Best, S., Williams, S., Fehlberg, Z., Hillier, S., Ellis, L. A., Goodrich, A., Padbury, R., & Hibbert, P. (2025). The integration of quality improvement and implementation science methods and frameworks in healthcare: A systematic review. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-12730-9

Cheruiyot, B. K., Kavale, S., & Chebii, P. (2025). Strategic positioning and hospital performance in national referral hospitals, Kenya. International Journal of Research and Innovation in Social Science, 9(14), 1175–1189.

Drăgan, C. O., Mihai, L. S., Popescu, A. M. C., Buligiu, I., Mirescu, L., & Militaru, D. (2025). Statistical analysis and forecasts of performance indicators in the Romanian healthcare system. Healthcare, 13(2). https://doi.org/10.3390/healthcare13020102

Eaton, T. A., Kowalkowski, M., Burns, R., Tapp, H., O’Hare, K., & Taylor, S. P. (2024). Pre-implementation planning for a sepsis intervention in a large learning health system: A qualitative study. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-11344-x

Giovanni, R., Panjaitan, D. H., Amaliyah, A. M. B., Marga, P. A., Sandevi, I. G. K. P. A. R., Sitorus, I. C., Alfatih, M., & Chandrawati. (2024). Implementasi dan evaluasi strategi dalam manajemen rumah sakit: Tinjauan literatur metodologi dan pendekatan terkait. Health & Medical Sciences, 2(1), 14. https://doi.org/10.47134/phms.v2i1.237

Graham, N. D., Graham, I. D., Vanderspank-Wright, B., Nadalin-Penno, L., Fergusson, D. A., & Squires, J. E. (2024). Planning for implementation success: Insights from conducting an implementation needs assessment. JBI Evidence Implementation, 23(1), 90–102. https://doi.org/10.1097/XEB.0000000000000458

Hadian, S. A., Rezayatmand, R., Shaarbafchizadeh, N., Ketabi, S., & Pourghaderi, A. R. (2024). Hospital performance evaluation indicators: A scoping review. BMC Health Services Research, 24(1), 1–17. https://doi.org/10.1186/s12913-024-10940-1

Komaling, J., Nelwan, J. E., Vanda, D., Doda, D., & Belakang, A. L. (2022). Implementasi balanced scorecard dalam penyusunan rencana strategis di Rumah Sakit Cantia Tompasobaru. Sam Ratulangi Journal of Public Health, 3(2), 1–13.

Kuddi, P., 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.

Long, J. C., Roberts, N., Francis-Auton, E., Sarkies, M. N., Nguyen, H. M., Westbrook, J. I., Levesque, J. F., Watson, D. E., Hardwick, R., Churruca, K., Hibbert, P., & Braithwaite, J. (2024). Implementation of large, multi-site hospital interventions: A realist evaluation of strategies for developing capability. BMC Health Services Research, 24(1), 1–11. https://doi.org/10.1186/s12913-024-10721-w

Mousa, K. M., Ali, K. A. A., & Gurler, S. (2024). Strategic planning and organizational performance: An empirical study on the manufacturing sector. Sustainability, 16(15), 1–17. https://doi.org/10.3390/su16156690

Nuriyah, N., Akbar, M., & Fahrepi, R. (2025). Health economic evaluation in healthcare management: A systematic review of cost-effectiveness studies in hospital operations. Jurnal Publikasi Sistem Informasi dan Manajemen Bisnis, 4(3), 350–359. https://doi.org/10.55606/jupsim.v4i3.5374

Oyugi, B. O., & Muathe, S. M. (2025). Total quality management practices in healthcare organizations: Implication on performance of private healthcare organizations in Kisumu County, Kenya. Open Journal of Business and Management, 13(5), 3143–3165. https://doi.org/10.4236/ojbm.2025.135165

Purwadhi, P., Widjaja, Y. R., Dimyati, F., & Sandi, G. P. (2025). Exploring new methods for measuring hospital performance and quality of care for more effective strategic planning: A systematic review. Akademik: Jurnal Mahasiswa Ekonomi & Bisnis, 5(1), 477–492. https://doi.org/10.37481/jmeb.v5i1.1225

Purwadhi, P., Widjaja, Y. R., Lukas, D. C., & Hapa, M. (2024). Implementasi balanced scorecard sebagai alat pengukuran kinerja di rumah sakit: Systematic literature review. EKOMA: Jurnal Ekonomi, Manajemen, Akuntansi, 4(2), 3548–3556. https://doi.org/10.56799/ekoma.v4i2.6149

Ramadani, T. F., Ahmad, A., Marcellah, A., & Muktamar, A. (2024). Eksplorasi konsep dan model kepemimpinan dalam manajemen strategik. Indonesian Journal of Innovation Multidisciplinary Research, 2(2), 243–264. https://doi.org/10.69693/ijim.v2i2.135

Rieder, L., & Schoder, J. (2025). Strategies for successful hospital-based outpatient care: Insights from Switzerland and Germany. Hospitals, 2(2), 13. https://doi.org/10.3390/hospitals2020013

Sari, A. M., HB, E., & Ilyas, A. S. (2024). Integrasi kebijakan strategis dalam pengembangan rumah sakit: Studi kasus pada Rumah Sakit Islam Faisal Makassar. Jurnal Kesehatan Amanah, 8(1), 295–304. https://doi.org/10.57214/jka.v8i1.752

Ștefan, S. C., Popa, I., & Breazu, A. (2025). Healthcare organizations and performance: The role of environment, strategic orientation, and organizational structure. Systems, 13(11), 1–24. https://doi.org/10.3390/systems13111018

Sugiyono. (2023). Metode penelitian kualitatif. Alfabeta.

Sumardianto, E. (2024). Penerapan formulasi strategi daycare Islami: Studi kasus Daycare “X” Surabaya 2023. Tanzhim: Jurnal Dakwah Terprogram, 2(1), 95–116. https://doi.org/10.55372/tanzhim.v2i1.18

Warhurst, K., Tyack, Z., Beckmann, M., & Abell, B. (2025). The use of implementation mapping in healthcare settings: A scoping review. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1603178

Wijaya, D. S., & Wening, N. (2024). Peran total quality management dalam meningkatkan kinerja rumah sakit di berbagai negara: Suatu kajian pustaka. Jurnal Ilmiah Manajemen, Ekonomi, & Akuntansi, 8(1), 845–853. https://doi.org/10.31955/mea.v8i1.3765

Wongsin, U., Pannoi, T., Prutipinyo, C., Maruf, M. A., Pongpattrachai, D., Quansri, O., & Sattayasomboon, Y. (2025). Strategic planning and organizational performance in public health sector: A scoping review. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-13206-6

Xiong, B., Bailey, D. X., Stirling, C., Prudon, P., & Martin-Khan, M. (2024). Identification of implementation enhancement strategies for national comprehensive care standards using the CFIR-ERIC approach: A qualitative study. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-11367-4

Xiong, B., Stirling, C., Bailey, D. X., & Martin-Khan, M. (2024). The implementation and impacts of the comprehensive care standard in Australian acute care hospitals: A survey study. BMC Health Services Research, 24(1), 1–13. https://doi.org/10.1186/s12913-024-11252-0

Xiong, B., Stirling, C., Bailey, D. X., Prudon, P., & Martin-Khan, M. (2025). Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study. International Journal of Nursing Sciences, 12(4), 369–378. https://doi.org/10.1016/j.ijnss.2025.06.002

Yull, A. A., & Mulyani, R. R. D. (2024). Analysis of key success factors in implementing the balanced scorecard to improve hospital performance. Publisia: Jurnal Ilmu Administrasi Publik, 9(2), 194–205. https://doi.org/10.26905/pjiap.v9i2.13935

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Published

2026-03-03

How to Cite

Nden Zulvia Afifah, I Gede Sutawan, Purwadhi Purwadhi, & Yani Restiani Widjaja. (2026). Kesenjangan Formulasi dan Implementasi Strategi Serta Dampaknya terhadap Kinerja Rumah Sakit. Jurnal Ilmiah Manajemen Dan Kewirausahaan, 5(2), 251–267. https://doi.org/10.55606/jimak.v5i2.6684