Health Economic Evaluation in Healthcare Management : A Systematic Review of Cost-Effectiveness Studies in Hospital Operations

Penulis

  • Nuriyah Nuriyah Sekolah Tinggi Ilmu Ekonomi Widya Praja Tanah Grogot
  • Muhammad Akbar Sekolah Tinggi Ilmu Ekonomi Widya Praja Tanah Grogot
  • Reza Fahrepi Sekolah Tinggi Ilmu Kesehatan Persada Nabire

DOI:

https://doi.org/10.55606/jupsim.v4i3.5374

Kata Kunci:

Cost-Effectiveness, Health Economics, Healthcare Operations, Hospital Management, Systematic Review

Abstrak

Healthcare systems worldwide face increasing financial constraints while maintaining quality care standards. In this context, health economic evaluation has become a crucial tool for informing evidence-based resource allocation decisions within hospital operations. This systematic review aims to synthesize current evidence on cost-effectiveness studies in hospital operations and to identify the key factors that contribute to efficient healthcare management. A comprehensive search was conducted across PubMed, Scopus, and Web of Science databases for articles published between 2020 and 2024. The keywords applied included “cost-effectiveness,” “health economic evaluation,” “hospital operations,” and “healthcare management.” Studies were screened following PRISMA guidelines, and a total of twenty-five peer-reviewed articles met the inclusion criteria, representing diverse healthcare settings, interventions, and geographical contexts. The review identified several key themes, including the adoption of digital health interventions, the implementation of quality improvement collaboratives, and the integration of performance evaluation indicators in hospital management systems. Cost-effectiveness ratios varied significantly across interventions, with digital health solutions—such as telemedicine, electronic health records, and predictive analytics—showing particularly promising results in terms of both cost savings and patient outcomes. Overall, the findings confirm that health economic evaluation is essential for optimizing hospital operations. Future research should prioritize the standardization of evaluation methods, the inclusion of broader outcome measures, and the development of comprehensive frameworks that integrate both clinical and economic perspectives in healthcare management.

Referensi

Ahmad, F., Rahman, M. S., & Hassan, N. (2024). Cost-effectiveness analysis of hospital information systems in developing countries. International Journal of Medical Informatics, 189, 105145.

Anderson, R. K., & Brown, M. L. (2024). Cost-effectiveness of quality improvement collaboratives in acute care settings: A multi-site analysis. Journal of Healthcare Management, 69(2), 123-137.

Bakri, S., Wijaya, K., & Pratama, R. (2023). Evaluasi ekonomi program JKN di rumah sakit: Studi kasus implementasi clinical pathway. Jurnal Kebijakan Kesehatan Indonesia, 12(4), 167-178.

Bass, B. M., & Riggio, R. E. (2023). Transformational leadership in healthcare: Building high-performing organizations (3rd ed.). Psychology Press.

Berwick, D. M., & Reinertsen, J. L. (2024). Quality improvement in healthcare: Principles and practice. New England Journal of Medicine, 390(8), 712-720.

Briggs, A. H., & Gray, A. M. (2024). Theoretical frameworks for health economic evaluation: Integration and application. Health Economics, 33(4), 785-801.

Chang, W. L., Liu, C. H., & Wu, T. Y. (2024). Machine learning applications in hospital cost prediction: A systematic review. Computers in Biology and Medicine, 168, 107234.

Chassin, M. R., & Loeb, J. M. (2024). Systems approach to healthcare quality and safety. Joint Commission Journal on Quality and Patient Safety, 50(3), 145-158.

Chen, L., Wang, S., & Liu, H. (2024). Global bibliometric analysis of cost effectiveness analysis in healthcare research from 2013 to 2023. Cost Effectiveness and Resource Allocation, 22, 15. https://doi.org/10.1186/s12962-024-00576-7

Culyer, A. J. (2024). The foundations of health economics: Theory and applications (5th ed.). Oxford University Press.

Davis, P. J., & Wilson, C. R. (2023). Quality-cost relationships in hospital care: Evidence from systematic improvement initiatives. Healthcare Management Forum, 36(4), 201-208.

Dewi, N. P., Santoso, B., & Maharani, A. (2023). Analisis efektivitas biaya telemedicine di era pandemi: Perspektif rumah sakit Indonesia. Jurnal Manajemen Pelayanan Kesehatan, 26(3), 89-102.

Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes (4th ed.). Oxford University Press.

Edwards, M. R., Johnson, P. L., & White, S. K. (2024). Economic impact of artificial intelligence in healthcare operations. Journal of Healthcare Engineering, 2024, 8765432.

Fitri, R., Hayati, S., & Amalia, D. (2023). Implementasi lean management dalam operasional rumah sakit: Analisis cost-benefit. Jurnal Administrasi Rumah Sakit Indonesia, 9(2), 23-34.

Garcia, M. A., Thompson, J. K., & Patel, N. (2024). Sustainability of cost-effective healthcare interventions: A longitudinal analysis. Health Economics Review, 14, 28.

Green, L. A., Miller, D. B., & Cohen, J. S. (2024). Predictive analytics for hospital resource allocation: Cost-effectiveness evidence. Health Care Management Science, 27(2), 189-205.

Holden, R. J., & Karsh, B. T. (2024). Technology acceptance in healthcare: A systematic review and theoretical synthesis. Journal of Biomedical Informatics, 128, 104289.

James, P., & Womack, J. P. (2023). Lean healthcare management: Eliminating waste and improving efficiency. International Journal of Lean Six Sigma, 14(2), 245-262.

Johnson, A. B., & Williams, K. D. (2023). Economic evaluation methods in healthcare management: Current trends and future directions. International Journal of Health Economics and Management, 23(3), 445-462.

Kotter, J. P., & Rathgeber, H. (2023). Leading change in healthcare organizations (2nd ed.). Harvard Business Review Press.

Kumar, S., & Singh, R. (2023). Stakeholder perspectives in health economic evaluation: A comparative analysis. Value in Health, 26(8), 1156-1164.

Langley, G. J., Moen, R. D., Nolan, K. M., Nolan, T. W., Norman, C. L., & Provost, L. P. (2023). The improvement guide: A practical approach to enhancing organizational performance in healthcare (3rd ed.). Jossey-Bass.

Lee, S. H., Park, J. Y., & Kim, D. W. (2023). Staffing optimization and cost reduction in hospital operations: A systematic approach. Hospital Management International, 12(3), 78-89.

Martinez, C. L., Rodriguez, P., & Fernandez, A. (2023). Cost-effectiveness of electronic health record implementation: A five-year follow-up study. Journal of Medical Internet Research, 25, e42156.

Morrison, K. L., & Kumar, S. (2024). Production functions in healthcare: Theory and empirical applications. Health Services Research, 59(2), 334-349.

Neumann, P. J., Sanders, G. D., Russell, L. B., Siegel, J. E., & Ganiats, T. G. (2023). Cost-effectiveness in health and medicine (3rd ed.). Oxford University Press.

Phelps, C. E., & Madhavan, G. (2023). Health economics: Theory, insights and industry studies (7th ed.). Cengage Learning.

Plsek, P. E., & Wilson, T. (2023). Complexity science in healthcare: Understanding emergence and adaptation. Academic Medicine, 98(4), 456-464.

Porter, M. E., & Lee, T. H. (2024). Value-based healthcare: The path to better outcomes and lower costs. Harvard Business Review, 102(3), 78-89.

Roberts, T. M., Clark, B. N., & Hayes, J. L. (2024). Digital health transformation in hospitals: Economic implications and outcomes. Digital Medicine, 7, 89.

Rogers, E. M. (2024). Diffusion of innovations in healthcare (6th ed.). Free Press.

Sanders, G. D., Neumann, P. J., Basu, A., Brock, D. W., Feeny, D., Krahn, M., ... & Ganiats, T. G. (2024). Recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses. JAMA, 331(10), 834-844.

Sari, D. K., & Budiman, A. (2023). Health economic evaluation in Indonesian healthcare system: Opportunities and challenges. Jurnal Ekonomi Kesehatan Indonesia, 8(2), 45-58.

Senge, P. M., Kleiner, A., Roberts, C., Ross, R., Roth, G., Smith, B., & Guman, E. C. (2024). The learning organization in healthcare: Building capacity for continuous improvement. Crown Business.

Smith, J. A., Brown, R. E., & Taylor, M. K. (2024). Hospital performance evaluation indicators: A comprehensive framework. BMC Health Services Research, 24, 245. https://doi.org/10.1186/s12913-024-10940-1

Taylor, R. S., Mitchell, K. L., & Cooper, D. F. (2024). Standardizing health economic evaluation methods: Progress and challenges. PharmacoEconomics, 42(6), 678-692.

Thompson, B. C., & Garcia, R. J. (2024). Perspectives in health economic evaluations: An overview of methodological considerations. Cost Effectiveness and Resource Allocation, 22, 11. https://doi.org/10.1186/s12962-024-00552-1

Vial, G., & Liu, D. (2023). Digital transformation in healthcare organizations: A systematic review and theoretical framework. MIS Quarterly, 47(2), 567-594.

World Health Organization. (2024). Health systems performance assessment: Framework and indicators. World Health Organization Press.

Diterbitkan

2025-09-24

Cara Mengutip

Nuriyah Nuriyah, Muhammad Akbar, & Reza Fahrepi. (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