HEALTHCARE ECOSYSTEM MAPPING IN SECONDARY HEALTH FACILITY FOR HYPERTENSION CASE

• Main Author: Fadila, Tiara
• Format: Theses
• Language: Indonesia
• Subjects: Manajemen umum
• Online Access: https://digilib.itb.ac.id/gdl/view/54926
• Institution: Institut Teknologi Bandung

Research on healthcare management currently focuses not only on operations management in hospitals but also on a broader aspect. Thus, improving the quality of the healthcare complex system is starting to involve several other entities included in the healthcare ecosystem. In this study, the healthcare ecosystem mapping uses the case of hypertension. Hypertension is one of the non-communicable diseases that cause many deaths in the world. This case became the focus of attention because, based on Indonesia’s basic health research results, the prevalence of hypertension disease increased to 34.1% in 2018. Hence, it is necessary to improve the management of handling hypertension. The management of hypertension disease involves a promotive, preventive, and curative program. Based on a tiered health system, the promotive and preventive programs mainly focus on primary health facilities. Meanwhile, the hospital, as a secondary-level health facility, is more focused on curative services. In this study, each process is described using a business process model and notation to see the flow of services and entities involved in the process. Several factors were found that caused the ineffective management of hypertension disease management, namely lack of patient compliance, low social support, non-integrated health data, poor coordination among the entities involved, the limited number of staff, limited technology used, and many procedures that patients had to go through in getting health services. The suggested solution to overcome the problems is to implement the use of an electronicbased health system. To assist the process of health data integration and facilitate coordination between stakeholders, it is necessary to have an electronic health record containing electronic medical records. In addition, to improve patient compliance and social support, electronic blood pressure monitoring applications can help control blood pressure conditions. The admission process is simplified by implementing an online admission system with a reservation feature expected to overcome the limited staff and simplify service procedures. This digital health system application can help manage hypertension better and more accurate decision-making with supporting data. Then, entities involved in healthcare are grouped into delivery, financing, policymaking, and innovation using healthcare ecosystem mapping. It aims to provide an overview of entities interactions that connected in providing services to patients, either directly or indirectly. By implementing the suggested solutions, it is hoped that hypertension disease management will be more controlled and effective to reduce the prevalence value of hypertension.