Healthcare Ecosystem Mapping in Primary Care: A Case Study in West Java, Indonesia

Abstract

Primary care is supposed to be the foundation to achieve universal health coverage. However, there is still a big gap in primary care service delivery in practice, especially in developing countries. The Healthcare system is portrayed as a complex setting consisting of multi-activities and multi-stakeholders. This research tries to describe the process flow of Indonesia's primary healthcare, key entities involved, and the linkage among them. This study employed a qualitative method. Semi-structured interviews were conducted with various types of primary care in West Java, Indonesia. Using the Healthcare Ecosystem Mapping framework, major entities are grouped into the interconnected-circle of delivery, financing, policymaking, and innovation. The interaction among entities are also described in BPMN. Findings showed that Indonesia's primary healthcare still focused more on curative rehabilitative action than promotive and preventive action. Besides, very few innovations are done in the healthcare delivery aspect. Further research should be conducted to give recommendation of a redesign process to improve this situation.

BPM application in clinical process improvement: a women 'hospital case study

“…The research (Basri et al, 2021) describes the process flow and key actors involved in Indonesia's primary healthcare. Major entities are grouped into four interconnected circles: delivery, financing, policymaking, and innovation, using the Healthcare Ecosystem Mapping framework.…”

“…This organization of labor is the organization of placental division and removal. (Kilpatrick and Laros, 1989) 2.2 Review of previous studies According to the field of our research, we have reviewed the articles, respectively, for BPM in health care in references (Pufahl et al, 2022;Kirikkayis et al, 2022;Basri et al, 2021;Sbayou et al, 2019), BPM in clinical processes including (Bianchi et al, 2021;Pereira et al, 2020;Combi et al, 2021;Becker et al, 2020;Pasichnyk et al, 2023;Combi et al, 2017;de Lima et al, 2023), and in the field of natural childbirth process in obstetrics and gynecology hospitals including articles (Shahveisi et al, 2023;Ami et al, 2023;Khodarahmi et al, 2023;Olza et al, 2020;Moridi et al, 2020;Vogel et al, 2021).…”

“…According to the field of our research, we have reviewed the articles, respectively, for BPM in health care in references (Pufahl et al ., 2022; Kirikkayis et al ., 2022; Basri et al. , 2021; Sbayou et al ., 2019), BPM in clinical processes including (Bianchi et al.…”

“…The research (Basri et al. , 2021) describes the process flow and key actors involved in Indonesia's primary healthcare.…”

Pengelompokan Rumah Sakit di Jakarta Menggunakan Model DBSCAN, Gaussian Mixture, dan Hierarchical Clustering

“…Pengumpulan data dan analisis performa dari fasilitas Kesehatan dalam suatu negara merupakan hal yang penting untuk kebijakan pemerintah di masa depan, khususnya kebijakan terkait Kesehatan Masyarakat. Indonesia negara yang memiliki jumlah penduduk yang sangat banyak yaitu sekitar lebih dari 200 juta penduduk yang tentunya memiliki permasalahan dalam melakukan distribusi persebaran fasilitas Kesehatan dan tenaga ahli Kesehatan seperti dokter, perawat, bidan dan lainnya yang dimana saat ini mayoritas tersebar di daerah kota-kota besar [2]. Hal tersebut dapat terlihat ketika Indonesia menghadapi pandemi COVID-19 dimana tenaga medis yang tersedia tidak mencukupi dan meningkatnya permintaan penggunaan fasilitas Kesehatan oleh para pasien [3].…”