Strategi peningkatan pendapatan rumah sakit dalam industri kesehatan yang kompetitif di era jaminan kesehatan nasional: Sebuah systematic literature review
DOI:
https://doi.org/10.60036/jbm.1203Keywords:
Strategi Pendapatan Rumah Sakit, JKN, INA-CBGs, Revenue Cycle Management, Transformasi DigitalAbstract
Tujuan – Penelitian ini bertujuan untuk mengidentifikasi strategi empiris untuk meningkatkan pendapatan rumah sakit di era Jaminan Kesehatan Nasional (JKN) berbasis INA-CBGs.
Desain/metodologi/pendekatan – Penelitian menggunakan systematic review berpedoman pada PRISMA 2020 dengan sintesis tematik kualitatif. Artikel ditelusuri melalui PubMed, Scopus, Web of Science, ScienceDirect, Garuda, dan Google Scholar, serta melalui backward/forward snowballing untuk periode 1 Januari 2020–31 Desember 2025. Sebanyak 20 artikel empiris memenuhi kriteria inklusi.
Temuan – Strategi peningkatan pendapatan rumah sakit membutuhkan integrasi akurasi coding, verifikasi klaim, manajemen piutang, efisiensi proses, Lean Hospital, logistik ABC-VEN, diversifikasi layanan non-JKN, pemasaran digital, transformasi digital, serta penguatan SDM.
Keterbatasan penelitian – Keterbatasan meliputi jumlah artikel yang terbatas, heterogenitas desain studi, dan ketidakseragaman pelaporan indikator finansial. Penelitian selanjutnya disarankan untuk menggunakan desain longitudinal atau kuasi-eksperimental.
Implikasi – Rumah sakit perlu menerapkan strategi pendapatan terintegrasi, berbasis data, dan sesuai dengan konteks organisasi.
Kebaruan – Penelitian ini menawarkan pemetaan terpadu lintas domain dalam strategi peningkatan pendapatan rumah sakit.
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