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To What Extent Can Value-Based Healthcare Governance Be Applied In Value-Based Hospitals? Lessons from MENA for Indonesia

Lex Scientia Law Review · Vol. 10 No. 2 (2026) · hlm. 669–704

DOI
10.15294/lslr.v10i2.35836
ISSN
2598-9685, 2598-9677
Terbit
2026-10-08
Penerbit
Universitas Negeri Semarang
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc-sa/4.0

Abstrak

The Value-Based Healthcare (VBHC) paradigm shifts the focus of care from quantity to quality and the efficiency of patient outcomes, a transformational shift in healthcare management that is now widely adopted in the MENA region (Middle East and North Africa). In Indonesia, despite rapid growth in the private sector, value-based hospitals operated by foundation-based legal entities still face stagnation in service delivery due to high operational costs, low profitability, and weak professional governance. This research aims to study the extent to which value-based healthcare governance can be implemented in Indonesia by drawing valuable lessons from the transformation in the MENA region. Using a descriptive approach with qualitative methods supplemented by quantitative field data, this study evaluates operational readiness and formulates a value-based governance framework. The findings indicate that the implementation of VBHC is highly dependent on an integrated governance ecosystem involving regulation, procurement, accreditation, digital infrastructure, leadership, and outcome measurement. Drawing lessons from Saudi Arabia and Egypt, coordination among regulators, payers, and accreditation bodies is an absolute pre-condition. In Indonesia, foundation hospitals require a contextual approach that takes into account their financial sustainability, organizational capacity, and specific nonprofit characteristics. Policy implications call for the Ministry of Health and BPJS Kesehatan to strengthen cross-institutional coordination in order to integrate VBHC principles into financing governance, outcome indicators, and value-based service delivery mechanisms.

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Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/lslr/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">To What Extent Can Value-Based Healthcare Governance Be Applied In Value-Based Hospitals? Lessons from MENA for Indonesia</dc:title>
	<dc:creator xml:lang="en">Prananingrum, Dyah Hapsari</dc:creator>
	<dc:creator xml:lang="en">Haryani, Endang</dc:creator>
	<dc:creator xml:lang="en">Widjanarko, Bagoes</dc:creator>
	<dc:creator xml:lang="en">Intening,  Vivi Retno</dc:creator>
	<dc:subject xml:lang="en">Value Based Healthcare</dc:subject>
	<dc:subject xml:lang="en">Faith-based Hospitals</dc:subject>
	<dc:subject xml:lang="en">Healthcare Governance</dc:subject>
	<dc:subject xml:lang="en">MENA</dc:subject>
	<dc:subject xml:lang="en">Indonesia Hospitals</dc:subject>
	<dc:description xml:lang="en">The Value-Based Healthcare (VBHC) paradigm shifts the focus of care from quantity to quality and the efficiency of patient outcomes, a transformational shift in healthcare management that is now widely adopted in the MENA region (Middle East and North Africa). In Indonesia, despite rapid growth in the private sector, value-based hospitals operated by foundation-based legal entities still face stagnation in service delivery due to high operational costs, low profitability, and weak professional governance. This research aims to study the extent to which value-based healthcare governance can be implemented in Indonesia by drawing valuable lessons from the transformation in the MENA region. Using a descriptive approach with qualitative methods supplemented by quantitative field data, this study evaluates operational readiness and formulates a value-based governance framework. The findings indicate that the implementation of VBHC is highly dependent on an integrated governance ecosystem involving regulation, procurement, accreditation, digital infrastructure, leadership, and outcome measurement. Drawing lessons from Saudi Arabia and Egypt, coordination among regulators, payers, and accreditation bodies is an absolute pre-condition. In Indonesia, foundation hospitals require a contextual approach that takes into account their financial sustainability, organizational capacity, and specific nonprofit characteristics. Policy implications call for the Ministry of Health and BPJS Kesehatan to strengthen cross-institutional coordination in order to integrate VBHC principles into financing governance, outcome indicators, and value-based service delivery mechanisms.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang</dc:publisher>
	<dc:date>2026-10-08</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/lslr/article/view/35836</dc:identifier>
	<dc:identifier>10.15294/lslr.v10i2.35836</dc:identifier>
	<dc:source xml:lang="en">Lex Scientia Law Review; Vol. 10 No. 2 (2026): November, 2026; 669-704</dc:source>
	<dc:source>2598-9685</dc:source>
	<dc:source>2598-9677</dc:source>
	<dc:source>10.15294/lslr.v10i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/lslr/article/view/35836/11680</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Dyah Hapsari Prananingrum, Endang Haryani, Bagoes Widjanarko,  Vivi Retno Intening (Author)</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by-nc-sa/4.0</dc:rights>
</oai_dc:dc>