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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) · pp. 669–704

DOI
10.15294/lslr.v10i2.35836
ISSN
2598-9685, 2598-9677
Published
2026-10-08
Publisher
Universitas Negeri Semarang
Language
eng
License
creativecommons.org/licenses/by-nc-sa/4.0

Abstract

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.

Keywords

Collaboration network of the authors

23 authors · 57 co-authorship links

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  • Diponegoro University
  • Affiliation unknown
  • Different organisations
  • Same organisation
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Co-authorOrganisationJoint articles
Zahroh ShaluhiyahAffiliation unknown3
Ratih IndraswariAffiliation unknown3
Apoina KartiniAffiliation unknown2
Aditya KusumawatiAffiliation unknown2
Novia HandayaniAffiliation unknown2
Sri Achadi NugraheniAffiliation unknown1
Moch Taufik HidayatullahAffiliation unknown1
. SuhartonoAffiliation unknown1
Lily KresnowatiAffiliation unknown1
Ani PurwantiDiponegoro University1
Suci Musvita AyuAffiliation unknown1
Mohammad Zen RahfiludinAffiliation unknown1
Mursid RaharjoAffiliation unknown1
Onny SetianiAffiliation unknown1
Novia LuthviatinAffiliation unknown1
Antono SuryoputroAffiliation unknown1
Suhartono SuhartonoAffiliation unknown1
Muhammad Hussein GasemAffiliation unknown1
Munaya FauziahAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/lslr/oai, first harvested 6 Nov 2026, last seen 8 Nov 2026.
Original metadata (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>