THE FUTURE OF PUBLIC HEALTHCARE MANAGEMENT: FROM THE BUREAUCRATIC MODEL TO THE SERVICE ECOSYSTEM LOGIC
DOI:
https://doi.org/10.51213/ema.v10i2.703Keywords:
public service management, hospital management, service ecosystem, public value, healthcare innovation, manajemen layanan publik, rumah sakit, ekosistem layanan, nilai publik, inovasi kesehatanAbstract
This article aims to explore the transformation of public healthcare management paradigms from a bureaucratic model to a service ecosystem logic. This conceptual approach critiques the traditional bureaucratic model that positions hospitals as administrative institutions and patients as passive service recipients. Through literature analysis and theoretical reflection, this study formulates a conceptual framework for hospital management based on a public value ecosystem. The findings suggest that implementing a service ecosystem logic requires reorienting hospitals’ roles as collaborative nodes connecting doctors, patients, communities, local governments, and private sectors in the co-creation of health value. The theoretical contribution of this article lies in reconceptualizing hospitals as collaborative ecosystems that sustainably generate public value. Practically, the study provides a new direction for Indonesia’s public healthcare management to develop adaptive, inclusive, and socially oriented service systems.References
Alford, J., & O’Flynn, J. (2021). Public value management: Principles and practice. Palgrave Macmillan.
Ancarani, A., & Di Mauro, C. (2018). Managing value co-creation in public services: A systematic literature review. International Journal of Public Sector Management, 31(6), 686–707.
Bevir, M. (2013). Governance: A very short introduction. Oxford University Press.
Bryson, J. M., Crosby, B. C., & Bloomberg, L. (2015). Public value and public administration. Georgetown University Press.
Bryson, J. M., Quick, K. S., Slotterback, C. S., & Crosby, B. C. (2013). Designing public participation processes: Theory to practice. Public Administration Review, 73(1), 23–34. https://doi.org/10.1111/j.1540-6210.2012.02678.x
Denhardt, J. V., & Denhardt, R. B. (2015). The new public service: Serving, not steering (4th ed.). Routledge.
Dunleavy, P., Margetts, H., Bastow, S., & Tinkler, J. (2006). Digital era governance: IT corporations, the state, and e-government. Oxford University Press.
Jaakkola, E. (2020). Designing conceptual articles: Four approaches. AMS Review, 10(1–2), 18–26. https://doi.org/10.1007/s13162-020-00161-0
Jaspers, S., Steen, T., & Verschuere, B. (2023). Co-production in healthcare: The missing link between service quality and patient empowerment. Health Policy, 127(4), 456–468.
Lusch, R. F., & Vargo, S. L. (2014). Service-dominant logic: Premises, perspectives, possibilities. Cambridge University Press.
Moore, M. H. (2019). Creating public value: Strategic management in government. Harvard University Press.
Nabatchi, T., Sancino, A., & Sicilia, M. (2017). Varieties of participation in public services: The who, when, and what of co-production. Public Administration Review, 77(5), 766–776.
Osborne, S. P. (2018). From public service-dominant logic to public service logic: Are public service organizations capable of co-production and value co-creation? Public Management Review, 20(2), 225–231. https://doi.org/10.1080/14719037.2017.1350461
Osborne, S. P., & Strokosch, K. (2013). It takes two to tango? Understanding the coâ€production of public services by integrating the services management and public administration perspectives. British Journal of Management, 24(S1), S31–S47. https://doi.org/10.1111/1467-8551.12010
Osborne, S. P., Radnor, Z., & Nasi, G. (2013). A new theory for public service management? Toward a (public) service-dominant approach. The American Review of Public Administration, 43(2), 135–158. https://doi.org/10.1177/0275074012466935
Osborne, S. P., Radnor, Z., Kinder, T., & Vidal, I. (2015). The SERVICE framework: A public-service-dominant approach to sustainable public services. British Journal of Management, 26(3), 424–438.
Prahalad, C. K., & Ramaswamy, V. (2004). The future of competition: Co-creating unique value with customers. Harvard Business School Press.
Skålén, P., Gummerus, J., Koskull, C. V., & Magnusson, P. R. (2015). Exploring value propositions and service innovation: A service-dominant logic study. Journal of the Academy of Marketing Science, 43(2), 137–158. https://doi.org/10.1007/s11747-013-0365-2
Sørensen, E., & Torfing, J. (2021). Interactive governance: Advancing the paradigm. Oxford University Press.
Trischler, J., & Scott, D. R. (2016). Designing public services: The usefulness of three service design methods for identifying user experiences. Public Management Review, 18(5), 718–739. https://doi.org/10.1080/14719037.2015.1028017
Trischler, J., Dietrich, T., & Rundle-Thiele, S. (2019). Co-design: From expert- to user-driven ideas in public service design. Public Management Review, 21(11), 1595–1619. https://doi.org/10.1080/14719037.2019.1619810
Vargo, S. L., & Lusch, R. F. (2016). Institutions and axioms: An extension and update of service-dominant logic. Journal of the Academy of Marketing Science, 44(1), 5–23. https://doi.org/10.1007/s11747-015-0456-3
Voorberg, W. H., Bekkers, V. J. J. M., & Tummers, L. G. (2015). A systematic review of co-creation and co-production: Embarking on the social innovation journey. Public Management Review, 17(9), 1333–1357. https://doi.org/10.1080/14719037.2014.930505
Whetten, D. A. (1989). What constitutes a theoretical contribution? Academy of Management Review, 14(4), 490–495. https://doi.org/10.5465/amr.1989.4308371
Yuliani, T., Handayani, D., & Kurniawan, A. (2021). Bureaucratic reform and hospital governance in Indonesia: Between efficiency and equity. Journal of Health Policy and Management, 6(2), 105–118.
