Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals
Context: Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the r...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2025-01-01
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| Series: | Global Transitions |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589791825000015 |
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| author | Masyitoh Basabih Eko Prasojo Amy Yayuk Sri Rahayu |
| author_facet | Masyitoh Basabih Eko Prasojo Amy Yayuk Sri Rahayu |
| author_sort | Masyitoh Basabih |
| collection | DOAJ |
| description | Context: Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the relationships between variables. This study aims to determine the influence of system context, drivers, and collaborative processes on the outcomes of PPP hemodialysis services in regional hospital in Indonesia. Methods: This study employs a quantitative approach with primary data obtained through a survey. The research sample consists of 75 regional hospitals represented by 111 respondents. Analysis was conducted using the Partial Least Square-Structural Equation Modeling (PLS-SEM) technique. Findings: The system context indirectly influences the process through mediation by the driver variable at 0.451, where the driver significantly affects the collaborative process at 0.534, and the collaborative process significantly influences the outcome at 0.773. The policy dimension makes the largest contribution to the systemic context, as does the consequential incentive dimension to the drivers. In the process variable, the capacity for joint action is the dimension with the greatest contribution. Conclusions: The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance. |
| format | Article |
| id | doaj-art-3e353222c5094693b72041a2ec140dc0 |
| institution | Kabale University |
| issn | 2589-7918 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Global Transitions |
| spelling | doaj-art-3e353222c5094693b72041a2ec140dc02025-01-21T04:13:17ZengKeAi Communications Co., Ltd.Global Transitions2589-79182025-01-0175668Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitalsMasyitoh Basabih0Eko Prasojo1Amy Yayuk Sri Rahayu2Faculty of Public Health, Universitas Indonesia, Indonesia; Corresponding author.Faculty of Administrative Science, Universitas Indonesia, IndonesiaFaculty of Administrative Science, Universitas Indonesia, IndonesiaContext: Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the relationships between variables. This study aims to determine the influence of system context, drivers, and collaborative processes on the outcomes of PPP hemodialysis services in regional hospital in Indonesia. Methods: This study employs a quantitative approach with primary data obtained through a survey. The research sample consists of 75 regional hospitals represented by 111 respondents. Analysis was conducted using the Partial Least Square-Structural Equation Modeling (PLS-SEM) technique. Findings: The system context indirectly influences the process through mediation by the driver variable at 0.451, where the driver significantly affects the collaborative process at 0.534, and the collaborative process significantly influences the outcome at 0.773. The policy dimension makes the largest contribution to the systemic context, as does the consequential incentive dimension to the drivers. In the process variable, the capacity for joint action is the dimension with the greatest contribution. Conclusions: The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance.http://www.sciencedirect.com/science/article/pii/S2589791825000015Collaborative governancePublic-private partnershipHemodialysisHospitalsPolicies |
| spellingShingle | Masyitoh Basabih Eko Prasojo Amy Yayuk Sri Rahayu Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals Global Transitions Collaborative governance Public-private partnership Hemodialysis Hospitals Policies |
| title | Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals |
| title_full | Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals |
| title_fullStr | Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals |
| title_full_unstemmed | Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals |
| title_short | Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals |
| title_sort | emerson s framework on the output of public private partnership on hemodialysis services in indonesia regional hospitals |
| topic | Collaborative governance Public-private partnership Hemodialysis Hospitals Policies |
| url | http://www.sciencedirect.com/science/article/pii/S2589791825000015 |
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