Paradigm Shift At Medika Utama Hospital: From A Doctor-Centric Approach To Patient-Centered Digital Services

Authors

  • Sri Wahyuni STIMI Banjarmasin
  • Mahdiansyah Mahdiansyah STIMI Banjarmasin
  • Ismaul Khusna STIMI Banjarmasin
  • Noorhikmah Ramadani STIMI Banjarmasin
  • Muhammad Fajar Rifana STIMI Banjarmasin
  • H. Muhammad Zazuli STIMI Banjarmasin

Keywords:

Digital transformation, Organizational Development, Resistance to Change.

Abstract

Hospital digital transformation has become a strategic agenda to enhance service efficiency, quality of care, and organizational competitiveness. However, the success of digital transformation is determined not merely by technology adoption, but also by organizational readiness, culture, leadership, and effective change management. This study aims to analyze the paradigm shift at Medika Utama Hospital from a doctor-centric approach to patient-centered digital services, while identifying the factors underlying the initial failure of digitalization initiatives. The research employs a qualitative approach using a case study design, based on secondary data analysis and an extensive literature review. The findings reveal that the digital transformation process remains largely technocratic, triggering organizational resistance, structural inertia, and weak transformational leadership. These results underscore that hospital digital transformation requires an organizational development approach, cultural change, and continuous learning to effectively realize patient-centered services.

References

Argyris, C., & Schön, D. A. (1978). Organizational learning: A theory of action perspective. Addison-Wesley.

Bass, B. M. (1985). Leadership and performance beyond expectations. Free Press.

Bass, B. M., & Avolio, B. J. (1994). Improving organizational effectiveness through transformational leadership. Sage Publications.

Bayhaqi, M., Asri, A., Syahrir, I., & Wiliyanarti, P. F. (2025). The influence of digital transformation and information management on the efficiency of hospital services [Pengaruh transformasi digital dan manajemen informasi terhadap efisiensi layanan rumah sakit]. Jurnal Kesehatan Vokasional, 10(2).

Burke, W. W., & Litwin, G. H. (1992). A causal model of organizational performance and change. Journal of Management, 18(3), 523–545.

Burns, J. M. (1978). Leadership. Harper & Row.

Chang, S. E., Chen, S. Y., & Lin, C. S. (2012). Exploring organizational culture for information security management. Industrial Management & Data Systems, 112(3), 438–456

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage Publications.

Dameria, Y., Prasetyo, A., & Nugroho, R. (2025). Digital transformation framework in healthcare organizations. Journal of Health Management, 27(1), 45–58.

Freeman, R. E. (2010). Strategic management: A stakeholder approach. Cambridge University Press.

French, W. L., & Bell, C. H. (1999). Organization development: Behavioral science interventions for organization improvement (6th ed.). Prentice Hall.

Greenhalgh, L., & Rosenblatt, Z. (1984). Job insecurity: Toward conceptual clarity. Academy of Management Review, 9(3), 438–448. https://doi.org/10.5465/amr.1984.4279673

Izza, N., Kurniawan, R., & Maulana, A. (2024). Patient-centered care and digital health transformation in hospitals. Journal of Health Services Research, 9(2), 112–123.

Jaya, F. P. (2025). Pengembangan Organisasi dan Manajemen Perubahan: Sessi 1-3 [Materi Perkuliahan]. Sekolah Tinggi Ilmu Manajemen Indonesia Banjarmasin.

Prima Jaya, F. (2025). Filsafat & Metodologi Penelitian.

Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of Management Journal, 33(4), 692–724.

Kementerian Kesehatan Republik Indonesia. (2021). Roadmap sistem rekam medis elektronik dan integrasi SATUSEHAT. Kemenkes RI.

Kotter, J. P., & Schlesinger, L. A. (1979). Choosing strategies for change. Harvard Business Review, 57(2), 106–114.

Mintzberg, H. (1983). Structure in fives: Designing effective organizations. Prentice Hall.

Mintzberg, H. (1993). Structure in fives: Designing effective organizations. Prentice Hall.

Pesqueira, A., Sousa, M. J., & Rocha, Á. (2025). Digital transformation in healthcare organizations: A human-centered approach. Technological Forecasting and Social Change, 198, 122004.

Petrakaki, D., Klecun, E., & Cornford, T. (2016). Changes in healthcare professionals' work afforded by technology. Social Science & Medicine, 164, 44–51.

Pfeffer, J. (1992). Managing with power: Politics and influence in organizations. Harvard Business School Press.

Santoso, A., Wijaya, H., & Lestari, P. (2025). Digital transformation framework for hospital performance improvement. International Journal of Healthcare Management, 18(1), 1–12.

Saputra, W. (2025). Dampak digitalisasi manajemen rumah sakit terhadap efisiensi pelayanan: Literature review. Jurnal Ilmu Kesehatan Masyarakat, 14(3), 245–253.

Schein, E. H. (2010). Organizational culture and leadership (4th ed.). Jossey-Bass.

Silitonga, R. (2019). Inersia struktural dan resistensi perubahan dalam organisasi publik. Jurnal Administrasi Publik, 14(2), 101–115.

Westerhof, L., van Hasselt, M., & Boersma, K. (2025). Lean healthcare and integrated health systems in digital transformation. Health Policy and Technology, 14(1), 100786.

Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage Publications.

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Published

2025-08-23

How to Cite

Paradigm Shift At Medika Utama Hospital: From A Doctor-Centric Approach To Patient-Centered Digital Services. (2025). Hut Publication Business and Management, 5(2). https://hutpublication.com/index.php/HPBM/article/view/70