Healthcare Ecosystem Mapping in Secondary Health Facility for Hypertension Case

Abstract

Healthcare management research is currently broader its focuses beyond hospitals operations management and involves entities included in the healthcare ecosystem to improve overall quality. However, healthcare is a complex system with multiple issues and consisting of many entities and interactions involved. This study aims to describe the healthcare ecosystem interaction of hypertension cases. This case becomes the focus of attention because, based on Indonesia’s basic health research results, the revalence of hypertension increased to 34.1% in 2018. This research uses a qualitative approach, and the hypertension management process is described based on data collected and interview results. BPMN uses to describe the healthcare ecosystem services flow and identify entities’ interaction involved. In elaborating the interactions between entities, several things were identified that caused poor management of hypertension, such as lack of patient compliance and social support, unintegrated health data, poor coordination among stakeholders, limited staff and technology used, and many services procedures. This study provides an overview of the entity’s relationship in providing services to hypertensive patients through the healthcare ecosystem mapping that grouped entities into delivery, financing, policymaking, and innovation. Moreover, implementing an electronic-based health system is suggested to help manage hypertension cases more effectively and support data-driven decisions.

Keywords: BPMN, electronic health system, healthcare ecosystem mapping, hospital, hypertension management