Keunggulan Bersaing Rumah Sakit di Era JKN: Peran Transformasi Digital, Big Data Analytics, Kelincahan Organisasi, dan Etika Kerja Islam
DOI:
https://doi.org/10.71094/vkj.v4i1.329Keywords:
Competitive Advantage, Digital Transformation, Big Data Analytics, Organizational Agility, Islamic Work Ethic, JKN, PLS-SEMAbstract
Indonesia's National Health Insurance system (JKN), covering more than 270 million participants in 2024, created a strategic paradox for partner hospitals: guaranteed patient volume on one hand, but fixed INA-CBG tariffs, tiered referral systems, and strict accreditation requirements on the other, demanding new competitive capabilities not accommodated by prior research models. This study aimed to develop and formulate an integrated conceptual framework explaining the roles of digital transformation, big data analytics, and organizational agility as antecedents of hospital competitive advantage, with service quality as a mediator and Islamic work ethics as a moderator. The study was designed using an explanatory quantitative cross-sectional approach with proportional stratified random sampling targeting 150 managerial and clinical respondents from six BPJS partner hospitals in Kuningan Regency, West Java, with data to be analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) via SmartPLS 4. The framework produced nine hypotheses grounded in Dynamic Capabilities Theory, SERVQUAL Theory, and Islamic Work Ethics Theory, and extended a prior research model by replacing a static information-systems construct with three dynamic capability constructs. The study concluded that hospital competitive advantage under JKN depends on simultaneous investment in digital capabilities reinforced by Islamic work ethics as a conditional amplifier, providing a theoretical foundation and empirical validation agenda for hospital managers, BPJS Kesehatan regulators, and future researchers.
Downloads
References
Agwunobi, A., & Osborne, P. (2016). Dynamic capabilities and healthcare: A framework for enhancing the competitive advantage of hospitals. California Management Review, 58(4), 141–161. https://doi.org/10.1525/cmr.2016.58.4.141
Ali, A. J., & Al-Owaihan, A. (2008). Islamic work ethic: A critical review. Cross Cultural Management: An International Journal, 15(1), 5–19. https://doi.org/10.1108/13527600810848791
Badar, K., Aboramadan, M., Alhabil, W., Dahleez, K. A., & Farao, C. (2024). Does employee relations climate mediate the effect of Islamic work ethics on organizational performance? Evidence from Qatar. Journal of Islamic Accounting and Business Research, 15(8), 1205–1221. https://doi.org/10.1108/JIABR-07-2022-0164
Bharadwaj, A., El Sawy, O. A., Pavlou, P. A., & Venkatraman, N. (2013). Digital business strategy: Toward a next generation of insights. MIS Quarterly, 37(2), 471–482. https://doi.org/10.25300/MISQ/2013/37:2.3
BPJS Kesehatan. (2023). Laporan pengelolaan program dan laporan keuangan jaminan sosial bidang kesehatan tahun 2023. BPJS Kesehatan.
Chen, H., Chiang, R. H. L., & Storey, V. C. (2012). Business intelligence and analytics: From big data to big impact. MIS Quarterly, 36(4), 1165–1188. https://doi.org/10.2307/41703503
Cronin, J. J., & Taylor, S. A. (1994). SERVPERF versus SERVQUAL: Reconciling performance-based and perceptions-minus-expectations measurement of service quality. Journal of Marketing, 58(1), 125–131. https://doi.org/10.1177/002224299405800110
Day, G. S., & Wensley, R. (1988). Assessing advantage: A framework for diagnosing competitive superiority. Journal of Marketing, 52(2), 1–20. https://doi.org/10.1177/002224298805200201
Doz, Y., & Kosonen, M. (2010). Embedding strategic agility: A leadership agenda for accelerating business model renewal. Long Range Planning, 43(2–3), 370–382. https://doi.org/10.1016/j.lrp.2009.07.006
Forster, G., & Fenwick, J. (2015). The influence of Islamic values on management practice in Morocco. European Management Journal, 33(2), 143–156. https://doi.org/10.1016/j.emj.2014.04.002
Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203
Narver, J. C., & Slater, S. F. (1990). The effect of a market orientation on business profitability. Journal of Marketing, 54(4), 20–35. https://doi.org/10.1177/002224299005400403
Poerbantoro, H. (2006). Analisa pengaruh antara penggunaan teknologi informasi, orientasi pasar, dan implementasi strategi diferensiasi terhadap kualitas layanan dalam mencapai keunggulan bersaing [Tesis magister, Universitas Diponegoro].
Porter, M. E. (1985). Competitive advantage: Creating and sustaining superior performance. Free Press.
Teece, D. J. (2007). Explicating dynamic capabilities: The nature and microfoundations of (sustainable) enterprise performance. Strategic Management Journal, 28(13), 1319–1350. https://doi.org/10.1002/smj.640
Vial, G. (2019). Understanding digital transformation: A review and a research agenda. Journal of Strategic Information Systems, 28(2), 118–144. https://doi.org/10.1016/j.jsis.2019.01.003
Wamba, S. F., Gunasekaran, A., Akter, S., Ren, S. J. F., Dubey, R., & Childe, S. J. (2017). Big data analytics and firm performance: Effects of dynamic capabilities. Journal of Business Research, 70, 356–365. https://doi.org/10.1016/j.jbusres.2016.08.009
Yanneri, E. K. R., Salim, U., Djumahir, & Djazuli, A. (2019). Hospital's competitive advantage through service quality, information systems and Islamic work ethics. Problems and Perspectives in Management, 17(2), 193–204. https://doi.org/10.21511/ppm.17(2).2019.14
Yuan, H., & Ferreira, F. A. F. (2025). Sustainable competitive advantage in maternal and child health institutions: A dynamic capability approach. Annals of Operations Research, 346(2), 1869–1895. https://doi.org/10.1007/s10479-022-04738-9
Zeithaml, V. A., Parasuraman, A., & Berry, L. L. (1990). Delivering quality service: Balancing customer perceptions and expectations. Free Press.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Yanneri Elfa Kiswara Rahmantya1*, Herma Wiharno1, Rina Masruroh1, Elly Wijaya Nursyam2

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.












