The effects of local culture on hospital administration in West Sumatra, Indonesia

Semiarty, Rima and Fanany, Rebecca 2017, The effects of local culture on hospital administration in West Sumatra, Indonesia, Leadership in health services, vol. 30, no. 1, pp. 59-67, doi: 10.1108/LHS-01-2016-0001.

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Title The effects of local culture on hospital administration in West Sumatra, Indonesia
Author(s) Semiarty, Rima
Fanany, RebeccaORCID iD for Fanany, Rebecca
Journal name Leadership in health services
Volume number 30
Issue number 1
Start page 59
End page 67
Total pages 9
Publisher Emerald Group Publishing
Place of publication Binglery, Eng.
Publication date 2017-01-23
ISSN 1751-1879
Keyword(s) hospital administration
local culture
Summary Purpose: Problems in healthcare leadership are a serious concern in West Sumatra, Indonesia, especially in hospitals which are controlled locally. This article presents the experience of three hospitals in balancing the conflict between the demands of the national healthcare system and the traditional model of leadership of the local community.Design/methodology/approach: Three case studies of the hospital leadership dynamic in West Sumatra were developed from in-depth interviews with directors, senior administrators, and a representativeselection of employees in various professional categories.Findings: Analysis of findings shows that traditional views about leadership remain strong in the community and color the expectations of hospital staff. Hospital directors, however, are bound by thestructures of the national system that derive from modern management practices. This conflict has become more pronounced since regional autonomy as local culture plays a much more significant rolenow than in the past.Research limitations/implications: The research was carried out in one Indonesian province and was limited to three hospitals of different types.Practical implications: The findings elucidate a potential underlying cause of problems in hospital management in Indonesia and may inform culturally appropriate ways of addressing them.Originality/value: The social and cultural context of management has not been rigorously studied in Indonesia. The relationship between local and national culture reported here likely has a similar impact in other parts of the country.
Language eng
DOI 10.1108/LHS-01-2016-0001
Field of Research 111709 Health Care Administration
Socio Economic Objective 920299 Health and Support Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, Emerald Group Publishing
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School of Humanities and Social Sciences
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