Implementation and Impact of Hospital Bylaws in Indonesian Healthcare: A Scoping Review

Zulfa Nadia Danasti ^1*,  Qurratul Aini ¹

This review identifies factors influencing bylaw implementation, enhancing hospital governance and patient safety in Indonesian healthcare settings.

Abstract

Background: Hospital bylaws are essential regulatory frameworks governing hospital operations and defining roles among medical staff, administrators, and owners. Effective implementation ensures compliance with legal standards and enhances patient safety. Method: This scoping review analyzed literature from 2003 to 2023 on hospital bylaw implementation in Indonesian hospitals. Data were gathered from PubMed, ScienceDirect, and Google Scholar using systematic searches and evaluated using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Out of 2,492 articles screened, 11 met inclusion criteria after quality assessment. Findings highlighted factors influencing bylaw implementation, including owner knowledge gaps, directorial roles in clinical management, and staff adherence to patient safety protocols. Challenges such as workload impact on safety practices were also noted. Conclusion: Effective hospital bylaw implementation in Indonesia hinges on collaborative efforts among stakeholders. Enhancing owner awareness, optimizing directorial roles, and fostering staff compliance are critical. Continuous evaluation and adaptation are necessary for sustained improvements in hospital governance and patient care.

Keywords: Hospital Bylaws, Healthcare Governance, Indonesia, Patient Safety, Regulatory Compliance

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