Factors Affecting Policy Implementation of “One ID Card Smart Hospital”: A Case Study of the District Health Promotion Hospital in Health Region 4
Keywords:
One ID card smart hospital, Health systemAbstract
This is a cross-sectional analytical study, examining the level of, and factors influencing, the policy implementation of the “One ID Card Smart Hospital” initiative. The case study focused on District Health Promotion Hospitals (DHPHs) within Health Region 4. A total of 304 samples were selected through stratified sampling. A structured questionnaire was used as the primary research instrument. Data were analyzed using frequency, percentage, mean, standard deviation, as well as inferential statistics, including the Chi-square test and binary logistic regression.
The study revealed that 82.6% of Subdistrict Health Promoting Hospitals (SHPHs) in Health Region 4 operated under the policy at a level requiring further development, while only 17.4% performed at a good level. A key factor influencing policy implementation was the readiness of the health system. SHPHs with a high level of health system readiness were 2.67 times more likely to successfully implement the policy compared to those with lower readiness (95% C.I. = 1.20–5.97,
p = 0.02). The most significant predictive factors included information system readiness and medical technology readiness, both of which are critical components in enhancing the capacity of primary health care services.
The findings provide empirical evidence to guide the development of primary healthcare services. They can inform policy formulation and strategic planning, particularly in strengthening information systems and medical technology infrastructure. This is essential for supporting the effective and sustainable implementation of the “One ID Card Smart Hospital” policy.
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