Evidence-Based Management Approach In Health Service Policy Decision-Making At Clinic of Plantation Company X

Authors

  • Asep Nurman Hidayat Universitas Strada Indonesia
  • Ratna Wardani Universitas Strada Indonesia
  • Agustin Universitas Strada Indonesia

DOI:

https://doi.org/10.47134/phms.v2i4.460

Keywords:

Evidence-Based Management, Healthcare Governance, Policy Decision-Making, Stakeholder Engagement

Abstract

The research comprehensively examines the application of Evidence-Based Management (EBMgt) in decision-making for health service policies at Clinic of Plantation Company X. The main focus is on the influence of six types of evidence: Scientific and Research Evidence, Hospital Facts and Information, Political-Social Development Plans, Professional Managerial Expertise, Ethical-Moral Evidence, and Stakeholder Values and Expectations on policy decisions in the clinic. This study uses a quantitative method with a Structural Equation Modeling (SEM) approach based on Partial Least Squares (PLS). Data were collected through structured questionnaires from 110 respondents comprising managers and decision-makers at the clinic. Instrument validity and reliability were tested before conducting the measurement and structural model analysis. The findings show that all six evidence dimensions significantly affect policy decision-making (p < 0.05). The measurement model met convergent and discriminant validity criteria with AVE and composite reliability values above 0.70. Integrating these evidence dimensions enhances the quality, effectiveness, and accountability of managerial decisions at the clinic. The research highlights the importance of a holistic EBMgt approach combining empirical data, professional expertise, and ethical-social aspects to support effective and responsible policy decisions in healthcare services. The study recommends strengthening the use of multiperspective evidence in clinic policy management to achieve better and sustainable service outcomes.

References

Alsaqqa, A. (2020). Context, characteristics, and culture of healthcare organizations. Center for Evidence-Based Management. https://cebma.org/assets/Uploads/Alsaqqa-2020.

AMA Journal of Ethics. (2025). Which values should guide evidence-based practice?. Journal of Ethics, 27(1). https://journalofethics.ama-assn.org/article/which-values-should-guide-evidence-based-practice/2025-01 DOI: https://doi.org/10.1001/amajethics.2025.21

Arnold-Forster, A., Woolnough, H., & colleagues. (2022).

Asl, I. M., Janati, A., Haghgoshayie, E., & Hasanpoor, E. (2021). Evidence-based management in health systems: A systematic scoping review. BMC Health Services Research, 21(1), 1–14. https://doi.org/10.1186/s12913-021-07159-3

Avey, J. B., Avolio, B. J., & Luthans, F. (2012). Examining the influence of ethical leadership on follower outcomes. Journal of Business Ethics, 107(1), 1–13. https://doi.org/10.1007/s10551-011-1030-3

BMJ Quality & Safety. (2011). The role of reflective practice in healthcare professions: Next steps.

BMJ Quality & Safety, 20(Suppl 1), i83–i87. https://doi.org/10.1136/bmjqs.2010.050517

C Cruz, J. and Blaney, J. (2021), “How Does Organizational Culture Influence the Adoption of Research Evidence by Management Practitioners?”, Muma Business Review, Vol. 5, pp. 071–083, doi: 10.28945/4834. DOI: https://doi.org/10.28945/4834

Greene, J., & Bryant, J. (2021). Normative values and healthcare decision-making: Integrating ethics with evidence. Journal of Health Organization and Management, 35(6), 701–716. https://doi.org/10.1108/JHOM-09-2020-0372 DOI: https://doi.org/10.1108/JHOM-06-2020-0218

Good, J. P., Tourigny, L., & Simha, A. (2018). Ethical leadership in health care: The mediating effect of emotional exhaustion. Academy of Management Proceedings, 2018(1), 1. https://doi.org/10.5465/AMBPP.2018.1 DOI: https://doi.org/10.5465/AMBPP.2018.13471abstract

Grippa, F., Bucuvalas, J., Booth, A., Alessandrini, E., Fronzetti Colladon, A., & Wade, L. M. (2021). Measuring information exchange and brokerage capacity of healthcare teams. arXiv.

Haghgoshayie, E. and Hasanpoor, E. (2021), “Evidence-Based Nursing Management: Basing Organizational Practices on the Best Available Evidence”, Creative Nursing, Vol. 27 No. 2, pp. 94–97, doi: 10.1891/CRNR-D-19-00080. DOI: https://doi.org/10.1891/CRNR-D-19-00080

Hasanpoor, E., Siraneh Belete, Y., Janati, A., Hajebrahimi, S. and Haghgoshayie, E. (2019), “Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management”, Worldviews on Evidence-Based Nursing, Vol. 16 No. 4, pp. 255–262, doi: 10.1111/wvn.12372. DOI: https://doi.org/10.1111/wvn.12372

Islam, T., Ahmed, I., & Ali, G. (2019). Effects of ethical leadership on bullying and voice behavior among nurses: Mediating role of organizational identification, poor working condition, and workload. Leadership in Health Services, 32(1), 2–17. https://doi.org/10.1108/LHS-09-2018-0066 DOI: https://doi.org/10.1108/LHS-02-2017-0006

Janati, A., Hasanpoor, E., Hajebrahimi, S. and Sadeghi-Bazargani, H. (2018), “Evidence-based management – healthcare manager viewpoints”, International Journal of Health Care Quality Assurance, Emerald Group Publishing Ltd., Vol. 31 No. 5, pp. 436–448, doi: 10.1108/IJHCQA-08-2017-0143. DOI: https://doi.org/10.1108/IJHCQA-08-2017-0143

Kolukısa Tarhan, A., Garousi, V., Turetken, O., Söylemez, M., & Garossi, S. (2019). Maturity assessment and maturity models in healthcare: A multivocal literature review. arXiv. DOI: https://doi.org/10.1177/2055207620914772

Knapp, C., Franczukowska, A., Krczal, E., & Baumgartner, M. (2021). Examining ethical leadership in health care organizations and its impacts on employee work attitudes: An empirical analysis from Austria. Leadership in Health Services, 34(2), 229–247. https://doi.org/10.1108/LHS-06-2020-0034 DOI: https://doi.org/10.1108/LHS-06-2020-0034

Madden, A., Bailey, C., Fletcher, L. and Alfes, K. (2019), “Evaluating new techniques of evidence-based management using narrative evidence synthesis”, Handbook of Research Methods on the Quality of Working Lives, Edward Elgar Publishing, doi: 10.4337/9781788118774.00028. DOI: https://doi.org/10.4337/9781788118774.00028

Masoudi Asl, I., Hasanzadeh, E. and Raeissi, pouran. (2021), “Determining the Sources of Evidence Used in Decision Making of Staff Managers in Iran University of Medical Sciences:2019”, Journal of Health Administration, Vol. 23 No. 4, pp. 61–69, doi: 10.29252/jha.23.4.61. DOI: https://doi.org/10.29252/jha.23.4.61

Newman-Toker, D.E., Nassery, N., Schaffer, A.C., Yu-Moe, C.W., Clemens, G.D., Wang, Z., Zhu, Y., et al. (2024), “Burden of serious harms from diagnostic error in the USA”, BMJ Quality & Safety, Vol. 33 No. 2, pp. 109–120, doi: 10.1136/bmjqs-2021-014130. DOI: https://doi.org/10.1136/bmjqs-2021-014130

Pitsillidou, V., et al. (2021). Managerial expertise and evidence integration in healthcare. Journal of Health Services Research & Policy, 26(4), 255–264. https://doi.org/10.1177/13558196211005328

Rousseau, D.M. (2020), “The Realist Rationality of Evidence-Based Management”, Academy of Management Learning & Education, Vol. 19 No. 3, pp. 415–424, doi: 10.5465/amle.2020.0050. DOI: https://doi.org/10.5465/amle.2020.0050

Shaporenko, O. (2020), “Public regional health policy”, Public Administration and Local Government, Vol. 45 No. 2, pp. 220–228, doi: 10.33287/102039. DOI: https://doi.org/10.33287/102039

Walker, S.C., Sedlar, G., Berliner, L., Rodriguez, F.I., Davis, P.A., Johnson, S. and Leith, J. (2019), “Advancing the state-level tracking of evidence-based practices: A case study”, International Journal of Mental Health Systems, BioMed Central Ltd., Vol. 13 No. 1, doi: 10.1186/s13033-019-0280-0. DOI: https://doi.org/10.1186/s13033-019-0280-0

Woolnough, T., Axelrod, D., Johal, H. and Bhandari, M. (2021), “Principles of Evidence-Based Management of Distal Radius Fractures”, Distal Radius Fractures, Elsevier, pp. 1–12, doi: 10.1016/B978-0-323-75764-5.00008-1. DOI: https://doi.org/10.1016/B978-0-323-75764-5.00008-1

World Health Organization. (2022). Evidence, policy, impact: WHO guide for evidence-informed decision-making in health. https://www.who.int/publications/i/item/9789240039872

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Published

2025-08-28

How to Cite

Hidayat, A., Wardani, R., & Agustin. (2025). Evidence-Based Management Approach In Health Service Policy Decision-Making At Clinic of Plantation Company X. Health & Medical Sciences, 2(4), 15. https://doi.org/10.47134/phms.v2i4.460

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