The Relationship Between Case Manager Roles and Inpatient Operational Efficiency: A Cross-Sectional Study in Indonesian Referral Hospital.

Background: Hospitals globally face increasing pressure to enhance operational efficiency without compromising care quality. In this context, the case manager role is pivotal, yet empirical evidence of its direct impact on quantitative efficiency metrics remains limited, particularly in developing c...

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Publicado en:International Journal of Nursing Education Vol. 18; no. 1; pp. 84 - 92
Autores principales: Habibi, Zul, Saputra, Irwan, Martunis, Kamil, Hajjul, Usman, Said
Formato: research tables/charts Journal Article
Publicado: Institute of Medico-legal publications Pvt Ltd Jan-Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan-Mar2026
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        atl: The Relationship Between Case Manager Roles and Inpatient Operational Efficiency: A Cross-Sectional Study in Indonesian Referral Hospital.
      aug:
        au:
          Habibi, Zul
          Saputra, Irwan
          Martunis
          Kamil, Hajjul
          Usman, Said
        affil: Master Program of Public Health, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
      sug:
        subj:
          Case Managers
          Professional Role Evaluation
          Organizational Efficiency Evaluation
          Hospital Units
          Referral and Consultation
          Hospitals Indonesia
          Human
          Indonesia
          Male
          Female
          Adult
          Middle Age
          Cross Sectional Studies
          Questionnaires
          Spearman's Rank Correlation Coefficient
          Health Care Delivery, Integrated
          Communication
          Patient Care Plans
          Supervisors and Supervision
          Inpatients
          Descriptive Research
          Correlational Studies
          Univariate Statistics
          Bivariate Statistics
          Data Analysis Software
          Hospitals, Public
          Academic Medical Centers
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Hospitals globally face increasing pressure to enhance operational efficiency without compromising care quality. In this context, the case manager role is pivotal, yet empirical evidence of its direct impact on quantitative efficiency metrics remains limited, particularly in developing countries. Objective: This study aimed to analyse the relationshipbetween case manager roles and the operational efficiency of inpatient wards at a public referral hospital in Indonesia. Material and Method: A cross-sectional design was employed, including all 39 head nurses selected through total sampling. Data were collected using a validated questionnaire assessing case manager roles, with high reliability (Cronbach's Alpha = 0.963). The Spearman Rho correlation test was used for analysis. Results: The results demonstratedthat the overall efficiency revealed that a significant majority of inpatient wards were classified as inefficient.Furthermore,a significant relationshipwas found between the overall role of case managers and operational efficiency (p = 0.036). Analysis of sub-variables also revealed significant relationships: coordination of health services (p=0.009), communication (p=0.048), care planning (p=0.024), prevention of intervention duplication (p=0.025), and supervision (p=0.046). Conclusion: The study concludes that despite a significant majority of inpatient wards (71.8%) being classified as inefficient, the case manager's role is significantly associated with key operational efficiency indicators. Therefore, optimizing this role through structured training, clear protocols, and enhanced interprofessional collaboration is recommended as a crucial strategy for hospital management to improve resource utilization and service quality.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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