Citation:

Hafis Makayaino, Haris Maupa, Indra Widjaja. "The Influence of Healthcare Structural Quality, Process Quality, and Governance Quality on Healthcare Service Performance among Public Healthcare Personnel" International Research Journal of Economics and Management Studies, Vol. 5, No. 6, pp. 200-210, 2026. Crossref. http://doi.org/10.56472/25835238/IRJEMS-V5I6P123

Abstract:

Healthcare service performance has become a critical concern for public healthcare organizations, particularly in geographically dispersed regions where resource constraints and governance challenges may affect service delivery. Drawing upon the Donabedian Structure–Process–Outcome framework, this study examines the effects of Structural Quality, Process Quality, and Governance Quality on Healthcare Service Performance among public healthcare personnel in Central Maluku Regency, Indonesia. A quantitative cross-sectional design was employed, involving 188 civil servant healthcare personnel working in public healthcare facilities. Data were collected using a structured questionnaire and analyzed using multiple linear regression. The findings reveal that Structural Quality, Process Quality, and Governance Quality each exert a positive and significant effect on Healthcare Service Performance. Structural Quality significantly influences Healthcare Service Performance (β = 0.185, p = 0.013), indicating the importance of competent personnel, adequate facilities, medical equipment, and information technology support. Process Quality also demonstrates a significant positive effect (β = 0.199, p = 0.013), highlighting the role of compliance with service standards, timeliness, service accuracy, and patient safety practices. Governance Quality emerges as the strongest predictor of Healthcare Service Performance (β = 0.307, p < 0.001), emphasizing the strategic importance of accountability, transparency, regulatory compliance, quality assurance mechanisms, and managerial commitment. Collectively, the three predictors explain 32.5% of the variance in Healthcare Service Performance (R² = 0.325). This study contributes to healthcare management literature by extending the Donabedian framework through the incorporation of Governance Quality as a distinct organizational determinant of healthcare service performance. The findings suggest that strengthening governance mechanisms, alongside improvements in organizational resources and service processes, is essential for achieving sustainable healthcare performance in decentralized public healthcare systems.

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Keywords:

Healthcare Service Performance, Structural Quality, Process Quality, Governance Quality, Donabedian Framework, Public Healthcare Personnel.