Organizational Design Analysis of Telkomedika and It’s Impact on the Effectiveness of Corporate Health Services

Authors

  • Diona Ossy Wahyuni PT Sarana Usaha Sejahtera Insanpalapa
  • Rinawati PT Sarana Usaha Sejahtera Insanpalapa

DOI:

https://doi.org/10.53697/emak.v7i1.3301

Keywords:

Organizational Design, Corporate Healthcare, Service Effectiveness, Mechanistic-Organic Structure, Qualitative

Abstract

This study aims to comprehensively analyze the organizational design implemented by Telkomedika, one of the corporate healthcare providers in Indonesia, and evaluate its impact on service effectiveness. The research focuses on several key elements of organizational design, such as structural differentiation, integration mechanisms, centralization and decentralization of decision-making, the level of formalization, and the suitability of the organizational structure based on mechanistic and organic theories. The method used in this study is a descriptive qualitative approach, with data collection techniques including in-depth interviews, field observations, and a review of internal organizational documents. The results indicate that Telkomedika has a fairly high level of horizontal and vertical differentiation, but integration and coordination between units is still suboptimal. The decision-making process remains centralized, which can hinder the speed and flexibility of services, particularly in emergencies or cases requiring rapid decisions. Telkomedika's current organizational structure reflects mechanistic rather than organic characteristics, despite the demands of corporate healthcare services for high adaptability, flexibility, and speed of response. Therefore, a structural transformation toward a more adaptive, collaborative, and technology-based organizational model is needed to sustainably improve the effectiveness and competitiveness of corporate healthcare services.

Downloads

Download data is not yet available.

References

Adler, P. S., & Borys, B. (1996). Two types of bureaucracy: Enabling and coercive. Administrative Science Quarterly, 41(1), 61–89.

Atighechian, G., Shadloo, S., & Rabiei, R. (2024). Organizational agility in healthcare systems: Determinants and outcomes. Journal of Health Organization and Management.

Atighechian, P., Maleki, M., Souri, A., & Fesharaki, M. (2024). Organizational adaptability in hospital systems: A post-pandemic analysis. Journal of Health Management, 26(2), 145–160.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

Budiliono, R., & Setiawan, R. (2013). Analisis deskriptif desain organisasi pada PT. Win Win Realty Centre. Jurnal Riset Manajemen dan Bisnis, 1(3), 1–10.

Burns, T., & Stalker, G. M. (1961). The management of innovation. Tavistock Publications.

Donaldson, L. (2001). The contingency theory of organizations. Sage Publications.

Duncan, R. (1979). What is the right organization structure? Organizational Dynamics, 7(3), 59–80.

Galbraith, J. R. (1973). Designing complex organizations. Addison-Wesley.

Giu, A. R. (2013). Pengaruh desain organisasi dan tipe kepribadian terhadap stres kerja pegawai pada Balai Diklat Keagamaan Manado. Jurnal EMBA, 1(3), 476–486.

Lawrence, P. R., & Lorsch, J. W. (1967). Organization and environment: Managing differentiation and integration. Harvard Business School Press.

Mauro, C., Persico, L., & Gittler, J. (2024). Digital-enabled organizational design in healthcare: A framework for adaptive structures. Health Policy and Technology.

Mauro, M., Persico, L., & Gittler, J. (2024). Digital transformation and organizational adaptation in healthcare. International Journal of Medical Informatics, 187, 105–120.

Maugeri, F., & De Terlizzi, F. (2020). Flexibility of clinical procedures in emergency departments. International Journal of Health Management, 13(2), 77–88.

Miles, M. B., & Huberman, A. M. (1992). Analisis data kualitatif: Buku sumber tentang metode-metode baru. UIP.

Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). Sage.

Mintzberg, H. (1979). The structuring of organizations. Prentice Hall.

Pugh, D. S., Hickson, D. J., et al. (1968). Dimensions of organization structure. Administrative Science Quarterly, 13(1), 65–105.

Rigotti, T., et al. (2022). Collaborative governance and cross-disciplinary coordination in hospitals. Health Services Management Research, 35(1), 12–25.

Rigotti, T., et al. (2022). Agility in healthcare organizations: Implications for service performance. Journal of Organizational Behavior.

Safitri, D., Sujarwo, & Septianingsih, R. (2023). Literature review: Penerapan desain organisasi yang efektif di suatu perusahaan. Cendikia Pendidikan, 1(1), 1–13.

Weber, M. (1978). Economy and society. University of California Press.

Downloads

Published

2025-11-28

How to Cite

Wahyuni, D., & Rinawati. (2025). Organizational Design Analysis of Telkomedika and It’s Impact on the Effectiveness of Corporate Health Services. Jurnal Ekonomi, Manajemen, Akuntansi Dan Keuangan, 7(1), 7. https://doi.org/10.53697/emak.v7i1.3301

Issue

Section

Articles

Similar Articles

<< < 12 13 14 15 16 17 18 19 20 21 > >> 

You may also start an advanced similarity search for this article.