Strengthening Digital Health Governance to Enhance Public Health Services and Social Resilience
Keywords:
health information integration, human resources, social resilience, healthcare service quality, digital health governanceAbstract
The development of digital technology provides significant opportunities to improve the quality of healthcare services through faster, more integrated, and data-driven systems. However, the utilization of digital technology within Indonesia’s healthcare system still faces limited digital infrastructure, suboptimal integration of health information systems, and disparities in human resource capacity, which hinder the full effectiveness of healthcare service delivery. This study aims to formulate a strategic model for strengthening digital-based health governance systems to improve the quality of public healthcare services and enhance social resilience in Indonesia. A descriptive qualitative approach was employed, involving in-depth interviews with five informants. Data were analyzed using NVivo 12 software through coding, categorization, and identification of major themes. The findings indicate that the adoption and adaptation of digital-based health governance systems play a significant role in improving healthcare service quality while simultaneously strengthening community social resilience. Adequate digital infrastructure, human resource capacity development, nationwide integration of health information systems, and strengthened interagency synergy and coordination are required to establish a more integrated, adaptive, and sustainable healthcare service system.
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Abdullah Kamal, S. S. L. B. (2019). Research Paradigm and the Philosophical Foundations of a Qualitative Study. PEOPLE: International Journal of Social Sciences, 4(3), 1386–1394. https://doi.org/10.20319/pijss.2019.43.13861394
Amarakoon, P. M., Braa, J. A., Muhire, A., Kossi, E., Senyoni, W., Saugene, Z., & Khan, M. A. H. (2025). Digital public goods and resilience in practice: learning from South–South–North collaboration during the COVID-19 pandemic. Discover Health Systems, 4(1), 105.
Cabanillas-Carbonell, M., Pérez-Martínez, J., & A. Yáñez, J. (2023). 5G Technology in the Digital Transformation of Healthcare, a Systematic Review. Sustainability (Switzerland), 15(4), 127–132. https://doi.org/10.3390/su15043178
Chen, K., Tao, Q., Wang, Y., Ding, Z., & Fu, R. (2025). Coupled coordination relationship and enhancement path between digital economy and essential public health services in China. Frontiers in Public Health, 13, 1517353.
Davis, S. L. M. (2020). The trojan horse: Digital health, human rights, and global health governance. Health and Human Rights, 22(2), 41.
Dhakal, K. (2022). NVivo. Journal of the Medical Library Association: JMLA, 110(2), 270.
Fernandes, F. A., Chaltikyan, G., Adib, K., Caton-Peters, H., & Novillo-Ortiz, D. (2024). The role of governance in the digital transformation of healthcare: Results of a survey in the WHO Europe Region. International Journal of Medical Informatics, 189, 105510.
Gilbert, S., Anderson, S., Daumer, M., Li, P., Melvin, T., & Williams, R. (2023). Learning from experience and finding the right balance in the governance of artificial intelligence and digital health technologies. Journal of Medical Internet Research, 25(1), e43682.
Harefa, F., Harahap, Y., Dewi, D. A. R., Nurrobi, R. M. T., & Harsono, C. F. (2026). The role of physiotherapy in a health maintenance strategy for retirees in Indonesia to support total defense. Physical Therapy Journal of Indonesia, 7(1), 70–78.
Harefa, F., Harahap, Y., Dewi, D. A. R., Nurrobi, R. M. T., Sutanto, S., & Harsono, C. F. (2026). An Integrated Risk Analysis Approach in Military Hospitals: Implications for Public Health Preparedness and Resilience. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 9(1), 99–113.
Harefa, F., & Harsono, C. F. (2025). a Transformasi Pelayanan Publik Berbasis Artificial Intelligence (AI) guna Meningkatkan Pertahanan Negara. Jurnal Pendidikan Dan Pengembangan Sumber Daya Pertahanan, 2(1), 56–65.
Harefa, F., Harsono, C. F., Pertahanan, F. K., Jakarta, U. P., Nasional, F. K., Jakarta, U. P., & Info, A. (2026). Health resilience of Indonesian Army using traditional medicine in high risk areas with limited services. 19(3).
Li, L., Li, Z., Ding, H., & Gao, M. (2024). How can digitalization be used to develop community resilience in public health emergencies?: A qualitative comparative analysis from China. PLoS One, 19(12), e0315713.
Lowe, M. J., Kretz, C. E., Raetz, L. E., Hudson, M. A. J. I., Long, L. T. C. A., Ely, M. R., Hewitt, L. C. C., Harper, L. T. C. S., Roszko, L. P., & Cunningham, C. O. L. C. (2026). Toward a Shared Doctrine of Medical Direction: Reflections on Allied Approaches to Medical Command and Control. Military Medicine, usag008.
Marelli, L., Lievevrouw, E., & Van Hoyweghen, I. (2020). Fit for purpose? The GDPR and the governance of European digital health. Policy Studies, 41(5), 447–467.
Martínez-García, M., & Hernández-Lemus, E. (2022). Data integration challenges for machine learning in precision medicine. Frontiers in Medicine, 8, 784455.
Mosadeghrad, A. M., Afshari, M., Isfahani, P., Ezzati, F., Abbasi, M., Farahani, S. A., Zahmatkesh, M., & Eslambolchi, L. (2024). Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review. BMC Health Services Research, 24(1), 841.
Newman, C. (2024). What can the Defence Medical Services learn from the COVID-19 pandemic in order to be ready for the future? In BMJ Mil Health (Vol. 170, Issue 3, pp. 248–250). British Medical Journal Publishing Group.
Organization, W. H. (2024). Support tool to strengthen health information systems: guidance for health information system assessment and strategy development.
Pilosof, N. P., Welcman, Y., Barrett, M., Oborn, E., & Barrett, S. (2025). Building digital resilience: leading healthcare transformation through an online community. Frontiers in Digital Health, 7, 1656804.
Sawlani, D. K., Harahap, Y., Subiakto, Y., & Harefa, F. (2026). Integrating psychological reinforcement modalities to enhance the therapeutic efficacy of physical rehabilitation for disaster survivors. Physical Therapy Journal of Indonesia, 7(1), 141–146.
Shanks, G. D. (2020). Australian defence force’role in regional health security: Missions defined by infectious diseases. Journal of Military and Veterans Health, 28(3), 43–49.
Tallowin, S., Naumann, D. N., & Bowley, D. M. (2021). Defence Healthcare engagement: A UK military perspective to improve Healthcare leadership and quality of care overseas. Journal of Healthcare Leadership, 27–34.
Toda, H., Lino, M., Fernandes, D., & Tae, M. (2022). Capacity Building to Achieve Sustainable Development Goals (SDGs) in Reduce Maternal and Infant Mortality Rate. International Journal of Environmental, Sustainability, and Social Science, 4(1), 211–223.
Wang, H., & Ran, B. (2023). Network governance and collaborative governance: a thematic analysis on their similarities, differences, and entanglements. Public Management Review, 25(6), 1187–1211. https://doi.org/10.1080/14719037.2021.2011389
Wang, M., Lu, X., Du, Y., Liu, Z., Li, X., Zhao, X., Wang, J., Jin, Y., & Ren, M. (2025). Digital health governance in China by a whole-of-society approach. Npj Digital Medicine, 8(1), 496.
Westphalen, N. (2021). Humanitarian aid/disaster relief (HA/DR) in the Australian defence force: Health aspects. Journal of Military and Veterans Health, 29(3), 16–26.
Yanti, S. D. (2025). Mapping Infrastructure and Human Resource Gaps in the Implementation of Indonesia’s Digital Health Policy: A Literature Review. Asian Journal of Environmental Research, 2(3), 218–228.
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Copyright (c) 2026 Irma Gusmi Ratih, Yahdiana Harahap, Sutanto Sutanto, Prihati Pujowaskito, Faonaso Harefa, Faonaso Harefa
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