Effectiveness Of The Implementation Of The Blud Financial Management Model (Ppk-Blud) On The Financial Performance Of Government Hospitals In Indonesia : A Systematic Review
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Abstract
The implementation of the Regional Public Service Agency Financial Management Model (PPK-BLUD) is a form of public sector financial management reform that aims to improve the flexibility, efficiency, and accountability of government hospital financial performance. This study aims to examine the impact of BLUD implementation on the financial performance of government hospitals in Indonesia. This study uses a literature review approach to empirical articles that discuss hospital financial performance before and after the implementation of BLUD in Indonesia. The selection process was carried out through stages of identification, screening, and feasibility until nine relevant full-text articles were obtained. The results of the study show that, in general, the implementation of BLUD has a positive impact on increasing revenue and certain financial ratios, especially profitability and liquidity. However, several studies found that this increase was not evenly distributed across all indicators, particularly profitability and service performance. These findings indicate that the success of BLUD implementation is greatly influenced by the quality of financial management, human resource competencies, and the optimization of flexibility provided by regulations.
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References
Cut Muftia Keumala, Maryana, Dasmi Husin, M. Lutfi Al Fahmi, Shalawati, Shasqia Ulfa Tamara, & Intan Zahara. (2023). Analisis Kinerja Keuangan Sebelum Dan Sesudah Penerapan Pola Pengelolaan Keuangan Badan Layanan Umum Daerah (Ppk-Blud) Pada Rsu Cut Meutia Kabupaten Aceh Utara. Jurnal Bina Akuntansi, 10(2), 580–600.
Farwitawati, R. (2021). Analisis Kinerja Keuangan Rumah Sakit Umum Daerah ( RSUD ) Bengkalis Sebelum Dan Sesudah Pola Pengelolaan Keuangan Badan Layanan Umum Daerah ( PPK-BLUD ). Jurnal Akuntansi Kompetif, 3(3), 98–109.
Farwitawati, R., Fitrhrie, S., & Masirun. (2021). Analisis Kinerja Pelayanan Rumah Sakit Umum Daerah (RSUD) Bengkalis Sebelum Dan Sesudah Pola Pengelolaan Keuangan Badan Layanan Umum Daerah (PPK-BLUD) (Reni Farwitawati, Souvya Fitrhrie, Masirun). Jurnal Akuntansi Kompetif, 4(1), 98–109.
Frycillia Widodo, A. S., Puspita, E., & Winarko, S. P. (2022). Analisis Kinerja Keuangan RSUD Simpang Lima Gumul Sebelum dan Sesudah Penerapan PPK-BLUD. Perspektif Akuntansi, 5(3), 259–272. https://doi.org/10.24246/persi.v5i3.p259-272
Mawar Oktaviani, Mohammad Djufri Dapi, M. R. Y. (2025). ANALISIS KINERJA KEUANGAN PADA PENERAPAN PENGELOLAAN KEUANGAN BADAN LAYANAN UMUM DI RUMAH SAKIT BHAYANGKARA KOTA MANADO. Jurnal Manajemen Dan Bisnis, 15(1), 1–4.
Nuryati, Fitri Dian, R. I. A. (2021). Analisis Kinerja Keuangan Sebelum dan Sesudah Penerapan Pola Pengelolaan Keuangan Badan Layanan Umum Daerah (Studi Kasus Pada Rumah Sakit Paru Respira).
Priastuti, W. Y., & Masdjojo, G. N. (2021). Efektivitas Kinerja Keuangan dan Non Keuangan Pada Pola Pengelolaan Badan Layanan Umum. Journal of Chemical Information and Modeling, 53(9), 1689–1699.
Sandria, M., Agusti, R., & Putra, A. A. (2021). Determinan Efektivitas Pengelolaan Keuangan Badan Layanan Umum Daerah (Blud): Dimoderasi Sistem Pengendalian Intern Pemerintah. Jurnal Kajian Akuntansi Dan Bisnis Terkini, 1(2), 264–284. https://doi.org/10.31258/jc.1.2.266-286
Setiawan, Y. A., & Lita, N. E. (2022). Analisis Efektivitas Pendapatan Badan Layanan Umum Daerah (Blud) Selama Pandemi Covid-19 Di Rsud Cilacap. Jurnal Ilmiah Akuntansi Rahmaniyah, 5(2), 132. https://doi.org/10.51877/jiar.v5i2.223
Slamet, A., & Supeno, B. (2022). Analisis Kepatuhan Pengelolaan Keuangan Blud Dan Tingkat Kemandirian Rsud Puri Husada Tembilahan Tahun 2015-2019. Jurnal Ilmiah Akuntansi Dan Keuangan, 4(6), 2473–2481. http://journal.ikopin.ac.id/index.php/fairvalue/article/view/1105%0Ahttp://journal.ikopin.ac.id/index.php/fairvalue/article/download/1105/1104
Zulfahmi, Ihdina Yuliaty, N. (2025). Pengaruh Penerapan Status Badan Layanan Umum Daerah Terhadap Kinerja Keuangan dan Akuntansi Di Rumah Sakit Umum dr . Zainoel Abidin The Effect of Applying Regional Public Service Agency Status on Increasing Financial and Accounting Performance at dr . Zai. Journal of Medical Science, 6(1), 35–41.