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Open Access

The benefit of cooperation evaluation among hospitals in department of health and welfare of Muhammadiyah organization

  • Muhammad Natsir Nugroho1Email author,
  • Laksono Trisnantoro2 and
  • Eddy Purnomo2
BMC Public Health201414(Suppl 1):O6

Published: 29 January 2014


Preparing to compete in years to come, Muhammadiyah hospitals in Indonesia urge to have a reliable integrated management system. This study presents an evaluation result in terms of integrated management system from several Muhammadiyah hospitals in East Java and Central Java. The objective was to choose which system would be the best integrated management system to be applied in all Muhamadiyah Hospitals in Indonesia.

Materials and methods

A qualitative and quantitative method (mixed method) approach was used in this research. The qualitative method included interviews, observation and focused group discussions. The quantitative method employed questionnaires and secondary data analyses with multi variant test and Hotelling's T-square test.


The improvements were influenced by East Java Muhammadiyah culture, leadership and togetherness. This process was done step by step and was using role model in order to lessen the conflict that may have happened. On the other hand, in Central Java was much different. They realised but they did not respond to the condition. It was triggered by many factors, such as resignation, culture and leadership. There were many noticeable differences between the East and the Central, especially in their main activities and the support activities from Hospital Value Chain by Swayne. As a result the East Java Muhammadiyah hospitals showed noticeable differences comparing to the Central Java Muhammadiyah hospitals.


This study concludes that the integrated management system of East Java Muhammadiyah Hospital is appropriate to be applied in all Muhammadiyah Hospital in Indonesia.

Authors’ Affiliations

Islamic Hospital Pondok Kopi
Universitas Gadjah Mada


© Nugroho et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.