Healthcare Ecosystem Mapping in Primary Care: A Case Study in West Java, Indonesia

Abstract

Primary care is supposed to be the foundation to achieve universal health coverage. However, there is still a big gap in primary care service delivery in practice, especially in developing countries. The Healthcare system is portrayed as a complex setting consisting of multi-activities and multi-stakeholders. This research tries to describe the process flow of Indonesia's primary healthcare, key entities involved, and the linkage among them. This study employed a qualitative method. Semi-structured interviews were conducted with various types of primary care in West Java, Indonesia. Using the Healthcare Ecosystem Mapping framework, major entities are grouped into the interconnected-circle of delivery, financing, policymaking, and innovation. The interaction among entities are also described in BPMN. Findings showed that Indonesia's primary healthcare still focused more on curative rehabilitative action than promotive and preventive action. Besides, very few innovations are done in the healthcare delivery aspect. Further research should be conducted to give recommendation of a redesign process to improve this situation.