Factors Influencing National Quality Indicator Reporting Compliance at Independent Medical and Dental Practices
Abstract
The National Quality Indicators (NQI) are instruments used to measure and evaluate the quality of healthcare services at health facilities, including Independent Medical and Dental Practices (IMDPs). Compliance with NQI reporting is an important component in monitoring and improving healthcare quality; however, its implementation still faces various challenges. This study aims to analyze the factors influencing compliance with National Quality Indicator reporting at Independent Medical and Dental Practices. This study employed a Systematic Literature Review (SLR) method guided by the PRISMA framework. Literature searches were conducted through Google Scholar, PubMed, ScienceDirect, Scopus, and Garuda for articles published between 2021 and 2025. Articles were selected based on predetermined inclusion and exclusion criteria and subsequently analyzed using a narrative synthesis approach. The review findings indicate that NQI reporting compliance is influenced by individual, organizational, and support system factors. Individual factors include the knowledge, understanding of quality indicators, competence, and motivation of healthcare workers. Organizational factors encompass management support, quality culture, supervision, audits, and feedback. Support system factors include workload, resource availability, and the utilization of information technology and health information systems. Knowledge and understanding of quality indicators were identified as the most dominant factors in improving reporting compliance. NQI reporting compliance at Independent Medical and Dental Practices is influenced by various interrelated factors. Improving reporting compliance requires strengthening the competencies of healthcare workers, optimizing health information systems, organizational support, and continuous monitoring and evaluation to support the improvement of healthcare service quality.
References
Adnan, F., Lestari, Y., & Rasyid, R. (2025). Analysis of the Adherence to the Time of Doctor Visits in the Inpatient Installation. Journal La Medihealtico, 6(5), 1352-1370.
Ahli, R., Hilmi, M. F., & Abudaqa, A. (2024). The influence of leadership dynamics and workplace stress on employee performance in the entrepreneurial sector and the moderating role of organizational support. Aptisi Transactions on Technopreneurship (ATT), 6(3), 300-313. https://doi.org/10.34306/att.v6i3.424
Ahmed, K., Hashim, S., Khankhara, M., Mahmood, S., & Crilly, J. (2021). What drives general practitioners to improve the quality of care? A systematic literature review. International Journal for Quality in Health Care, 33(4), mzab123. https://doi.org/10.1093/intqhc/mzab123
Alsadaan, N., & Ramadan, O. M. E. (2025). Barriers and facilitators in implementing evidence-based practice: a parallel cross-sectional mixed methods study among nursing administrators. BMC nursing, 24(1), 403. https://doi.org/10.1186/s12912-025-03059-z
Andriani, N. D., Syahputri, R. B., Kusuma, N. N., & Pradnyantara, I. G. A. N. P. (2026). Strategi Kebijakan Internal dalam Peningkatan Mutu Pelayanan Kesehatan di Rumah Sakit: Systematic Literatur Review. Pro Health Jurnal Ilmiah Kesehatan, 8(1), 1-9.
Barbieri, C., Neri, L., Stuard, S., Mari, F., & Martín-Guerrero, J. D. (2023). From electronic health records to clinical management systems: how the digital transformation can support healthcare services. Clinical Kidney Journal, 16(11), 1878-1884. https://doi.org/10.1093/ckj/sfad168
Baynouna Alketbi, L., Nagelkerke, N., & Abdelbaki, H. (2025). Sustainability of evidence-based primary care programs in Abu Dhabi: impact of COVID-19. Frontiers in Health Services, 5, 1591667.
Bernardi, F. A., Alves, D., Crepaldi, N., Yamada, D. B., Lima, V. C., & Rijo, R. (2023). Data quality in health research: integrative literature review. Journal of medical Internet research, 25, e41446. https://doi.org/10.2196/41446
Braithwaite, J., Mannion, R., Matsuyama, Y., Shekelle, P., Whittaker, S., Al-Adawi, S., Ludlow, K., James, W., Ting, H. P., Herkes, J., & Ellis, L. A. (2021). The future of healthcare quality and safety measurement. International Journal for Quality in Health Care, 33(Supplement_1), mzab054. https://doi.org/10.1093/intqhc/mzab054
Braun, A., Behrens, D. A., & Krczal, E. (2025). How Austrian primary care physicians evaluated their available resources and quality of care during the first year of COVID-19: a repeated cross-sectional survey study. BMC Primary Care, 26(1), 115. https://doi.org/10.3389/frhs.2025.1591667
Endalamaw, A., Khatri, R. B., Erku, D., Nigatu, F., Zewdie, A., Wolka, E., & Assefa, Y. (2023). Successes and challenges towards improving quality of primary health care services: A scoping review. BMC Health Services Research, 23(1), 1044. https://doi.org/10.1186/s12913-023-09917-3
Eva, A. L. (2025). Pengaruh Pengalaman Pasien Gigi dan Mulut Terhadap Kepuasan Pasien di Poliklinik Gigi Puskesmas Mangasa Makassar (Doctoral dissertation, Universitas Hasanuddin Makassar).
Greenhalgh, T., Papoutsi, C., Wherton, J., Shaw, S., Morrison, C., & Hughes, G. (2022). Beyond adoption: A new framework for theorizing and evaluating nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) of health and care technologies. Journal of Medical Internet Research, 24(11), e36798. https://doi.org/10.2196/36798
Habib, A., Ranasinghe, D., Wu, J. Y., Biswas, P. K., & Ahmad, F. (2022). Real earnings management: A review of the international literature. Accounting & Finance, 62(4), 4279-4344. https://doi.org/10.1111/acfi.12968
Hindardjo, A., Pratama, M. F., & Ali, J. (2022). Analysis of the Influence of Competence and Work Culture on Employee Performance with Moderation of Exit Intentions: A Case Study at Bank Syariah Indonesia. International Journal of Management Science and Application, 1(1), 1-17. https://doi.org/10.58291/ijmsa.v1i1.21
Hoxha, G., Simeli, I., Theocharis, D., Vasileiou, A., & Tsekouropoulos, G. (2024). Sustainable healthcare quality and job satisfaction through organizational culture: Approaches and outcomes. Sustainability, 16(9), 3603. https://doi.org/10.3390/su16093603
Isbandono, P. (2023). Analisis Indikator Mutu Pelayanan. Kesehatan Menurut Standar Peraturan Menteri. Kesehatan Republik Indonesia Nomor 30 Tahun 2022 Di Rsud Waluyo Jati Kraksaan. Jurnal Inovasi Administrasi Negara Terapan, 1(3), 612-627.
Ivers, N., Yogasingam, S., Lacroix, M., Brown, K. A., Antony, J., Soobiah, C., ... & Grimshaw, J. M. (2025). Audit and feedback: effects on professional practice. Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.cd000259.pub4
Kementerian Kesehatan Republik Indonesia. (2024). Pedoman indikator nasional mutu fasilitas pelayanan kesehatan. Jakarta: Direktorat Jenderal Pelayanan Kesehatan Kementerian Kesehatan RI.
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., ... Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
Kumari, R., & Chander, S. (2024). Improving healthcare quality by unifying the American electronic medical report system: time for change. The Egyptian Heart Journal, 76(1), 32. https://doi.org/10.1186/s43044-024-00463-9
Kyriopoulos, I., Athanasakis, K., Tsoli, S., Mossialos, E., & Papanicolas, I. (2025). Addressing public health and health system challenges in Greece: reform priorities in a changing landscape. The Lancet Public Health, 10(9), e794-e803. https://doi.org/10.1016/s2468-2667(25)00188-4
Lienhart, G., Masson, E., Farge, P., Schott, A. M., Thivichon-Prince, B., & Chaneliere, M. (2023). Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review. BMC Oral Health, 23, 1. https://doi.org/10.1186/s12903-023-03458-1
Liu, X. L., Wang, T., Tan, J. Y., Stewart, S., & Chan, R. J. (2022). Sustainability of healthcare professionals’ adherence to clinical practice guidelines in primary care: A systematic review. BMJ Open, 12(4), e058970. https://doi.org/10.1136/bmjopen-2021-058970
Moldovan, F., Moldovan, L., & Bataga, T. (2023). Assessment of labor practices in healthcare using an innovatory framework for sustainability. Medicina, 59(4), 796. https://doi.org/10.3390/medicina59040796
Mustikawati, E. I (2024). Laporan Pelaksanaan Magang Dinas Kesehatan Kota Pasuruan Gambaran Kecukupan Sumber Daya Dan Pelayanan Kesehatan Gigi Dan Mulut Di Fasilitas Kesehatan Tingkat Pertama Kerjasama Jkn Kota Pasuruan.
Mwaisengela, S. M., Materu, P. A., German, C. J., Mmbaga, I. I., Temba, D. J., Kiwesa, R. R., ... & Eliakimu, E. S. (2025). Contribution of Human Resources for Health competence and skill mix on compliance with healthcare quality standards among Primary Healthcare Facilities in Tanzania: evidence from dispensaries. Discover Public Health, 22(1), 132. https://doi.org/10.1186/s12982-025-00538-1
Novitasari, M., Budiyanti, R. T., & Sriatmi, A. (2022). Kesiapan Akreditasi Klinik Pratama Dalam Meningkatkan Mutu Pelayanan Kesehatan. Link, 18(1), 1-9. https://doi.org/10.31983/link.v18i1.7685
Nuritasari, R. T., Jannah, M., Aini, R., & Aulia, M. (2025). Analysis of Hospital Reporting Compliance with National Quality Indicators (NQI) on the Ministry of Health's SIRS Online Platform: Determinants and Implications for Service Transparency. Journal of Health Service Administration and Hospital Management, 1(1), 55-65. https://doi.org/10.69855/jhsah.v1i1.341
Ominyi, J., & Alabi, A. (2026). Promoting evidence-based nursing through collaboration, autonomy, and agency: A qualitative case study. International journal of nursing sciences, 13(3), 263-272. https://doi.org/10.1016/j.ijnss.2025.08.010
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
Rusmiati, R., Yustina, E. W., & Nugroho, H. P. (2024). Asas keadilan dalam pengaturan kompetensi dan pemberian kewenangan dokter gigi umum dan dokter gigi spesialis. Soepra Jurnal Hukum Kesehatan, 10(2), 233-255.
Sakaa, B., Elbeltagi, A., Boudibi, S., Chaffaï, H., Islam, A. R. M. T., Kulimushi, L. C., ... & Wong, Y. J. (2022). Water quality index modeling using random forest and improved SMO algorithm for support vector machine in Saf-Saf river basin. Environmental Science and Pollution Research, 29(32), 48491-48508. https://doi.org/10.1007/s11356-022-18644-x
Saputra, F. (2025). Pengaruh faktor manajemen internal terhadap ketercapaian indikator mutu pelayanan kesehatan di fasilitas kesehatan pratama (Klinik X). Jurnal Ilmu Kesehatan Masyarakat, 14(01), 1-8. https://doi.org/10.33221/jikm.v14i01.3713
Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC health services research, 23(1), 886. https://doi.org/10.1186/s12913-023-09869-8
Shimpi, N., Hegde, H., Glurich, I., Ryan, M., Acharya, A., & Hall-Barrow, J. (2021). Establishing a quality improvement culture within a large integrated medical-dental health system with a population-based focus. BMJ Open Quality, 10(1), e001177. https://doi.org/10.1136/bmjoq-2020-001177
Sujan, M., Huang, H., & Braithwaite, J. (2023). Learning systems and quality measurement in healthcare: A systematic review. BMJ Open Quality, 12(2), e002175. https://doi.org/10.1136/bmjoq-2022-002175
Tsandila-Kalakou, F., Wiig, S., & Aase, K. (2023). Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review. BMC Health Services Research, 23(1), 799. https://doi.org/10.1186/s12913-023-09698-9
Vuohijoki, A., Ristolainen, L., Leppilahti, J., Kivivuori, S. M., & Hurri, H. (2025). Impact of joint commission international accreditation on occupational health and patient safety: A systematic review. PloS one, 20(6), e0325894. https://doi.org/10.1371/journal.pone.0325894
World Health Organization. (2021). Quality health services: A planning guide. Geneva: World Health Organization. https://www.who.int/publications
Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., Constantinou, C. S., & Gray, R. (2023). The Impact of Transformational Leadership in the Nursing Work Environment and Patients' Outcomes: A Systematic Review. Nursing Reports, 13(3). https://doi.org/10.3390/nursrep13030108
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