Applying Project Management to Establish an Academic Health System: A Participatory Action Research

Authors

  • Jodie Josephine Krida Wacana Christian University, Jakarta, Indonesia
  • Hery Winoto Tj Krida Wacana Christian University, Jakarta, Indonesia
  • Fushen Krida Wacana Christian University, Jakarta, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v31i2.3666

Keywords:

Academic health system, Participatory action research, Project management

Abstract

Introduction: Academic Health Systems (AHS) integrate healthcare, education, and research to enhance medical training and patient care. However, initiating AHS in institutions without an existing framework presents challenges in aligning stakeholder expectations and organizational structures. Purpose: This study aims to initiate and establish an appropriate AHS model for Ukrida AHS through Project Management (PM) principles and highlight the importance of PM principles in healthcare organizations. Methods: A qualitative research design was employed using semi-structured interviews with six key stakeholders. Thematic analysis identified recurring patterns in stakeholder perceptions, expectations, and challenges regarding AHS implementation. Data triangulation through a Focus Group Discussion (FGD) refined the findings. Results: The findings are categorized into three phases: Inquiry, which identified three key themes—stakeholder perceptions of their organization, understanding of AHS, and perceived benefits and challenges; Action, which translated these insights into concrete steps, including goal-setting, developing a Gantt chart, and an AHS model; and Reflection, which assessed the research process and emphasizing the benefits of using PM principles in healthcare organizations. Conclusion: Integrating PM with PAR facilitated AHS initiation at Ukrida, revealing benefits, challenges, and key priorities: leadership alignment, financial sustainability, faculty development, stakeholder collaboration, and data systems to ensure long-term success and scalability.

References

Rothman PB, Miller ED, King LS, Gibson EF. The changing ivory tower: balancing mission and business. In: Wartman SA, editor. The transformation of academic health centers [Internet]. Washington: Elsevier; 2015. p. 3-12. Available from: https://doi.org/10.1016/B978-0-12-800762-4.01002-1

Putri SS. Mengenal kembali academic health system (ahs) dalam pendidikan kedokteran indonesia [Internet]. [Place unknown]: Manajemen Rumah Sakit; 2020 [cited 2025 March 20]. Available from: https://manajemenrumahsakit.net/2020/02/mengenal-kembali-academic-health-system-ahs-dalam-pendidikan-kedokteran-indonesia/

Edelman A, Taylor J, Ovseiko P, Topp SM. The role of academic health centres in improving health equity: a systematic review. Journal of Health Organization and Management. 2018;32(2):279-97. Available from: https://doi.org/10.1108/JHOM-09-2017-0255

Easterling D, Perry AC, Woodside R, Patel T, Gesell SB. Clarifying the concept of a learning health system for healthcare delivery organizations: implications from a qualitative analysis of the scientific literature. Learning Health Systems [Internet]. 2022;6(2) e10287. Available from: https://doi.org/10.1002/lrh2.10287

Syukriani Y. Academic health system in west java in strengthening primary health care. Journal of Midwifery [Internet]. 2020;5(2):69-80. Available from: https://doi.org/10.25077/JOM.5.1.71-80.2020

Agustian D, Desy AIF, Sakilah AQE, Guswan W, Hasan BM, Windi N, et al. Academic health system framework for health services transformation: a perspective view from west java, indonesia. Advances in Medical Education and Practice [Internet]. 2024;15:957-69. Available from: https://doi.org/10.2147/AMEP.S474314

Bismantara H, Ahern S, Teede HJ, Liew D. Academic health science centre models across the developing countries and lessons for implementation in Indonesia: a scoping review. BMJ Open [Internet]. 2022;12(9): e051937. Available from: https://doi.org/10.1136/bmjopen-2021-051937

Academic Health System Universitas Indonesia [Internet]. Jakarta: Academic Health System Universitas Indonesia [cited 2025 March 20]. Available from: https://ahs.ui.ac.id/

Academic Health System [Internet]. Yogyakarta: AHS UGM [cited 2025 March 20]. Available from: https://ahs.ugm.ac.id/tentang-ahs-ugm/academic-health-system/

Mohamadi SA, Hariri SY, Mousavi R, Sabzikaran E. The role of project management offices (PMOs) in healthcare system. International Journal of Current Research and Academic Review [Internet]. 2015;3:429-35. Available from: http://www.ijcrar.com/vol-3-6/Samad%20Agha%20Mohamadi,%20et%20al.pdf

Santos C, Santos V, Tavares A, Varajão J. Project management success in health – the need of additional research in public health projects. Procedia Technology [Internet]. 2014;16:1080-5. Available from: https://doi.org/10.1016/j.protcy.2014.10.122

Notargiacomo P, Rossi R. Project management principles applied in academic research projects. Issues in Informing Science and Information Technology [Internet]. 2013;10:325-40. Available from: https://doi.org/10.28945/1814

Maddalena V. A primer on project management: The cornerstone of strategic leadership. Leadership in Health Services [Internet]. 2012;25:80-9. Available from: https://doi.org/10.1108/17511871211221019

Dobin V, Lazar B. Project management and quality in healthcare: a systematic literature review. PM World Journal [Internet]. 2020;9(9):2330-4480. Available from: https://www.researchgate.net/publication/344518933_Project_Management_and_Quality_in_Healthcare_A_Systematic_Literature_Review

Johnson MR, Bolte J, Veldman T, Sutton L. Establishing a project management community of practice in a large academic health system. Journal of Research Administration [Internet]. 2020;51(2):102-13. Available from: https://www.srainternational.org/blogs/srai-jra1/2020/09/29/establishing-a-project-management-community-of-pra

Hazel SM, Jacobson WS. Project Management Principles for Use in the Public Sector: Tools for the Everyday Project Manager. Public Management Bulletin [Internet]. 2014;9. Available from: https://www.sog.unc.edu/publications/bulletins/project-management-principles-use-public-sector-tools-everyday-project-manager

Mustaro P, Rossi R. Project management principles applied in academic research projects. In: Cohen E, Boyd E, editors. Proceedings of the Informing Science and Information Technology Education Conference 2013 Jul 01; Porto, Portugal. Informing Science Institute; 2013. P.325-40. Available from: https://www.informingscience.org/Publications/1814

Yopie S, Febriana H. Analyzing project management trends in Indonesia: 2018-2023 international literature review. International Journal of Financial, Accounting, and Management [Internet]. 2024;6:197-215. Available from: https://doi.org/10.35912/ijfam.v6i2.1836

Cortelyou-Ward K, Noblin A, Martin J. Electronic health record project initiation and early planning in a community health center. The Health Care Manager [Internet]. 2011;30(2):118-124. Available from: https://doi.org/10.1097/hcm.0b013e318216eeff

Ishii K, Fujitani K, Matsushita H. Interprofessional collaboration mediates the relationship between perceived organizational learning and safety climate in hospitals: A cross-sectional study. International Journal of Risk & Safety in Medicine [Internet]. 2024;35(3):217-32. Available from: https://doi.org/10.3233/JRS-230026

Mackenzie J, Tan P-L, Hoverman S, Baldwin C. The value and limitations of Participatory Action Research methodology. Journal of Hydrology [Internet]. 2012;474:11-21. Available from: https://doi.org/10.1016/j.jhydrol.2012.09.008

Goodenough A, Waite S. Real world research: a resource for users of social research methods in applied settings. Journal of Education for Teaching [Internet]. 2012;38(4):513-5. Available from: https://doi.org/10.1080/02607476.2012.708121

Brinkman S. Unstructured and semi-structured interviewing. In: Leavy P, editor. The oxford handbook of qualitative research. 2 ed. Oxford: Oxford University Press; 2014. p. 424-56.

Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. qualitative health research [Internet]. 2005;15(9):1277-88. Available from: https://doi.org/10.1177/1049732305276687

Smith J, Firth J. Qualitative data analysis: the framework approach. Nurse researcher [Internet]. 2011;18(2):52-62. https://doi.org/10.7748/nr2011.01.18.2.52.c8284

Herr K, Anderson GL. The continuum of positionality in action research. The action research dissertation: a guide for students and Faculty: SAGE Publications [Internet]; 2014. p. 29-48. Available from: https://doi.org/10.4135/9781452226644.n3

Berger R. Now I see it, now I don’t: researcher’s position and reflexivity in qualitative research. Qualitative Research [Internet]. 2013;15(2):219-34. Available from: https://doi.org/10.1177/1468794112468475

Finlay L. “Outing” the researcher: the provenance, process, and practice of reflexivity. Qualitative Health Research [Internet]. 2002;12:531-45. Available from: https://doi.org/10.1177/104973202129120052

Yuliawati S. Kajian implementasi tri dharma perguruan tinggi sebagai fenomena pendidikan tinggi di indonesia. Jurnal Ilmiah Widya [Internet]. 2013;29(1):28-33. Available from: https://www.neliti.com/publications/218712/kajian-implementasi-tri-dharma-perguruan-tinggi-sebagai-fenomena-pendidikan-ting#cite

Mazzocato P, Thor J, Bäckman U, Brommels M, Carlsson J, Jonsson F, et al. Complexity complicates lean: lessons from seven emergency services. Journal of Health Organization and Management [Internet]. 2014;28(2):266-88. Available from: https://doi.org/10.1108/JHOM-03-2013-0060

Vaughn VM, Saint S, Krein SL, Forman JH, Meddings J, Ameling J, et al. Characteristics of healthcare organizations struggling to improve quality: results from a systematic review of qualitative studies. BMJ Qual Saf [Internet]. 2019;28(1):74-84. Available from: https://doi.org/10.1136/bmjqs-2017-007573

Walker A, Dale C, Curran N, Boaz A, Hurley M. Leading the spread and adoption of innovation at scale: an Academic Health Science Network’s perspective. BMJ Leader. 2020;5(1):155-158. Available from: https://doi.org/10.1136/leader-2020-000252

Pardes H, Pincus HA. Commentary: models of academic-clinical partnerships: goods, better, best. Acad Med [Internet]. 2010;85(8):1264-5. Available from: https://doi.org/10.1097/ACM.0b013e3181e685a1

Gonzalo JD, Dekhtyar M, Starr SR, Borkan JM, Brunett PH, Fancher TL, et al. Health systems science curricula in undergraduate medical education: identifying and defining a potential curricular framework. Academic Medicine [Internet]. 2017;92:123–31. Available from: https://doi.org/10.1097/acm.0000000000001177

Mohieldein AH. Implementing accreditation standards in academic medical programs is necessary to trust higher education: the experience of two academic programs at qassim university, kingdom of saudi arabia. Sudan Journal of Medical Sciences [Internet]. 2023;18(4). Available from: https://doi.org/10.18502/sjms.v18i4.14729

Park JE, Kibe P, Yeboah G, Oyebode O, Harris B, Ajisola MM, et al. Factors associated with accessing and utilization of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature. BMJ Open [Internet]. 2022;12(5):e055415. Available from: https://doi.org/10.1136/bmjopen-2021-055415

Khatri RB, Wolka E, Nigatu F, Zewdie A, Erku D, Endalamaw A, et al. People-centred primary health care: a scoping review. BMC Primary Care [Internet]. 2023;24(1):236. Available from: https://doi.org/10.1186/s12875-023-02194-3

Yogesh MJ, Karthikeyan J. Health informatics: engaging modern healthcare units: a brief overview. Front Public Health [Internet]. 2022;10(1):854688. Available from: https://doi.org/10.3389/fpubh.2022.854688

Professionals AH. The allied health professions (ahps) strategy for england: 2022 – 2027 ahps deliver: NHS England; 2022 [cited 2025 March 20]. Available from: https://www.england.nhs.uk/long-read/the-allied-health-professions-ahps-strategy-for-england-ahps-deliver/

Levin SP, Levin M. Managing ideas, people, and projects: organizational tools and strategies for researchers. iScience [Internet]. 2019 Oct 25;20(1):278-91. Available from: https://doi.org/10.1016/j.isci.2019.09.017

Pool ET, Poole K, Upjohn DP, Hernandez JS. Agile project management proves effective, efficient for mayo clinic: american association for physician leadership; 2019 [cited 2025 March 20. Available from: https://www.physicianleaders.org/articles/agile-project-management-proves-effective-efficient-mayo-clinic

Savage GT, Duncan WJ, Knowles KL, Nelson K, Rogers DA, Kennedy KN. Interprofessional academic health center leadership development: the case of the university of alabama at birmingham's healthcare leadership academy. Applied nursing research [Internet]. 2014;27(2):104-8. Available from: https://doi.org/10.1016/j.apnr.2013.07.001

Orchard C, Rykhoff M. Collaborative leadership within interprofessional practice. In: Forman D, Jones M, Thistlethwaite J, editors. Leadership and Collaboration: Further Developments for Interprofessional Education. London: Palgrave Macmillan UK [Internet]; 2015. p. 71-94. Available from: https://doi.org/10.1057/9781137432094_5

Vaughn LM, Jacquez F. Participatory research methods - choice points in the research process. Journal of Participatory Research Methods [Internet]. 2020;1(1). Available from: https://doi.org/10.35844/001c.13244

Downloads

Published

2025-04-21

How to Cite

Josephine, J., Tj, H. W. ., & Fushen. (2025). Applying Project Management to Establish an Academic Health System: A Participatory Action Research. Jurnal Kedokteran Meditek, 31(2), 107–119. https://doi.org/10.36452/jkdoktmeditek.v31i2.3666

Issue

Section

Artikel Penelitian