Analysis of System and Service Management Improvement for Mental Health at Mental Hospitals: A Systematic Review

Dede Suryaputra 1), Wibowo Adik2)


1)Masters Program in Faculty of Public Health, Universitas Indonesia

2)Department of Policy and Health Administration, Faculty of Public Health, Universitas Indonesia



Background: Mental disorders are one of the health problems in the world where ± 300 million people experience mental disorders, and the quality of care for men­­­tal health has not increased, its caused poor treatment results. Poor quality mental health services can lead to negative therapeutic outcomes. However, poor quality of care can be sub­s­tan­tially redressed through concerted and systematic quality improvement strategies. This study aimed to review systematically the system and service management impro­ve­ment for mental health at mental hospitals.

Subjects and Method: A systematic review was conducted by searching following da­­­­ta­bases included Annual Reviewer, J-Store, Scientdirect, Scopus, Google Scholar and Online Library. The keywords were “mental health patient” AND “system improvement” AND “manage­ment health services” AND “hospital”. The inclusion criteria were Eng­lish and open access. After review process, 16 articles were included in this review.

Results: From the 16 literature studies consisting of 5 references mentioning case management, multidisciplinary teams and facilities, 5 references regarding licensing and standardization, 3 references regarding certification and accreditation. Then 3 other references stated that the improvement of education and training of the health profession, organizational factors and hospital management leadership had a positive impact in improving service management hospitals especially in mental hospitals

Conclusion: System improvement and management of mental health services re­duced the num­ber of patients with chronic mental disorder in hospitals and in­cre­ase patient satisfaction.

Keywords: system improvement, management, mental health, service, patient sa­tis­fac­tion

Correspondence: Dede Suryaputra. Masters Program in Faculty of Public Health, Universitas Indonesia, Depok, West Java. Email: Mobile: 081511­034600.


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