Determinant of Hospital Employees Performances: A Dynamic Capability Theory Perspective with Electronic Information System Moderation

Authors

  • Bembi Farizal Universitas Sriwijaya, Indonesia
  • Mohamad Adam Universitas Sriwijaya, Indonesia
  • Isni Andriana Universitas Sriwijaya, Indonesia
  • Muhammad Ichsan Hadjri Universitas Sriwijaya, Indonesia

DOI:

https://doi.org/10.47353/ijema.v3i5.353

Keywords:

Competence, Adaptability, Electronic Information System, Hospital, South Sumatera Province

Abstract

This study aims to explore the effect of competence and adaptablity on hospital employee performance moderated by electronic information system. This study applied quantitative method and causally associative approach. Employees that work in Regional General Hospital (RSUD) of South Sumatera Province were being populations in this study. The study sample was 120 employees was chosen using purposive sampling. Survey methods are used in data collection, employees are given questionnaires to complete. SmartPLS is utilized for data analysis, which employs partial least squares-structural equation modeling (PLS-SEM). The results show significant effect of competence, and electronic information system on hospital employee performance. While, adaptability did not have a significant effect on hospital employee performance in South Sumatra Provincial Hospital. Electronic information system is able to strengthen moderated the effect of competence and adaptability on hospital employee performance. This study highlights the significance various aspects of competency and flexibility in handling innovation for practitioners and policymakers, as well as the effect of hospital staff. These findings can be used by managers and policy makers to improve their resources and abilities to manage innovation more effectively, which is one of the top priorities of Regional General Hospitals (RSUD) in South Sulawesi Province nationally.

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References

Affect Risk Management Information Systems and the Moderating Influence of Top Management Support among Jordanian Hospitals. Wseas Transactions on Business and Economics, 22, 1339–1357. https://doi.org/10.37394/23207.2025.22.109

Alolayyan, M. N., Al-Rwaidan, R., Hamadneh, S., Ahmad, A., Alhamad, A., Al-Hawary, S. I. S., & Alshurideh, M. T. (2022). The Mediating Role of Operational Flexibility on the Relationship Between Quality of Health Information Technology and Management Capability. Uncertain Supply Chain Management, 10(4), 1131–1140. https://doi.org/10.5267/j.uscm.2022.8.014

Alolayyan, M. N., Alyahya, M. S., Alalawin, A. H., Shoukat, A., & Nusairat, F. T. (2020). Health Information Technology and Hospital Performance the Role of Health Information Quality in Teaching Hospitals. Heliyon, 6(10), e05040. https://doi.org/10.1016/j.heliyon.2020.e05040

Astarina, I., Fitrio, T., Hapsila, A., Supriyadi, A., & Cahyono, D. (2022). The Role of Training in Mediating the Effect of Competence, Compensation on Employee Performance. Jurnal Economia, 18(1), 132–147. https://doi.org/10.21831/economia.v18i1.42881

Bieńkowska, A., & Tworek, K. (2020). Job Performance Model Based on Employees’ Dynamic Capabilities (EDC). Sustainability (Switzerland), 12(6), 1–25. https://doi.org/10.3390/su12062250

Binsar, F., Mursitama, T. N., Hamsal, M., & Rahim, R. K. (2025). The Role of Digital Adoption Capability on Hospital Performance in Indonesia Moderated by Environmental Dynamism. Journal of Health Organization and Management, 39(1), 1–21. https://doi.org/10.1108/JHOM-04-2024-0130

Choi, Y.-J., Noh, J.-W., & Boo, Y.-K. (2018). The Effects of the Electronic Health Record System on Work Overload and Stress Moderation of Hospital Employees. Journal of Industrial Distribution & Business, 9(9), 35–44. https://doi.org/10.13106/ijidb.2018.vol9.no9.35.

Chouhan, V. S. (2023). Impact of Career Adaptability on Employee Performance: The Moderating Role of HR Practices. Management and Labour Studies, 48(3), 325–342. https://doi.org/10.1177/0258042X231160956

Fagerdal, B., Lyng, H. B., Guise, V., Anderson, J. E., Braithwaite, J., & Wiig, S. (2024). Exploring the Influence of Health System Factors on Adaptive Capacity in Diverse Hospital Teams in Norway: A Multiple Case Study Approach. BMJ Open, 14(5), e076945. https://doi.org/10.1136/bmjopen-2023-076945

Fanda, R. B., Probandari, A., Yuniar, Y., Hendarwan, H., Trisnantoro, L., Jongeneel, N., & Kok, M. O. (2024). The Availability of Essential Medicines in Primary Health Centres in Indonesia: Achievements and Challenges Across the Archipelago. The Lancet Regional Health - Southeast Asia, 22, 100345. https://doi.org/10.1016/j.lansea.2023.100345

Fu, F., Zha, W., & Zhou, Q. (2023). The Impact of Enterprise Digital Capability on Employee Sustainable Performance: From the Perspective of Employee Learning. Sustainability (Switzerland), 15(17), 1–22. https://doi.org/10.3390/su151712897

Furnival, J., Boaden, R., & Walshe, K. (2019). A Dynamic Capabilities View of Improvement Capability. Journal of Health Organization and Management, 33(7–8), 821–834. https://doi.org/10.1108/JHOM-11-2018-0342

Gunawan, I., & Chalidyanto, D. (2020). Analysis of Determinant Factors for Hospital Staff Adherence to the use of PPE the Care of Covid-19 Patients. JMMR: Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 9(2), 187–194. https://doi.org/10.18196/jmmr.93130

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to Use and How to Report the Results of PLS-SEM. European Business Review, 31(1), 1–24. https://doi.org/10.1108/EBR-11-2018-0203

Hastuti, S., & Aini, Q. (2023). Bibliometric and Visual Analysis of Work Performance Nursing Staff Hospital. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(2), 639–648. https://doi.org/10.30604/jika.v8i2.1991

Heksarini, A., Aroma, E. H., & Hutauruk, M. R. (2023). The Influence of Employee Responsibility and Knowledge on the Speed of Service and Employee Performance Moderated by the Hospital Management Information System: A Case Study of Type D Hospitals in the East Kalimantan Province. Oblik i Finansi, 4(102), 132–142. https://doi.org/10.33146/2307-9878-2023-4(102)-132-142

Husna, A., Pontoh, G. T., & Indrijawati, A. (2023). The Influence of Accounting Information Systems and Service Systems on Organizational Performance at Hospital in Makassar City. Kinerja, 27(1), 46–57. https://doi.org/10.24002/kinerja.v27i1.6353

Indarjo, S., Azinar, M., Raharjo, B. B., & Salma, W. M. (2022). The Effect of Competence on Health Promotors Performance in Central Java Indonesia. Kemas: Jurnal Kesehatan Masyarakat, 17(4), 614–620. https://doi.org/10.15294/kemas.v17i4.32778

Indiyati, D., Ghina, A., & Romadhona, A. F. (2021). Human Resource Competencies, Organizational Culture, and Employee Performance. International Journal of Science and Society, 3(1), 1–10. https://doi.org/10.54783/ijsoc.v3i1.251

Jeilani, A., & Hussein, A. (2025). Impact of Digital Health Technologies Adoption on Healthcare Workers’ Performance and Workload: Perspective with DOI and TOE Models. BMC Health Services Research, 25(1), 1–17. https://doi.org/10.1186/s12913-025-12414-4

Junita, R., Asni, K., Syarifuddin, & Agusmadi. (2022). The Influence of Competence, Job Characteristics and Organizational Support on Employee Performance with Employee Engagement Mediation in Private Hospital in Banda Aceh. International Journal of Applied Science and Engineering Review, 3(6), 205–236. https://doi.org/10.52267/IJASER.2022.3612

Kismanto, J., Pujilestari, A., Kusumawardhani, O. B., & Handayani, A. T. (2024). Measurement of Employee Performance in View of Competency, Motivation and Study Awards at Dr. Soeratno Gemolong Hospital, Sragen Indonesia. Jurnal Ganeshwara, 5(2), 24–33. https://doi.org/10.36728/jg.v5i2.4511

Kulkov, I., Ivanova-Gongne, M., Bertello, A., Makkonen, H., Kulkova, J., Rohrbeck, R., & Ferraris, A. (2023). Technology Entrepreneurship in Healthcare: Challenges and Opportunities for Value Creation. Journal of Innovation and Knowledge, 8(2), 100365. https://doi.org/10.1016/j.jik.2023.100365

Łukasik, M., & Porębska, A. (2022). Responsiveness and Adaptability of Healthcare Facilities in Emergency Scenarios: COVID-19 Experience. International Journal of Environmental Research and Public Health, 19(2), 1–18. https://doi.org/10.3390/ijerph19020675

Mauro, M., Noto, G., Prenestini, A., & Sarto, F. (2024). Digital Transformation in Healthcare: Assessing the Role of Digital Technologies for Managerial Support Processes. Technological Forecasting and Social Change, 209, 123781. https://doi.org/10.1016/j.techfore.2024.123781

Mohailan, M. H. S. (2024). The Impact of Job Adaptation on Organizational Performance in Hospitals Operating in Madaba Governorate. International Journal of Finance, Insurance and Risk Management, 14(3), 68–95. https://doi.org/10.35808/ijfirm/397

Mumtaz, H., Riaz, M. H., Wajid, H., Saqib, M., Zeeshan, M. H., Khan, S. E., Chauhan, Y. R., Sohail, H., & Vohra, L. I. (2023). Current Challenges and Potential Solutions to the use of Digital Health Technologies in Evidence Generation: A Narrative Review. Frontiers in Digital Health, 5, 1–8. https://doi.org/10.3389/fdgth.2023.1203945

Ningsih, L. K., & Prastiwi, N. L. P. E. Y. (2022). Improving the Performance of Hospital Employees Reviewed from the Perspective of Organizational Culture, Organizational Citizenship Behavior, and Organizational Commitment. International Journal of Social Science and Business, 6(1), 39–46. https://doi.org/10.23887/ijssb.v6i1.40765

Noto, G., Lo Verso, A. C., & Barresi, G. (2021). What is the Performance in Public Hospitals? A Longitudinal Analysis of Performance Plans Through Topic Modeling. BMC Health Services Research, 21(1), 1–11. https://doi.org/10.1186/s12913-021-06332-4

Onang ab, Y., Djawoto, D., & Prijati, P. (2023). The Influence of Competence, Motivation and Career Development on Nurse Performance Mediated by Organizational Commitment at Dr. Tc. Hillers Maumere Regional General Hospital. JHSS: Journal of Humanities and Social Studies, 07(02), 414–419. https://doi.org/10.33751/jhss.v7i2.7534

Pitafi, A. H., Kanwal, S., Ali, A., Khan, A. N., & Ameen, M. W. (2018). Moderating Role of IT Competency and Work Cooperation on Employee Work Performance in an ESM Environment. Technology in Society, 55, 199–208. https://doi.org/10.1016/j.techsoc.2018.08.002

Prasetyo, J. H., & Ariawan, J. (2023). The Role of HR Information System in Boosting the Performance of Employee. Enrichment: Journal of Management, 13(1), 204–213. https://doi.org/10.35335/enrichment.v13i1.1220

Ramadhan, S. W., Maidin, A., & Thamrin, Y. (2023). Analysis of the Effect of Human Capital on Nurse Performance in Haji Hospital South Sulawesi Province. Journal of Medical and Health Studies, 3(1), 18–25. https://doi.org/10.32996/jmhs.2022.3.1.3

Saragih, R. S., Kartasurya, M. I., Surjoputro, A., & Iswanti, D. I. (2025). Determinants of Excellent Service Performance in Nurses: A Cross-Sectional Study. Journal of Nursing Practice, 8(3), 525–533. https://doi.org/10.30994/jnp.v8i3.627

Sari, M., Dahrani, & Sagala, N. A. (2023). Determinants of Employee Performance at Public Hospitals in Indonesia: Examining the Moderating Role of Organizational Culture. Problems and Perspectives in Management, 22(1), 57–68. https://doi.org/10.21511/ppm.22(1).2024.06

Setiyadi, D., Septiarini, E., Kurniasih, N., Wijaya, A., Boyke, H., & Umadato, H. (2024). Determinants of Adaptive Performance at Individual, Team, and Organizational Levels: A Systematic Review of Empirical Studies (2011-2022). Journal of Logistics, Informatics and Service Science, 11(12), 39–70. https://doi.org/10.33168/JLISS.2024.1203

Siregar, A. Y. A., Tamtomo, D. G., & Murti, B. (2025). Determinants of Work Performance among Employee in Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Central Java. JHPM: Journal of Health Policy and Management, 10(1), 41–49. https://doi.org/10.-26911/thejhpm.2025.10.01.04

Sudrajat, A., & Framesthi, D. B. (2024). The Impact of Nurses Training and Competence on the Quality of Inpatient Services in Bandung Hospital. Jurnal Manajemen Pelayanan Publik, 8(1), 95–111. https://doi.org/10.24198/jmpp.v8i1.52361

Sulistyowati, Y., Hidayat, D., & Sukajie, B. (2024). Pengaruh Gaya Kepemimpinan, Kompetensi dan Motivasi Terhadap Produktivitas Kerja Pegawai Pada RS HS Samsoeri Mertojoso. Greenomika, 06(2), 103–112. https://doi.org/10.55732/unu.gnk.2024.06.2.2

Susanto, P. C., Hidayat, W. W., Widyastuti, T., Rony, Z. T., & Soehaditama, J. P. (2023). Analysis of Resilience and Competence on Employee Performance through Intervening Key Performance Indicator Variables. IJBA: Indonesian Journal of Business Analytics, 3(3), 899–910. https://doi.org/10.55927/ijba.v3i3.4274

Thomas, A., & Suresh, M. (2022). Readiness for Agility Adaptability and Alignment in Healthcare Organizations. IISE Transactions on Healthcare Systems Engineering, 13(2), 161–174. https://doi.org/10.1080/24725579.2022.2144966

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), 1–13. https://doi.org/10.1186/s12913-023-09698-9

Untari, U. D., Qomariah, N., & Martini, N. N. P. (2024). Efforts to Improve Hospital Employee Performance through Human Resource and Competency Development. Journal of Economics, Finance And Management Studies, 07(07), 4361–4368. https://doi.org/10.47191/jefms/v7-i7-54

Vuong, T. D. N., & Nguyen, L. T. (2022). The Key Strategies for Measuring Employee Performance in Companies: A Systematic Review. Sustainability, 14(21), 14017. https://doi.org/10.3390/su142114017

Wahyuhadi, J., Hidayah, N., & Aini, Q. (2023). Remuneration, Job Satisfaction, and Performance of Health Workers During the COVID-19 Pandemic Period at the Dr. Soetomo Hospital Surabaya, Indonesia. Psychology Research and Behavior Management, 16, 701–711. https://doi.org/10.2147/PRBM.S396717

Wu, Y., Wang, W., & Zhang, X. (2021). Enhancing Hospital Performance: The Role of Interfirm Dynamic Capabilities from the Information Processing View. Journal of Decision Systems, 32(1), 139–161. https://doi.org/10.1080/12460125.2021.1947945

Yaya, R., Saud, I. M., Murtin, A., Putra, A. Z., Suryanto, R., & Sofyani, H. (2025). Dynamic Capabilities in Healthcare: The Crucial Role of Adaptability in Enterprise Risk Management for Indonesian Hospitals. Public Health of Indonesia, 11(2), 193–203. https://doi.org/10.36685/phi.v11i2.999

Yudono, A., Afrianto, F., & Hariyanto, A. D. (2023). The Evaluation of Geographical Health Facilities Structure in Makassar City, Indonesia. International Journal of Environmental Research and Public Health, 20(6), 1–21. https://doi.org/10.3390/ijerph20065210

Yulianti, R. (2021). The Analysis of Nurse Performance During Covid-19 Pandemic: A Case Study from Private Hospital in Tangerang. Jurnal Manajemen Teori Dan Terapan, 14(2), 147–165. https://doi.org/10.20473/jmtt.v14i2.27672

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Published

2025-10-31

How to Cite

Farizal, B., Adam, M., Andriana, I., & Ichsan Hadjri, M. (2025). Determinant of Hospital Employees Performances: A Dynamic Capability Theory Perspective with Electronic Information System Moderation. International Journal of Economics, Management and Accounting (IJEMA), 3(5), 384–396. https://doi.org/10.47353/ijema.v3i5.353

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