Innovating Regional Revenue Enhancement through Health Service Levies at the Gorontalo Provincial Health Laboratory

Authors

  • Hartati Tahir Pascasarjana Ilmu Administrasi, Universitas Bina Taruna Gorontalo, Indonesia
  • Ellys Rachman Pascasarjana Ilmu Administrasi, Universitas Bina Taruna Gorontalo, Indonesia
  • Lisda Van Gobel Pascasarjana Ilmu Administrasi, Universitas Bina Taruna Gorontalo, Indonesia
  • Malini Ganapathy School of Languages, Literacies and Translation, Universiti Sains Malaysia, Malaysia

DOI:

https://doi.org/10.61455/sicopus.v3i03.428

Keywords:

service, innovation, health levy, regional original revenue, gorontalo health lab

Abstract

Objective: This study aims to analyze the contribution of the Regional Health Laboratory (Labkesda) of Gorontalo Province in increasing Regional Original Revenue (ROR) through service innovation and better management. Theoretical framework: The theoretical framework used includes public service innovation, communication in promotion, and management of resources, facilities, and budgets that affect the performance of Labkesda. Literature review: A literature review examines the role of ROR in regional funding and the challenges faced in increasing its contribution through the health sector. Methods: The method used is qualitative descriptive with data collection through observation, interviews, and documentation. Results: The results of the study show that despite several service innovations such as home care and telephone consultation, Labkesda's contribution to ROR is still limited. Socialization strategies through social media and cooperation between agencies are also not effective because communication tends to be one-way. The main obstacles include limited human resources, infrastructure, budget, and competition with private laboratories. Implications: strengthening service innovation, more creative promotion, and improvements in management to increase Labkesda's contribution to ROR, as well as strengthening its role as a modern and competitive health service provider. Novelty: This research also offers new insights into the gap between the concept of public service innovation and its implementation in the field, as well as provides an overview of the factors that hinder the optimal contribution of Labkesda to ROR.

References

A. Adinda, “Optimalisasi Penerimaan Pajak Daerah Dan Retribusi Daerah Dalam Meningkatkan Pendapatan Asli Daerah Kota Palopo.” IAIN Palopo, 2024.

T. W. Simbala, D. S. M. Engka, and A. L. C. P. Lapian, “Pengaruh Retribusi Pelayanan Kesehatan Rsud Kotamobagu Terhadap Pendapatan Asli Daerah (ROR) Kota Kotamobagu,” J. Pembang. Ekon. Dan Keuang. Drh. Vol, vol. 24, no. 2, 2023.

M. A. E. Danial, “Analisis Implementasi Kebijakan Retribusi Kebersihan Di Kota Gorontalo Analysis Of Cleaning Levy Policy Implementation In The City Of Gorontalo.” Universitas Hasanuddin, 2024.

J. Junaidi, Z. Adriani, Y. Yudi, F. Widiastuti, and D. Sagita, “Pengaruh Pajak Daerah, Retribusi Daerah, dan Lain-Lain Pendapatan yang Sah Terhadap Pendapatan Asli Daerah Kota Payakumbuh Tahun 2013-2022,” J. Paradig. Ekon., vol. 18, no. 4, pp. 82–94, 2023.

B. C. M. Putri, D. S. Kartini, and I. Akbar, “Optimalisasi Pendapatan Asli Daerah (ROR) Berbasis Entrepreneurial Government Untuk Sektor Kesehatan di Kabupaten Karawang Tahun 2023,” Ranah Res. J. Multidiscip. Res. Dev., vol. 6, no. 5, pp. 1670–1677, 2024, https://doi.org/10.38035/rrj.v6i5.993.

M. E. Milakovich, Digital governance: Applying advanced technologies to improve public service. Routledge, 2021, https://doi.org/10.4324/9781003215875.

N. Edelmann and I. Mergel, “Co-production of digital public services in Austrian public administrations,” Adm.. Sci., vol. 11, no. 1, p. 22, 2021, https://doi.org/10.3390/admsci11010022.

P. Aghion, P. Howitt, M. Brant-Collett, and C. García-Peñalosa, Endogenous growth theory. MIT press, 1998.

Y. Sun, P. Gao, W. Tian, and W. Guan, “Green innovation for resource efficiency and sustainability: Empirical analysis and policy,” Resour. Policy, vol. 81, p. 103369, 2023, https://doi.org/10.1016/j.resourpol.2023.103369.

M. Pruteanu, “Financial risk management mechanisms in the field of budgetary and fiscal relations in the context of digital transformations of the budgetary process,” in Modern finance from the perspective of sustainability, 2025, pp. 253–262, https://doi.org/10.53486/mfsne2024.31.

J. Prasetyo, M. Kamil, and D. E. Hardian, “Public Administration Management Strategy in Increasing the Effectiveness of Tax Revenue in the Digital Era: A Literature Study on Fiscal Governance Innovation,” Mult. J. Magister Manaj., vol. 6, no. 1, pp. 422–434, 2025.

А. Павловська, О. Фінагіна, and О. Білик, “Financial management technologies: anti-crisis policy and fiscal administration of business environment in the conditions of global and regional challenges,” Збірник наукових праць Черкаського державного технологічного університету. Серія: Економічні науки, vol. 26, no. 74 (1), pp. 23–35, 2025, https://doi.org/10.24025/2306-4420.1(74).2025.326310.

A. H. Van de Ven, “Central problems in the management of innovation,” Manage. Sci., vol. 32, no. 5, pp. 590–607, 1986, https://doi.org/10.1287/mnsc.32.5.590.

J. Hartley, E. Sørensen, and J. Torfing, “Collaborative innovation: A viable alternative to market competition and organizational entrepreneurship,” Public Adm.. Rev., vol. 73, no. 6, pp. 821–830, 2013, https://doi.org/10.1111/puar.12136.

J. Hartley, “Public and private features of innovation,” Handb. Innov. public Serv., pp. 44–59, 2013, https://doi.org/10.4337/9781849809740.00011.

N. Torugsa and A. Arundel, “The nature and incidence of workgroup innovation in the Australian public sector: evidence from the Australian 2011 state of the service survey,” Aust. J. Public Adm., vol. 75, no. 2, pp. 202–221, 2016, https://doi.org/10.1111/1467-8500.12095.

H. De Vries, V. Bekkers, and L. Tummers, “Innovation in the public sector: A systematic review and future research agenda,” Public Adm., vol. 94, no. 1, pp. 146–166, 2016, https://doi.org/10.1111/RORm.12209.

P. Parycek, V. Schmid, and A.-S. Novak, “Artificial Intelligence (AI) and automation in administrative procedures: Potentials, limitations, and framework conditions,” J. Knowl. Econ., vol. 15, no. 2, pp. 8390–8415, 2024, https://doi.org/10.1007/s13132-023-01433-3.

U. Suharsaputra, “Kepemimpinan inovasi pendidikan,” Bandung: Refika Aditama, 2016.

D. Ariyani and M. Zuhaery, “Principal’s Innovation and Entrepreneurial Leadership to Establish a Positive Learning Environment,” Eur. J. Educ. Res., vol. 10, no. 1, pp. 63–74, 2021, https://doi.org/10.12973/eu-jer.10.1.63.

L. Van Gobel, “Kinerja Pengurus Pemberdayaan Kesejahteraan Keluarga (Pkk) Di Kelurahan Bolihuangga Kecamatan Limboto Kabupaten Gorontalo,” Publik, vol. 3, no. 2, pp. 103–111, 2016, https://doi.org/10.37606/publik.v3i2.73.

L. Van Gobel, “Pemanfaatan Pos Kesehatan Desa (Poskesdes) Dalam Pelayanan Kesehatan Masyarakat Di Desa Sukma Kecamatan Botupingge Kabupaten Bone Bolango,” Publik, vol. 3, no. 1, pp. 17–24, 2016.

D. E. Djamrut, “Inovasi pelayanan publik di kecamatan sungai kunjang kota samarinda,” EJournal Ilmu Pemerintah., vol. 3, no. 3, pp. 1472–1486, 2015.

R. I. Silfiah and N. Mufida, “Strategy To Improve Family Card Administration Service In Purwosari Village, Purwosari District, Pasuruan Regency,” J. Dialekt. J. Ilmu Sos., vol. 22, no. 1, pp. 27–40, 2024.

T. Widodo, “Pengaruh Lingkungan Kerja, Budaya Organisasi, Kepemimpinan Terhadap Kinerja (Studi RORa Pegawai Kecamatan Sidorejo Kota Salatiga),” Among Makarti, vol. 3, no. 1, 2012.

M. Sarmilasari, “Sikap dan kepuasan pengguna sistem perbendaharaan dan anggaran negara (SPAN),” Indones. Treas. Rev. J. Perbendaharaan, Keuang. Negara Dan Kebijak. Publik, vol. 1, no. 2, pp. 15–33, 2016, https://doi.org/10.33105/itrev.v1i2.54.

L. Hakim and T. I. Maulana, “Efektivitas Integrated Financial Management and Information System (IFMIS) RORa Proses Pelaporan Keuangan Pemerintah Pusat,” J. Akunt. dan Bisnis, vol. 19, no. 1, p. 80, 2019, https://doi.org/10.20961/jab.v19i1.328.

R. R. L. Chairina, F. Andriyani, L. A. B. Kinanti, and H. A. Hudori, “Edukasi Aplikasi Retribusi Pelayanan Kesehatan di Puskesmas Sumbersari Kecamatan Sumbersari Kabupaten Jember,” Agrimas J. Pengabdi. Masy. Bid. Pertan., vol. 3, no. 1, pp. 11–16, 2024.

M. S. Husnawan, W. Purwanto, and A. Tjahjono, “Evaluasi Penyusunan Anggaran RORa Rumah Sakit Umum Daerah Muntilan Kabupaten Magelang Tahun Anggaran 2018.” STIE Widya Wiwaha, 2019.

S. Rahayu, V. T. Sugistiawati, and I. Fitriyani, “Pengaruh Retribusi Pelayanan Kesehatan Terhadap Pendapatan Asli Daerah Kabupaten Sumbawa,” J. Ekon. Bisnis, vol. 10, no. 3, pp. 371–379, 2022, https://doi.org/10.58406/jeb.v10i3.1048.

Sugiyono, Metode penelitian kuantitatif, kualitatif, dan R&D, 3rd ed. Bandung: Alfabeta, 2021.

Sugiyono, Metode Penelitian Kombinasi. Bandung: CV. Alfabeta, 2018.

L. J. Moleong, “Metodologi penelitian kualitatif (edisi revisi),” 2016.

S. Nazir, Y. Ali, N. Ullah, and I. García-Magariño, “Internet of things for healthcare using effects of mobile computing: a systematic literature review,” Wireless. Commun. Mob. Comput., vol. 2019, no. 1, p. 5931315, 2019, https://doi.org/10.1155/2019/5931315.

M. R. Fadli, “Memahami desain metode penelitian kualitatif,” Humanika, vol. 21, no. 1, pp. 33–54, 2021, https://doi.org/10.21831/hum.v21i1.38075.

F. Almanshur and D. Ghony, “Metodologi penelitian kualitatif,” Yogyakarta: Ar-Ruzz Media, 2012.

M. B. Miles, “Qualitative data analysis: A methods sourcebook.” Sage, 2014.

Sugiyono, Metode Penelitian Kuantitatif. Bandung: Alfabeta, 2019.

J. B. Barney, “Resource-based theories of competitive advantage: A ten-year retrospective on the resource-based view,” J. Manage., vol. 27, no. 6, pp. 643–650, 2001, https://doi.org/10.1016/S0149-2063(01)00115-5.

H. Do, P. Budhwar, H. Shipton, H.-D. Nguyen, and B. Nguyen, “Building organizational resilience, innovation through resource-based management initiatives, organizational learning and environmental dynamism,” J. Bus. Res., vol. 141, pp. 808–821, 2022, https://doi.org/10.1016/j.jbusres.2021.11.090.

J. E. Grunig and L. A. Grunig, “Models of public relations and communication,” Excell. Public relations Commun. Manag., pp. 285–325, 2013.

J. E. Grunig and L. A. Grunig, “The relationship between public relations and marketing in excellent organizations: evidence from the IABC study,” in Public Relations and Communication Management, Routledge, 2013, pp. 53–78.

A. Djusan, “Praktik government public relations paska otonomi daerah, sebuah tinjauan dengan kasus penyuluh kb sebagai government public relations bidang kb,” J. Stud. Komun. dan Media, vol. 16, no. 1, pp. 61–70, 2012, https://doi.org/10.31445/jskm.2012.160104.

A. Parasuraman, V. A. Zeithaml, and L. Berry, “SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality,” 1988, vol. 64, no. 1, pp. 12–40, 1988.

A. F. Aziz, “Analisis Kualitas Pelayanan Publik Di Provinsi Banten,” TheJournalish Soc. Gov.., vol. 5, no. 3, pp. 298–305, 2024.

E. S. Sulaiman, Pemberdayaan masyarakat di bidang kesehatan: Teori dan implementasi. Ugm Press, 2021.

T. Sulastri and M. Jufri, “Resiliensi di masa pandemi: peran efikasi diri dan persepsi ancaman covid-19,” J. Penelit. Psikol., vol. 12, no. 1, pp. 25–32, 2021, https://doi.org/10.29080/jpp.v12i1.531.

T. L. Wheelen and J. D. Hunger, Strategic management and business policy, vol. 46. Addison-Wesley Reading, MA, 1995.

S. Wandrial, “Budaya organisasi (organizational culture), salah satu sumber keunggulan bersaing perusahaan di tengah lingkungan yang selalu berubah,” Binus Bus. Rev., vol. 3, no. 1, pp. 335–342, 2012, https://doi.org/10.21512/bbr.v3i1.1322.

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Published

2025-11-21

How to Cite

Tahir, H., Rachman, E., Van Gobel, L., & Malini Ganapathy. (2025). Innovating Regional Revenue Enhancement through Health Service Levies at the Gorontalo Provincial Health Laboratory. Solo International Collaboration and Publication of Social Sciences and Humanities, 3(03), 649–664. https://doi.org/10.61455/sicopus.v3i03.428

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