The strategic role of inter-coopetition in driving hospital sustainability under rising healthcare costs

Achda Ferdians (), Arief Arief (), Agustinus Bandur () and Asnan Furinto ()

International Journal of Innovative Research and Scientific Studies, 2025, vol. 8, issue 12, 51-62

Abstract: Rising healthcare costs continue to threaten the long-term viability of hospitals, particularly private general hospitals in Indonesia. This study aims to examine the strategic role of Inter-Coopetition Strategy (SKA) in strengthening hospital business sustainability (KB), while also analysing the effects of Integrated Preventive Care (PPT), Value-Based Care Orientation (OPN), and Digital Capability (KDD) under increasing financial pressures. A concurrent mixed-methods design was adopted. Quantitative data were obtained from 180 hospital managers through structured surveys and analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM). To complement and contextualise the statistical results, qualitative insights were gathered through semi-structured interviews with selected hospital leaders.The results demonstrate that OPN and SKA have significant positive direct effects on KB, while SKA mediates the relationships between PPT and OPN with KB. Digital capability (KDD) also emerges as a strong determinant of sustainability, indicating the essential role of technology in improving operational efficiency and organisational resilience. Although the direct effect of PPT on KB was relatively weak quantitatively, qualitative evidence confirms its strategic relevance, suggesting that preventive care contributes most effectively to sustainability when implemented within collaborative hospital networks. The study concludes that inter-coopetition serves as a critical mechanism for enhancing hospital business sustainability in an increasingly costly healthcare environment. When combined with value-based care, preventive services, and digital capabilities, SKA enables hospitals to achieve integrated pathways toward resilience and performance continuity. The findings provide actionable guidance for hospital leaders to embed preventive and value-driven care into strategic planning, strengthen inter-hospital collaborative–competitive arrangements, and invest in digital infrastructure to support agile and data-informed decision-making. At the policy level, the results highlight the need for aligned incentives and regulatory support—particularly within the national health insurance system—to ensure the financial and operational sustainability of hospital services.

Keywords: Hospital Sustainability; Inter-Coopetition Strategy; Value-Based Care; Integrated Preventive Care; Digital Capability; Rising Healthcare Costs. (search for similar items in EconPapers)
Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
https://ijirss.com/index.php/ijirss/article/view/11001/2659 (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aac:ijirss:v:8:y:2025:i:12:p:51-62:id:11001

Access Statistics for this article

International Journal of Innovative Research and Scientific Studies is currently edited by Natalie Jean

More articles in International Journal of Innovative Research and Scientific Studies from Innovative Research Publishing
Bibliographic data for series maintained by Natalie Jean ().