Legal Compliance In Health Care Services: A Systematic Review
DOI:
https://doi.org/10.38035/dijemss.v7i6.6272Keywords:
Accreditation, Governance, Healthcare Management, Legal Compliance, Management EfficiencyAbstract
This study is driven by the growing demands for legal and regulatory compliance in medical facilities, which are generally seen as extra work for healthcare managers. Simultaneously, management efficiency has emerged as an essential requisite due to resource limitations and increasing service complexity. This study seeks to investigate the link between legal compliance and managerial effectiveness in health services via a methodical literature review methodology. The review adheres to PRISMA principles and examines peer-reviewed journal papers published from 2020 to 2025. Twenty-five carefully chosen studies were organized into themes synthesized to find the main ways that following the law is linked to better management. The results show that legal compliance indirectly improves management efficiency by making governance frameworks stronger, getting accreditation and standardization, managing risks and keeping patients safe, protecting data and information, as well as making managers more committed and changing the culture of the organization. The findings indicate that complying with regulations does not inherently improve efficiency; instead, efficiency improvements occur when compliance is effectively integrated into healthcare management processes. These results show how important it is to think of legal conformity as a strategic supervisory resource that helps provide health services in a way that is both efficient and long-lasting.
References
Al Dhaheri, A. S., et al. (2020). Compliance to recommendations and mental health during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 17(12), 1–13. https://doi.org/10.3390/ijerph17124423
Alshammari, T., & Alhassan, M. (2025). Advancing compliance with HIPAA and GDPR in healthcare: Challenges and strategies. Healthcare, 13(2), 1–18. https://doi.org/10.3390/healthcare13020125Andriopoulos, K., et al. (2024). Decision-making for improving hospital service efficiency: A multi-criteria approach. Healthcare, 12(3), 1–15. https://doi.org/10.3390/healthcare12030215
Barros, P. P., et al. (2025). Assessing clinicians’ legal concerns and the need for regulatory guidance in healthcare practice. Healthcare, 13(1), 1–14. https://doi.org/10.3390/healthcare13010047
Bień, B., et al. (2023). Assessing the determinants of compliance with healthcare regulations: Evidence from health institutions. International Journal of Environmental Research and Public Health, 20(4), 1–17. https://doi.org/10.3390/ijerph20043110
Buse, K., et al. (2025). A mixed-methods analysis of global health governance and regulatory compliance. International Journal of Environmental Research and Public Health, 22(1), 1–20. https://doi.org/10.3390/ijerph22010135
Choi, S., et al. (2025). Institutional accreditation and its impact on organizational performance in healthcare services. Social Sciences, 14(2), 1–16. https://doi.org/10.3390/socsci14020058
Cuganesan, S., et al. (2025). Management commitment to compliance and organizational efficiency in healthcare systems. Sustainability, 17(3), 1–19. https://doi.org/10.3390/su17030789
Dalenogare, L. S., et al. (2022). The impact of Industry 4.0 on medical device regulation and compliance. Sustainability, 14(9), 1–17. https://doi.org/10.3390/su14095167
Dimas, G., et al. (2022). Assessing the efficiency and productivity of hospital services during COVID-19. International Journal of Environmental Research and Public Health, 19(10), 1–15. https://doi.org/10.3390/ijerph19106011
Fattorini, L., et al. (2025). From laws and court rulings to daily clinical practice: Legal compliance in healthcare. Healthcare, 13(2), 1–12. https://doi.org/10.3390/healthcare13020101
Franjić, B., et al. (2025). Before-and-after study of WHO surgical safety checklist implementation. Healthcare, 13(1), 1–13. https://doi.org/10.3390/healthcare13010089
Greer, S. L., et al. (2025). A scoping review of challenges and reforms in health system governance. International Journal of Environmental Research and Public Health, 22(2), 1–21. https://doi.org/10.3390/ijerph22020167
Hilmy, M. R., Putranto, R. D., Mahadewi, E. P., Setiawan, I., & Shameela, A. (2026). Analysis of the Integration of Hospital Information Systems and Electronic Medical Records in Response to Ministry of Health Regulation No. 24 of 2022. Syntax Literate: Jurnal Ilmiah Indonesia, 11(1). https://doi.org/10.36418/syntax-literate.v11i1.63533
Hilmy, M. R., Putranto, R. D., Mahadewi, E. P., Setiawan, I., & Shameela, A. (2025). Analysis of the relationship between digital transformation influenced by technology, artificial intelligence diagnosis, legal basis and challenges to health services in hospitals. Syntax Literate: Jurnal Ilmiah Indonesia, 10(12). https://doi.org/10.36418/syntax-literate.v10i12.63215
Jakubowski, A., et al. (2025). Accreditation challenges in Polish medical education institutions. Education Sciences, 15(1), 1–14. https://doi.org/10.3390/educsci15010042
Jha, A. K., et al. (2025). Global perspectives on patient safety and regulatory compliance. Healthcare, 13(2), 1–17. https://doi.org/10.3390/healthcare13020154
Karanikolos, M., et al. (2025). Sustainable health policies and emergency governance frameworks. Sustainability, 17(4), 1–20. https://doi.org/10.3390/su17041025
Kecskés, G., et al. (2024). Global regulatory challenges for medical devices and health systems. Applied Sciences, 14(6), 1–18. https://doi.org/10.3390/app14062678
Kontodimopoulos, N., et al. (2022). Hospital management and public health roles in national healthcare systems. Healthcare, 10(11), 1–14. https://doi.org/10.3390/healthcare10112145
Kouroubali, A., et al. (2025). Perceptions and awareness of healthcare professionals regarding data protection compliance. Healthcare, 13(1), 1–15. https://doi.org/10.3390/healthcare13010062
Lee, Y. J., et al. (2025). The impact of education sources on patient compliance in healthcare settings. Nutrients, 17(2), 1–14. https://doi.org/10.3390/nu17020318
Legido-Quigley, H., et al. (2025). Lessons learned from governance and management of health systems. Medicina, 61(2), 1–16. https://doi.org/10.3390/medicina61020214
Mulyanto, J., et al. (2022). A portrait of socially responsible hospitals in Indonesia. Sustainability, 14(7), 1–15. https://doi.org/10.3390/su14074062
Pomey, M. P., et al. (2020). Testing the strength of hospital accreditation as a signal of quality. Healthcare, 8(4), 1–13. https://doi.org/10.3390/healthcare8040423
Polyzos, N., et al. (2024). Operational efficiency of public hospitals in Greece during economic constraints. Economies, 12(1), 1–17. https://doi.org/10.3390/economies12010032
Psomas, E., et al. (2023). Accreditation processes and employee well-being in healthcare organizations. Sustainability, 15(6), 1–16. https://doi.org/10.3390/su15065102
Rój, J., & Sobczyk, K. (2023). Efficiency and resource allocation in government healthcare facilities. Healthcare, 11(8), 1–15. https://doi.org/10.3390/healthcare11081074
Sadiq, S., et al. (2023). Evaluation of compliance rule languages for modelling regulatory requirements. Applied Sciences, 13(5), 1–18. https://doi.org/10.3390/app13052871
Sánchez-Gómez, J. M., et al. (2024). Security and privacy of technologies in health information systems. Computers, 13(4), 1–19. https://doi.org/10.3390/computers13040102
Silva, B. M. C., et al. (2024). A review of privacy challenges and systemic oversight in digital health. Applied Sciences, 14(9), 1–20. https://doi.org/10.3390/app14093902
Zahran, S., et al. (2024). Perceptions, attitudes, and barriers to healthcare accreditation standards implementation. Healthcare, 12(5), 1–16. https://doi.org/10.3390/healthcare12050467
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Copyright (c) 2026 Mohamad Reza Hilmy, Rahmat Dwi Putranto, Erlina Puspitaloka Mahadewi, Ichwan Setiawan, Alika Shameela

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