Legal Compliance In Health Care Services: A Systematic Review

Authors

  • Mohamad Reza Hilmy University of Esa Unggul, DKI Jakarta, Indonesia
  • Rahmat Dwi Putranto Faculty of Law, Iblam College of Law, DKI Jakarta, Indonesia
  • Erlina Puspitaloka Mahadewi University of Esa Unggul, DKI Jakarta, Indonesia
  • Ichwan Setiawan Faculty of Law, Iblam College of Law, DKI Jakarta, Indonesia
  • Alika Shameela University of Indonesia, DKI Jakarta, Indonesia

DOI:

https://doi.org/10.38035/dijemss.v7i6.6272

Keywords:

Accreditation, Governance, Healthcare Management, Legal Compliance, Management Efficiency

Abstract

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

Downloads

Published

2026-08-02

How to Cite

Hilmy, M. R., Putranto, R. D., Mahadewi, E. P., Setiawan, I., & Shameela, A. (2026). Legal Compliance In Health Care Services: A Systematic Review. Dinasti International Journal of Education Management and Social Science, 7(6), 4884–4892. https://doi.org/10.38035/dijemss.v7i6.6272