Perpustakaan Digital ITB

The digital transformation of healthcare increasingly depends on integrated data infrastructures to enable coordinated and sustainable service delivery across organizational boundaries. As digital technologies reshape how healthcare services are designed, delivered, and governed, research has progressively shifted from viewing healthcare as a service system toward a service ecosystem perspective that emphasizes multi-actor interaction, resource integration, and system-level value creation. Despite growing interest in service ecosystems and digital health, existing studies remain fragmented and largely descriptive, offering limited insight into how ecosystem concepts are operationalized in large-scale implementation contexts. This study conceptualizes Unified Health Record (UHR) implementation as a dynamic, multi-actor coordination process embedded within a digital health ecosystem. Using Indonesia’s SATU SEHAT initiative as an empirical context, the research adopts a multi-level perspective encompassing micro (citizen), meso (organizational) and macro (government) levels. Methodologically, the study employs a multi-phase, multi-method approach. The exploratory phase integrates clustering analysis to identify segmented citizen profiles and Soft Systems Methodology (SSM) to structure stakeholder perspectives and implementation challenges. The explanatory phase applies System Dynamics Modeling to capture non-linear interactions and feedback loops, complemented by mathematical programming to develop a resource allocation model for policy analysis. The findings demonstrate that successful UHR implementation depends not only