The Influence of Military Leadership on the Implementation of Hospital Accreditation at Level III 04.06.04 Slamet Riyadi Military Hospital, Surakarta

Abstract

Background: Military hospitals possess distinct organizational structures and leadership models compared to civilian institutions. The military leadership style, characterized by discipline and command hierarchy, may influence the effectiveness of hospital accreditation implementation.

Objective: This study aims to examine the impact of military leadership on hospital accreditation performance, with employee performance acting as a mediating variable.

Methods: A mixed-methods approach was employed, integrating quantitative regression analysis and qualitative in-depth interviews. The study was conducted at Tk. III 04.06.04 Slamet Riyadi Military Hospital, involving leadership style as the independent variable, accreditation quality as the dependent variable, and employee performance as a mediating factor.

Results: Regression analysis indicated a significant impact of military leadership on employee performance (R = 0.545; p = 0.002), and a strong effect of employee performance on accreditation quality (R = 0.621; p = 0.000). The combined influence of leadership and performance on accreditation was 18.1% (R² = 0.181).

Conclusion: Military leadership positively influences hospital accreditation implementation through enhanced employee performance. However, integrating transformational leadership values is essential to sustain long-term improvements in service quality