Abstrak
Fenomena meningkatnya jumlah Warga Negara Indonesia yang mencari layanan kesehatan ke luar negeri  menandakan lemahnya resiliensi rumah sakit wisata medis di dalam negeri, serta menimbulkan kerugian devisa yang signifikan. Penelitian ini bertujuan mengembangkan model penilaian tingkat resiliensi rumah sakit wisata medis dan strategi peningkatan resiliensi yang aplikatif bagi konteks Rumah Sakit Wisata Medis di Indonesia. Desain penelitian menggunakan metode kualitatif dengan pendekatan studi fenomenologi. Pengumpulan data melalui wawancara, observasi dan telaah dokumen dengan teknik triangulasi untuk menjaga validitas. Informan terdiri dari pemangku kebijakan, asosiasi profesi, akademisi, manajemen rumah sakit, masyarakat pengguna layanan medis di luar negeri serta dokter diaspora. Hasil penelitian menghasilkan model penilaian resiliensi yang terdiri dari 7 dimensi dan 45 indikator. Tujuh dimensi, yaitu Strategic Planning; Governance; Leadership & Culture; Health Quality Service; Health Resources; Networking & Marketing; Continuous Improvement & Learning. Hasil pengukuran menggunakan model tersebut menunjukkan tingkat resiliensi Rumah Sakit Wisata Medis di Indonesia dalam kategori sedang yang menegaskan perlunya strategi khusus yang integratif lintas sektor. Strategi peningkatan resiliensi dirumuskan melalui analisa SWOT, solusi stekeholder serta benchmark strategi dari Malaysia, Singapura, Thailand dan Korea Selatan yang dipetakan dalam empat perspektif Balanced Scorecard yaitu Finance, Customer, Internal Process, dan Learning & Growth. Perspektif Finance terdapat 7 strategi. perspektif Customer terdapat 8 strategi, Perspektif Internal Proses terdapat 13 strategi dan perspektif Learning & Growth terdapat 8 strategi. Penelitian ini menyimpulkan bahwa model penilaian yang dikembangkan dapat menjadi instrumen evaluatif bagi rumah sakit wisata medis di Indonesia, sementara strategi yang dihasilkan memberikan peta jalan praktis untuk meningkatkan resiliensi dan mengurangi ketergantungan masyarakat terhadap layanan medis luar negeri. Keterbatasan penelitian terletak pada jumlah serta keragaman informan, sehingga penelitian selanjutnya disarankan memperluas cakupan partisipan dan menguji nilai keunggulan rumah sakit dalam wisata medis.

The phenomenon of increasing numbers of Indonesian citizens seeking healthcare services abroad indicates the weak resilience of domestic medical tourism hospitals and causes significant foreign exchange losses. This study aims to develop a model for assessing the level of resilience of medical tourism hospitals and strategies for improving resilience that are applicable to the contexs of medical tourism hospitals in Indonesia. The research design uses a qualitative method with a phenomenological study approach. Data collection was conducted through interviews, observations, and document reviews using triangulation techniques to maintain validity. Informants consisted of policy makers, professional associations, academics, hospital management, users of overseas medical services and diaspora doctors. The results of the study show that the resilience assessment model consisting of 7 dimensions and 45 indicators. The seven dimensions are Strategic Planning; Governance; Leadership & Culture; Quality of Health Services; Health Resources; Networking & Marketing; Continuous Improvement & Learning. The measurement results using this model show that the resilience level of Medical Tourism Hospitals in Indonesia is in the moderate category, which confirms the need for a cross-sectoral integrative strategy. The resilience improvement strategy was formulated through SWOT analysis, stakeholder solutions, and benchmark strategies from Malaysia, Singapore, Thailand, and South Korea, which were mapped into four Balanced Scorecard perspectives, namely Finance, Customer, Internal Process, and Learning & Growth. There are 7 strategies in the Finance perspective, 8 strategies in the Customer perspective, 13 strategies in the Internal Process perspective, and 8 strategies in the Learning & Growth perspective. This study concludes that the assessment model developed can be an evaluative instrument for medical tourism hospitals in Indonesia, while the strategies produced provide a practical roadmap for increasing resilience and reducing the community's dependence on foreign medical services. The limitations of this study are in the number and diversity of informants, so future research are recommended to expand the scope of participants and could be directed toward examining the value of hospitals' resilience in medical tourism.