Electronic Medical Records Implementation at Soeradji Tirtonegoro Hospital, Klaten, Indonesia
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Abstract
Soeradji Tirtonegoro Hospital uses Electonic Medical Records (EMRs) to transform health technology. EMR filling completeness in the outpatient clinic was only 74.3% in June 2022, below the 100% service standard. This study aimed to analyze the factors causing the implementation problem of EMR in Soeradji Tirtonegoro Hospital—a quantitative analysis with a cross-sectional study was conducted, adapted from Mandatory Use of Software Technologies (MMUST) Model. The respondents totaled 108 people, including doctors, nurses, midwives, and medical recorders. Data analysis was performed using SmartPLS 3.2.9 with the SEM-PLS technique. This study showed a significant relationship between the variable's information quality and information satisfaction with a T-statistic value of 10.377. Furthermore, information satisfaction towards performance expectations (5,711) and performance expectations towards attitude (6,063). Social influence also affects performance expectations (2.660). Facility conditions affect attitude (2.145), attitudes towards overall satisfaction (26,209), and overall satisfaction with net benefits (10,876). However, there are two insignificant variable relationships: attitude towards use (0,367) and use towards net benefits (1.393). Based on the study, it is concluded that all exogenous variables influence the endogenous variable. However, there are two insignificant variable relationships. Hopefulness, future research can modify the model by adding control variables using the effect of confounding factors such as officer work schedules.
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How to Cite
deharja, atma, Waskito, D., Rachmawati, E., & Vestine, V. (2023). Electronic Medical Records Implementation at Soeradji Tirtonegoro Hospital, Klaten, Indonesia. Unnes Journal of Public Health, 12(2), 104-115. https://doi.org/10.15294/ujph.v12i2.67972
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Alkhowaiter, W. A. (2020). Digital payment and banking adoption research in Gulf countries: A systematic literature review. International Journal of Information Management, 53(September 2019), 102102. https://doi.org/10.1016/j.ijinfomgt.2020.102102
Alwi, I. (2015). Kriteria Empirik dalam Menentukan Ukuran Sampel Pada Pengujian Hipotesis Statistika dan Analisis Butir. Formatif: Jurnal Ilmiah Pendidikan MIPA, 2(2), 140–148. https://doi.org/10.30998/formatif.v2i2.95
Andriani, R., Kusnanto, H., & Istiono, W. (2017). Analisis Kesuksesan Implementasi Rekam Medis Elektronik Di RS Universitas Gadjah Mada. Jurnal Sistem Informasi, 13(2), 90. https://doi.org/10.21609/jsi.v13i2.544
Damanik, Y. S. (2019). HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM. Jurnal Penelitian Kesmasy, 1(2), 54–57. https://doi.org/10.36656/jpksy.v1i2.166
Deharja, A., Santi, M. W., Damayanti, N. A., Hargono, A., & Nandini, N. (2020). Evaluating The Usability of Hospital Information System (HIS) Through Human Organization Technology-Fit (Hot-Fit) Model. International Proceedings The 2nd ISMoHIM 2020, 5(1171). https://publikasi.aptirmik.or.id/index.php/ismohim2020/article/view/160
Dwivedi, Y. K., Rana, N. P., Jeyaraj, A., Clement, M., & Williams, M. D. (2019). Re-examining the Unified Theory of Acceptance and Use of Technology (UTAUT): Towards a Revised Theoretical Model. Information Systems Frontiers, 21(3), 719–734. https://doi.org/10.1007/s10796-017-9774-y
Fornell, C., & Larcker, D. F. (1981). Evaluating Structural Equation Models with Unobservable Variables and Measurement. Journal of Marketing Research, XVIII(February), 39–50. https://doi.org/10.1177/002224378101800312
Ghozali, I. (2021). Partial least squares konsep, teknik dan aplikasi menggunakan program SmartPLS 3.0 untuk penelitian empiris (Ed.3). Badan Penerbit Universitas Diponegoro Semarang.
Izza Afkarina, V. S., Wibowo, R., & Bukhori, S. (2021). Analisis Kinerja SIMRS RSU Bhakti Husada Banyuwangi Menggunakan IT Balanced Scorecard dan Model for Mandatory Use of Software Technolgies. Multidisciplinary Journal, 4(1), 14. https://doi.org/10.19184/multijournal.v4i1.27471
Jepisah, D., Octaria, H., & Fajhriah, N. L. (2021). Analisis Pelaksanaan Standar Pelayanan Minimal (SPM) Rekam Medis di Rumah Sakit Umum Daerah Petala Bumi Provinsi Riau Tahun 2020. Journal of Hospital Management and Health Sciences, 2(1), 12–26. http://journal.al-matani.com/index.php/jhmhs/article/view/103
Kemenkes RI. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2020 Tentang Rencana Strategis Kementerian Kesehatan Tahun 2020-2024. https://peraturan.bpk.go.id/Home/Details/152564/permenkes-no-21-tahun-2020
Kemenkes RI. (2021). Cetak Biru Strategi Transformasi Digital Kesehatan 2024. https://dto.kemkes.go.id/Digital-Transformation-Strategy-2024.pdf
Koh, C. E., R. Prybutok, V., D. Ryan, S., & “Andy” Wu, Y. (2010). A Model for Mandatory Use of Software Technologies: An Integrative Approach by Applying Multiple Levels of Abstraction of Informing Science. Informing Science: The International Journal of an Emerging Transdiscipline, 13, 177–203. https://doi.org/10.28945/1326
Krismadinata, K., Arnovia, Y., Syahril, S., & Yahfizham, Y. (2018). Kontribusi Ekspektasi Kinerja, Usaha, Faktor Sosial dan Fasilitas Terhadap Sikap Operator Sistem Informasi. Jurnal Nasional Teknologi Dan Sistem Informasi, 4(1), 44–52. https://doi.org/https://doi.org/10.25077/ TEKNOSI.v4i1.2018.044-052
Mutmainnah, N. (2017). Evaluasi Implementasi Sistem Informasi Kesehatan Daerah (Sikda) Generik Di Puskesmas Wilayah Kabupaten Brebes. Journal of Information Systems for Public Health, 2(3), 62–84. https://doi.org/https://doi.org/10.22146/jisph.18103
Nurlina, N., Safrida, S., Musmulyadi, M., & Burhan, B. (2021). Gaya Kepemimpinan dan Motivasi Mempengaruhi Kinerja Pegawai. Journal Of Administration and Educational Management (ALIGNMENT), 4(1), 1–7. https://doi.org/10.31539/alignment.v4i1.1571
Ringle, C. M., Wende, S., & Becker, J.-M. (2015). Smartpls 3. http://www.smartpls.com
Santoso, T. W., Tanaamah, A. R., & Sitokdana, M. N. N. (2017). Analisis terhadap Penggunaan Sistem Informasi dengan Menggunakan Kerangka Model for Mandatory Use of Software Technologies pada Aplikasi Sistem Keuangan dan Akuntansi Satya Wacana (SIKASA) di Universitas Kristen Satya Wacana Salatiga [Universitas Kristen Satya Wacana Salatiga]. https://repository.uksw.edu/handle/123456789/13741
Sari, D. P., Rosita, R., Ayu, F., & Pratiwi, D. (2021). Hubungan Antara Kepuasan Pengguna Dengan. 50–52. https://ojs.udb.ac.id/index.php/sikenas/article/view/1233
Sudra, R. I. (2021). Standardisasi Resume Medis Dalam Pelaksanaan PMK 21/ 2020 Terkait Pertukaran Data Dalam Rekam Medis Elektronik. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda (JIPIKI), 6(1), 67–72. https://doi.org/10.52943/jipiki.v6i1.495
Suradi, A., Windarti, M., & Hidayat, S. K. (2021). Analisis Pengaruh System Quality, Information Quality, Service Quality Terhadap Net Benefit Pada SI-PMB. Jurnal Sisfokom (Sistem Informasi Dan Komputer), 10(2), 259–263. https://doi.org/10.32736/sisfokom.v10i2.1150
Syahril, W. N., & Rikumahu, B. (2019). Penggunaan Technology Acceptance Model (Tam) Dalam Analisis Minat Perilaku Penggunaan E-Money Pada Mahasiswa Universitas Telkom. Jurnal Mitra Manajemen, 3(2), 201–214. https://doi.org/10.52160/ejmm.v3i2.201
Tiorentap, D. R. A. (2020). Manfaat Penerapan Rekam Medis Elektronik di Negara Berkembang: Systematic Literature Review. Indonesian of Health Information Management Journal (INOHIM), 8(2), 69–79. https://doi.org/https://doi.org/10.47007/inohim.v8i2.218