Rekam medis elektronik rumah sakit: Kepuasan, penggunaan, dan persepsi manfaat dengan literasi komputer sebagai pemediasi di Sumba
DOI:
https://doi.org/10.25170/djm.v23i2.4646Keywords:
kepuasan pengguna, kualitas layanan, kualitas sistem, literasi komputer, persepsi manfaat, rekam medis elektronikAbstract
Pendahuluan: Penggunaan rekam medis elektronik (RME) yang diwajibkan oleh Kementerian Kesehatan pada akhir tahun 2023 memberikan tantangan bagi perumahsakitan di Indonesia. Masih ada beberapa daerah yang memiliki sumber daya minimal namun “suka atau tidak suka” harus menjalankan RME dalam semua pelayanan. Faktor-faktor yang memengaruhi penggunaan RME tersebut perlu dikaji secara seksama, di antaranya adalah faktor literasi komputer.
Metodologi: Lokasi penelitian dilakukan di RS Karitas Weetabula, Kabupaten Sumba Barat Daya, Provinsi Nusa Tenggara Timur, Indonesia dengan jumlah populasi pengguna RME 249 orang dengan tingkat pendidikan dari SMA-S3 dengan menggunakan Google Form yang disebarkan melalui pesan singkat. Terhimpun sampel sejumlah 185 orang yang kemudian diolah dengan SEM PLS 3.0.
Hasil: Ditemukan adanya hubungan positif dan signifikan antara kualitas sistem, kualitas layanan dengan kepuasan pengguna RME (P<0,05; T>1,96) begitu juga dengan hubungan antara penggunaan RME serta kepuasan pengguna terhadap manfaat RME baik individu maupun organisasi (P<0,05; T>1,96). Literasi komputer tidak memiliki hubungan moderasi yang bermakna namun memiliki hubungan mediasi terhadap kepuasan pengguna RME (P<0,05; T>1,96).
Simpulan: Perlu adanya penelitian lanjutan untuk mencari hubungan literasi komputer dalam memediasi kepuasan pengguna RME.
Downloads
References
Odekunle FF, Odenkule RO, Shankar S. Why sub-Saharan Africa lags in electronic health record adoption and possible strategies to increase its adoption in this region. 2017;59–64.
Modi V. Adoption of electronic medical record (EMR) system in government hospitals: A case study of government civil hospital Gandhinagar, Gujarat, India. In: Proceedings of the 4th International Conference on Humanities, Social Sciences and Education (ICHSSE-17) March 13-14, 2017 Dubai (UAE). Portugal; 2017. p.67-71.
Mullins A, O’Donnell R, Mousa M, Rankin D, Ben-Meir M, Boyd-Skinner C, et al. Health Outcomes and Healthcare Efficiencies Associated with the Use of Electronic Health Records in Hospital Emergency Departments: a Systematic Review. J Med Syst [Internet]. 2020 Dec 19;44(12):200.
Deimazar G, Kahouei M, Zamani A, Ganji Z. Health information technology in ambulatory care in a developing country. Electron Physician. 2018 Feb 25;10(2):6319–26.
Badan Pusat Statistik. Sumba Barat Daya Regency In Figures. Sumba Barat Daya; 2022.
Tilahun B, Fritz F. Modeling antecedents of elec-
tronic medical record system implementation success in low-resource setting hospitals. BMC Med Inform Decis Mak. 2015 Dec 1;15(1):61.
Hair JF, Hult GTM, Ringle CM, Sarstedt M. A Primer on PLS SEM. 1st ed. Knight V, Koscielak K, Barrett L, Dickens G, editors. SAGE Publications; 2014.
Mardiana S, Tjakraatmaja JH, Aprianingsih A. DeLone–McLean information system success model revisited: The separation of intention to use - use and the integration of technology acceptance models. IJEFI. 2015 Jul. 23;5(1S):172-82.
Andriani R, Kusnanto H, Istiono W. Analisis kesuksesan implementasi rekam medis elektronik di RS Universitas Gadjah Mada. Jurnal Sistem In-
formasi. 2017 Oct 26;13(2):90.
Petter S, DeLone W, McLean E. Measuring information systems success: models, dimensions, measures, and interrelationships. European Journal of Information Systems. 2008 Jun 19;17(3):236–63.
Nunes GS, Javier MGF. Hospital information system satisfaction in Brazil: Background and moderating effects. Int J Res Foundation Hosp Healthc Adm 2014;2(1):1-9.
Aditya T, Mahyuni LP. Pengaruh literasi keuangan, persepsi kemudahan, manfaat, keamanan dan pengaruh sosial terhadap minat penggunaan fintech. Forum Ekonomi. 2022;24(2):245–58.
Trianingsih K, Mahyuni LP. Pengaruh gaya hidup, literasi keuangan, intensitas penggunaan mobile payment terhadap spending habits. Media Bina Ilmiah. 2023 Apr 18;17(9):2299–310.
Gholampour A, Jamshidi MHM, Habibi A, Dehkordi NM, Ebrahimi P. The impact of hospital information system on nurses’ satisfaction in Iranian public hospitals: The moderating role of computer literacy. Journal of Information Technology Management. 2021;12(4):141–59.
Silamut A, Petsangsri S. Self-directed learning with knowledge management model to enhance digital literacy abilities. Educ Inf Technol (Dordr). 2020 Nov 4;25(6):4797–815.
Shiferaw KB, Mehari EA. Internet use and eHealth literacy among health-care professionals in a resource limited setting: a cross-sectional survey. Adv Med Educ Pract. 2019 Jul;Volume 10:563–70.
Tilahun B, Fritz F. Comprehensive evaluation of electronic medical record system use and user satisfaction at five low-resource setting hospitals in Ethiopia. JMIR Med Inform. 2015 May 25;3(2):e22.
Campbel K. Losing our way in healthcare: The impact of reform. World Scientific Publication Co. Pte. Ltd.; 2015. 133–136 p.
Dutta B, Hwang HG. The adoption of electronic medical record by physicians: A PRISMA-compliant systematic review. Medicine (Baltimore). 2020 Feb;99(8):e19290.
Paul S, Riffat M, Yasir A, Mahim MN, Sharnali BY, Naheen IT, et al. Industry 4.0 applications for medical/healthcare services. J Sens Actuator Netw. 2021 Jun 30;10(3):43.
Bai C, Dallasega P, Orzes G, Sarkis J. Industry 4.0 technologies assessment: A sustainability perspec-tive. Int J Prod Econ. 2020 Nov;229:107776.
Latipah T, Solihah S, Setiatin S. Pengaruh rekam medis elektronik terhadap peningkatan efektivitas pelayanan rawat jalan di rumah sakit X. Cerdika: Jurnal Ilmiah Indonesia. 2021 Oct 25;1(10):1422–34.
Leonard D, Saputra I. Penerapan kegiatan analisa kuantitatif rekam medis rawat inap pada Ruang Marwa di RSI Siti Rahmah Padang. Adm Heal Inf J. 2020;1(1):43–54.
Putratama SH, Ali S. Adopsi produk free/open source software di industri jasa pelayanan kesehatan: Studi kasus Indonesia. Jurnal Reviu Akuntansi dan Keuangan. 2020 Mar 30;10(1).
Dong Y, Mun SK, Wang Y. A blockchain-enabled sharing platform for personal health records. Heliyon. 2023 Jul 8;9(7).
Vamsi D, Reddy P. Electronic health record security in cloud: Medical data protection using homo-morphic encryption schemes. In C. Chakraborty (Ed.). Smart medical data sensing and IoT systems design in healthcare (p.22-47). IGI Global Scientific Publishing; 2020.
Cassell A. The role of informatics and electronic health record in current medical practice: What are the benefits of medical informatics to the clinician? Resident’s Handbook of Medical Quality and Safe-
ty. 2016;29–32.
Cho Y, Kim M, Choi M. Factors associated with nurses’ user resistance to change of electronic health record systems. BMC Med Inform Decis Mak. 2021 Jul 17;21(218).
Aldosari B. Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. Int J Med Inform. 2014 May;83(5):330–42.
Petter S, DeLone W, McLean E. Measuring information systems success: models, dimensions, measures, and interrelationships. European Journal of Information Systems. 2008 Jun 19;17(3):236–63.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Damianus Journal of Medicine

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.