HUBUNGAN PERSEPSI PENGGUNA TERHADAP KEBERHASILAN IMPLEMENTASI REKAM MEDIS ELEKTRONIK ; TINJAUAN LITERATUR

Authors

  • Leni Burhan Fakultas Kesehatan Masyarakat Universitas Indonesia
  • Mardiati Nadjib Fakultas Kesehatan Masyarakat Universitas Indonesia

DOI:

https://doi.org/10.31004/jkt.v4i2.15536

Keywords:

implementasi, persepsi kemudahan penggunaan, persepsi manfaat, rekam medis elektronik

Abstract

Rekam Medis Elektronik (RME) merupakan inovasi teknologi guna mendukung integrasi sistem informasi dalam manajemen rumah sakit untuk menghadirkan pelayanan kesehatan yang berkualitas, efisien, efektif dan aman sesuai kebutuhan masyarakat. Implementasi RME tidak semudah membalikkan telapak tangan, penelitian di negara-negara yang sudah menerapkan RME menyebutkan penerapan RME menghadapi tantangan dari organisasi maupun pengguna. Studi literatur ini bertujuan mengetahui faktor-faktor yang berhubungan dengan penerimaan profesional kesehatan terhadap keberhasilan implementasi RME sehingga bermanfaat bagi para pemangku kepentingan dalam menerapkan dan mengembangkan RME di kemudian hari. Pencarian artikel dilakukan melalui database Scopus, Sciencedirect, Proquest dan GoogleScholar. Dari kata kunci dan boolean operator yang digunakan diperoleh sebanyak 173 artikel, berdasarkan kriteria inklusi dan eksklusi serta penilaian eligibilitas didapatkan 12 artikel yang sesuai. Hal utama yang terindentifikasi adalah persepsi manfaat dan persepsi kemudahan penggunaan berkaitan dengan penerimaan individu yang bisa dipengaruhi oleh variabel eksternal yaitu karakteristik individu dan faktor organisasi. Usia, jenis kelamin, tingkat pendidikan, jenis profesi, masa kerja, serta departemen/unit kerja tidak berpengaruh terhadap penerimaan penggunaan dalam menentukan keberhasilan implementasi. Dukungan organisasi berupa pelatihan dan simulasi yang tepat sasaran, serta kebijakan dan standar prosedur yang jelas berpangaruh terhadap persepsi pengguna dalam menerima dan menerapkan RME dipekerjaannya sehari-hari. Penting bagi rumah sakit untuk mengetahui faktor-faktor yang berhubungan dengan keberhasilan implementasi RME, salah satunya adalah faktor pengguna yang menjadi kunci keberhasilan penerapan rekam medis elektronik karena berkaitan dengan mengubah kebiasaan, dibutuhkan pemikiran terbuka untuk mau menerima dan beradaptasi dengan perubahan budaya kerja.

References

Aldosari, B., Al-Mansour, S., Aldosari, H., & Alanazi, A. (2018). Assessment of factors influencing nurses acceptance of electronic medical record in a Saudi Arabia hospital. Informatics in Medicine Unlocked, 10, 82–88. https://doi.org/10.1016/j.imu.2017.12.007

Amin, M., Setyonugroho, W., & Hidayah, N. (2021). Implementasi Rekam Medik Elektronik: Sebuah Studi Kualitatif. JATISI (Jurnal Teknik Informatika Dan Sistem Informasi), 8(1), 430–442. https://doi.org/10.35957/jatisi.v8i1.557

Andriani, R., Kusnanto, H., & Istiono, W. (2017). ANALISIS KESUKSESAN IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RS UNIVERSITAS GADJAH MADA. Jurnal Sistem Informasi (Journal of Information System), 2(13), 90–96.

Buivydaite, R., Reen, G., Kovalevica, T., Dodd, H., Hicks, I., Vincent, C., & Maughan, D. (2022). Improving usability of Electronic Health Records in a UK Mental Health setting: a feasibility study. Journal of Medical Systems, 46(7). https://doi.org/10.1007/s10916-022-01832-0

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly: Management Information Systems, 13(3), 319–339. https://doi.org/10.2307/249008

De Benedictis, A., Benedictis, C. equally to this work with: A. De, Lettieri, E., Gastaldi, E. L. L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLoS One, 15(6). https://doi.org/https://doi.org/10.1371/journal.pone.0234108

Gueye, M., Ndiaye, M. D., Diouf, A. A. A., Diallo, M., Wade, M., Mbodji, A., Diallo, A. K., Diouf, A. A. A., Thiam, O., Gassama, O., & Mbaye, M. (2022). Using the Diffusion-of-Innovation Theory to Examine Factors Influencing the Implementation of an Electronic Medical Record in Obstetrics. Integrative Journal of Medical Sciences, 9, 1–8. https://doi.org/https://doi.org/10.15342/ijms.2022.619

Helia, V. N., Asri, V. I., Kusrini, E., & Miranda, S. (2018). Modified technology acceptance model for hospital information system evaluation - A case study. MATEC Web of Conferences, 154, 0–4. https://doi.org/10.1051/matecconf/201815401101

Hwang, H.-G., Dutta, B., & Chang, H.-C. (2019). The Differing Effect of Gender and Clinical Specialty on Physicians’ Intention to Use Electronic Medical Record. Methods of Information in Medicine, 58(1), E58–E71. https://doi.org/10.1055/s-0039-1695718

Jedwab, R. M., Manias, E., Hutchinson, A. M., Dobroff, N., & Redley, B. (2022). Nurses’ Experiences After Implementation of an Organization-Wide Electronic Medical Record: Qualitative Descriptive Study. JMIR Nursing, 5(1). https://doi.org/https://doi.org/10.2196/39596

Livinus, V., Adhikara, M. F. A., & Kusumapradja, R. (2021). Hospital Management Information System Usefulness in The Health Services Industry at Indonesia: Mandatory or Voluntary? JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 10(1), LAYOUTING. https://doi.org/10.18196/jmmr.v10i1.10296

Luyten, J., & Marneffe, W. (2021). Examining the acceptance of an integrated Electronic Health Records system: Insights from a repeated cross-sectional design. International Journal of Medical Informatics, 150, 104450. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2021.104450

Maillet, É., Mathieu, L., & Sicotte, C. (2015). Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: An extension of the UTAUT. International Journal of Medical Informatics, 84(1), 36–47. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2014.09.004

Permenkes RI No. 24. (2022).

Rajkovi?, P., Aleksi?, D., Jankovi?, D., Milenkovi?, A., & Petkovi?, I. (2018). Checking the potential shift to perceived usefulness—The analysis of users’ response to the updated electronic health record core features. International Journal of Medical Informatics, 115, 80–91. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2018.04.011

Singh, A., Jadhav, S., & R, R. M. (2020). Factors to Overcoming Barriers Affecting Electronic Medical Record Usage by Physicians. Indian Journal of Community Medicine, 45(2), 168–171.

Stanczyk, N. E., Crutzen, R., Sewuster, N., Schotanus, E., Mulders, M., & Cremers, H. P. (2017). Differences in Sociocognitive Beliefs between Involved and Noninvolved Employees during the Implementation of an Electronic Health Record System. Perspectives in Health Information Management, 1–22. https://www.proquest.com/scholarly-journals/differences-sociocognitive-beliefs-between/docview/1932320976/se-2

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.

Venkatesh, V., & Davis, F. D. (2000). Theoretical extension of the Technology Acceptance Model: Four longitudinal field studies. Management Science, 46(2), 186–204. https://doi.org/10.1287/mnsc.46.2.186.11926

Whalen, K., Grella, P., Snydeman, C., Dwyer, A.-M., & Yager, P. (2021). Nursing attitudes and practices in code documentation employing a new electronic health record. Applied Clinical Informatics, 12(3), 589–596. https://doi.org/10.1055/s-0041-1731340

Wibowo, A. (2021). Kesehatan di Era Digital 4.0?: Perspektif Indonesia (1st ed.). Rajagrafindo Perkasa.

Yontz, L. S., Zinn, J. L., & Schumacher, E. J. (2015). Perioperative Nurses’ Attitudes Toward the Electronic Health Record. Journal of PeriAnesthesia Nursing, 30(1), 23–32. https://doi.org/https://doi.org/10.1016/j.jopan.2014.01.007

Zadvinskis, I. M., Chipps, E., & Yen, P.-Y. (2014). Exploring nurses’ confirmed expectations regarding health IT: A phenomenological study. International Journal of Medical Informatics, 83(2), 89–98. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2013.11.001

Downloads

Published

2023-06-25

Issue

Vol. 4 No. 2 (2023): JUNI 2023

Section

Articles

License

Copyright (c) 2023 Leni Burhan, Mardiati Nadjib

Creative Commons License

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

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).