Determinants of Health Workers Compliance in Implementing EMR in Regional Hospitals in Bali

Luh Gde Nita Sri Wahyuningsih, Ni Luh Putu Dina Susanti

Abstract


Electronic Medical Records (EMRs) refer to the digitization of medical documentation and associated processes, aimed at enhancing data completeness and accuracy. This study examined the compliance of health workers with EMR system implementation. The research was conducted at Klungkung Regency Hospital in Bali, involving 520 participants, including general practitioners, specialists, nurses, midwives, medical record officers, health analysts, pharmacists, nutritionists, and radiographers. Data were collected using a structured questionnaire distributed via Google Forms, employing a total sampling technique. The findings revealed that several factors, namely competence in information technology, system knowledge, perceived benefits and ease of use, as well as organizational support and training, were significantly associated with EMR implementation. Among these, system knowledge exerted the strongest influence, with an Adjusted Odds Ratio (AOR) of 3.549. This suggests that respondents with a high level of system knowledge were over three times more likely to implement EMRs effectively compared to those with limited understanding. Knowledge plays a pivotal role in preparing health workers for technological adaptation. Those with sufficient knowledge are better equipped to navigate system features and apply them in accordance with established standard operating procedures. Health workers who possess a strong understanding of EMRs tend to be more receptive to adopting the system, underscoring the importance of comprehensive training and education. Enhancing knowledge through targeted training, socialization, and continuous professional development is essential to ensure the successful implementation and optimal utilization of EMRs in healthcare settings

 

Keywords: Electronic Medical Record, Health Worker Compliance


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References


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.

Amran, R., Apriyani, A., & Dewi, N. P. (2022). Peran Penting Kelengkapan Rekam Medik di Rumah Sakit. Baiturrahmah Medical Journal, 1(2), 69–76.

Apriliany, R. (2023). Evaluasi Pelaksanaan Asuhan Keperawatan Berbasis Komputer Di Rumah Sakit Emanuel Klampok Banjarnegara Tahun 2023. STIKES Bethesda Yakkum Yogyakarta.

Argentina, I. B., Ariyanto, A., & Zakiyah, A. (2025). Literature Review: Dampak Penggunaan Dokumentasi Keperawatan Elektronik Terhadap Keselamatan Pasien. Jurnal Keperawatan, 23(1), 1–11.

Ariani, S. (2023). Analisis Keberhasilan Implementasi Rekam Medis Elektronik Dalam Meningkatkan Efisiensi Dan Mutu Pelayanan. Jurnal Kesehatan Dan Kedokteran, 2(2), 7–14.

Ariestin, I. I. N. (2022). Analisis Faktor–Faktor Yang Mempengaruhi Sikap Dan Niat Penggunaan Rekam Medis Elektronik Di Rs Pku Muhammadiyah Surakarta. Universitas Muhammadiyah Surakarta.

Arsyam, H., Sulaiman, L., & Setiawan, S. (2024). Dampak Pemanfaatan Elektronik Rekam Medis di Fasilitas Kesehatan: Pendekatan Sistematik Literatur Review. Bioscientist: Jurnal Ilmiah Biologi, 12(2), 2049–2071.

Asih, H. A., & Indrayadi, I. (2023). Perkembangan Rekam Medis Elektronik Di Indonesia: Literature Review. Jurnal Promotif Preventif, 6(1), 182–198.

Astuti, I. F., Rohmah, N., Ramdan, I. M., Cahyadi, D., & Khoirunnita, A. (2024). Upaya Peningkatan Literasi Digital Dan Kesehatan: Program “Editekes” Untuk Pokmas Sekumpul. Sebatik, 28(1), 262–271.

Chantarasombat, C. (2022). Knowledge management, PAR, sufficiency economy philosophy, and growing Phak Waan Pah for SELF-reliance in Thailand. London Journal of Research in Humanities and Social Sciences, 22(2), 31–54.

Kamila, A. N., Suryanto, T. L. M., & Wulansari, A. (2024). Analisis Faktor-Faktor Penerimaan Sistem Informasi Rumah Sakit Siti Khodijah Muhammadiyah Sepanjang. Jurnal Ilmiah Sains Dan Teknologi, 8(1), 148–159.

Kassiuw, J. F. M., Hidayat, B., & Oktamianti, P. (2023). Implementasi Rekam Medis Elektronik Dengan Pendekatan Metode Technology Acceptance Model. Journal of Syntax Literate, 8(6).

Kusnia, F. N. A. (2024). Analisis Pengisian Diagnosis pada Elektronik Rekam Medis Rawat Jalan dalam Meningkatkan Kualitas Dokumentasi Rekam Medis di RS PHC Surabaya.

Lusiana, D., & Nilogiri, A. (2023). Model Hot Fit (human, organization, technology fit) untuk evaluasi penerapan aplikasi SATUSEHAT. Jurnal Teknologi Dan Manajemen Informasi Kesehatan, 6(3), 321–332.

Marzuki, M. F. (2024). Factors Associated to Health Professionals Readiness to Implement Electronic Medical Record in RSUD Haji Makassar. Universitas Hasanuddin.

Mutmainah, I., Khotimah, H., & Sholehah, B. (2024). Hubungan Pengetahuan Rekam Medis Elektronik (RME) dengan Kesiapan Perawat Menggunakan Rekam Medis Elektronik (RME) di Rumah Sakit Wonolangan Probolinggo. TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, Dan Humaniora, 5(3), 391–399.

Nurul Fitrian, A. (2024). Tinjauan Kesiapan Implementasi Rekam Medis Elektronik Di Puskesmas Klampis. Stikes Ngudia Husada Madura.

Pribadi, Y., Dewi, S., & Kusumanto, H. (2018). Analisis Kesiapan Penerapan Rekam Medis Elektronik di Kartini Hospital Jakarta. Jurnal Bidang Ilmu Kesehatan, 8(2), 19.

Puspita, M., Maruapey, E. R., Qalbi, F. W., & Wardani, R. (2024). Edukasi Penerapan Simrs Rekam Medis Elektronik Di Instalasi Farmasi Rumah Sakit Umum Kabupaten Kediri: Education on the Implementation of Simrs Electronic Medical Records in the Kediri Regency General Hospital Pharmacy Installation. Jurnal Abdi Kesehatan Dan Kedokteran, 3(2), 129–139.

Rahmawati, I., Abdussalaam, F., & Sari, I. (2023). Tata kelola rekam medis berbasis elektronik dalam pengelolaan pelaporan instalasi rawat jalan dengan metode waterfall. Decode: Jurnal Pendidikan Teknologi Informasi, 3(2), 310–321.

Rohman, H., & Istichanah, V. Y. (2021). Analisis Simpus Rawat Jalan Dengan Penerapan Awal Rekam Medis Elektronik Menggunakan Human Organization Technology Fit Model. JCOMENT (Journal of Community Empowerment), 2(3), 122–131.

Sari, P. P., Paramita, R. M., Purwadhi, P., & Widjaja, Y. R. (2024). Transformasi strategi manajemen rumah sakit dalam menghadapi tantangan kesehatan global: Sebuah tinjauan literatur. Journal of Innovation Research and Knowledge, 4(5), 2585–2592.

Sugiharto, S., Agushybana, F., & Adi, M. S. (2022). Faktor-faktor yang Mempengaruhi Penggunaan Rekam Medis Elektronik Rawat Jalan oleh Perawat. Jurnal Ilmu Kesehatan Masyarakat, 11(02), 186–196.

Suryanto, H. (2023). Pengaruh Sosialisasi Terhadap Peningkatan Pengetahuan Petugas Tentang Rekam Medis Elektronik dan Penggunaan Rekam Medis di Laboratorium Kesehatan “X.” Jenggala: Jurnal Riset Pengembangan Dan Pelayanan Kesehatan, 2(1).

Tasya, A. H. (2023). Tata Kelola Rekam Medis Berbasis Elektronik Dalam Menunjang Pelaporan Operasi Dengan Menggunakan Metode Agile. Jurnal Indonesia : Manajemen Informatika Dan Komunikasi, 4(1), 173–181.

Vania, E., & Suriyantoro, L. W. (2022). Analisis Faktor yang Mempengaruhi Perilaku Penggunaan Sistem Rekam Medik Elektronik Menggunakan Metode UTAUT. Journal of Hospital Management ISSN (Print), 2615, 8337.

Widiyanto, W. W., Suparti, S., Budi, A. P., & Sunandar, A. (2023). Analisis Penerapan Rekam Medis Elektronik Di Fktp Menggunakan Metode Technology Acceptance Model (TAM). Prosiding Seminar Informasi Kesehatan Nasional, 111–119.

Windharti, C. (2023). Hubungan Pengetahuan Tenaga Kesehatan Tenaga Kesehatan Terhadap Kelengkapan Isi Rekam Medis Elektronik Pasien Rawat Inap Di Rumah Sakit. Universitas Awal Bros.

Yunisca, F., Chalimah, E., & Sitanggang, L. O. A. (2022). Implementasi Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis Terhadap Hasil Pemantauan Kesehatan Pekerja Radiasi di Kawasan Nuklir Serpong. Reaktor : Buletin Pengelolaan Reaktor Nuklir, 19(2), 34. https://doi.org/10.17146/bprn.2022.19.2.6700




DOI: http://dx.doi.org/10.30829/contagion.v7i2.24532

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