WHAT DRIVES ELECTRONIC MEDICAL RECORD ADOPTION IN PRIVATE HOSPITALS: AN IMPORTANCE-PERFORMANCE MAP ANALYSIS (IPMA)
Abstrak
Penelitian ini menguji faktor-faktor apa saja yang dianggap penting dan telah berkinerja baik dari perspektif tenaga kesehatan di rumah sakit swasta agar dapat dimanfaatkan dalam adopsi EMR untuk kinerja rumah sakit. Metode penelitian ini menggunakan PLS-SEM untuk memperoleh reliabilitas dan validasi, diikuti oleh IPMA dengan SmartPLS4TM. Penelitian ini dilakukan dengan menggunakan purposive sampling dengan 205 responden yang terdiri dari perawat, dokter umum, dokter spesialis, dokter gigi, dan lain-lain. Analisis PLS-SEM mengonfirmasi bahwa semua faktor organisasi, yaitu Dukungan Manajemen, Iklim Keselamatan Pasien, Pelatihan yang Memadai, Keterlibatan Dokter, Otonomi Dokter, dan Hubungan Pasien, terkait dengan adopsi EMR, dengan Kegunaan yang Dirasakan dan Kemudahan Penggunaan yang Dirasakan sebagai variabel mediasi. Analisis Peta Pentingnya-Kinerja (IPMA) menyoroti area utama untuk perbaikan. Indikator Iklim Keselamatan Pasien berkinerja baik dan harus dipertahankan. Namun, meskipun sangat penting, indikator Dukungan Manajemen (MANSU3) dan Hubungan Pasien (PATREL4) menunjukkan kinerja yang rendah. Disarankan untuk lebih melibatkan kepemimpinan dalam penerapan EMR dan memberikan edukasi yang lebih baik kepada pasien tentang manfaatnya. Secara keseluruhan, studi ini menggarisbawahi perlunya dukungan manajerial yang lebih baik dan strategi komunikasi yang lebih baik untuk mengoptimalkan penerapan EMR. Dengan menangani area yang berkinerja rendah tetapi berprioritas tinggi, rumah sakit dapat meningkatkan kualitas perawatan kepada pasien, kepercayaan pasien, dan kualitas layanan kesehatan melalui integrasi EMR yang efektif.
Referensi
Abdekhoda, M., Ahmadi, M., Gohari, M., & Noruzi, A. (2015). The effects of organizational contextual factors on physicians’ attitude toward adoption of Electronic Medical Records. Journal of Biomedical Informatics, 53, 174–179. https://doi.org/10.1016/j.jbi.2014.10.008
Abdekhoda, M., Dehnad, A., & Zarei, J. (2019). Determinant factors in applying electronic medical records in healthcare. Eastern Mediterranean Health Journal, 25(1), 24–33. https://doi.org/10.26719/emhj.18.007
Abdullah Alharbi, R. (2023). Adoption of electronic health records in Saudi Arabia hospitals: Knowledge and usage. Journal of King Saud University - Science, 35(2), 102470. https://doi.org/10.1016/j.jksus.2022.102470
Akwaowo, C. D., Sabi, H. M., Ekpenyong, N., Isiguzo, C. M., Andem, N. F., Maduka, O., Dan, E., Umoh, E., Ekpin, V., & Uzoka, F.-M. (2022). Adoption of electronic medical records in developing countries—A multi-state study of the Nigerian healthcare system. Frontiers in Digital Health, 4. https://doi.org/10.3389/fdgth.2022.1017231
Altmiller, G. (2022). Patient Safety and Quality of Care as Measures of Nursing Competence. In Quality and Safety Education for Nurses. Springer Publishing Company. https://doi.org/10.1891/9780826161451.0001
Bisbey, T. M., Kilcullen, M. P., Thomas, E. J., Ottosen, M. J., Tsao, K., & Salas, E. (2021). Safety Culture: An Integration of Existing Models and a Framework for Understanding Its Development. Human Factors: The Journal of the Human Factors and Ergonomics Society, 63(1), 88–110. https://doi.org/10.1177/0018720819868878
Busch, P. A., Hausvik, G. I., Ropstad, O. K., & Pettersen, D. (2021). Smartphone usage among older adults. Computers in Human Behavior, 121, 106783. https://doi.org/10.1016/j.chb.2021.106783
Davis, F. D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3), 319. https://doi.org/10.2307/249008
Eden, R., Burton-Jones, A., Staib, A., & Sullivan, C. (2020). Surveying perceptions of the early impacts of an integrated electronic medical record across a hospital and healthcare service. Australian Health Review, 44(5), 690. https://doi.org/10.1071/AH19157
Fitriani, R., Antonio, F., & Wuisan, D. S. S. (2024). The relation of clinical governance climate on quality of care mediated by patient safety culture. International Journal of Public Health Science (IJPHS), 13(2), 597. https://doi.org/10.11591/ijphs.v13i2.23806
Indonesian Ministry of Health. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 tentang Rekam Medis.
Lee, C. C., Shin, H., Klimm, C., Palmero, C., & Hughes, S. (2023). The impact of electronic medical record systems on hospital efficiency. International Journal of Technology, Policy and Management, 23(1), 1. https://doi.org/10.1504/IJTPM.2023.129467
Ringle, C. M., & Sarstedt, M. (2016). Gain more insight from your PLS-SEM results. Industrial Management & Data Systems, 116(9), 1865–1886. https://doi.org/10.1108/IMDS-10-2015-0449
Ringle, C M, Wende, S., & Becker, J. M. (2024). SmartPLS 4. SmartPLS. https://www.smartpls.com/
Saragih, C., Nafa Sari, C., Nurtjahyo Moch, B., & Muslim, E. (2020). Adoption of Electronic Medical Record in Hospitals in Indonesia based on Technology Readiness and Acceptance Model. 2020 The 6th International Conference on Industrial and Business Engineerin, 79–85. https://doi.org/10.1145/3429551.3429565
Sarstedt, M., Radomir, L., Moisescu, O. I., & Ringle, C. M. (2022). Latent class analysis in PLS-SEM: A review and recommendations for future applications. Journal of Business Research, 138, 398–407. https://doi.org/10.1016/j.jbusres.2021.08.051
Soediro, M., & Nurbianto, A. T. (2021). Peranan Penerapan Standar Operasional Prosedur (SOP) Terhadap Penjualan Dan Kinerja Karyawan. JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis Dan Inovasi Universitas Sam Ratulangi)., 8(3). https://doi.org/10.35794/jmbi.v8i3.36934
Tulung, J., & Ramdani, D. (2024). Political Connection and BPD Performance. International Research Journal of Business Studies, 16(3), 289-298. doi:http://dx.doi.org/10.21632/irjbs.16.3.289-298.
Uslu, A., & Stausberg, J. (2021). Value of the Electronic Medical Record for Hospital Care: Update From the Literature. Journal of Medical Internet Research, 23(12), e26323. https://doi.org/10.2196/26323
Venkatesh, Thong, & Xu. (2012). Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology. MIS Quarterly, 36(1), 157. https://doi.org/10.2307/41410412
Wurster, F., Cecon-Stabel, N., Hansen, T., Jaschke, J., Köberlein-Neu, J., Okumu, M. R., Rusniok, C., Pfaff, H., & Karbach, U. (2023). The implementation of an electronic medical record (EMR) and its impact on quality of documentation. European Journal of Public Health, 33(Supplement_2). https://doi.org/10.1093/eurpub/ckad160.864
