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Transformasi digital di bidang kesehatan menjadi prioritas nasional melalui kebijakan
Kementerian Kesehatan Republik Indonesia, salah satunya mewajibkan setiap fasilitas
pelayanan kesehatan untuk mengimplementasikan Rekam Medis Elektronik (RME)
sebagaimana diatur dalam Permenkes No. 24 Tahun 2022. Namun, keberhasilan
implementasi RME tidak hanya ditentukan oleh kesiapan organisasi sebelum
pelaksanaan, tetapi juga pasca implementasi guna memastikan keberlanjutan sistem.
Penelitian ini bertujuan untuk mengevaluasi kesiapan organisasi pasca implementasi
RME di Klinik Diana Medika serta menganalisis interaksi antara kapasitas struktural dan
psikologis. Penelitian ini menggunakan pendekatan kualitatif dengan metode wawancara mendalam. Analisis data dilakukan berdasarkan kerangka penilaian California Association of Family Physician (CAFP) dan teori kesiapan organisasi dari Weiner (2009). Hasil penelitian menunjukkan bahwa kesiapan secara psikologis di Klinik Diana Medika tergolong tinggi, yang tercermin dari komitmen terhadap perubahan dan efikasi perubahan individu. Namun, dari sisi struktural, terdapat beberapa kerentanan seperti belum adanya struktur formal pengelola RME, ketergantungan pada vendor, keterbatasan pelatihan berkelanjutan, serta belum adanya anggaran khusus. Ditemukan pula adanya kesenjangan antara pengetahuan dan tindakan (knowing-doing gap) serta fenomena gunung es, di mana kesiapan yang tampak secara psikologis tidak sepenuhnya mencerminkan kesiapan struktural. Penelitian ini menyimpulkan bahwa meskipun individu dalam organisasi memiliki kesiapan psikologis yang kuat, tetap diperlukan penguatan aspek struktural untuk mencapai implementasi RME yang optimal dan berkelanjutan.
Digital transformation in the health sector has become a national priority under the policy of the Ministry of Health of the Republic of Indonesia, one of which mandates the implementation of Electronic Medical Records (EMR) in all healthcare facilities, as regulated in Ministerial Regulation No. 24 of 2022. However, the success of EMR implementation depends not only on organizational readiness prior to implementation but also on post-implementation evaluation to ensure sustainability. This study aims to evaluate the organizational readiness after EMR implementation at Diana Medika Clinic and to analyze the interaction between structural and psychological readiness. The study employs a qualitative approach using in-depth interviews. Data analysis was conducted using the Californian Association of Family Physician (CAFP) framework and Weiner’s theory of organizational readiness for change (2009). The findings indicate that psychological readiness at Diana Medika Clinic is high, reflected in strong commitment to change and high efficacy among staff. However, structural readiness shows several vulnerabilities, such as the absence of a formal EMR management team, dependency on vendors, limited ongoing training, and the lack of a dedicated budget. The study also identified a knowing-doing gap and an iceberg phenomenon, where the visible psychological readiness does not fully reflect the underlying structural conditions. In conclusion, although individuals in the organization demonstrate strong psychological readiness, structural aspects must be strengthened to achieve optimal and sustainable EMR implementation
Kata kunci:penilaian kesiapan; rekam medis elektronik; teknologi informasi kesehatan
The application of technology in the health sector is to improve quality, efficiency, andcost-effectiveness. Electronic medical records is a patient data that require digital inhospital management systems are needed to improve quality and patient safety.Publishing electronic medical records in Indonesia is just beginning to be developed andnot optimal. It is necessary to discuss the pre-implementation process or readinessassessment that aims to evaluate the preparedness of the organization component toachieve the successful implementation of the program. This study aimed to prove thefactors and indicators that comply with a readiness assessment for electronic medicalrecords in Indonesian hospitals. This study uses a literature review method with PubMed,ProQuest, Google Scholar, Sinta Indonesia, and Garuda databases. The results based on10 pieces of research, found 4 factors, such as organizational culture (culture, theinvolvement of all parties, project plan development), management and leadership(executive teams, finance, strategic plans, quality improvement and care management,),operational readiness (workflow design, integration system, policy, vendor management,staff needs, training), and technical readiness (use of existing technology, technical needsassessment, management and staff of information technology). The researcherrecommended for the hospital to do the readiness assessment by using the instrumentsthat have been made in this study.
Key words:electronic medical record; health information technology; readiness assessment.
Telemedicine offers a promising solution to improve healthcare access, particularly in remote areas, yet its adoption in Indonesia’s Primary Healthcare Facilities (FKTP) remains suboptimal. This study aims to describe the readiness of FKTP in providing telemedicine services through a literature review of scientific articles published between 2020 and 2025, sourced from SCOPUS, PubMed, and Google Scholar. Of the articles found, six met the inclusion criteria and were analyzed further. The synthesis revealed that FKTP readiness ranged from “moderate” to “ready,” depending on the assessed aspects such as technological infrastructure, human resource capacity, managerial support, and the presence of supportive policies and regulations. The main challenges include limited internet connectivity, insufficient training for healthcare workers, and organizational cultures that are not yet fully supportive of digital transformation. Strengthening these factors is essential to ensure that telemedicine implementation in FKTP can be optimized and sustained.
The Mobile JKN application was launched to enhance accessibility to information and membership services related to the Program Jaminan Kesehatan Nasional (JKN) for BPJS Kesehatan participants. However, the utilization rate of this application remains relatively low, resulting in many BPJS Kesehatan participants not yet experiencing its benefits. At the Poliklinik Denma Mabesad in Central Jakarta, only approximately 1.46% of the total registered participants are recorded as users of the Mobile JKN application. This study aims to explore the implementation of the Mobile JKN application at Poliklinik Denma Mabesad using the Technology Acceptance Model (TAM) approach. This research was conducted using a qualitative approach with in-depth interviews and observation. The result is reveal that both users and healthcare staff at the polyclinic consider the Mobile JKN application to be beneficial and convenient in accessing information and membership services. However, several obstacles hinder optimal utilization, including limited participant knowledge, insufficient phone credit and storage space, as well as participants’ unfamiliarity with using the Mobile JKN application.
Penelitian ini menggunakan metode kualitatif dan dilakukan antara Bulan Maret-April 2013 berlokasi di 4 Puskesmas dan Dinas Kesehatan dengan jumlah informan 23 orang. Pelaksanaan BOK di Kabupaten Kuningan tahun 2011-2012 memberikan banyak manfaat kepada Puskesmas khususnya operasional kegiatan preventif dan promotif. Tetapi ini tidak berpengaruh positif terhadap pencapaian SPM bidang kesehatan. SPM cenderung menurun dan item tidak mencapai target cenderung meningkat.
BOK programs in Kuningan District to improve operational funds of public health centers in 2011 and 2012 to 2-fold, but it is not comparable positive with the achievement coverage of health SPM indicators. This indicates that the implementation of BOK programs in public health centers of Kuningan District has not run as expected. The purpose of this study to analyze the factors that influence implementation of the BOK policy in public health centers of Kuningan District, based on variable environmental conditions, inter-organizational relationships, organizational resources, as well as the characteristics and capabilities of executing agencies.
This study uses a qualitative method and conducted between March-April 2013 and is located at 4 public health centers with the Health Department informant number 23. Implementation of BOK programs in Kuningan district in 2011-2012 provides many benefits to the public health center especially operational to preventive and to promotive activities. But this is not a positive influence on the achievement in health SPM. SPM tends to decrease and the item does not reach the target is likely to increase.