Faktor yang Memengaruhi Penerapan Electronic Medical Record terhadap Pendaftaran Pasien Rawat Jalan di Rumah Sakit Swasta Jakarta Utara Tahun 2025
DOI:
https://doi.org/10.61132/corona.v3i4.1939Keywords:
Electronic Medical Record, Hospital Management, Outpatient Registration, Staff Competence, System IntegrationAbstract
Electronic Medical Record (EMR) is an essential component of hospital digital transformation aimed at improving administrative efficiency and service quality. This study aims to analyze the factors influencing the implementation of EMR in outpatient registration at a private hospital in North Jakarta. A mixed-methods design was employed, combining quantitative data collected from questionnaires completed by 30 registration staff with qualitative data obtained through structured interviews and direct observation. The logistic regression analysis revealed that Training and Staff Competence (X2) had a significant positive effect on outpatient registration (OR 30.663; p=0.040), while System Integration and Data Security (X4) also showed a significant effect (OR 15.121; p=0.047). In contrast, Technological Infrastructure Readiness (X1) was positive but not significant (p=0.112), and Organizational Culture and Managerial Support (X3) was negative and not significant (p=0.954). Simultaneously, the model explained 72.1% of the variation in registration effectiveness (Nagelkerke R²=0.721) with a classification accuracy of 93.3%. Qualitative findings supported the quantitative results, highlighting insufficient staff training, persistent technical issues in BPJS system bridging, and difficulties faced by elderly patients in adapting to digital registration. Elderly patients still required staff assistance and simple educational media such as tutorial videos displayed in hospital waiting areas. This study concludes that staff competence and system integration are the key determinants of successful EMR implementation in outpatient registration. It is recommended that hospitals strengthen continuous training programs, improve network and server stability, and expand patient education initiatives to ensure effective, efficient, and patient-friendly digital services.
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References
Amarantou, V., Kazakopoulou, S., & Chatzoudes, D. (2018). Resistance to change: An empirical investigation of its antecedents. Journal of Organizational Change Management, 31, 426–450.
Cheraghi, R., Ebrahimi, H., Kheibar, N., et al. (2023). Reasons for resistance to change in nursing: An integrative review. BMC Nursing, 22, 310.
de Carvalho Junior, M. A., & Bandiera-Paiva, P. (2018). Health information system role-based access control: Current security trends and challenges. Journal of Healthcare Engineering, 2018, 6510249. https://doi.org/10.1155/2018/6510249
Handayani, I. A., Marsudarinah, M., & Marwanto, E. B. (2023). Evaluasi penerapan sistem informasi rekam medis elektronik menggunakan metode HOT-FIT di Rumah Sakit PKU Muhammadiyah Surakarta. Prosiding Seminar Informasi Kesehatan Nasional, 361–366.
Hossain, M. K., Sutanto, J., Handayani, P. W., et al. (2025). An exploratory study of electronic medical record implementation and recordkeeping culture: The case of hospitals in Indonesia. BMC Health Services Research, 25. https://doi.org/10.1186/s12913-025-12399-0
Juliansyah, R., Aqid, B. M., Salsabila, A. P., et al. (2025). Implementation of EMR system in Indonesian health facilities: Benefits and constraints. Journal of Indonesian Health Policy and Administration, 10. https://doi.org/10.7454/ihpa.v10i1.1140
Kementerian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis. Menteri Kesehatan RI.
Mandasari, C. P. (2024). Analysis of the use of electronic medical records on the effectiveness of outpatient services at the Siulak Mukai Health Center in 2024. 7, 38–61.
Nurrahma, A. N., Larasati, T. A., & Kurniati, I. (2023). Electronic medical records in first level health facilities. Review of Primary Care Practice and Education, 22–26.
Rismawan, I., & Renaningtyas, N. (2024). Analisis efektivitas penggunaan e-medical record terhadap waktu tunggu pasien di rumah sakit. Jurnal…, 5, 2437–2451.
Septian, E. (2021). Penerapan sistem pelayanan aplikasi pendaftaran online di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta. Matra Pembaruan, 5, 53–64.
Siswanti, D. J. (2017). Tinjauan pelaksanaan rekam medis elektronik rawat jalan di Rumah Sakit Pelabuhan Jakarta. Jurnal Forum Ilmiah, 14, 5.
Soejoto, N. N., & MKD, M. K. D. (2024). Pengaruh penggunaan rekam medis elektronik rawat jalan guna menunjang mutu pelayanan di Rumah Sakit X. Αγαη, 15, 37–48.
Tsai, C. H., Eghdam, A., Davoody, N., et al. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis. Life, 10. https://doi.org/10.3390/life10120327
Zulhirsan, L., & Aini, Q. (2025). Human resources strategy in the implementation of electronic medical records in hospitals: Literature review. Jurnal Penelitian Pendidikan IPA, 11, 11–20.
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