Analisis Faktor Optimisme terhadap Kesiapan Penerapan Rekam Medis Elektronik di Rumah Sakit Pertamina Bintang Amin

Joko Sugiharto, Achmad Farich, Christin Angelina, Ika Sudirahayu, Rachmawati Rachmawati

Sari


ABSTRACT

 

The national e-health strategy aims to increase the accessibility and sustainability of quality health services through the use of information and communication technology, as well as supporting all components of the health system with effective, reliable and safe innovations. The integration of an electronic-based Health Information System (HIS) in all health service facilities is part of the Ministry of Health's 2020-2024 Strategic Plan, which focuses on strengthening fast, valid and resource sharing health information services. Readiness assessments are important to ensure successful implementation of the RME system by understanding the condition of health service facilities and the readiness of health workers to use the new system. Therefore, this research focuses on analyzing the optimism factor of health workers regarding the readiness to implement electronic medical records at Pertamina Bintang Amin Hospital in 2024. The research method used is quantitative with a cross-sectional design. The sample consisted of 157 respondents who were health workers tasked with implementing EMR using proportional random sampling techniques. The dependent variable assessed is readiness to implement RME, and the independent variables are optimism factor; social support, self-efficacy, self-esteem, and accumulated experience. The research results showed that the independent variables related to EMR implementation readiness are social support (p-value 0,024), self  efficacy (p-value 0,047), and accumulated experience (p-value 0,003). The most dominant influencing factor is accumulated experience. Hospital management should carry out socialization about RME, expand infrastructure and provide training in developing the use of computers and electronic information systems to increase ICT literacy, mentoring and coaching programs to share direct experiences, rotation and assignment empowerment programs to develop new skills and insights, as well as providing given to employees who achievement/innovate to improve the readiness of health workers in implementing electronic medical record.

 

Keywords: Electronic Medical Record, Implementation Readiness, Optimism, Hospital

 

  

ABSTRAK

 

Strategi e-kesehatan nasional bertujuan meningkatkan aksesibilitas dan kesinambungan layanan kesehatan berkualitas melalui pemanfaatan teknologi informasi dan komunikasi, serta mendukung seluruh komponen sistem kesehatan dengan inovasi yang efektif, handal, dan aman. Integrasi Sistem Informasi Kesehatan (SIK) berbasis elektronik di semua fasilitas pelayanan kesehatan merupakan bagian dari Rencana Strategis Kementerian Kesehatan 2020-2024, yang fokus pada pemantapan layanan informasi kesehatan yang cepat, valid, dan resource sharing. Penilaian kesiapan penting untuk memastikan keberhasilan penerapan sistem RME dengan memahami kondisi fasilitas layanan kesehatan dan kesiapan petugas kesehatan dalam menggunakan sistem baru. Oleh karena itu, penelitian ini fokus pada analisis faktor optimisme petugas kesehatan terhadap kesiapan penerapan rekam medis elektronik di RS Pertamina Bintang Amin pada tahun 2024. Metode penelitian yang digunakan adalah kuantitatif dengan desain cross-sectional. Sampel terdiri dari 157 responden yang merupakan tenaga kesehatan yang bertugas menerapkan RME dengan menggunakan teknik proporsional random sampling. Variabel dependen yang dinilai adalah kesiapan penerapan RME, dan variabel independen adalah faktor optimisme;  dukungan sosial, kepercayaan diri, harga diri, dan akumulasi pengalaman.Hasil penelitian didapatkan variabel independen yang berhubungan dengan kesiapan penerapan RME adalah dukungan sosial (p-value 0,024), kepercayaan diri (p-value 0,047) dan akumulasi pengalaman (p-value 0,003). faktor paling dominan yang berpengaruh adalah akumulasi pengalaman. Manajemen rumah sakit hendaknya melakukan sosialisasi tentang RME, memperluas infrastruktur dan penyediaan pelatihan pengembangan penggunaan computer-sistem informasi elektronik untuk peningkatan literasi TIK, program mentoring dan coaching untuk saling berbagi pengalaman langsung, program rotasi dan pemberdayaan tugas untuk mengembangkan kemampuan dan wawasan baru,  serta pemberian penghargaan kepada karyawan yang berprestasi/berinovasi untuk meningkatkan kesiapan petugas kesehatan dalam penerapan rekam medis elektronik.

 

Kata Kunci: Kesiapan Penerapan Rekam Medis Elektronik, Optimisme, Rumah Sakit


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Referensi


Abdulai, A. F., & Adam, F. (2020). Health Providers’ Readiness For Electronic Health Records Adoption: A Cross-Sectional Study Of Two Hospitals In Northern Ghana. Plos One, 15(6), 1–11. Https://Doi.Org/10.1371/Journal.Pone.0231569

Alsadi, M., & Saleh, A. (2019). Electronic Health Records Implementation Readiness: An Integrative Review. Open Journal Of Nursing, 9, 152–162. Https://Doi.Org/10.4236/Ojn.2019.92014

Andriyani M, & Kuntadi C. (2024). Pengaruh Kemampuan Kerja, Pengalaman Kerja Dan Pelatihan Terhadap Profesionalisme Karyawan. Neraca Manajemen, Akuntansi Ekonomi, 15(5).

Ariyanti, N., Agushybana, F., & Widodo, A. P. (2024). The Benefits Of Electronic Medical Records Reviewed From Economic, Clinical, And Clinical Information Benefits In Hospitals. Jurnal Kesehatan Komunitas, 9(1), 190–197. Https://Doi.Org/10.25311/Keskom.Vol9.Iss1.1420

Awol, S. M., Birhanu, A. Y., Mekonnen, Z. A., Gashu, K. D., Shiferaw, A. M., Endehabtu, B. F., Kalayou, M. H., Guadie, H. A., & Tilahun, B. (2020). Health Professionals’ Readiness And Its Associated Factors To Implement Electronic Medical Record System In Four Selected Primary Hospitals In Ethiopia. Advances In Medical Education And Practice, 11, 147–154. Https://Doi.Org/10.2147/Amep.S233368

Budiani, M. S., Mulyana, O. P., & Puspitadewi, N. W. S. (2020). Peran Kepercayaan Diri Dan Kemampuan Multitasking Terhadap Readiness To Change Pada Mahasiswa. Jurnal Psikologi Teori Dan Terapan, 10(2), 150. Https://Doi.Org/10.26740/Jptt.V10n2.P150-162

Budiasningrum, R. Et All. (2024). Meningkatkan Self Esteem Siswa Melalui Pendekatan Kognitif Behavior Therapy Dengan Teknik Self Instruction. Jurnal Review Pendidikan Dan Pengajaran, 6, 2748–2753.

Dahlan, M. S. (2019). Besar Sampel Dalam Penelitian Kedokteran Dan Kesehatan (5th Ed.). Epidemiologi Indonesia.

Darmawan, D. (2022). Motivasi, Kemampuan, Pengalaman,Keterlibatan, Kedisiplinan Sebagai Faktorinternal Karyawan Dan Pembentukan Kinerjakaryawan. Jurnal Satyagraha, Vol.05, No(01), 18–29.

Faida, E. W., Supriyanto, S., Haksama, S., Markam, H., & Ali, A. (2022). The Acceptance And Use Of Electronic Medical Records In Developing Countries Within The Unified Theory Of Acceptance And Use Of Technology Framework. Open Access Macedonian Journal Of Medical Sciences, 10(E), 326–336. Https://Doi.Org/10.3889/Oamjms.2022.8409

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’shea, C., Roche, M., Lawlor, F., & O’hare, N. (2020). Successfully Implementing A National Electronic Health Record: A Rapid Umbrella Review. International Journal Of Medical Informatics, 144, 1–17. Https://Doi.Org/10.1016/J.Ijmedinf.2020.104281

Ghufron & Risnawita. (2022). Teori-Teori Psikologi (R. Kusumaningratri (Ed.); 2022nd Ed.). Ar-Ruzz Media.

Hastono, S. P. (2022). Analisis Data Pada Bidang Kesehatan (6th Ed.). Rajawali Press.

International Organization For Standardization (Iso). (2005). Health Informatics-Electronic Health Record Definition, Scope And Context Standard. Iso/Tr 20514.

Januraga, P. P., Wirawan, G. B. S., Harjana, N. P. A., & Ulandari, N. P. S. (2021). Rekam Kesehatan Elektronik: Kajian Model Dan Prototipe Sistem Informasi Kesehatan Untuk Industri 4.0. Bali, Indonesia. In Rekam Kesehatan Elektronik: Kajian Model Dan Prototipe Sistem Informasi Kesehatan Untuk Industri 4.0. Bali, Indonesia. Https://Doi.Org/10.53638/9786239747329

Junaidin. (2024). Psikologi Umum (1st Ed.). Zahir Publishing.

Kemenkes Ri. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 46 Tahun 2017 Tentang Strategi E-Kesehatan Nasional. Menteri Kesehatan Republik Indonesia, 1635, 1–47. Https://Peraturan.Bpk.Go.Id/Home/Details/139565/Permenkes-No-46-Tahun-2017

Kemenkes Ri. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2020 Tentang Rencana Strategis Kementerian Kesehatan Tahun 2020-2024. In Kemenkes Ri. Kementerian Kesehatan Republik Indonesia.

Kemenkes Ri. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis. Pperaturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis.

Kemenkes Ri. (2024a). Penerapan Rekam Medis Elektronik Di Fasilitas Kesehatan Di Indonesia.

Kemenkes Ri. (2024b). Surat Edaran No. Hk.02.01/Menkes/1030/2024 Tentang Penyelenggaraan Rekam Medis Elektronik Di Fasilitas Pelayanan Kesehatan Serta Penerapan Sanksi Administratif Dalam Rangka Pembinaan Dan Pengawasan.

Mangundjaya. (2016). Psikologi Dalam Perubahan Organisasi. Swasthi Adi Cita.

Mauco, K. L., Scott, R. E., & Mars, M. (2020). Validation Of An E-Health Readiness Assessment Framework For Developing Countries. Bmc Health Services Research, 20(1), 575. Https://Doi.Org/10.1186/S12913-020-05448-3

Mcconnell, J. R., Teske, A. H., Attwood, A. I., & Barron, L. L. (2021). Preservice Teachers’ Performance And Confidence In Their Readiness To Teach: An Exploratory Study. Srate Journal, 30(1), 1–11.

Meria, L., & Tamzil, F. (2021). Pengaruh Efikasi Diri Terhadap Kesiapan Untuk Berubah Dan Kinerja Karyawan. Pengaruh Efikasi Diri Terhadap Kesiapan Untuk Berubah Dan Kinerja Karyawan Forum Ilmiah, 18, 279.

Ngusie, H. S., Kassie, S. Y., Chereka, A. A., & Enyew, E. B. (2022). Healthcare Providers’ Readiness For Electronic Health Record Adoption: A Cross-Sectional Study During Pre-Implementation Phase. Bmc Health Services Research, 22, 282. Https://Doi.Org/10.1186/S12913-022-07688-X

Nundy, S., Kakar, A., & Bhutta, Z. A. (2021). Medical Records. In How To Practice Academic Medicine And Publish From Developing Countries? (1st Ed., Pp. 429–440). Springer. Https://Doi.Org/10.1007/978-981-16-5248-6_45 429

Oo, H. M., Htun, Y. M., Win, T. T., Han, Z. M., Zaw, T., & Tun, K. M. (2021). Information And Communication Technology Literacy, Knowledge And Readiness For Electronic Medical Record System Adoption Among Health Professionals In A Tertiary Hospital, Myanmar: A Cross-Sectional Study. Plos One, 16(7), E0253691. Https://Doi.Org/10.1371/Journal.Pone.0253691

Permatasari, N., Rahmatillah Ashari, F., & Ismail, N. (2021). Contribution Of Perceived Social Support (Peer, Family, And Teacher) To Academic Resilience During Covid-19. Golden Ratio Of Social Science And Education, 1(1), 01–12. Https://Doi.Org/10.52970/Grsse.V1i1.94

Ratnawati, V. (2018). Optimisme Akademik Sebuah Kajian Tentang Sikap Optimis Dalam Dunia Pendidikan. Adji Media Nusantara. Https://Doi.Org/Isbn : 978-602-5605-32-1

Rotich, R. K. (2020). Influence Of Optimism On Work Engagement Of Managers In State Corporations In Kenya. European Journal Of Management And Marketing Studies, 5(3), 131–155. Https://Doi.Org/10.46827/Ejmms.V5i3.869

Rumah Sakit Pertamina Bintang Amin. (2024). Data Internal Rspba.

Sadagheyani, H. E., Darrudi, R., & Mohammadpour, A. (2022). Factors Affecting The Readiness Of Health Centers Staff To Use The Electronic Health Record System. Journal Of Pharmaceutical Negative Results, 13, 1–10. Https://Doi.Org/10.21203/Rs.3.Rs-1623097/V1

Simatupang, M. (2022). The Role Of Optimism And Agility Towards Readiness To Change In Implementing Merdeka Belajar Kampus Merdeka. Analitika, 14(2), 123–131. Https://Doi.Org/10.31289/Analitika.V14i2.8022

Simatupang, M., Hemasti, R. A. G., Br. Barus, D. A., & Simatupang, T. P. (2022). Faktor-Faktor Yang Mempengaruhi Kesiapan Untuk Berubah (Kajian Psikologi Industri & Organisasi) (Pertama). Eureka Media Aksara.

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects Of Electronic Health Record Implementation And Barriers To Adoption And Use: A Scoping Review And Qualitative Analysis Of The Content. Life, 10(12), 1–27. Https://Doi.Org/10.3390/Life10120327

Wang, T., Olivier, D. F., & Chen, P. (2020). Creating Individual And Organizational Readiness For Change: Conceptualization Of System Readiness For Change In School Education. International Journal Of Leadership In Education, 00(00), 1–25. Https://Doi.Org/10.1080/13603124.2020.1818131

Yang, C., Yan, S., Wang, J., & Xue, Y. (2022). Flow Experiences And Virtual Tourism: The Role Of Technological Acceptance And Technological Readiness. Sustainability (Switzerland), 14(9), 1–17. Https://Doi.Org/10.3390/Su14095361




DOI: https://doi.org/10.33024/mahesa.v4i12.15593

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