Analisis Faktor yang Mempengaruhi Kepatuhan Penggunaan Elektronik Rekam Medis (ERM) di Instalasi Rawat Jalan RSUD Provinsi NTB

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ABSTRACT

This research is motivated by the acceleration of digital healthcare transformation and the mandatory implementation of Electronic Medical Records (ERM). However, ERM compliance at the NTB Provincial Hospital has not yet reached the target. An internal evaluation in 2024 showed a 75% compliance rate of <24 hours. This lack of perfection has implications for the completeness and strictness of time documentation and has led to delays in claim verification due to incomplete data, which can reduce revenue and the provision of service facilities in various outpatient units. This study aims to analyze the influence of seven factors: individual, organizational, technological, performance expectations, ease of use expectations, social environment, and facility conditions on ERM compliance in the outpatient unit. The method used was a quantitative cross-sectional design in 2025, involving 145 respondents from a population of 227 ERM users. Data were collected through a HOT-FIT and UTAUT indicator-based questionnaire using a 5-point Likert scale. Data were then analyzed using univariate, bivariate (Chi-Square), and multivariate logistic regression (α<0.05). Univariate results showed that the majority of respondents were consistently compliant (56.6%), with individual factors categorized as high at 51.0% and facility conditions as sufficiently available/available at 76.6%. Bivariate analysis revealed that all variables were significantly associated with compliance (p<0.001). However, multivariate analysis revealed that only individual factors (p=0.006) and facility conditions (p<0.001) had a partial effect, with facility conditions being the most dominant determinant.

Keywords: Compliance, Electronic Medical Records, Outpatient Facilities.

ABSTRAK

Penelitian ini dilatar belakangi oleh percepatan transformasi digital layanan kesehatan dan kewajiban penerapan Elektronik Rekam Medis (ERM), namun kepatuhan pengisian ERM di RSUD Provinsi NTB belum mencapai target. Evaluasi internal tahun 2024 menunjukkan kepatuhan pengisian <24 jam sebesar 75%. Kesenjangan tersebut berimplikasi pada kelengkapan dan ketepatan waktu dokumentasi, serta memicu tertundanya verifikasi klaim pembiayaan karena data tidak lengkap yang dapat menekan pendapatan dan pengadaan sarana pelayanan di berbagai unit rawat jalan. Penelitian ini bertujuan menganalisis pengaruh tujuh faktor seperti faktor individu, organisasi, teknologi, harapan kinerja, harapan kemudahan, lingkungan sosial dan kondisi fasilitas terhadap kepatuhan penggunaan ERM di Instalasi Rawat Jalan. Metode yang digunakan adalah kuantitatif dengan desain cross sectional pada tahun 2025, melibatkan 145 responden dari populasi 227 pengguna ERM, data dikumpulkan melalui kuesioner berbasis indikator HOT-FIT dan UTAUT menggunakan skala Likert 5 poin, kemudian dianalisis secara univariat, bivariat (Chi-Square) dan multivariat regresi logistik (α<0,05). Hasil univariat menunjukkan mayoritas responden selalu patuh (56,6%), dengan proporsi faktor individu kategori tinggi 51,0% dan kondisi fasilitas cukup tersedia/tersedia 76,6%. Uji bivariat memperlihatkan seluruh variabel berhubungan signifikan dengan kepatuhan (p<0,001). Namun, pada analisis multivariat hanya faktor individu (p=0,006) dan kondisi fasilitas (p<0,001) yang berpengaruh secara parsial dengan kondisi fasilitas sebagai determinan paling dominan.

Kata Kunci: Kepatuhan, Elektronik Rekam Medis, Instalasi Rawat Jalan.