Qualitative Analysis Of Medical Record And Health Information Officers’ Experiences In Using Electronic Medical Records (EMR) Applications Based On The Delone And Mclean Model At Rsud Wangaya Denpasar City
Article Sidebar
Main Article Content
Abstract
The development of information technology in the healthcare sector has encouraged healthcare facilities to implement Electronic Medical Records (EMR) systems to improve service efficiency and patient data management. Wangaya Regional General Hospital in Denpasar has implemented EMR in accordance with the Indonesian Ministry of Health Regulation Number 24 of 2022. However, several challenges are still experienced by system users. This study aims to analyze the experiences of Medical Record and Health Information Officers (PMIK) in using the EMR application based on the DeLone and McLean Information System Success Model, which includes system quality, information quality, and service quality. This research employed a qualitative method with a phenomenological approach. Data were collected through in-depth interviews with seven PMIK officers at Wangaya Regional General Hospital. The results indicate that the system quality of EMR is considered relatively easy to use and helpful in supporting daily work activities. However, several obstacles were identified, such as occasional system errors, suboptimal diagnosis code searching, and slower system access when the network is unstable. The information quality is considered sufficiently complete and supportive of healthcare services, although there are occasional cases of duplicate medical record numbers or BPJS numbers and delays in data access under certain conditions. Meanwhile, service quality is perceived as fairly good as the system improves service efficiency and facilitates coordination between units, although training programs have not been evenly distributed and the response to technical issues still needs improvement. Overall, the implementation of EMR at Wangaya Hospital has provided benefits in supporting healthcare services; however, further system development and service support are required to optimize its utilization.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Adiputra., E. a. (2021) Metodologi Penelitian Kesehatan.
Agsari, A.L. et al. (2024) ‘Persepsi Pengguna Pada SIMRS Medify Berdasarkan Model DeLone dan McLean’, 5(4), pp. 373–380. Available at: https://doi.org/10.25047/j-remi.v5i4.4636.
Ananda, D. et al. (2024) ‘Analisis Kelengkapan dan Keakuratan Data Rekam Medis Elektronik di Puskesmas X Surabaya’, 12(1), pp. 72–77.
Ariani, S. (2023) ‘Analisis Keberhasilan Implementasi Rekam Medis Elektronik Dalam Meningkatkan Efisiensi Dan Mutu Pelayanan’, Jurnal Kesehatan dan Kedokteran, 2(2), pp. 7–14. Available at: https://doi.org/10.56127/jukeke.v2i2.720.
Astuti, N.D. and Fahyudi, A. (2023) ‘Kepuasan Pengguna Sistem Informasi Rekam Medis Elektronik RSUD Tugurejo’, Jurnal Manajemen Kesehatan Indonesia, 11(3), pp. 289–297. Available at: https://doi.org/10.14710/jmki.11.3.2023.289-297.
Cahyani, M.B. et al. (2024) ‘Tinjauan Literatur : Peran Rekam Medis Berbasis Elektronik Terhadap Pelayanan Kesehatan’, pp. 155–159. Available at: https://doi.org/10.33560/jmiki.v12i2.648.
DeLone, W.H. and McLean, E.R. (2003) ‘The DeLone and McLean model of information systems success: A ten-year update’, Journal of Management Information Systems, 19(4), pp. 9–30. Available at: https://doi.org/10.1080/07421222.2003.11045748.
Dicky Zulkarnain Rona Gah, A.H.S. (2021) ‘Pengaruh Pengalaman Kerja dan Kemampuan Kerja Terhadap Kinerja Karyawan di Balai Latihan Masyarakat Makassar’, Jurnal Mirai Manajemen, 6(2), pp. 123–136. Available at: http://journal.feb.unmul.ac.id/index.php/JIMM/article/view/1310.
HK.1.07/MENKES/312/, K.R.N. (2020) ‘KEPUTUSAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR : HK.01.07/MENKES/312/2020 TENTANG STANDAR PROFESI PEREKAM MEDIS DAN INFORMASI KESEHATAN’, 2, pp. 1–9.
Husada, I. et al. (2025) ‘KEPUASAN PENGGUNA DI RUMAH SAKIT CIREMAI KOTA CIREBON TAHUN 2025 THE RELATIONSHIP BETWEEN ELECTRONIC MEDICAL RECORDS IMPLEMENTATION AND USERS SATISFACTION AT CIREMAI HOSPITAL CIREBON CITY IN 2025 1 , 2 , 3 , 4 Study Program of Medical Records and Health Information Ministry of Health of Indonesian Republic Health Polytechnic of Tasikmalaya Correspondent email : mmirsanda@gmail.com Pendahuluan Kemajuan teknologi informasi di Indonesia telah mendorong transformasi kesehatan menuju digitalisasi , di mana digitalisasi menjadi landasan bagi pengembangan sistem kesehatan yang lebih modern dan efisien ( Amin , Setyonugroho dan Hidayah 2021 ). Digitalisasi ini mencakup adopsi teknologi informasi untuk meningkatkan akses , efisiensi , dan kualitas pelayanan kesehatan , termasuk pengelolaan data pasien dan integrasi antar fasilitas kesehatan ( Ningsih et al . 2022 ). Salah satu elemen kunci dalam digitalisasi ini adalah implementasi RME , yang memungkinkan pencatatan , penyimpanan , dan pengelolaan data medis pasien secara digital ( Herfiyanti dan Febriana 2023 ). Melalui ( Menteri Kesehatan Republik Indonesia 2022 ) ditetapkan bahwa paling lambat 31 Desember 2023 , seluruh RME yang dimiliki oleh setiap fasyankes harus terhubung ke platform SATUSEHAT sesuai dengan standar data dan sistem yang ditetapkan oleh Kementerian Kesehatan .’, 13(2), pp. 235–246.
Irmawati et al. (2024) ‘Analisis Kinerja Unit Rekam Medis Berdasarkan Standar Kompetensi PMIK di Rumah Sakit Wilayah Sulawesi Selatan Analysis of Medical Record Unit Performance Based on PMIK Competency Standards in Hospitals in the South Sulawesi Region Elise Garmelia2 Zefan Ad’, 7(1), pp. 70–77.
Istia, S.M. (2025) ‘Karya tulis ilmiah gambaran tingkat kepuasan tenaga kesehatan tentang penerapan rekam medis elektronik di rsud wangaya kota denpasar’.
Kemenkes RI, P.R.N.; H. 01. 07/MENKES/312/202. T.S.P.P.M.D.I.K. (2020) ‘PERATURAN MENTRI KESEHATAN’, KEMENTRIAN KESEHATAN RI, 8(75), pp. 147–154. Available at: https://paralegal.id/peraturan/keputusan-menteri-kesehatan-nomor-hk-01-07-menkes-312-2020/.
Kesehatan, F., Jenderal, U. and Yani, A. (2025) ‘Evaluasi Penerapan Sistem Informasi Manajemen Puskesmas ( SIMPUS ) Menggunakan Model DeLone McLean di Puskesmas Mlati II’, 13(2), pp. 142–150.
Meilani, H., Nugraheni, S.W. and Suprawita, B. (2025) ‘Amelinda Helsa Meilani, 2 Sri Wahyuningsih Nugraheni*, 3 Budi Suprawita’, 15(2), pp. 158–164.
Nabila, S. et al. (2023) ‘Jurnal Indonesia : Manajemen Informatika dan Komunikasi Jurnal Indonesia : Manajemen Informatika dan Komunikasi’, 4(3), pp. 1541–1549.
Nelson, R.R., Todd, P.A. and Wixom, B.H. (2005) ‘Antecedents of information and system quality: An empirical examination within the context of data warehousing’, Journal of Management Information Systems, 21(4), pp. 199–235. Available at: https://doi.org/10.1080/07421222.2005.11045823.
Nurfitria, B.R. (2024) ‘Implementasi Rekam Medis Elektronik di Institusi Pelayanan Kesehatan di Indonesia’, Jurnal Insan Cendekia, 11(1), pp. 80–91.
Nurhaswinda, N. et al. (2025) ‘Fakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai, Kampar, Riau,Indonesia’, Jurnal Inovasi dan TrenFakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai, Kampar, Riau, Indonesia, 3(1), pp. 59–68. Available at: https://journal.lembagakita.org/ljit/article/view/3709.
Nurrisa, F. and Hermina, D. (2025) ‘Pendekatan Kualitatif dalam Penelitian : Strategi , Tahapan , dan Analisis Data Jurnal Teknologi Pendidikan Dan Pembelajaran ( JTPP )’, 02(03), pp. 793–800.
Parwita, G., Prastyadewi, M. and Saraswati, I. (2023) ‘7.+Gde+Bayu+Surya+Parwita,+Made+Ika+Prastyadewi,+Ida+Ayu+Nyoman+Tri+Saraswati’, Pengaruh Lingkungan Kerja, Pengalaman Kerja Dan Kompensasi Terhadap Kinerja Karyawan Cv. Dian Mandiri, 4(1), pp. 69–81.
Permenkes No. 24 (2022) ‘Peraturan Menteri Kesehatan RI No 24 tahun 2022 tentang Rekam Medis’, Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022, 151(2), pp. 1–19.
PORMIKI DPD DKI JAKARTA (2018) ‘Kode Etik Perekam Medis dan Informasi Kesehatan. Hasil Sidang Komisi B pada Kongres ke-IX PORMIKI’, pp. 2–3.
Putra, S., Syahran Jailani, M. and Hakim Nasution, F. (2021) ‘Penerapan Prinsip Dasar Etika Penelitian Ilmiah daun kersen’, Jurnal Pendidikan Tambusai, 7(3), pp. 27876–27881.
Raya, I.P. and Raya, I.P. (2021) ‘Memahami Teknik Pengolahan dan Analisis Data Kualitatif’, 1, pp. 173–186.
Rizqulloh, L. and Putra, A.N. (2024) ‘Kepuasan Pengguna Rekam Medis Elektronik Melalui Pendekatan EUCS di RSI Sultan Agung’, J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan, 5(4), pp. 330–344. Available at: https://doi.org/10.25047/j-remi.v5i4.5105.
Saryadi Saryadi et al. (2025) ‘Analisis Kepuasan PMIK Terhadap Implementasi Rekam Medis Elektronik dengan Metode EUCS di RSUD Dr. Moewardi’, Jurnal Medika Nusantara, 3(1), pp. 126–144. Available at: https://doi.org/10.59680/medika.v3i1.1679.
Sibarani, N.H. and Albina, M. (2025) ‘Etika dalam Penelitian Pedidikan’, 2, pp. 10–22.
Smith, S.M. et al. (2018) ‘Assessment of healthcare organizational readiness for change’, CHAPTER FIVE RESEARCH DESIGN AND METHODOLOGY 5.1. Introduction, 1(1), pp. 1–8. Available at: https://www.ukbimframework.org/standards-guidance/%0Ahttps://ejournal.poltektegal.ac.id/index.php/siklus/article/view/298%0Ahttp://repositorio.unan.edu.ni/2986/1/5624.pdf%0Ahttp://dx.doi.org/10.1016/j.jana.2015.10.005%0Ahttp://www.biomedcentral.com/1471-2.
Sugiyono (2020) Metodologi Penelitian Kuantitatif, Kualitatif dan R & D.
Sunargo, B., Hartono, B. and Samingan, S. (2025) ‘Evaluation of the Implementation of Electronic Medical Record Using the PIECES Approach to Support Satu Sehat in the Emergency Department’, Jurnal Ilmu dan Teknologi Kesehatan, 12(2), pp. 163–174. Available at: https://doi.org/10.32668/jitek.v12i2.1799.
Triyanto, K., Yunengsih, Y. and Susanto, A. (2021) ‘Analisis faktor penyebab terjadinya duplikasi nomor rekam medis di rumah sakit x’, 2(September), pp. 92–96.
Umar, M.F. and Maksum, T.S. (2022) ‘Efektivitas Penerapan Sistem Informasi Kesehatan Berdasarkan Model Delone dan Mclean Effectiveness of the Implementation of Health Information Systems Based on the Delone and McLean Model’, 8(3), pp. 512–519.
Wardana, C.K. and Licia, R. (2025) ‘Evaluasi Penerapan Rekam Medis Elektronik Terhadap Peningkatan Mutu Pelayanan Rawat Jalan Di RS PKU Muhammadiyah Gombong’, 03, pp. 142–154.
Yumna, A.A. et al. (2023) ‘Kualitas Sistem Informasi E-Learning UIN Sumatera Utara’, Jurnal Manajemen Akuntansi (JUMSI), 4(1), pp. 63–69. Available at: https://doi.org/10.36987/jumsi.v4i1.4564.
Zenobia, E., Bhayza, P. and Agung, J.T. (2024) ‘Analisis Kesiapan Pelaksanaan Rekam Medis Elektronik dengan Metode Doctor ’ s Office Quality-Information Technology ( DOQ-IT ) di Rumah Sakit Umum Daerah Kajen Kabupaten Pekalongan Analysis of Electronic Medical Records Implementation Readiness Using The Doctor ’ s Office Quality-Information Technology ( DOQ-IT ) Method at the Kajen Regional General Hospital Pekalongan Regency Rekam Medis dan Informasi Kesehatan Poltekkes Kemenkes Semarang’, 7(1), pp. 40–52.