ANALYSIS OF ATTITUDE AND INTEREST AS INDICATORS OF THE EFFECTIVENESS OF IMPLEMENTING ELECTRONIC SIGNATURES ON ELECTRONIC MEDICAL RECORD DOCUMENTS IN IMPROVING THE QUALITY OF SERVICE (Survey Study at Marthen Indey Hospital Jayapura)
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Astrodita Adya Seta
Sri Rochani Mulyani
Widjajanti Utoyo
Along with the rapid development of information and communication technology, the health sector continues to transform in terms of management and information. Management of patient data is very important to support diagnostic decision making. Electronic Medical Records (eMR) emerged as a computerized solution for storing demographics, medical data and supporting decisions in making diagnoses. RME administration at Health Service Facilities can be equipped with an Electronic Signature (eSig). This signature is used as a verification and authentication tool in recording and documenting clinical information. Implementing the RME application with eSig in hospitals can help improve the quality of health services and the efficiency of medical data processing. The aim of this research is to find out and analyze in more depth the policies, socialization, effectiveness, attitudes and interests in using eSig in eMR which can improve the quality of patient care. This research is a qualitative descriptive research using direct observation, interviews, documentation and literature. Informants in the research were the Head of the Hospital, doctors, nurses, medical records officers, patients, and experts. The results of research using NVivo14 software via Matric Coding and Nodes by Project Map, show that attitudes and interests are influenced by age and socialization with officers. Ages 20-24 years have high attitudes and interest in using eSig in eMR, while ages over 40 years have low attitudes and interest. Socialization is carried out to improve skills that can improve officers' attitudes and interests in using eSig in eMR. High attitudes and interest support the success of implementing eSig on eMR which will improve the quality of service at Marthen Indey Hospital Jayapura.
Abdekhoda, M., Ahmadi, M., Dehnad, A., Noruzi, A., &Gohari, M., (2016), Applying electronic medical records in health care, Applied clinical informatics, Vol. 7, No. 02, pp. 341-354.
Agusiandy, R.R., Sedarmayanti, Sunarsi, D., Mulyani, S.R., (2022), Manajemen Rumah Sakit, Deepublish, Sleman, pp. 1-80.
Aini, R. N., Rosiandini, R., Angelica, P., Kusumadewi, A. F., Putri, N. J. A. A., Oviola, R. A., Cahyaningrum, H. P., Herawati, D., (2024), Legalistas Tanda Tangan Elektronik pada Rekam Medis di RS PKU Muhammadiyah Gamping, Jurnal Manajemen Informasi Kesehatan Indonesia, Vol. 12, No. 1, pp. 9-13.
Andriani, R., Kusnanto H., Istiono, W., 2017, Analisis Kesuksesan Implementasi Rekam Medis Elektronik di RS UGM, Jurnal Sistem Informasi 2/13, 90-96.
Ardiansyah I., Prasetyowati, A., Latif, M. N., (2021), Efisiensi Waktu Tunggu Pendaftaran Online pasien rawat jalan, Jurnal Ilmiah Penelitian Kesehatan, vol. 1, No. 1, pp. 7-17.
Aria, M., & Atik, I., L., (2018), Tata Kelola dan Administrasi Untuk Meningkatkan Kualitas Pelayanan Administrasi PT. BAM, Jurnal Institusi Politeknik Ganesha Medan, pp. 16.
Arianto, N., (2018), Pengaruh Kualitas Pelayanan Terhadap Kepuasan Dan Loyalitas Pengunjung Dalam Menggunakan Jasa Hotel Rizen Kedaton Bogor, Jurnal Pemasaran Kompetiti, Vol. 1, No. 2, pp. 123-134.
Ariestin, I., (2022), Analisis faktor-faktor yang mempengaruhi sikap dan niat penggunaan RME di RS PKU Muhammadiyah Surakarta, Tesis Universitas Muhammadiyah Surakarta, pp. 16-17.
Arsip Data Rumah Sakit Marthen Indey Jayapura Tahun Anggaran 2023.
Azdy, R.A., (2016), Tanda tangan Digital Menggunakan Algoritme Keccak dan RSA, JNTETI, Vol. 5, pp. 184.
Bagaskara, D. Y., Rohmadi, 2024, Analisis Swot Pembiayaan Murabahah Pada Lembaga Keuangan Syari’ah Di Indonesia : Studi Pendekatan Nvivo Dan Literatur Review, Asy-Syarikah Journal, Vol :6, No :1, https://doi.org/10.47435/asy-syarikah.v6i1.2660
Bass, B. M. (1985). Leadership and Performance Beyond Expectations. Free Press.
Bazeley, P., K. Jackson, 2015, Analisis Data Kualitatif dengan NVivo, Quantitative Reaserch in Psychology, Vol 12 (4) : 492-494 DOI:10.1080/14780887.2014.992750
Cahyani, Prilian dan Astutik. (2019), Pertanggungjawaban Pidana Penyalahgunaan Rekam Medis Elektronik dalam Pelayanan Kesehatan, Jurnal Hukum Kesehatan (SOEPRA), Vol. 5, No. 2.
Chuang, C. H., Li, Y. F., Kuo, L. C., Yang, M. C., & Kao, L. T., (2021), Factors Influencing the Use of Health Information Exchange by Physicians-Using the National Health Insurance PharmaCloud System in Taiwan, International Journal of Environmental Research and Public Health, Vol. 18, No. 16, pp. 8415.
Erma Martiana, 2018, Evaluasi SIMRS Bagian Pendaftaran Online Pasien Rawat Jalan di RSUD dr. Tjitrowardojo Purworejo, Prosiding Standar Nasional Akreditasi Rumah Sakit (SNARS) Edisi 1 Terkait Rekam Medis, Yogyakarta.
Fandy Tjiptono. 2011. Strategi Pemasaran. 3rd ed. Yogyakarta: ANDI.
Febriani, F dan Busrah, Z., 2021, Analisis Sistem Antrian Pelayanan Administrasi Pasien Rawat Jalan Studi Kasus: Rumah Sakit Umum Daerah Kab. Pinrang, Seminar Nasional Teknologi Informasi dan Komputer.
Iskandar, (2009), Metodologi Penelitian Kualitatif, Gaung Persada, Jakarta, pp. 11-51.
Ismail Solihin, (2020), Pengantar Manajemen, Erlangga, Jakarta, 2020, pp. 12.
Kalayou, M. H., Endehabtu, B. F., &Tilahun, B., (2020), The Applicability of the Modified Technology Acceptance Model (TAM) on the Sustainable Adoption of eHealth Systems in Resource-Limited Settings, Journal of Multidisciplinary Healthcare, Vol. 13, pp. 1827.
Kartono, K. (2012). Manajemen Rumah Sakit: Konsep, Teori, dan Praktik. Yogyakarta: Pustaka Pelajar.
Kasmir, (2017), Customer Service Excellent: Teori dan Praktik, PT Raja Grafindo Persada, Jakarta, pp. 47.
Kotler, P. and Keller, (2016), Marketing Management 15th Edition, Pearson Pretice Hall Inc, New Jersey, pp. 143.
Lium, J. T., Tjora, A., &Faxvaag, A., (2008), No paper, but the same routines: a qualitative exploration of experiences in two Norwegian hospitals deprived of the paper based medical record, BMC medical informatics and decision making, Vol. 8, No. 1, pp. 1-12.
Mamik. 2014. Manajemen Mutu Pelayanan Kesehatan Dan Kebidanan. Sidoarjo: Zifatama Jiwara.
Moleong, L. J., (2000), Metodologi Penelitian Kuaitatif, Remaja Rosdakarya, Bandung, pp. 5.
Nabyla, F dan Hariyono, R. C. S., (2019), Desain Aplikasi Sistem Pendaftaran Online Menggunakan Smartphone untuk Meningkatkan Mutu Pelayanan pada Rumah Sakit, Journal of Information System Volume 4 No 2.
Noh, M., Jang, H., &Khongorzul, G., (2016), User Acceptance Model of Electronic Medical Record, Indian Journal of Science and Technology, Vol. 9, No. 41.
Priyatni, E.T., Suryani, A.W., Fachrunnisa, R., Supriyanto, A., Zakaria, I., (2020), Pemanfaatan Nvivo dalam Penelitian Kualitatif, LP2M UM, Malang, pp. 1-10.
Putra, D. S., Syazili, A., Rizal, S., Oktaviani, N., (2023), Implementasi Tanda Tangan Digital pada Aplikasi Rekam Medis Elektronik, Kajian Ilmiah Informatika dan Komputer, Vol. 4, No. 1, pp. 152-163.
Putri, Y. L., Rifai, A., (2019), Pengaruh Sikap dan Minat belajar terhadap Motivasi Belajar Peserta Didik Paket C, Journal of Nonformal Education and Community Empowerment, Vol. 3, No. 2, pp. 173-184.
Raharjana, I. K., Apriyana, F., &Taufik, T., (2018)., Analysis of Electronic Medical Record Reception using Expanded Technology Acceptance Model, Proceeding of the Electrical Engineering Computer Science and Informatics, Vol. 5, No. 1, pp. 411-415.
Rahmadhani, Oktamianiza, YulfaYulia, Nurmaiyulis Aisyah, (2022), Analisis Penerapan Aplikasi Sistem Pendaftaran Online(E-Health) pada Rumah Sakit, Indonesian Journal of Health Information Management (IJHIM) Vol. 2No. 3(2022) : 1-7.
Rangkuti, Freddy. (2013). Customer Service Satisfaction & Call Center. Jakarta: PT Gramedia Pustaka Utama.
Sartika, R., Gunawan, E., (2021), Pelaksanaan Pelayanan Pasien Menggunakan Rekam Medis Elektronik di Klinik Utama Cahaya Qalbu pada Masa Pandemi COvid-19, Journal Sosial dan Sains, Vol 1, No 9, pp. 1066-1072.
Sequist, T. D., Cullen, T., Hays, H., Taualii, M. M., Simon, S. R., & Bates, D. W., (2007), Implementation and use of an electronic health record within the Indian Health Service, Journal of the American Medical Informatics Association, Vol. 14, No. 2, pp. 191-197.
Sugiyono, (2012), Metode Penelitian Kuantitatif Kualitatif dan R & D, Elfabeta, Bandung, pp. 210-230, 270-280.
Sulistyo, N., ( 2016 ), E-Commerce Teori dan Implementasi. Ekuilibria, Yogyakarta, pp. 1-50.
Suryana, Y. (2011). Manajemen Rumah Sakit: Teori dan Praktik. Jakarta: Rineka Cipta.
Tavakoli, N., Jahanbakhsh, M., (2013), Investigation of retention and destruction process of medical records in the hospitals and codifying appropriate guidelines, J Educ Health Promot, Vol. 2, No. 1, pp. 1-5
Triana, Y., Setianari, I., Mahendra, M., & Akbar, F., (2023), Perlindungan Hukum Terhadap Pasien Atas Kelalaian Medis Oleh Tenaga Kesehatan Di Rumah Sakit, Jurnal Pendidikan dan Konseling (JPDK), Vol. 5, No. 1, pp.1046-1052.
Tubaishat, A, (2018), Perceived usefulness and perceived ease of use of electronic health records among nurses: application of technology acceptance model, Informatics for Health and Social Care, Vol. 43, No. 4, pp. 379-389.
Usman, E., (2014), Asas Manajemen, Rajawali Pers, Jakarta, 2014, pp. 1-20.
Van Der Meijden, M. J., Tange, H. J., Troost, J., &Hasman, A., (2003), Determinants of success of inpatient clinical information systems: a literature review, Journal of the American Medical Informatics Association, 10(3), 235-243.
Winda, (2012), Penerapan Fungsi Manajemen Dalam Pengelolaan Pepustakaan, Jurnal Ilmu Informasi Kepustakaan dan Kearsipan, Vol. 1, No. 1, pp.41
Yusuf, A., (2019), Implementasi Algoritma Kriptografi Rivest Shamir, Techno.COM, p. 110.