Evaluation Of The Implementation Of The Utilization Of The E-Health Center Application At The Periuk District Health Center, Tangerang City

Siti Nurdinillah

Authors

Siti Nurdinillah Prodi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Indonesia Maju

Keywords:

e-Puskesmas Application, Utilization, Evaluation, Health Information System

Abstract

The latest regulation from the Indonesian Ministry of Health stipulates that all health service facilities must organize Electronic Medical Records (EMR). This encourages health centers to apply e-Health Center for the real-time data input process based on the Circular issued by the Tangerang City Health Office. However, based on service monitoring, it is known that not all health centers have achieved the set real-time input target. This study aims to evaluate the utilization of the E-Health Center application in four selected health centers, namely Gembor, Periuk Jaya, Kedaung Wetan, and Cipadu in 2024. The study used a qualitative study design by conducting in-depth interviews, document reviews, and observations of opinions and conditions of the use of the e-Health Center application. The Contextual, Input, Process, and Product (CIPP) process framework and the Edward III implementation framework (bureaucratic structure, resources, disposition, and communication) were used to evaluate the implementation. The study involved 4 persons in charge, 5 users, and 2 decision makers of the information system at the health center. The results of the study show that contextually the e-Puskesmas application only meets the utilization objectives based on the Minister of Health's regulation on electronic medical records. The utilization of e-Puskesmas has not created a digital work culture that accelerates and facilitates the work of health workers and minimizes paper use. This is because the input and process of utilizing e-Puskesmas still have obstacles and do not conform to the expected standards. This study recommends improving the utilization of e-Puskesmas with adequate BLUD budget support and the preparation of uniform standard procedures across all health centers.

References

Acharya, J. C., Staes, C., Allen, K. S., Hartsell, J., Cullen, T. A., Lenert, L., Rucker, D. W., Lehmann, H. P., & Dixon, B. E. (2023). Strengths, weaknesses, opportunities, and threats for the nation’s public health information systems infrastructure: synthesis of discussions from the 2022 ACMI Symposium. Journal of the American Medical Informatics Association, 30(6), 1011–1021. https://doi.org/10.1093/jamia/ocad059

Basir, N., Hartono, B., Abidin, A. R., Rahayu, E. P., & Hamid, A. (2022). ANALYSIS OF MANAGEMENT ELEMENTS AND MEDICAL RECORD PROCESSING SYSTEM AT BHAYANGKARA HOSPITAL PEKANBARU. Indonesian Journal of Public Health, 17(3). https://doi.org/10.20473/ijph.v17i3.2022.462-476

Bogaert, P., van Oers, H., & Van Oyen, H. (2018). Towards a sustainable EU health information system infrastructure: A consensus driven approach. Health Policy, 122(12). https://doi.org/10.1016/j.healthpol.2018.10.009

De Leeuw, J. A., Woltjer, H., & Kool, R. B. (2020). Identification of factors influencing the adoption of health information technology by nurses who are digitally lagging: In-depth interview study. Journal of Medical Internet Research, 22(8). https://doi.org/10.2196/15630

Haux, R. (2022). Health Information Systems: Past, Present, Future-Revisited. Studies in Health Technology and Informatics, 300. https://doi.org/10.3233/SHTI220945

Janett, R. S., & Yeracaris, P. P. (2020). Electronic medical records in the american health system: Challenges and lessons learned. Ciencia e Saude Coletiva, 25(4), 1293–1304. https://doi.org/10.1590/1413-81232020254.28922019

Kanfe, S. G., Debele, G. R., Berhanu, R. D., Ngusie, H. S., & Ahmed, M. H. (2021). Utilisation of district health information system and its associated factors among health professionals working at public health facilities of the southwest of Ethiopia: Cross-sectional survey. In BMJ Open (Vol. 11, Issue 8). BMJ Publishing Group. https://doi.org/10.1136/bmjopen-2020-046578

Ledikwe, J. H., Reason, L. L., Burnett, S. M., Busang, L., Bodika, S., Lebelonyane, R., Ludick, S., Matshediso, E., Mawandia, S., Mmelesi, M., Sento, B., & Semo, B. werq. (2013). Establishing a health information workforce: Innovation for low- and middle-income countries. Human Resources for Health, 11(1). https://doi.org/10.1186/1478-4491-11-35

Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, 78(1). https://doi.org/10.1016/j.ijmedinf.2008.06.005

Mboera, L. E. G., Rumisha, S. F., Mbata, D., Mremi, I. R., Lyimo, E. P., & Joachim, C. (2021). Data utilisation and factors influencing the performance of the health management information system in Tanzania. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06559-1

Munazhifah, Yulia, N., Dewi, D. R., & Fannya, P. (2023). Identifikasi Kelengkapan Pengisian Rekam Medis Elektronik Pasien Rawat Inap di RSKD Duren Sawit Jakarta Tahun 2022. SEHATRAKYAT, 2(1).

Nouvellet, P., Bhatia, S., Cori, A., Ainslie, K. E. C., Baguelin, M., Bhatt, S., Boonyasiri, A., Brazeau, N. F., Cattarino, L., Cooper, L. V., Coupland, H., Cucunuba, Z. M., Cuomo-Dannenburg, G., Dighe, A., Djaafara, B. A., Dorigatti, I., Eales, O. D., Van Elsland, S. L., Nascimento, F. F., … A., F. C. (2021). Reduction in mobility and COVID-19 transmission. Nature Communications, 2, 1090.

Nyangena, J., Rajgopal, R., Ombech, E. A., Oloo, E., Luchetu, H., Wambugu, S., Kamau, O., Nzioka, C., Gwer, S., & Ndiritu Ndirangu, M. (2021). Maturity assessment of Kenya’s health information system interoperability readiness. BMJ Health and Care Informatics, 28(1). https://doi.org/10.1136/bmjhci-2020-100241

Torab-Miandoab, A., Samad-Soltani, T., Jodati, A., & Rezaei-Hachesu, P. (2023). Interoperability of heterogeneous health information systems: a systematic literature review. BMC Medical Informatics and Decision Making, 23(1). https://doi.org/10.1186/s12911-023-02115-5

Tummers, J., Tekinerdogan, B., Tobi, H., Catal, C., & Schalk, B. (2021). Obstacles and features of health information systems: A systematic literature review. In Computers in Biology and Medicine (Vol. 137). Elsevier Ltd. https://doi.org/10.1016/j.compbiomed.2021.104785

Venkatraman, I., & Shantapriyan, P. T. (2015). Understanding and evaluating IT budgets and funding. Lecture Notes in Mechanical Engineering, 19. https://doi.org/10.1007/978-3-319-09507-3_111

Vinson, A. H. (2021). Culture as infrastructure in learning health systems. In Learning Health Systems (Vol. 5, Issue 3). https://doi.org/10.1002/lrh2.10267

Waterson, P., Glenn, Y., & Eason, K. (2012). Preparing the ground for the “paperless hospital”: A case study of medical records management in a UK outpatient services department. International Journal of Medical Informatics, 81(2), 114–129. https://doi.org/10.1016/j.ijmedinf.2011.10.011

Zayas-Cabán, T., Abernethy, A. P., Brennan, P. F., Devaney, S., Kerlavage, A. R., Ramoni, R., & White, P. J. (2020). Leveraging the health information technology infrastructure to advance federal research priorities. Journal of