Analysis Of Inhibiting Factors Implementation Of Electronic Medical Records In East Pamulang Community Health Center

Gama Bagus Kuntoadi1, Rita Dwi Pratiwi, Hasan Sadikin, Iah Bilqiz Khairul Barriyah, Brojo Kishore Mishra
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Abstract

Patient medical records in Indonesia are starting to transform into electronic-based medical records. Electronic Medical Records (EMR) are medical records created using an electronic system. It is an electronic repository of information about a patient's health status and health services throughout patient life. The impact if health services have not implemented EMR is that it could hamper patient health services. This research aims to identify factors inhibiting the implementation of EMR at the East Pamulang Community Health Center (Puskesmas). The research method used is descriptive with a qualitative approach. The research subject population was medical records officer and chief administrative officer, while the object population was the medical records, registration, clinics, laboratory, and pharmacy room. The results of the research identified several factors inhibiting the implementation of EMR, such as inadequate infrastructure, no officers with a background in medical records, and still using paper-based manual medical records. The conclusion of this research is the discovery of several factors inhibiting the implementation of EMR, human resource factors where it doesn’t yet have an officer with an educational background in medical records, the number of computers is still limited which supporting EMR in each service unit, and the electronic-based medical record applications are still not used comprehensively in the service units of the Puskesmas. Suggestions from the results of this research are that Puskesmas immediately recruits officers who have an educational background in Medical Records, increases the number of computer devices that support the implementation of EMR, and immediately implements electronic-based medical records.
东帕穆兰社区卫生中心实施电子病历的阻碍因素分析
印度尼西亚的病历正开始向电子病历转变。电子病历(EMR)是使用电子系统创建的医疗记录。它是病人健康状况和整个生命周期医疗服务信息的电子存储库。如果医疗服务机构没有实施电子病历,其影响可能会妨碍病人的医疗服务。本研究旨在确定阻碍东帕穆兰社区卫生中心(Puskesmas)实施电子病历的因素。采用的研究方法是定性描述法。研究对象为医疗记录官和首席行政官,客体为医疗记录、登记、诊所、实验室和药房。研究结果发现了阻碍实施电子病历的几个因素,如基础设施不足、没有具有病历背景的人员、仍在使用纸质手工病历等。这项研究的结论是发现了几个阻碍实施电子病历的因素,其中包括人力资源因素,即还没有一名具有医疗记录教育背景的官员,每个服务单位支持电子病历的电脑数量仍然有限,以及电子病历应用程序在乡服务单位中还没有得到全面使用。本研究结果建议,医院应立即招聘具有医疗记录教育背景的人员,增加支持实施电子病历的计算机设备数量,并立即实施电子病历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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