Assessing Internet Quality Across Public Health Centers in Indonesia: Cross-Sectional Evaluation Study.

IF 3.8 3区医学 Q2 MEDICAL INFORMATICS

JMIR Medical Informatics Pub Date : 2025-09-15 DOI:10.2196/65940

Dewi Nur Aisyah, Agus Heri Setiawan, Alfiano Fawwaz Lokopessy, Chyntia Aryanti Mayadewi, M Thoriqul Aziz Endryantoro, Viktor Wibowo, Sarah Disviana, Indra Laksana, Mohammad Aviandito, Zisis Kozlakidis, Logan Manikam

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引用次数: 0

Abstract

Background: Primary health care centers (Puskesmas) serve as the cornerstone of Indonesia's health care system, providing integrated services aimed at improving individual health through prevention, treatment, and health promotion. To fulfill these roles effectively, robust technological infrastructure, particularly reliable internet connectivity, is increasingly essential. Assessing the availability and quality of internet access in Puskesmas is therefore a critical step in understanding their readiness to implement digital health initiatives and fulfill their responsibilities in delivering accessible and effective healthcare services.

Objective: This study provides a national baseline assessment of internet quality and its relevant IT infrastructure in more than 10,000 Puskesmas across Indonesia.

Methods: A cross-sectional survey was conducted throughout all Puskesmas (10,382) in 34 provinces in Indonesia, using an online questionnaire. Categorization was done to analyze internet quality level results.

Results: A total of 10,378 out of 10,382 public health centers (99.96%) participated in this study. Overall, 745 of 10,382 (7.18%) did not have internet access, 1487 (14.33%) had limited internet access, 5567 (53.64%) had sufficient internet access, and 2579 (24.85%) had sufficient and fast internet access. Moreover, 832 of 10,382 Puskesmas (8.02%) did not have 24-hour electricity, 44,196 (43.7%) had a central processing unit (CPU) with i3 specifications, 43,044 (42.56%) had 512 GB hard disk capacity, and 67,272 (66.5%) used antivirus.

Conclusions: Although 79% (8201/10,382) of Puskesmas in Indonesia already had sufficient internet access, 21% (2180/10,382) still have limited and insufficient access. To ensure universal internet availability, it is essential to build collaborative support among internet providers and government to foster the availability and use of internet satellites, high-quality computers, and electrical power to support internet connectivity.

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评估印尼公共卫生中心的互联网质量：横断面评估研究。

背景：初级卫生保健中心（Puskesmas）是印度尼西亚卫生保健系统的基石，提供旨在通过预防、治疗和健康促进改善个人健康的综合服务。为了有效地履行这些职责，强大的技术基础设施，特别是可靠的互联网连接，变得越来越重要。因此，评估Puskesmas互联网接入的可用性和质量是了解其是否准备实施数字卫生举措并履行其在提供可获得和有效的卫生保健服务方面的责任的关键步骤。目的：本研究提供了印度尼西亚超过10,000个Puskesmas的互联网质量及其相关IT基础设施的国家基线评估。方法：采用在线问卷，在印度尼西亚34个省的所有Puskesmas（10,382）进行横断面调查。对网络质量水平结果进行分类分析。结果：在10,382个公共卫生中心中，共有10,378个（99.96%）参与了这项研究。总体而言，10,382人中有745人（7.18%）没有互联网接入，1487人（14.33%）互联网接入有限，5567人（53.64%）互联网接入充足，2579人（24.85%）互联网接入充足且快速。另外，在10382个Puskesmas中，832个（8.02%）没有24小时通电，44196个（43.7%）拥有i3规格的中央处理器（CPU）， 43044个（42.56%）拥有512gb的硬盘容量，67272个（66.5%）使用防病毒软件。结论：尽管印度尼西亚的Puskesmas有79%（8201/10,382）的人已经有足够的互联网接入，但21%（2180/10,382）的人仍然接入有限或不足。为了确保互联网的普遍可用性，必须在互联网提供商和政府之间建立协作支持，以促进互联网卫星、高质量计算机和电力的可用性和使用，以支持互联网连接。

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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来源期刊

JMIR Medical Informatics Medicine-Health Informatics

CiteScore

7.90

自引率

3.10%

发文量

173

审稿时长

12 weeks

期刊介绍： JMIR Medical Informatics (JMI, ISSN 2291-9694) is a top-rated, tier A journal which focuses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation. It has a focus on applied, translational research, with a broad readership including clinicians, CIOs, engineers, industry and health informatics professionals. Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2016: 5.175), JMIR Med Inform has a slightly different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.