医院营养服务的电子医疗记录

Diah Ayu Ratnaningsih, None Guardian Yoki Sanjaya, None Adhiyanti Asikin
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摘要

背景:电子病历(EMR)是印度尼西亚医疗保健提供者的强制性要求。还为营养服务等医疗支助服务制定了电子病历。营养服务的电子病历申请包括营养评估表格和患者综合临床发展记录。目的:探讨影响医院营养服务电子病历实施的因素。方法:采用单例整体设计的定性研究方法。研究地点为Instalasi Gizi RSUD Dr. Soetomo,时间为2023年5月至6月。数据收集方法采用深度访谈和焦点小组讨论。参与者的选择采用有目的的抽样。数据分析基于人、组织和技术(HOT) -契合框架。结果:本研究表明,影响医院营养电子病历实施成功的主要因素是员工的数字化能力。可以通过对工作人员进行一些培训来提高这些能力。另一个重要因素是组织应该通过提供EMR实现的标准操作程序(sop)和来自信息技术(IT)团队的技术支持来提供支持。IT团队负责处理有关电子病历的投诉和问题。计算机和局域网(LAN)等设施应足以使电子病历的实施运行良好。EMR的界面和功能应满足员工的需求。因此,员工会觉得EMR有利于他们完成工作,并对这种EMR表示接受。结论:医院营养服务实施电子病历的成功取决于几个因素,如员工数字能力、组织支持、实施电子病历的计算机和局域网的提供。对电子病历效益的积极认知鼓励了医院电子病历利用率的提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
REKAM MEDIS ELEKTRONIK (RME) UNTUK PELAYANAN GIZI RUMAH SAKIT
Background: Electronic Medical Record (EMR) is mandatory for the healthcare provider in Indonesia. EMR were also developed for medical support services such as nutrition services. EMR application for nutrition services consists of nutrition assessment forms and patient-integrated clinical development records.Objective: To determine factors that influence the implementation of EMR for hospital nutrition services.Methods: This research is qualitative research with a single-case holistic design. The research location was in Instalasi Gizi RSUD Dr. Soetomo, from May to June 2023. The data collecting method was using in depth-interview and focus group discussions. Participants were selected using purposive sampling. Data was analyzed based on the Human, Organization, and Technology (HOT)–Fit Framework.Results: This research showed that the main factor influencing the success of EMR implementation for hospital nutrition is the digital competencies of the staff. These competencies could be increased by giving some training to the staff. Another essential factor is that organization should support by providing Standard Operating Procedures (SOPs) for EMR implementation and technical support from the Information Technology (IT) team. IT team has the responsibility to handle complaints and problems about EMR. Facilities such as computers and Local Area Networks (LAN) should be sufficient to make EMR implementation run well. The interface and features of EMR should answer the needs of the staff. So, staff would feel EMR is beneficial to help them finish their work, and they would show their acceptance toward this EMR.Conclusions: The success of EMR implementation for hospital nutrition services is determined by several factors like staff digital competencies, organizational support, and provision of computers and LAN for implementing EMR. Positive perception about the benefit of EMR encouraged the increase of EMR utilization in hospitals.
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