Analisis Implementasi Sistem Informasi Medis Pada Fasilitas Pelayanan Kesehatan Indonesia: Literature Review terhadap Kendala dan Solusi Implementasi
DOI:
https://doi.org/10.35960/ikomti.v6i2.1776Keywords:
medical information systems, digital transformation, SIM implementation, medical records, health servicesAbstract
The adoption of digital medical record systems in Indonesia remains uneven, with approximately 60% of healthcare facilities still relying on manual processes. This study conducts a systematic literature review following PRISMA guidelines to analyze 11 peer-reviewed articles (2019-2024) on medical information system (MIS) implementation. Our analysis identifies three critical barriers: (1) infrastructure limitations (particularly in rural areas), (2) lack of trained human resources, and (3) unstable technology integration. Successful cases demonstrate that cloud-based solutions (e.g., Smart Medica Clinic) can reduce operational costs by 35%, while policy interventions like Ministry of Health Regulation No. 24/2022 strengthen legal frameworks for electronic health records. This study contributes to existing literature by focusing on Indonesia's unique socio-technical challenges and providing evidence-based recommendations for scalable digital health transformation.
References
[1] WHO, “Global Strategy on Digital Health 2020-2025. Geneva: WHO,” Geneva, 2021.
[2] A. P. Sari, E. Dwimawati, and S. Pujiati, “Gambaran Pelaksanaan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Di Instalasi Administrasi Pasien Rumah Sakit DR. H Marzoeki Mahdi Bogor Provinsi Jawa Barat,” PROMOTOR Jurnal Mahasiswa Kesehatan Masyarakat, vol. 3, no. 2, pp. 116–135, 2020, [Online]. Available: http://ejournal.uika-bogor.ac.id/index.php/PROMOTOR
[3] R. A. Siregar, “Penerapan Permenkes Nomor 24 Tahun 2022 Tentang Rekam Medis Terhadap Efektivitas Pelayanan Kesehatan,” Jurnal Ilmu Hukum Kyadiren, vol. 5, no. 2, pp. 1–12, Jan. 2024, doi: 10.46924/jihk.v5i2.182.
[4] Kementerian Kesehatan RI, “Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 tentang Rekam Medis Elektronik,” Jakarta, 2022.
[5] Z. A. Tyas and W. N. Negara, “Literatur Review: Implementasi Sistem Informasi Kesehatan Puskesmas di Berbagai Daerah,” Journal of Technopreneurship and Information System (JTIS), vol. 5, no. 1, pp. 21–24, 2022, [Online]. Available: http://jurnal.umb.ac.id/index.php/JTIS
[6] R. Amalia and N. Huda, “Implementasi Sistem Informasi Pelayanan Kesehatan Pada Klinik Smart Medica,” Jurnal Sisfokom (Sistem Informasi dan Komputer), vol. 9, no. 3, pp. 332–338, Sep. 2020, doi: 10.32736/sisfokom.v9i3.884.
[7] S. Rusli, “Implementasi Sistem Informasi Manajemen Rumah Sakit Dalam Pengolahan Data Rumah Sakit,” Jurnal Kesehatan Masyarakat, vol. 10, no. 2, pp. 158–168, Dec. 2022.
[8] I. W. W. Karsana and G. S. Mahendra, “Sistem Informasi Geografis Pemetaan Lokasi Puskesmas Menggunakan Google Maps API Di Kabupaten Badung,” Jurnal Komputer dan Informatika, vol. 9, no. 2, pp. 160–167, Oct. 2021, doi: 10.35508/jicon.v9i2.5214.
[9] S. Hade, A. Djalla, and A. D. P. Rusman, “Analysis the Application of Hospital Management Information Systems in an Effort to Improve Health Services in Andi Makkasau Parepare,” Jurnal Ilmiah Manusia dan Kesehatan, vol. 2, no. 2, pp. 294–305, 2019, [Online]. Available: http://jurnal.umpar.ac.id/index.php/makes
[10] S. Setiatin and S. R. Agustin, “Perancangan Sistem Informasi Pelayanan Rekam Medis Di Puskesmas Arcamanik Kota Bandung,” Jurnal Manajemen Informasi Kesehatan Indonesia, vol. 7, no. 1, pp. 23–33, Mar. 2019, doi: 10.33560/jmiki.v7i1.207.
[11] M. P. Sodani and E. H. Fanida, “Inovasi Pelayanan Elektronik Sistem Kesehatan Lamongan (E-SIKLA) Dalam Meningkatkan Layanan Kesehatan Di Puskesmas Kedungpring Kabupaten Lamongan,” Surabaya, 2020. [Online]. Available: www.kemkes.go.id
[12] A. Y. S. Utomo, B. Widjanarko, and Z. Shaluhiyah, “Mutu Pelayanan dengan Kepuasan Pasien Rawat Inap di Rumah Sakit : Literature Review,” Media Publikasi Promosi Kesehatan Indonesia (MPPKI), vol. 6, no. 9, pp. 1708–1714, Sep. 2023, doi: 10.56338/mppki.v6i9.3720.
[13] N. S. Rubiyanti and G. Suharto, “Penerapan Rekam Medis Elektronik di Rumah Sakit di Indonesia: Kajian Yuridis,” MAGISTRA Law Review, vol. 4, no. 2, pp. 119–126, Jul. 2023, [Online]. Available: http://jurnal.untagsmg.ac.id/index.php/malrev
[14] D. I. E. Eritiana, D. Pasha, and A. S. Puspaningrum, “E-Posyandu Pengolahan Data Status Tumbuh Kembang Pada Balita (Studi Kasus: Posyandu Cahaya Kartini),” Jurnal Teknologi dan Sistem Informasi (JTSI), vol. 3, no. 1, pp. 27–33, Mar. 2022, [Online]. Available: http://jim.teknokrat.ac.id/index.php/JTSI
[15] D. Tarmizi and M. R. Ridha, “Sistem Informasi Geografis Berbasis Web Persebaran Fasilitas Pelayanan Kesehatan Di Kota Tembilahan,” Jurnal Perangkat Lunak, vol. 3, no. 3, pp. 111–123, Oct. 2021.
[16] J. B. Barney, “Firm resources and sustained competitive advantage,” J Manage, vol. 17, no. 1, pp. 99–120, 1991.
[17] F. Davis, “Technology acceptance model: TAM,” AS, 529, 1989.
[18] N. P. C. Trisnayanti, I. W. Ardiyasa, and I. G. A. V. Purnama, “Sistem Informasi Manajemen Rumah Sakit Umum Daerah (RSUD) Tabanan Berbasis Web,” Denpasar: Institut Teknologi dan Bisnis STIKOM Bali, 2023, pp. 504–509. Accessed: Jun. 30, 2025. [Online]. Available: https://spinter.stikom-bali.ac.id/index.php/spinter/article/view/111
[19] P. J. Dimaggio and W. W. Powell, “The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields,” Am Sociol Rev, vol. 48, no. 2, pp. 147–160, 1983.
[20] Y. M. Maulana, “Tinjauan Naratif: Analisis dan Pemodelan Proses Bisnis sebagai Perbaikan Proses Bisnis pada Organisasi Narative Review: Business Process Analysis and Modeling as Business Process Improvement in Organizations,” Jurnal Teknologi dan Informasi (JATI), vol. 13, no. 1, pp. 1–16, 2023, doi: 10.34010/jati.v13i1.
[21] E. F. Schumacher, Small Is Beautiful: A Study of Economics As If People Mattered. New York: Harper Collins, 1973.
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Copyright (c) 2025 Evana Anugrah Purwayanto, Dwita Urip Natasa, Deny Nugroho Triwibowo, Riska Suryani (Author)
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