Creative Education Management Strategy in Health Service Transformation : Electronic Medical Record Innovation at Kandou Manado General Hospital
DOI:
https://doi.org/10.56910/literacy.v4i2.2169Keywords:
Challenges, Electronic Medical Record, Implementation, Information Technology, TrainingAbstract
Along with technological advancements, the healthcare sector is increasingly encouraged to adopt digital systems to improve efficiency and service quality. This study aims to analyze the implementation and challenges of using the Electronic Medical Record (EMR) system at the Kandou General Hospital (RSUP) in Manado, as well as explore the perspectives of various parties involved in this digital transformation process. The main focus of this research is to explore the role of the Information Technology (IT) team, medical staff, and training staff in the successful implementation of the EMR system. This study adopts a qualitative approach, utilizing in-depth interviews and participatory observations as data collection methods. The results indicate that although the EMR system can improve efficiency in documenting and managing medical information, its implementation faces various technical challenges, such as the complex system integration and the limited capacity of IT human resources (HR). Furthermore, medical staff, particularly those less skilled in technology, face challenges in adapting to this system, especially during the transition period. On the other hand, training staff plays an important role in overcoming these obstacles through creative training approaches tailored to the specific work unit context. The study concludes that the success of EMR implementation heavily depends on effective training strategies, good coordination between the IT team and medical staff, and continuous technical support. The findings are expected to provide insights for hospital policies and relevant stakeholders in enhancing the adoption of digital technologies in the healthcare sector.
References
Adane, K., Abiy, R., and Abera, M., "The implementation of electronic medical record system and its challenges in public hospitals of Ethiopia: A cross-sectional study," BMC Med. Inform. Decis. Mak., vol. 19, no. 1, pp. 1–9, 2019. [Online]. Available: https://doi.org/10.1186/s12911-019-0812-5
Alami, A., Zouhair, S., and Nassir, M., "Integrating training and change management in the digital transformation process of healthcare organizations," Health Manage. Rev., vol. 45, no. 2, pp. 22–30, 2020.
Albrecht, D. A., and Lee, J., "Strategies to overcome barriers to electronic health record implementation in hospitals: A systematic review," J. Healthc. Manag., vol. 65, no. 4, pp. 264–275, 2020.
Alvarez, C., Zhang, Y., and Li, D., "Digital literacy and its role in health information systems adoption: Evidence from healthcare workers," J. Health Inform., vol. 27, no. 2, pp. 112–120, 2020.
Bowen, G. A., "Document analysis as a qualitative research method," Qual. Res. J., vol. 9, no. 2, pp. 27–40, 2009. [Online]. Available: https://doi.org/10.3316/QRJ0902027
Chen, H., Hsiao, H., and Lee, L., "The effect of training on the adoption of electronic medical records by healthcare providers," J. Med. Syst., vol. 44, no. 5, pp. 92–103, 2020.
Cook, D. A., Brydges, R., Hamstra, S. J., Zendejas, B., Szostek, J. H., Wang, A. T., Erwin, P. J., and Hatala, R., "Comparative effectiveness of technology-enhanced simulation versus other instructional methods: A systematic review and meta-analysis," Simul. Healthc., vol. 13, no. 2, pp. 117–123, 2018. [Online]. Available: https://doi.org/10.1097/SIH.0000000000000314
Cresswell, K. M., and Sheikh, A., "Implementing electronic health records: A systematic review of challenges and facilitators," BMC Health Serv. Res., vol. 20, no. 1, pp. 1–13, 2020. [Online]. Available: https://doi.org/10.1186/s12913-020-05359-w
Della, C. P., Mestrum, S., and Drury, J., "Peer learning in medical training: A tool for developing professional and technical competencies," Med. Educ. Rev., vol. 41, no. 3, pp. 186–194, 2019.
Farrugia, G., and Dennis, J., "Addressing the gap in training healthcare providers for EHR implementation," Int. J. Med. Inform., vol. 141, 104210, 2020. [Online]. Available: https://doi.org/10.1016/j.ijmedinf.2020.104210
Gagnon, M. P., Ghandour el, K., Talla, P. K., Simonyan, D., Godin, G., Labrecque, M., and Ouimet, M., "Electronic health record acceptance by physicians: Testing an integrated theoretical model," J. Biomed. Inform., vol. 60, pp. 62–71, 2016. [Online]. Available: https://doi.org/10.1016/j.jbi.2016.01.007
Huang, J., Xie, J., and Chou, H., "Enhancing hospital staff's acceptance of electronic health records: The role of training and support," Health Inform. J., vol. 26, no. 4, pp. 2585–2599, 2020.
Kementerian Kesehatan Republik Indonesia, Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis Elektronik, 2022. [Online]. Available: https://peraturan.bpk.go.id
Kruse, C. S., Stein, A., Thomas, H., and Kaur, H., "The use of electronic health records to support population health: A systematic review of the literature," J. Med. Syst., vol. 42, 214, 2018. [Online]. Available: https://doi.org/10.1007/s10916-018-1075-6
Kumar, A., Sharma, R., and Kumar, R., "Effective training strategies for electronic health record adoption: A review," Health Inf. Sci. Syst., vol. 7, no. 1, pp. 3–10, 2019.
Lincoln, Y. S., and Guba, E. G., Naturalistic Inquiry. Sage Publ., 1985.
Miles, M. B., Huberman, A. M., and Saldaña, J., Qualitative Data Analysis: A Methods Sourcebook, 3rd ed. Sage Publ., 2014.
Miller, R. H., and Sim, I., "Physicians' use of electronic health records: Barriers and solutions," Health Aff., vol. 38, no. 5, pp. 777–784, 2019.
Palen, L., Anderson, K. M., and Viegas, F. B., "Emergency management and the integration of health IT systems," J. Med. Internet Res., vol. 20, no. 9, e246, 2018.
World Health Organization, Digital Health Technology: A Guide to Implementation. 2019. [Online]. Available: https://www.who.int/publications/i/item/9789241516870
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