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All Journal JUMANTIK (Scientific Journal of Health research)
Arius Togodly
Program Magister IKM, Fakultas Kesehatan Masyarakat, Universitas Cenderawasih
Environmental Science Health Professions Nursing Public Health

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Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) dan Tantangan Pelayanan Kesehatan: Studi Fenomenologi Lin Winda; Agus Zainuri; Wahyuti Wahyuti; Yacob Ruru; Septevanus Toding; Arius Togodly
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 11, No 1 (2026)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v11i1.29423

Abstract

This study examines the implementation of the Hospital Management Information System (SIMRS) in improving the quality of healthcare services at Tiom Regional Hospital, Lanny Jaya Regency, a remote area with limited resources and geographical challenges. This research was motivated by the long patient waiting time (±90 minutes from registration to medical consultation) and the suboptimal implementation of SIMRS, which is still combined with manual administrative processes. This study aims to explore the implementation of SIMRS and understand user experiences in supporting healthcare services. A qualitative approach with a phenomenological design was used. Informants were selected purposively and included hospital management staff, healthcare workers, medical records officers, and patients. Data were collected through in-depth interviews, observations, and documentation, then analyzed using thematic analysis. The findings identified four main themes: (1) suboptimal system quality due to technical and network constraints, (2) the ongoing combination of digital and manual administrative systems, (3) the positive impact of SIMRS on service efficiency, and (4) supporting and inhibiting factors related to human resources, infrastructure, and geographical conditions. In conclusion, SIMRS has the potential to improve the quality of healthcare services; however, its implementation remains inconsistent and is highly dependent on infrastructure readiness and user capacity. Strengthening technological infrastructure, improving user competency, and ensuring stable internet access are crucial to optimizing SIMRS implementation in remote areas.
Hubungan Komunikasi, Sumber Daya, Disposisi, dan Struktur Birokrasi dengan Implementasi Kawasan Tanpa Rokok (KTR) di Puskesmas Sanggeng Kabupaten Manokwari Yaneke Yosister Henni Ramandei; Arius Togodly; Wahyuti Wahyuti; Sarce Makaba; Rosmin Tinggimenehe; Yacob Ruru
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 11, No 2 (2026)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v11i2.29424

Abstract

The implementation of the Smoke Free Area (SFA) policy is one of the public health strategies aimed at protecting communities from exposure to cigarette smoke. This study was conducted to analyze the relationship between communication, resources, disposition, and bureaucratic structure with the implementation of SFA policy at Sanggeng Health Center and to determine the most dominant factor influencing its implementation. This study employed an analytical observational design with a cross-sectional approach. The population consisted of all employees working at Sanggeng Health Center, Manokwari Regency. A total sampling technique was applied, involving 59 respondents. Data were analyzed using univariate analysis for frequency distribution, bivariate analysis using Chi-square/Fisher Exact Test, and multivariate analysis using logistic regression to identify the dominant variable. The results showed that most respondents perceived the implementation of SFA policy as good (76.3%). Bivariate analysis indicated that communication (p=0.198), resources (p=0.412), and disposition (p=0.666) were not significantly associated with Smoke Free Area implementation. In contrast, bureaucratic structure was significantly associated with SFA implementation (p=0.002; RP=1.688; 95% CI: 1.190–2.392). Multivariate analysis confirmed that bureaucratic structure was the most dominant factor, with respondents in a good bureaucratic structure having 16.88 times greater odds of achieving optimal SFA implementation compared with those in a poor bureaucratic structure (OR=16.880; 95% CI: 2.943–96.817; p=0.002). Conclusion: Bureaucratic structure was the only factor significantly associated with SFA implementation and emerged as the most dominant determinant. Strengthening organizational systems, including clear standard operating procedures, role distribution, and routine supervision, is essential to improve the effectiveness of Smoke Free Area implementation in primary healthcare facilities.
Co-Authors Agus Zainuri Lin Winda Rosmin Tinggimenehe Sarce Makaba Septevanus Toding Wahyuti Wahyuti Yacob Ruru Yaneke Yosister Henni Ramandei