Article Per Year (5 Year)
p-Index From 2021 - 2026
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All Journal JOURNAL LA MEDIHEALTICO
Misnaniarti Misnaniarti
Faculty of Public Health, Universitas Sriwijaya, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Physicians' Acceptance Analysis of Teleconsultation Implementation in the JKN Program at Primary Health Care Facilities: A Technology Acceptance Model Approach Tiara Tarasati; Misnaniarti Misnaniarti; Rizma Adila Syakurah
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3259

Abstract

The development of digital technology drives the transformation of healthcare services, including thru the implementation of teleconsultation in the National Health Insurance Program (JKN). However, the success of implementing this service heavily depends on the acceptance of doctors as the primary users. This study aims to analyze doctors' acceptance of teleconsultation at First-Level Health Facilities (FKTP) in Palembang City using the Technology Acceptance Model (TAM) approach. This study uses a qualitative method with a case study design. Data were obtained thru in-depth interviews with eight informants consisting of public health center doctors, private clinic doctors, and management personnel. Data analysis was conducted thematically based on the TAM constructs, namely perceived usefulness, perceived ease of use, attitude toward use, and behavioral intention to use. The research results show that teleconsultation is perceived as beneficial in improving service access, initial communication, and patient monitoring, but it has not yet been able to replace face-to-face services due to limitations in clinical aspects. From the perspective of ease of use, the system is considered quite simple, but there are still technical issues such as non-real-time notifications and limited reporting time. Doctors' attitudes toward teleconsultation tend to be positive, but not strong, while the intention to use it is relatively high but more influenced by external policies. In conclusion, the acceptance of teleconsultation is at a fairly good level but not yet optimal. The optimization of implementation requires improvements in system quality, organizational support, as well as clearer policies and incentives so that the utilization of teleconsultation can run effectively and sustainably.
Factors Influencing National Quality Indicator Reporting Compliance at Independent Medical and Dental Practices Yayang Putri Yudhistirha; Misnaniarti Misnaniarti; Alvera Noviyani
Journal La Medihealtico Vol. 7 No. 3 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i3.3346

Abstract

The National Quality Indicators (NQI) are instruments used to measure and evaluate the quality of healthcare services at health facilities, including Independent Medical and Dental Practices (IMDPs). Compliance with NQI reporting is an important component in monitoring and improving healthcare quality; however, its implementation still faces various challenges. This study aims to analyze the factors influencing compliance with National Quality Indicator reporting at Independent Medical and Dental Practices. This study employed a Systematic Literature Review (SLR) method guided by the PRISMA framework. Literature searches were conducted through Google Scholar, PubMed, ScienceDirect, Scopus, and Garuda for articles published between 2021 and 2025. Articles were selected based on predetermined inclusion and exclusion criteria and subsequently analyzed using a narrative synthesis approach. The review findings indicate that NQI reporting compliance is influenced by individual, organizational, and support system factors. Individual factors include the knowledge, understanding of quality indicators, competence, and motivation of healthcare workers. Organizational factors encompass management support, quality culture, supervision, audits, and feedback. Support system factors include workload, resource availability, and the utilization of information technology and health information systems. Knowledge and understanding of quality indicators were identified as the most dominant factors in improving reporting compliance. NQI reporting compliance at Independent Medical and Dental Practices is influenced by various interrelated factors. Improving reporting compliance requires strengthening the competencies of healthcare workers, optimizing health information systems, organizational support, and continuous monitoring and evaluation to support the improvement of healthcare service quality.
Co-Authors Alvera Noviyani Rizma Adila Syakurah Tiara Tarasati Yayang Putri Yudhistirha