Muhammad Tahir
Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia

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Assessing Community Needs and Expectations with Healthcare Quality: A Case Study of Lawawoi Community Health Center Muhammad Tahir; Hasrul Hasrul; Nur Annisa Parno; Asnuddin Asnuddin
Journal of Public Health and Pharmacy Vol. 5 No. 2 (2025)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.7256

Abstract

Introduction: In this study, we aimed to examine the relationship between community healthcare needs, expectations, and perceived service quality within the context of rural health service delivery. With growing global emphasis on patient centered care and rising concerns about inequitable healthcare access, our objective was to assess how well community needs and expectations align with service provision at the Lawawoi Community Health Center (CHC) to address gaps identified in existing literature. Methods: This quantitative cross sectional study involved the distribution of structured questionnaires and observational data collection conducted at the Lawawoi CHC from March to May 2024. A total of 80 respondents were enrolled through purposive sampling. Data were collected via validated surveys assessing perceptions of service quality, expectations, and healthcare needs. Ethical approval was obtained from the Institutional Review Board of the research team’s affiliated institution, and participants provided informed consent. Results: The primary outcome of the study was the perceived improvement in service quality. Findings revealed that 90.5% of participants with high healthcare needs and 94.7% of those with high expectations perceived service quality as good. Chi square tests showed statistically significant relationships between community needs and service quality (p = 0.000) and between expectations and service quality (p = 0.000). Notably, cultural values and interpersonal provider patient interactions were influential in shaping perceptions. Conclusion: In conclusion, our study contributes to the understanding of patient centered service delivery in rural Indonesia by highlighting the importance of aligning healthcare provision with community needs and expectations. This research provides insights into participatory planning, communication strategies, and culturally responsive care as drivers of perceived service quality. Future studies should explore longitudinal impacts of community engagement and evaluate continuous quality improvement models to advance equity oriented healthcare practices in resource limited settings.
Evaluating Determinants of Electronic Medical Record Implementation Effectiveness in a Regional Indonesian Hospital Muhammad Tahir; Sunadar Ali; Muhammad Farras Salim; Roni Roni; Kassaming Kassaming; Ibrahim Ibrahim; Ishak Kenre; Meriem Meisyaroh Syamson; Arsyad Arsyad; Asmah Sukarta
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8566

Abstract

Introduction: Electronic Medical Record (EMR) implementation is a key component of digital transformation in healthcare. This study evaluated the perceived effectiveness of EMR implementation in a regional Indonesian hospital by examining three empirically measured determinants, namely efficiency, accuracy, and system quality. The objective was narrowed to provide evidence on how these factors predict perceived EMR effectiveness within a single-site, low-resource setting without extending to unmeasured constructs such as health literacy or health promotion. Methods: A cross-sectional survey was conducted among 100 healthcare professionals using a structured, validated questionnaire. Data were analyzed using descriptive statistics, chi-square tests with effect sizes, and logistic regression with odds ratios and confidence intervals. Analyses examined how perceptions of efficiency, accuracy, and system quality predicted perceived EMR implementation effectiveness. Results: Respondents reported high perceptions of efficiency (96%), accuracy (94%), and system quality (95%). All three determinants were significantly associated with perceived EMR effectiveness (p < 0.001), with effect sizes indicating strong relationships. Logistic regression showed that system quality had the largest effect size (OR=7.02; 95% CI 2.04–24.10), followed by efficiency (OR=5.83; 95% CI 1.85–18.41) and accuracy (OR=4.26; 95% CI 1.24–14.68). These results indicate that usability and reliability are central predictors of perceived implementation effectiveness in this context. Conclusion: This single-site study provides empirical evidence on the determinants of perceived EMR implementation effectiveness in a regional Indonesian hospital. System quality emerged as the strongest predictor, emphasizing the need for user-friendly, reliable systems supported by training and governance. Because the study did not directly measure health literacy or health promotion outcomes, such impacts are identified as areas for future research rather than conclusions. The results offer practical guidance for improving EMR adoption and inform ongoing work in technology acceptance frameworks.