Nikmatul Firdaus
Universitas Kadiri

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Implementation of Physical Medical Record Storage System as the Basis for Integration with the Electronic Medical Record System (RME) Sri Inti; Riska Faraswati; Nikmatul Firdaus; Futri Januarti Aspandi; Enjelita Rambu
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 1 No. 1 (2025): March, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v1i1.291

Abstract

In the digitalization era, transforming Hospital Information Systems presents challenges in managing physical medical records, including limited digital infrastructure, unprepared human resources, and difficulties integrating manual systems with digital technologies. These challenges pose risks to data accuracy, accessibility, and patient safety during the shift toward more efficient and secure digital systems. Purpose: This study aims to evaluate the storage and management system of physical medical records amid the digitalization process and identify barriers and potential integration with digital systems. Method: A qualitative approach was used through a case study in a regional public hospital. Data were collected via in-depth interviews, observations, and document analysis. Results: Findings indicate that hospitals still rely on physical medical records due to limited infrastructure, cybersecurity concerns, and insufficient staff training. About 65% of respondents identified patient data protection as a major issue, while limited training reduced the effectiveness of electronic system implementation. Implications: The findings emphasize the need to strengthen IT capacity and provide ongoing staff training, supported by budgets for infrastructure and skill development. Conclusion: Although digitalization is inevitable, physical medical records remain essential during the transition. Integration can be achieved through hybrid systems using technologies such as barcode scanning to enhance data accuracy, efficiency, and security.
Implementation Gap Analysis of National Electronic Health Record (EHR) Data Security Standards in Primary Healthcare Facilities Destri Maya Rani; Windatania Mayasari; Riska Faraswati; Dafrosa Luni; Nikmatul Firdaus
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 1 No. 2 (2025): September, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v1i2.304

Abstract

This study examines the gap between national Electronic Health Record (EHR) data security standards, established by Minister of Health Regulation No. 24 of 2022, and their implementation in Indonesia’s primary healthcare facilities. Secondary data from the Ministry of Health, BSSN, and BPJS Kesehatan (2020–2025) reveal compliance rates of 55%–70%, with significant regional disparities linked to infrastructure and staff training deficiencies. Regression analysis shows staff training intensity (β = 0.54, p = .001) and infrastructure quality (β = 0.47, p = .005) as key predictors, explaining 72% of compliance differences. The findings highlight challenges in technology, human resources, and governance. Urgent integration of technological upgrades and continuous role-based cybersecurity training is recommended to enhance accountability and secure the digital health ecosystem. These insights inform national policy for standardized cybersecurity practices.