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All Journal Health Research Journal of Indonesia Holistik Jurnal Kesehatan
Sartini Risky
Magister Kesehatan masyarakat, Universitas mandala Waluya
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Evaluasi Pemanfaatan Sistem Informasi Kesehatan Digital (Systematic Review) Irlan Septian Nurul Hidayat; Sartini Risky; Dewi Wulan Anugrah Sari
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1142

Abstract

Sistem Informasi Kesehatan Digital (SIK Digital) merupakan komponen penting dalam transformasi layanan kesehatan yang berperan dalam pengumpulan, pengolahan, dan pemanfaatan data untuk mendukung pengambilan keputusan berbasis bukti. Penelitian ini bertujuan untuk mengevaluasi pemanfaatan SIK Digital melalui Systematic Literature Review (SLR) berbasis PRISMA.  Penelitian ini menggunakan metode Systematic Literature Review (SLR) dengan mengikuti pedoman PRISMA. Pencarian literatur dilakukan pada pangkalan data Scopus, PubMed, ScienceDirect, dan Google Scholar dengan rentang waktu 2020–2026. kriteria inklusi meliputi artikel penelitian orisinal atau systematic review dalam bentuk full-text yang membahas implementasi, efektivitas, dan evaluasi Sistem Informasi Kesehatan (SIK) digital. Berdasarkan kriteria inklusi, terpilih 15 artikel relevan yang dianalisis menggunakan teknik sintesis tematik. Hasil tinjauan menunjukkan bahwa pemanfaatan SIK digital secara signifikan meningkatkan efisiensi layanan, mempercepat akses informasi kesehatan, dan memperkuat sistem surveilans untuk deteksi dini penyakit. Secara spesifik, digitalisasi terbukti meningkatkan akurasi dokumentasi klinis pada layanan keperawatan, mengoptimalkan distribusi obat di farmasi, serta mendukung pengambilan keputusan berbasis data. Meskipun tren digitalisasi terus meningkat secara global, tantangan utama yang ditemukan adalah adanya ketimpangan akses (digital divide) yang dapat memperlebar jurang inklusivitas layanan kesehatan. Selain itu, sistem pemantauan jarak jauh (remote monitoring) dan rehabilitasi digital tercatat memberikan kontribusi positif terhadap responsivitas pelayanan dan hasil klinis pasien. Implementasi sistem informasi kesehatan digital memberikan manfaat luas dalam efisiensi dan kualitas data layanan kesehatan. Diperlukan upaya strategis untuk mengatasi ketimpangan akses agar manfaat digitalisasi kesehatan dapat dirasakan secara merata di seluruh lapisan masyarakat.
Evaluasi biaya dan ekonomi dalam layanan kesehatan: A literature review Sidarsyah Sidarsyah; Sartini Risky; Ilda Reski Ismail; La Ode Liaumin Azim
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3181

Abstract

Background: Healthcare services face significant challenges, including resource constraints, rising service costs, and unequal access driven by socio-economic disparities. These issues necessitate an approach capable of comprehensively assessing the efficiency and effectiveness of health interventions. Purpose: To analyze economic evaluation in healthcare services. Method: A Systematic Literature Review (SLR) approach adhering to PRISMA guidelines was employed. Literature searches were conducted across reputable scientific databases; inclusion criteria covered original articles published within the last decade that utilized economic evaluation methods such as cost-effectiveness analysis (CEA), cost-utility analysis (CUA), cost-benefit analysis (CBA), and cost-minimization analysis (CMA). Thirty articles met the criteria and were analyzed using narrative synthesis. Results: CEA and CUA are the most widely used methods, as they effectively illustrate the relationship between costs and health outcomes in a practical manner. Technology-based and preventive interventions tend to be more cost-effective in the long run, although outcomes are heavily influenced by the implementation context, population characteristics, and the specific analytical methods employed. Furthermore, findings vary across studies, and there are limitations regarding the integration of equity considerations into economic evaluations. Conclusion: Economic evaluation in healthcare plays a crucial role in assessing the efficiency and effectiveness of various medical interventions, with CEA and CUA serving as the dominant methods for measuring the relationship between costs and health outcomes. Suggestion: Future research should aim to develop more comprehensive economic evaluation approaches by integrating aspects of efficiency, equity, and sustainability. Additionally, employing standardized yet context-sensitive methodologies would enhance the relevance of findings in supporting evidence-based health policy formulation.   Keywords: Cost; Economics; Evaluation; Healthcare Services.
Reformasi kebijakan kesehatan dan sistem asuransi: A systematic literature review Karimin Karimin; Masriawati Masriawati; Sartini Risky; La Ode Liaumin Azim
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3204

Abstract

Background: Health policy and insurance system reforms are crucial instruments for achieving universal health coverage (UHC) and ensuring equitable access to medical services. With aging populations and rising healthcare costs across various nations, restructuring insurance frameworks has become a global priority. Purpose: To analyze the trajectory of development, policy implementation, financing, and insurance system reforms within healthcare services. Method: This study is a systematic literature review utilizing relevant and objective academic databases. Searches were conducted using keywords related to policy implementation and healthcare financing across Scopus, PubMed, and ScienceDirect. The identification phase yielded 52 articles, which were subsequently examined using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were synthesized and presented thematically, grouping relevant findings according to established key themes: enhancing administrative efficiency, policy reform, and the reform of primary healthcare systems within insurance models and financing structures. Following systematic identification and review, 13 articles were deemed suitable for inclusion in the final synthesis. Results: Three key pillars of national insurance system reform were identified as essential for achieving universal health coverage (UHC) and bolstering public health resilience: policy reform, support for fiscal sustainability, and administrative reform driven by digital integration. Conclusion: Health insurance reform is an ongoing process that balances social equity with fiscal realities. The most successful reforms are grounded in three main pillars: fiscal innovation, technology adoption, and legislative support. To achieve sustainable universal health coverage (UHC), policymakers must prioritize data interoperability and human resource training. Suggestion: Future research should examine the long-term impact of AI-based premium setting on patient trust and equity within the insurance system.   Keywords: Health Service Administration; Health Service Policy; Insurance Reform; Universal Health Coverage.
Evaluasi pembiayaan kesehatan pada program tuberkulosis: A systematic review Dewi Wulan Anugrah Sari; Sartini Risky; Irlan Septian Hidayat; La Ode Liaumin Azim
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3242

Abstract

Background: Background: Tuberculosis (TB) remains a major public health problem worldwide, particularly in developing countries, including Indonesia. This disease impacts not only individual health but also social and economic aspects of society. The high incidence of TB leads to an increased need for health services, long-term treatment, and the strengthening of sustainable disease control systems. Health financing is a critical component of the success of tuberculosis (TB) control programs, particularly in ensuring access to services and the sustainability of treatment. Purpose: To evaluate health financing in tuberculosis programs. Method: This study is a Systematic Literature Review (SLR) using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. A systematic literature search was conducted in several international scientific databases, namely PubMed, Scopus, ScienceDirect, Web of Science, and Google Scholar. The search process was conducted from January to March 2026 using a combination of keywords and Boolean operators (AND, OR) to identify relevant articles. Results: The review findings indicate that health financing contributes to increased TB service coverage, treatment success, and strengthened disease surveillance programs. However, the implementation of TB program financing still faces various challenges, such as budget constraints, dependence on external donors, unequal access to services, and a high financial burden borne by patients. Conclusion: A sustainable, integrated, and needs-based health financing system is needed to effectively support tuberculosis eradication.   Keywords: Evaluation; Financing; Health Programs; Tuberculosis.
Co-Authors Dewi Wulan Anugrah Sari Dewi Wulan Anugrah Sari Ilda Reski Ismail Irlan Septian Hidayat Irlan Septian Nurul Hidayat Karimin Karimin La Ode Liaumin Azim La Ode Liaumin Azim Masriawati Masriawati Sidarsyah Sidarsyah