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All Journal Indonesian Health Journal Glosains: Jurnal Sains Global Indonesia
Filipo David Tamara
Universitas Pelita Harapan
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Effect of Perceived Usefulness, Trust, and Digital Literacy on Acceptance of Clinical Decision Support Systems Among Healthcare Workers Filipo David Tamara
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.866

Abstract

Clinical Decision Support Systems (CDSS) are increasingly used to support clinical reasoning, patient management, and healthcare quality. However, their successful implementation depends not only on technical performance but also on acceptance among healthcare workers. This study aimed to analyze the effect of perceived usefulness, trust, and digital literacy on the acceptance of CDSS among healthcare workers. A quantitative analytical study with a cross-sectional design was conducted among healthcare workers involved in clinical services, including physicians, nurses, and midwives. Data were collected using a structured questionnaire measuring perceived usefulness, trust, digital literacy, and CDSS acceptance. The data were analyzed using univariate analysis and bivariate analysis with Fisher’s Exact Test and odds ratio estimation. The findings showed that most respondents had good perceived usefulness, good digital literacy, and good acceptance of CDSS, while trust was also generally positive but had a larger moderate proportion compared with other variables. Perceived usefulness significantly influenced CDSS acceptance, with respondents who perceived CDSS as useful being more likely to show good acceptance. Trust was also significantly associated with acceptance, as all respondents with good trust demonstrated good acceptance of CDSS. Digital literacy significantly influenced acceptance as well, indicating that healthcare workers with stronger digital capability were more prepared to accept CDSS in clinical practice. These findings suggest that improving CDSS acceptance requires clear practical benefits, reliable and transparent system performance, and adequate digital readiness supported by training and technical assistance.
Digital Maturity of Private Hospitals in Jember Regency: Information Systems, Governance, and Electronic Medical Records Filipo David Tamara; Georgina Mayer Tiberias; Al Fahri Ratta; Muhammad Falah Erfano
Glosains: Jurnal Sains Global Indonesia Vol. 7 No. 3 (2026): Glosains: Jurnal Sains Global Indonesia
Publisher : Sekolah Tinggi Agama Islam Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59784/glosains.v7i3.806

Abstract

Background: Digital transformation in hospitals requires digital maturity assessments to evaluate readiness in information systems, interoperability, governance, security, data analytics, human resources, and electronic medical records (EMRs). However, private hospitals still face challenges in integrating Hospital Management Information Systems (SIMRS), EMRs, and national health platforms. Objective: This study aimed to assess digital maturity levels, evaluate information system interoperability readiness, and identify digital development priorities in private hospitals in Jember Regency. Methods: A quantitative descriptive study with a cross-sectional design was conducted in five private general hospitals in Jember Regency. Data were collected through interviews and the Hospital Digital Maturity Level Instrument Version 1.1 developed by the Ministry of Health. Seven digital maturity components were assessed using a five-point Likert scale involving hospital directors, managers, and department heads. Data were analyzed descriptively using mean scores. Results: Digital maturity levels varied across hospitals. Hospital B achieved the highest maturity score (4.28), reflecting optimal and integrated digital implementation. Hospital C (3.81) and Hospital A (3.30) demonstrated collaborative information system management. Hospital E (2.06) showed developing digital implementation, while Hospital D (1.48) remained at the initiation stage. Key improvement areas included data analytics, external interoperability, information technology governance, information security, and EMR completeness. Conclusion: Private hospitals should prioritize system integration, governance strengthening, data security, analytics capability, and interoperable patient-centered EMRs. Digital maturity mapping provides strategic evidence for hospital administrators and policymakers in designing effective digital transformation initiatives.
Co-Authors Al Fahri Ratta Georgina Mayer Tiberias Muhammad Falah Erfano