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All Journal JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Jurnal Ilmu Kesehatan dan Gizi
Fita Rusdian Ikawati
Institut Teknologi Sains dan Kesehatan Rs. dr. Soepraoen Malang
Education Health Professions Nursing Veterinary

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Literature Review: Kualitas Kodefikasi Underlying Cause of Death (UCOD) Pada Sertifikat Kematian Ilham Rifqi Setiawan; Achmad Jaelani Rusdi; Untung Slamet Suhariyono; Fita Rusdian Ikawati
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.10426

Abstract

The Underlying Cause of Death (UCOD) is an essential component in producing accurate mortality data. Incomplete and inaccurate completion of death certificates and UCOD coding may reduce the quality of data used for health statistics, planning, and policy-making. This study aimed to identify factors affecting the quality of UCOD on death certificates. This study used a narrative literature review approach involving 12 articles that met the inclusion criteria. The literature search was conducted through Google Scholar using keywords related to quality, death certificates, UCOD, and health care facilities. The findings showed that UCOD quality was influenced by human resources, methods, and facilities and infrastructure. Human resource factors included limited competence, knowledge, accuracy, and training of health personnel. Method-related factors included the suboptimal implementation of standard operating procedures, mortality coding rules, UCOD reselection, and the use of ICD-10 and the MMDS table. Meanwhile, limitations in facilities and infrastructure included inadequate availability of coding guidelines, supporting facilities, and health information systems. Human resources and methods were identified as the most dominant factors. Incomplete and inaccurate UCOD documentation may reduce the validity of mortality data and affect health program planning and evaluation. Therefore, improving personnel competence through training, implementing standard operating procedures, and consistently applying mortality coding guidelines are necessary to improve UCOD quality.
Analisis Penerapan Rekam Medis Elektronik Metode Doctor’s Office Quality Information Technology (DOQ-IT) di Puskesmas X Lutfi Nurhidayah; Fita Rusdian Ikawati; Agus Syukron Ma’ruf
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 1 (2026): JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i1.2530

Abstract

Digital transformation of healthcare services through the implementation of Electronic Medical Records (EMR) is a national policy that must be adopted by all healthcare facilities, including primary health centers; however, its implementation at the primary care level still faces various challenges. This study aimed to analyze the implementation of EMR at Primary Health Center X using the Doctor’s Office Quality–Information Technology (DOQ-IT) framework. A descriptive qualitative design was employed and conducted at Primary Health Center X with four informants selected through purposive sampling, consisting of one key informant, the head of the medical records unit, and three main informants, namely a medical records officer, a nurse, and a midwife. The variables examined included human resources, organizational culture, leadership governance, and health information technology infrastructure. Data were collected through in-depth interviews, field observations, and document review, and were analyzed thematically. The findings indicated that EMR implementation at Primary Health Center X has not been optimal, with major barriers related to inadequate human resource readiness and competency, compounded by limited continuous training, resistance to technological change within the organizational culture, weak leadership supervision and evaluation, and insufficient information technology infrastructure. In conclusion, EMR implementation policies at the primary care level need to consider overall organizational readiness, as successful implementation depends not only on technological availability but also on human resources, organizational culture, and governance aspects.
Co-Authors Achmad Jaelani Rusdi Agus Syukron Ma’ruf Ilham Rifqi Setiawan Lutfi Nurhidayah Untung Slamet Suhariyono