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All Journal Waluya The International Science of Health Journal
Darwangsah Adhe Arya
Dr. LM Baharuddin M.Kes. Regional General Hospital, Muna Regency, Indonesia
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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Human Factors in Hospital Management Information System Implementation and Social Security Agency Claim Effectiveness: A Qualitative Study at Dr. H. LM. Baharuddin M.Kes Regional Hospital in Muna, Indonesia Darwangsah Adhe Arya; Sunarsih Sunarsih; Andi Asri
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/24ftfq74

Abstract

Introduction: Hospital Management Information Systems (HMIS) support integrated clinical documentation, hospital operations, and health insurance claim processing. However, effective implementation depends not only on technological infrastructure but also on human factors, including user competence, discipline, collaboration, and acceptance. This study explored human factors associated with HMIS implementation and Social Security Agency of Health Insurance claim processing at Dr. H. L.M. Baharuddin M.Kes Regional General Hospital, Muna Regency, Indonesia. Method: This study uses a qualitative approach based on the philosophy of postpositivism with reference to the HOT-Fit model. Data source sampling was carried out purposively and by snowball sampling. Data collection techniques used triangulation; data analysis was inductive. Informants in this study were 4 informants consisting of 1 key informant and 3 regular informants. Data processing was carried out using the NVivo V15 application. Result: The findings identified several human-related factors affecting HMIS implementation, including user competence, training needs, work experience, knowledge, problem-solving capacity, discipline, collaboration, commitment, and system acceptance. Among these factors, discipline in completing electronic medical records emerged as a prominent barrier to timely social security agency claim processing. Conclusion: Human factors play an important role in effective HMIS implementation and social security agency claim processing. Strengthening user competence, documentation discipline, continuous training, supervision, and organizational support may improve HMIS utilization and facilitate more timely and complete claim processing.
Co-Authors Andi Asri Sunarsih Sunarsih