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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Berkala Epidemiologi Jurnal Administrasi Kesehatan Indonesia JUITA : Jurnal Informatika Global Medical and Health Communication Mutiara Medika: Jurnal Kedokteran dan Kesehatan Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education The Indonesian Journal of Public Health Majalah Kesehatan FKUB Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Respirologi Indonesia Community Empowerment Jurnal Cakrawala Promkes Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Innovation Studies Jurnal Farmasi Sains dan Praktis JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Poltekita: Jurnal Ilmu Kesehatan Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics
Arini, Merita
Fakultas Kedokteran, Universitas Muhammadiyah Yogyakarta
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences

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Examining the Influence of e-Health Literacy on Healthcare Workers’ Acceptance of Electronic Medical Records: An Insight Into System Transition Noeryosan, Ilham; Arini, Merita; Binti Wan Mamat, Wan Hasliza
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 1 (2025): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/b160n685

Abstract

Following the aftermath of COVID-19, needs of digitalized medical data system has increased worldwide. As stated by Indonesia’s Ministry of Health, electronic medical records (EMRs) usage are being mandated initially by December 2023. However, in some healthcare facilities, this transition are being halted by inadequate digital literacy. This research aimed to understand the impact of e-Health Literacy of healthcare personnel on technology acceptance and their intention to use EMRs.  The cross-sectional study was conducted in March 2024 following six months of EMR implementation in Dr. Soetarto Army Hospital, using a valid and reliable questionnaire consisting of 51 items originating from the Unified Theory of Acceptance and Use of Technology (UTAUT) and e-Health Literacy Questionnaire (eHLQ) that was modified into 46 items. The data was collected from 114 healthcare personnel who act as both caregiver and medical data documenter (total sampling). The result was then analyzed using Smart-PLS. There is an increased intention of EMR usage when e-health literacy moderated user's technology acceptance (p=0.006), while by itself, technology acceptance doesn't have a meaningful impact towards intention to use EMR (p=0.391). Increased e-Health Literacy has also proven to be correlated with increased intention of EMR use (p<0.001). Increasing user’s e-health literacy is essential to become a pivotal factor in increasing EMR adoption in healthcare personnel workflow. This study suggests integrating targeted e-health literacy programs into professional development to improve EMR usage and healthcare efficiency, with future studies exploring long-term.
Development of Medical Record Technology and Information Systems on the Performance of RSU Pacitan Employees sutanto, warkim; Arini, Merita
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 1 (2025): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ta5qv525

Abstract

The development of Electronic Medical Record (RME) technology and information systems is an important need in the health sector to improve operational efficiency and service quality. This research analyzes the effect of implementing RME, technology user training, IT infrastructure, and data security and privacy on the performance of RSU Pacitan employees. Using quantitative methods with a cross-sectional design, data was collected from 30 respondents via a Google Form questionnaire and analyzed using SPSS. The results show that the four variables have a significant effect on employee performance (R² = 0.878), with the implementation of RME (coefficient 0.232) making administrative services easier, technology training (0.722) increasing employee self-confidence, and IT infrastructure (0.339) supporting productivity. Meanwhile, data security and privacy (-0.376) have a moderate influence because they play a more significant role in creating a safe work environment. This research confirms the importance of implementing EMR in supporting employee performance and recommends further research to analyze other aspects of EMR, as well as becoming the basis for hospital digital transformation policies.
IMPROVING KNOWLEDGE OF NON-COMMUNICABLE DISEASE PROGRAM MANAGERS IN TUBERCULOSIS-DIABETES MELLITUS CONTROL AND CARE Arini, Merita; Primastuti, Harumi Iring; Basha, Muzaitul Akma Binti Mustapa Kamal
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.15-27

Abstract

Introduction: Indonesia ranks second in the number of TB cases worldwide, accounting for 10% of the total TB cases. In addition, Indonesia ranks fifth in the number of DM cases worldwide. However, the integration of TB and DM disease management programs to ensure safe and quality care in health facilities is generally insufficient. Aims: This study aims to improve the knowledge of NCD program managers regarding TB-DM and their role in TB control and care. Methods: This study used a quasi-experimental design (non-randomized and non-control group) involving all healthcare workers (HCWs) managing NCD programs in Yogyakarta City. The participants were selected from 18 community health centers, 5 hospitals, the Health Office of Yogyakarta City. Prior to and following the training sessions, the knowledge of the participants was assessed. Results: According to the results of the Kruskal-Wallis test, no significant differences in TB-DM knowledge were observed among participants based on age group, length of employment, occupation, and highest level of education. However, following the training sessions, the participants showed a significant improvement in TB-DM knowledge according to the results of the Wilcoxon signed-rank test p = 0.000, with an effect size (r) of 0.57 (95% CI [0.000, 0.113]). Conclusion: Training for NCD program managers has been shown to improve their knowledge about TB-DM and their potential roles. Therefore, it is crucial to conduct continuous capacity-building programs for HCWs. These programs should be supported by policies, systems, and necessary infrastructures to ensure effective implementation of integrated care for TB and other diseases.
REVITALISASI POSYANDU REMAJA UNTUK MEMBANGUN GENERASI SEHAT DI PADUKUHAN PULUHAN LOR, TRIMURTI, SRANDAKAN, BANTUL Arini, Merita; Ranti, Imaniar; Primastuti, Harumi Iring
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 1 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i1.12-27

Abstract

Adolescents are a group of society that is prone to various health risks. Padukuhan Puluhan Lor has an inactive youth posyandu (integrated health post). Inadequate resources inhibit youth posyandu activities. This community service aimed to increase adolescents' knowledge and skills in health checks and posyandu management to reactivate youth posyandu. One action research cycle includes diagnosis, planning, action, and assessment. The assessment used in-depth interviews with the hamlet, community health workers, and the youth organization manager. In the action stage, educational intervention, and cadre training were conducted using a quasi-experiment (without control, non-randomization) on adolescent cadres (n=17). Cadres were coached and trained using educational media, including pocketbooks and role play. The assessment revealed that the community needs to revitalize youth posyandu, although no youth health program exists. The planning stage was to prepare education, cadre training, and posyandu equipment and materials funds. The role-play increased knowledge and skills in conducting health checks and managing posyandu based on the average score. However, there was no significant difference in teenage knowledge scores (p=0.564) before and after the education session. Youth empowerment potential can supports the implementation of youth posyandu. Cross-sectoral roles are needed to keep posyandu sustainable.
Duration of Hospitalization and Risk Factors of Readmission of Community-Acquired Pneumonia Incidence in Hospitalized Toddlers Lisa, Corina; Arini, Merita
Jurnal Respirologi Indonesia Vol 44 No 1 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i1.560

Abstract

Background: The Indonesia Health Profile Report 2020 stated that pneumonia is one of the causes of high infant and toddler mortality in Indonesia. Length of stay and readmission are crucial indicators of service quality for hospitalized pneumonia patients. This study aims to determine the duration of hospitalization and identify risk factors for readmission among toddlers hospitalized with CAP.Methods: This cross-sectional study was conducted with subjects of pneumonia toddlers hospitalized in Sarila Husada Hospital Sragen from November 2021 to Januari 2023Results: A total of 357 toddlers were hospitalized with CAP (median age = 17 months; IQR 7–24); the majority were under 36 months old (309 subjects; 86%); male (54%) predominated than female (46%). Median duration of hospitalization for CAP=2 days with IQR=3.0-5.0. Readmission events were only 5, higher among toddlers aged 2-36 months but not statistically significant. Factors associated with readmission in CAP toddlers were the history of previous hospitalizations during the past year due to infection (P=0.012; adjusted odds ratio [aOR]=13.6; confidence interval [CI]=1.49–12.34).Conclusion: The readmission rate was very low in our study. Toddlers 2–36 months of age and those with previous hospitalizations with infections are at higher risk of readmission in CAP.
Hospital preparedness for disasters: a global perspective on research trends in health promotion and resilience Arini, Merita; Iring Primastuti, Harumi; Pribadi, Firman; Nuryakin; Anggara, Cornel; Listiowati , Ekorini; Agus Samsudin, Mohammad
Jurnal Cakrawala Promkes Vol. 8 No. 1 (2026): February
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v8i1.14916

Abstract

Hospitals play a central role in maintaining the continuity of healthcare services during crises, underscoring the strategic necessity of disaster preparedness to strengthen the health system’s resilience. This study analyzed global trends, research developments, and scientific influences related to hospital disaster preparedness to identify knowledge gaps and future priorities for enhancing resilience and promoting health. Data were retrieved from the Scopus database using the keywords “hospital” and “disaster preparedness” for the years 2015–2025, screened according to the inclusion criteria, and analyzed using VOSviewer and Scopus Analytics. A total of 628 articles met the criteria. The number of publications increased sharply after 2020, with notable dominance by high-income countries and leading academic institutions with substantial research funding. Bibliometric mapping revealed four major research clusters: (1) hospital emergency management and system preparedness, (2) healthcare workforce resilience and lessons from the pandemic, (3) education, training, and behavioral preparedness, and (4) cross-country collaboration in disaster response. Although the multidisciplinary dimension of hospital preparedness is evident through the inclusion of engineering and computer science fields, technology-related keywords did not appear at the applied threshold, suggesting that research on technology integration remains limited. Contributions from Low- and Middle-Income Countries (LMICs) are also underrepresented, highlighting disparities in research capacity and funding. This study expands global understanding of hospital disaster preparedness by identifying emerging and underexplored areas, emphasizing the importance of multidisciplinary collaboration, equitable research partnerships, and the integration of health promotion approaches to build adaptive, resilient hospitals worldwide.
Lean–Visual Management Integration in Hospital Information Systems to Sustain Pharmacy Performance Under High Workload Tirta, Chintya Puspa Ayu; Arini, Merita
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8995

Abstract

Introduction: Hospital pharmacy services face increasing operational complexity, requiring efficient, adaptive, and data-driven systems. Integrating Lean Thinking (LT) and Visual Management (VM) into Hospital Information Systems (HIS) offers strategic potential to enhance workflow transparency, reduce waste, and improve service quality. This study aimed to evaluate the impact of LT–VM within HIS on service effectiveness, measured through prescription response times, and process efficiency, measured using the Value Added Ratio (VAR) derived from Value Stream Mapping (VSM). Methods: A quantitative case study was conducted in the outpatient pharmacy unit of PKU Muhammadiyah Wonosobo Hospital, Central Java, Indonesia. Secondary data of 55,767 outpatient prescriptions were analyzed (17,373 pre-implementation and 38,394 post-implementation), while primary data were collected through direct workflow observation using VSM. Statistical analysis used the Mann–Whitney U test to assess pre-post differences, while process efficiency was examined through VAR calculations for compounded and non-compounded prescriptions. Results: Non-compounded prescriptions showed a significant improvement in response time (p = 0.005), despite a 2.5-fold increase in prescription volume, indicating sustained system performance. Notably, unlike most Lean studies that emphasize waiting-time reduction, the present findings demonstrate that LT–VM–HIS integration primarily contributed to maintaining workflow stability under increased workload. Compounded prescriptions exhibited no significant change (p = 0.424), although reduced variability suggested improved consistency. VSM results showed VAR of 40.08% for non-compounded and 51% for compounded prescriptions, highlighting persistent bottlenecks during workflow transitions and the limited influence of digital interventions on labor-intensive manual tasks. Conclusion: The integration of LT–VM within HIS enhanced process consistency, reduced variability, and maintained operational performance under increased workload. However, manual compounding tasks limited efficiency gains, underscoring the need for hospital-wide Lean digitalization and synchronized scheduling to balance demand and capacity. These findings support the broader application of Lean-based digital transformation to achieve resilient and patient-centered healthcare systems.
Co-Authors Abda Abda Abdul Latif Kurniawan Agus Samsudin, Mohammad Akram, Muh Anggara, Cornel Ardhani, Nariswari Cahya Arlina Dewi Asmi, Sarah Ayu Budi Asmi, Sarah Ayu Budi Astuti, Yurni Dwi Basha, Muzaitul Akma Binti Mustapa Kamal Binti Wan Mamat, Wan Hasliza Dedi Afandi Desiani Wahyu Utami Dewi, Arlina Edwin Tohaga, Edwin Ekorini Listiowati, Ekorini Emma Rachmawati Endang Sulistyawati Erwin Astha Triyono Fajar Adi Nugroho Fauzan Adima Ferawati, Bangkit Ina Firman Pribadi Hasliza Wan Mamat, Wan Husen, Abeng Anandri Imam Riadi Ingenida Hadning Iring Primastuti, Harumi Kartikadewi, Indriani Kartikawati, Tri Kurniawan, Nurcholid Umam Kusumayanti, A.A.Ayu Mas Lisa, Corina Listiowati , Ekorini Mamat, Wan Hasliza Wan Masyfufah, Lilis Mochamad Iqbal Nurmansyah Noeryosan, Ilham Novanda, Aisyah Wahyu Nurhidayati Nurhidayati Nuryakin, Nuryakin Prakoso, Denny Anggoro Pramayanti, Yuyun Pratama, Dewanto Dika Primastuti, Harumi Iring Puspita, Gina Putra, Bima Ananta Rachmad, Eka Basuki Ramadhan, Roy Novri Ramadhani, Putri Nabilah Ranti, Imaniar Riswana, Nabila Uswah Robbani, Ghulbuddin Samsudin, Agus Samsudin, Mohammad Agus Saputra, Galang Nanda Stephanie, Karyn Sulistyawati, Endang Suryanto, Farid sutanto, warkim Tamaranny, Yoviena Kusuma Terichtia Tan, Feriawan Teuku Ilham Noeryosan Tirta, Chintya Puspa Ayu Wan Mamat, Wan Hasliza Warih Andan Puspitosari, Warih Andan Warkim Sutarto Zulfikar, Aditya Rahmat