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Pengaruh Kualitas Sistem dan Kualitas Layanan Terhadap Kepuasan Pengguna Rekam Medis Elektronik (RME) dimediasi oleh Kondisi Fasilitas (Studi Kuantitatif di Klinik Pratama Berkah Farma Cirebon) Habibah, Habibah; Wahyudi, Bayu; Efawati, Yen
Community Engagement and Emergence Journal (CEEJ) Vol. 7 No. 2 (2026): Community Engagement & Emergence Journal (CEEJ)
Publisher : Yayasan Riset dan Pengembangan Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37385/ceej.v7i2.10199

Abstract

Transformasi digital di sektor kesehatan mendorong penerapan Rekam Medis Elektronik (RME) yang efektif dan sesuai dengan regulasi nasional. Keberhasilan implementasi RME dipengaruhi oleh kualitas sistem, kualitas layanan, serta kesiapan fasilitas sebagai faktor pendukung utama. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas sistem dan kualitas layanan terhadap kepuasan pengguna dengan kondisi fasilitas sebagai variabel mediasi, serta mengevaluasi tingkat kepatuhan implementasi RME terhadap Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 dan Nomor 34 Tahun 2022. Penelitian menggunakan pendekatan kuantitatif dengan metode Partial Least Squares–Structural Equation Modeling (PLS-SEM). Sampel penelitian terdiri dari tenaga kesehatan dan staf administrasi di Klinik Pratama Berkah Farma Cirebon. Data dikumpulkan menggunakan kuesioner berisi 60 pernyataan skala Likert yang telah memenuhi uji validitas dan reliabilitas. Hasil analisis menunjukkan bahwa kualitas sistem dan kualitas layanan berpengaruh positif dan signifikan terhadap kepuasan pengguna. Kondisi fasilitas terbukti memediasi pengaruh kualitas sistem dan kualitas layanan terhadap kepuasan pengguna. Analisis kesenjangan kepatuhan menunjukkan tingkat kepatuhan yang tinggi terhadap regulasi, khususnya pada aspek keamanan data dan pengelolaan sistem RME. Penelitian ini memperkuat model Kesuksesan Sistem Informasi DeLone dan McLean dengan menambahkan kondisi fasilitas sebagai variabel mediasi kontekstual dalam layanan kesehatan. Secara praktis, hasil penelitian merekomendasikan peningkatan infrastruktur, pelatihan pengguna, dan audit sistem secara berkala untuk mendukung keberlanjutan implementasi RME. Secara kebijakan, temuan ini mendukung integrasi sistem RME melalui program SATUSEHAT sebagai bagian dari digitalisasi layanan kesehatan nasional.
Analysis of a Drug Logistics Sop Model to Ensure Drug Availability (Qualitative Study: at the Pharmacy Installation of Ayamaru Public Health Center Southwest Papua) Anasthasia F M Ayomi; Erliany Syaodih; Yen Efawati
Jurnal Multidisiplin Sahombu Vol. 5 No. 08 (2025): Jurnal Multidisiplin Sahombu, December (2025)
Publisher : Sean Institute

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Abstract

The availability of medicines in health facilities is a key indicator of effective and quality health services. However, in many Community Health Centers (Puskesmas), including Ayamaru Puskesmas in Southwest Papua, drug stock instability often occurs due to weak operational procedures (SOP) for drug logistics. This study aims to analyze the implementation of the drug logistics SOP model in ensuring drug availability at the Ayamaru Community Health Center Pharmacy Installation through a qualitative approach. The research method used was a qualitative case study, with data collection techniques including in-depth interviews with pharmacy staff, direct observation of the logistics management process, and documentation of related documents such as stock records, drug requests, and distribution. Data analysis was conducted thematically based on aspects of the logistics SOP, including planning, receiving, storing, distributing, and recording drugs. The results showed that although the drug logistics SOP was in place, its implementation still faced obstacles such as limited human resources, delayed distribution from the district health office, and a lack of training and routine supervision. Furthermore, the recording and reporting system was largely manual, making it prone to errors and information delays. Therefore, strengthening the capacity of pharmacy staff, optimizing the logistics information system, and institutional commitment to consistently implementing the SOP are necessary. Therefore, understanding and improving the drug logistics SOP model can be key to ensuring sustainable drug availability at the Ayamaru Community Health Center, supporting equitable and quality access to healthcare services for the local community.
Pengaruh Kemampuan Kerja dan Keterlibatan Kerja terhadap Organizational Citizenship Behavior dengan Tanggung Jawab sebagai Variabel Mediasi pada Pegawai Puskesmas Mempawah Hilir Kalimantan Barat Adzra, Nadira Aqilla; Andriani, Rian; Efawati, Yen
ManBiz: Journal of Management and Business Vol. 4 No. 3 (2025): ManBiz: Journal of Management and Business
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

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Abstract

Organizational dynamics in today's workplace require employees not only to perform their core duties but also to undertake extra tasks beyond their responsibilities. This behavior is known as organizational citizenship behavior, a voluntary behavior that goes beyond formal obligations but has a positive impact on teamwork and organizational effectiveness. Work ability, work engagement, and responsibility are factors that drive organizational citizenship behavior. Employees with high work ability and work engagement will be responsible for their tasks and work. This study aims to determine and analyze the influence of work ability and work engagement on organizational citizenship behavior with responsibility as a mediating variable among employees at Puskesmas Mempawah Hilir Kalimantan Barat. The study population consisted of 55 individuals, comprising a sample size of 55 individuals. This quantitative study employed a causal descriptive approach and was analyzed using outer and inner model tests, hypothesis testing, and mediation analysis with Smart PLS. The result show that work ability has a positive and significant effect on responsibility, work ability has a negative but significant effect on organizational citizenship behavior, work ability has a positive and significant effect on organizational citizenship behavior mediated by responsibility, work engagement has a positive and significant effect on responsibility, work engagement has a positive and significant effect on organizational citizenship behavior, work engagement has a positive and significant effect on organizational citizenship behavior mediated by responsibility, and work ability and work engagement simultaneously have a positive and significant effect on organizational citizenship behavior mediated by responsibility.
Analisis Model Interaksi antara Tenaga Medis dan Keluarga Pasien Hemodialisis dalam Mendukung Proses Pengobatan di Unit Hemodialisa RS UNHAS Makassar Asnur, Andi Aghnie Aulya; Hendriana, Heris; Efawati, Yen
ManBiz: Journal of Management and Business Vol. 4 No. 3 (2025): ManBiz: Journal of Management and Business
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

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Abstract

Chronic Kidney Disease (CKD) is a major global health problem that requires long-term therapy such as hemodialysis. The success of hemodialysis treatment is strongly influenced by the quality of interaction between healthcare providers and patients’ families, particularly in providing emotional support, information, and accompaniment throughout the treatment process. This study aims to analyze the interaction model between medical personnel and families of hemodialysis patients and to explore the factors that influence communication effectiveness in supporting treatment adherence and improving patients’ quality of life. This research employed a qualitative phenomenological approach to explore the lived experiences of healthcare professionals and family members in the Hemodialysis Unit of Hasanuddin University Hospital, Makassar. Data were collected through in-depth interviews, participatory observation, and documentation review. A total of 20 participants took part in the study, consisting of 10 healthcare workers and 10 family caregivers. Data were analyzed using thematic analysis involving coding, categorization, and interpretation of phenomenological meanings. The findings indicate that therapeutic communication, empathy, and openness form the foundation of effective interactions between healthcare providers and families. Families play an essential role in offering emotional support, ensuring adherence to dialysis schedules, participating in medical decision-making, and providing logistical assistance. The study also identifies several barriers to effective interaction, including emotional distress, limited knowledge, time constraints, and differences in educational background. This research proposes an interaction model that emphasizes two-way collaboration, continuous education, and family-centered communication. This study contributes to strengthening therapeutic communication practices in hemodialysis settings and provides a foundation for developing policies that enhance humanistic and collaborative care between medical personnel, patients, and their families.
Strategi Implementasi Metode Activity Based Costing (ABC) dalam Menentukan Tarif Pelayanan Gigi di Klinik Abbasy Dental Purwokerto Hermansyah, Deni; Andriani, Rian; Efawati, Yen
ManBiz: Journal of Management and Business Vol. 4 No. 3 (2025): ManBiz: Journal of Management and Business
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

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Abstract

Pricing of healthcare services is a crucial element in clinic management, influencing operational sustainability and patient access to treatment. However, pricing practices in many dental clinics are still determined conventionally based on market rates without a systematic cost calculation. This study aims to analyze Implementation Strategy of the Activity Based Costing (ABC) method in determining dental service fees at Abbasy Dental Clinic Purwokerto. A Qualitative Methods  approach was employed. Data were collected through in-depth interviews, direct observations, document analysis, and questionnaires administered to 50 patients and 10 clinic staff. The results indicate that the ABC method provides more accurate service cost calculations by identifying activities that generate expenses, including medical supplies (BHP), medical personnel fees, CSSD, dental equipment usage, dental unit costs, and administrative fees. The ABC-based pricing, using a 35% profit margin, resulted in final fees of IDR 226,125 for extraction, IDR 246,375 for GIC restoration, IDR 259,875 for scaling, and IDR 300,375 for composite restoration. Questionnaire results revealed positive patient perceptions regarding tariff transparency and fairness (mean > 4.18) and staff support for accuracy and efficiency in cost management (mean > 4.05). This study concludes that the ABC method can be applied as an accurate, fair pricing system that enhances patient trust and improves cost management effectiveness in dental clinics.