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Confronting The Challenges of Digitalization Electronic Medical Records: A Systematic Review Dewi, Evita Kumala; Ernawaty, Ernawaty; Rahayu, Fitri Kurnia
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20962

Abstract

ABSTRACT Electronic Medical Records (EMRs) have the potential to significantly improve healthcare efficiency, quality, and accessibility. However, their implementation faces substantial barriers that hinder widespread adoption. This systematic review aims to identify and analyze key barriers to EMR implementation in healthcare facilities. A systematic literature search was conducted in Scopus, PubMed, CINAHL, and Web of Science for studies published between 2014 and 2024. The study selection process according to PRISMA guidelines. A total of 462 studies were screened, 59 full-text articles were assessed for eligibility, and 14 studies met the inclusion criteria for final analysis. Five major barriers to EMR implementation were identified: (1) usability and system design challenges, (2) training and workforce preparedness, (3) technological and infrastructure constraints, (4) financial and resource limitations, and (5) impact on workflow and patient care. These challenges reflect core strategic management principles, underscoring the need for structured planning, adequate resource allocation, and continuous evaluation. Overcoming barriers to EMR implementation requires improving system usability, enhancing workforce training, investing in infrastructure development, securing sustainable financial resources, and optimizing clinical workflows. A strategic, comprehensive approach is essential to facilitate successful EMR adoption, improve patient care outcomes, and support sustainable healthcare system advancement. Keywords: Barriers, Electronic Medical Records (EMR), Healthcare Facilities, Systematic Review, Implementation Challenges.
Factors Associated with Hospital Profitability: A Systematic Review Silla, Dafrossa Vony; Ernawaty, Ernawaty
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21463

Abstract

ABSTRACT Maximizing profitability is a goal that is often a challenge as healthcare providers work to balance the cost of providing effective, timely care and innovative services. This research aims to review the evidence that identifies the factors that can affect hospital profitability using a systematic review study. Articles published in the last 10 years in Proquest, Google Scholar, and EBSCO databases were systematically reviewed. Thirteen articles that met the inclusion and exclusion criteria were selected for further review. Findings regarding factors that can affect hospital profitabilitywere systematically synthesized. Thirteen articles explore This paper attempts to summarize the hospital profitability model by establishing relationships between the seventeen factors divided into six key subheadings identified such as organizational factors, managerial factors, patient mix factors, market conditions, health system and technology services. An examination of the factors was associated with hospital profitability and their impact on profitability can improve our understanding of the hospital industry. Further examination of the varying relationship between hospital operating factors and their profitability by hospital ownership type reveals that nonprofit hospitals behave very differently. Keywords: Hospital, Profitability, Systematic Review.
Peran Customer Relationship Management dalam Meningkatkan Kualitas Pelayanan Kesehatan: Tinjauan Komprehensif Kristoforus, Josefus; Ernawaty, Ernawaty; Huwae, Lourenz Simon; Nafiah, Nilam Cahya
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21678

Abstract

ABSTRACT Healthcare organizations are currently under significant pressure to maintain high standards of medical care, particularly in Indonesia, where the healthcare system faces challenges, with an HAQ index of 61.98, below the global average of 68.894. As the healthcare industry grows increasingly competitive, effective CRM practices are essential to foster patient loyalty and improve service delivery. This research aims to investigate how CRM practices, including E-CRM and Social CRM, can transform traditional healthcare services into more patient-centric models, thereby enhancing patient satisfaction and loyalty. This literature review was done by collecting sources from Google Scholar, PubMed, Science Direct and Proquest using specific keywords. The selection of articles was based on inclusion and exclusion criteria, resulting in the identification of 15 relevant journals. The study highlights the crucial role of service quality and CRM in enhancing patient satisfaction by addressing patient needs, providing timely information, and improving communication. Successful CRM implementation can enhance medical treatment outcomes, operational efficiency, and revenue for healthcare facilities. Critical success factors for CRM adoption, including data security, system interactivity, and staff involvement, are identified. Integrating CRM practices in healthcare organizations is essential for strengthening patient relationships, improving service quality, and ensuring superior patient care delivery. Further research is needed to optimize CRM strategies in healthcare. Keywords: CRM, Customer Relationship Management, Healthcare Environment.  ABSTRAK Organisasi kesehatan saat ini tengah menghadapi tekanan besar untuk mempertahankan standar perawatan medis yang tinggi, terutama di Indonesia, di mana sistem kesehatan menghadapi tantangan, dengan indeks HAQ sebesar 61,98, di bawah rata-rata global sebesar 68,894. Seiring dengan persaingan di industri kesehatan yang semakin meningkat, praktik CRM yang efektif menjadi penting untuk meningkatkan loyalitas pasien dan meningkatkan pengiriman layanan. Penelitian ini bertujuan untuk menyelidiki bagaimana praktik CRM, termasuk E-CRM dan Social CRM, dapat mengubah layanan kesehatan tradisional menjadi model yang lebih berorientasi pada pasien, sehingga meningkatkan kepuasan dan loyalitas pasien. Tinjauan literatur ini dilakukan dengan mengumpulkan sumber dari Google Scholar, PubMed, Science Direct, dan Proquest menggunakan kata kunci tertentu. Pemilihan artikel didasarkan pada kriteria inklusi dan eksklusi, yang menghasilkan identifikasi 15 jurnal yang relevan. Studi ini menyoroti peran penting kualitas layanan dan CRM dalam meningkatkan kepuasan pasien dengan memenuhi kebutuhan pasien, menyediakan informasi tepat waktu, dan meningkatkan komunikasi. Implementasi CRM yang berhasil dapat meningkatkan hasil perawatan medis, efisiensi operasional, dan pendapatan untuk fasilitas kesehatan. Faktor keberhasilan kritis untuk adopsi CRM, termasuk keamanan data, interaktivitas sistem, dan keterlibatan staf, diidentifikasi. Mengintegrasikan praktik CRM dalam organisasi kesehatan penting untuk memperkuat hubungan dengan pasien, meningkatkan kualitas layanan, dan memastikan pengiriman perawatan pasien yang unggul. Penelitian lebih lanjut diperlukan untuk mengoptimalkan strategi CRM dalam layanan kesehatan. Kata Kunci: CRM, Customer Relationship Management, Healthcare Environment.
Prevention of Obesity in The Elderly Through Health Promotion Interventions: Literature Review Salsabila, Miranda Gracia; Ernawaty, Ernawaty; Fauziah, Indah Berliana
Preventia: The Indonesian Journal of Public Health Vol. 9, No. 2
Publisher : citeus

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The incidence of obesity among the elderly is rising in many countries, including Indonesia. To address this issue, effective interventions are necessary to change lifestyle and dietary habits, such as through social marketing and health promotion initiatives for the elderly. Preventing obesity in this demographic through social marketing can involve educational campaigns, intervention programs, community empowerment, and collaboration with various stakeholders. This study aims to identify strategies to prevent obesity in the elderly through health promotion interventions. The study is a literature review following the PRISMA 2009 protocol. Articles were sourced from Google Scholar, ScienceDirect, and PubMed databases, focusing on those published in the last five years (2019 until 2024) and discussing obesity in the elderly. The search used keywords like "obesity," "elderly," "prevention," and "health promotion" with Boolean operators. Out of 98,447 articles found, only 8 met the inclusion criteria and were selected for further analysis. The review concluded that increasing awareness and preventing obesity in the elderly can be achieved through educational methods using various media, including print and audiovisual aids (AVA), health education, and regular check-ups.
Co-Authors Adyatma, Rangga Gama Afro, Rahmafika Cinthya Ainun nisa, Farah Yasmine Andani, Khisula Riski Andi Safutra Suraya Anggreini, Narolitha Anggun Wulandari Antayamulya, Vianesa Aurum Anugraheni, Ayudiva Rizky Arief Hargono Arizka, Ulfa Dwi Atika, Nur Attamimy, Helmy Bachtiar Bactiar, Nia Bintarti, Tri Budiarjo, Theresa Budiningsih, Annisa Tria Cahyono, Indra Chandra, Yacob Utama Chandra, Yacob Utama Damayanti, Vinna Amalia Dananjaya, IWK Kantun Dewi, Evita Kumala Dick-Sagoe, Christopher Evriany, Nurul Fauziah, Indah Berliana Favian, Rhesa Milzam Hadinata, Immanuel Michael Herawati, Nika Huwae, Lourenz Simon Isnanta, Raden Jasmawati, Jasmawati Kristoforus, Josefus Kurniawan, Afif Laksono Trisnantoro Lestari, Saptandia Wulan Cahyaning Margono Margono Masse, S. Fakhruddin Masse, S. Nur Fauziyah Maya Handayani, Maya Maya Sari Dewi, Maya Sari Miru, Sulaiman Mirza Hapsari Sakti Titis Penggalih Mita Dwi Ayudha Nafiah, Nilam Cahya Nulhakim, Lukman Nur, Aina Shofi Salsabila Nuzulul Kusuma Putri Puspitasari, Nur Alifa Hera Rahadian, Bayu Rahayu, Fitri Kurnia Rahmadini, Salsabila Rossalya, Monica Ayu Rusbaya, Ageng Salsabila, Miranda Gracia Salsabila, Salsabila Sari, Risqi Adinda Shrimarti Rukmini Devy Silla, Dafrossa Vony Sofro, Zaenal Mutaqqien Sri Widati Sujadi, Dadi Supangat, Ririn Widyowati Susila, Edi Nurinda Syahir Natsir Thinni Nurul Rochmah Ubery, Yulinda Ferdiana Ulfa, Anisa Raudatul Wahyu Setyaningsih Wijaya, ⁠Andriana Putri Wulansari, Cahyarani Yuly Sulistyorini Zulfa, Sheila Nurhaliza