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All Journal Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Journal of Social Research
Inneke Elysia Lavender
Mahasiswa program pendidikan S-1 kedokteran umum FK Undip
Humanities Computer Science & IT Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Public Health Social Sciences

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Kepatuhan Dokter dalam Pengisian Rekam Medis di Indonesia: Sebuah Telaah Sistematis Lavender, Inneke Elysia
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 10, No 1 (2024): JMK Yayasan RS.Dr.Soetomo, Pertama 2024
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v10i1.1889

Abstract

Pendahuluan. Rekam medis merupakan suatu kumpulan catatan dan informasi lengkap terkait riwayat kesehatan pasien. Akan tetapi, di Indonesia sendiri masih banyak ditemukan rekam medis yang tidak terisi dengan baik dan benar. Tujuan penelitian ini adalah untuk mengidentifikasi faktor yang mempengaruhi kepatuhan tenaga kesehatan dalam pengisian rekam medis di Indonesia. Metode Penelitian. Penelitian ini menggunakan systematic review dengan pencarian artikel yang dilakukan selama 2 minggu (Juni-Juli 2023). Proses penelusuran artikel melalui database jurnal yang meliputi: PubMed, ScienceDirect, Google Scholar dan Portal Garuda. Kriteria inklusi pada penelitian ini adalah artikel full paper dengan metode penelitian belah lintang dengan tahun artikel dipublish tahun 2017-2023. Hasil Penelitian. Hasil yang ditemukan pada sintesis data primer adalah ketidakpatuhan dokter dalam pengisian rekam medis yakni memiliki rata-rata 79,5%. Rata-rata penyebab dokter tidak patuh dalam pengisian rekam medis adalah dikarenakan pengetahuan, komitmen, sikap, motivasi, beban kerja yang tinggi, tempat kerja yang tidak nyaman, insentif yang rendah dan faktor sosiodemografi. Kesimpulan. Faktor yang mempengaruhi ketidakpatuhan dalam pengisian rekam medis rata-rata disebabkan oleh pengetahuan, komitmen, sikap, motivasi dan beban kerja yang tinggi. Introduction: Medical records are comprehensive documents that contain detailed information pertaining to a patient's medical background. However, in Indonesia, many medical records are still need to be filled properly and correctly. The objective of this study was to ascertain the determinants that impact physician compliance to completing medical records in Indonesia.Research Methods. This study used a systematic review research. The process of finding primary studies was done for two weeks (June-July 2023) through journal databases, including PubMed, ScienceDirect, Google Scholar, and Garuda. The inclusion criteria for this study include full-text studies applying a cross-sectional research design, published between 2017 and 2023. Results. Physician noncompliance in filling up medical records, with an average of 79.5%, was discovered in the synthesis of primary data. The average causes of doctors' noncompliance in filling out medical records are knowledge, commitment, attitude, motivation, workload, uncomfortable workplace, low incentives and sociodemographic factors.Conclusion. The lack of compliance among physicians in documenting medical records can be attributed to factors such as limited knowledge, poor commitment, negative attitudes, low motivation, and high workload.  
The Relationship of Organizational Factors to Compliance with the Filling out of Medical Resumes by the Doctor in Charge of Patients at Panti Wilasa Citarum Hospital Semarang Lavender, Inneke Elysia; Suryawati, Chriswardhani; Purnami, Cahya Tri
Journal of Social Research Vol. 4 No. 9 (2025): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v4i8.2746

Abstract

This study aims to analyze the relationship between organizational factors, including communication, leadership, compensation, supervision, and resources, and DPJP compliance in filling out medical resumes in accordance with BPJS Kesehatan regulations. This study uses a quantitative descriptive design with a cross-sectional time approach. The results of observations showed that the average DPJP compliance score at Panti Wilasa Citarum Hospital Semarang in filling out the medical resume was 5.29 (score 0–8). Organizational factors included leadership factors with an average score of 59.04 (score 11–77), compensation factors with an average score of 29.94 (score 10–70), communication factors with an average score of 31.72 (score 6–42), supervision factors with an average score of 47.88 (score 10–70), and resource factors with an average score of 54.42 (score 10–70). Communication factors showed a significant association with compliance (r = 0.39; p = 0.006), while leadership factors (r = 0.17; p = 0.25), compensation (r = 0.06; p = 0.68), supervision (r = 0.13; p = 0.36), and resources (r = 0.25; p = 0.08) showed no meaningful relationship. Multivariately, organizational factors have no relationship with DPJP compliance in filling out medical resumes in accordance with BPJS Kesehatan regulations. Communication has a meaningful relationship with DPJP compliance in filling out medical resumes in accordance with BPJS Kesehatan regulations. Meanwhile, the factors of leadership, compensation, supervision, and resources are not meaningfully related.
Co-Authors Cahya Tri Purnami Suryawati, Chriswardhani