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Journal : Manuju : Malahayati Nursing Journal

Determinan Penerimaan Pengguna dan Kesiapan Organisasi Pada Implementasi Sistem Informasi Kesehatan Berbasis Model Utaut-Toe Scoping Review Pramitasari, Maulida; Febriana, Silvia Kristanti Tri; Husaini, Husaini; Akbar, Izaak Zoelkarnain; Shadiqi, Muhammad Abdan
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23071

Abstract

ABSTRACT Health Information Systems (HIS) play a crucial role in improving efficiency, service quality, and data-driven decision-making. However, their implementation still faces challenges such as low digital literacy and limited infrastructure. A deeper understanding of user acceptance and organizational readiness is essential for the success of digital transformation of health. This study aims to map the factors influencing user acceptance and organizational readiness in HIS implementation using the Unified Theory of Acceptance and Use of Technology (UTAUT) and the Technology-Organization-Environment (TOE) frameworks, as well as to identify research gaps in previous studies. A scoping review method was conducted following the PRISMA-ScR guidelines. Literature searches were performed through PubMed, ScienceDirect, and Google Scholar databases using international keywords based on MeSH and Indonesian terms. Article selection followed the PCC (Population, Concept, Context) framework. Out of 4,469 identified articles, 30 studies met the inclusion criteria and were analyzed. The literature mapping revealed that within the UTAUT framework, key determinants of user acceptance included performance expectancy (18 studies), effort expectancy (18), social influence (19), facilitating conditions (18), and behavioral intentions (16). Within the TOE framework, important influencing factors included technological compatibility (7 studies), technological infrastructure (7), management support (8), and government policy (7). Most studies employed a quantitative cross-sectional design, while organizational culture, external environment, and longitudinal approaches were rarely explored. Successful HIS implementation requires a holistic approach integrating individual acceptance (UTAUT) with organizational readiness and environmental support (TOE). Further studies with longitudinal designs, multi-location contexts, and qualitative or mixed methods are needed to deepen the understanding of non-technical factors determining the success of health digitalization. Keywords: Health Information System, User Acceptance, Organizational Readiness, Unified Theory of Acceptance and Use of Technology (UTAUT), Technology-Organization-Environment (TOE)  ABSTRAK Sistem Informasi Kesehatan (SIK) berperan penting dalam meningkatkan efisiensi, mutu layanan, dan pengambilan keputusan berbasis data. Namun, implementasinya masih menghadapi tantangan seperti rendahnya literasi digital dan keterbatasan infrastruktur. Perlu adanya pemahaman lebih lanjut terkait faktor penerimaan pengguna dan kesiapan organisasi sebagai kunci keberhasilan transformasi digital di bidang kesehatan. Penelitian ini bertujuan memetakan faktor penerimaan pengguna dan kesiapan organisasi dalam implementasi SIK menggunakan kerangka Unified Theory of Acceptance and Use of Technology (UTAUT) dan Technology-Organization-Environment (TOE), serta mengidentifikasi kesenjangan penelitian. Metode scoping review dilakukan dengan mengikuti pedoman PRISMA-ScR. Pencarian literatur dilakukan melalui basis data PubMed, ScienceDirect, dan Google Scholar dengan kata kunci internasional berbasis MeSH serta istilah dalam Bahasa Indonesia. Seleksi artikel mengacu pada kerangka PCC (Population, Concept, Context). Dari 4.469 artikel, 30 studi memenuhi kriteria dan dianalisis. Pemetaan literatur menunjukkan bahwa dalam kerangka UTAUT, determinan utama penerimaan pengguna meliputi performance expectancy (18 studi), effort expectancy (18), social influence (19), facilitating conditions (18), dan behavioral intentions (16). Dalam kerangka TOE, faktor penting yang berpengaruh meliputi kompatibilitas teknologi (7 studi), infrastruktur teknologi (7), dukungan manajemen (8), dan kebijakan pemerintah (7). Sebagian besar penelitian bersifat kuantitatif dengan desain cross-sectional, sementara dimensi budaya organisasi, lingkungan eksternal, serta pendekatan longitudinal masih jarang dieksplorasi. Keberhasilan implementasi SIK memerlukan pendekatan holistik yang mengintegrasikan penerimaan individu (UTAUT) dengan kesiapan organisasi dan dukungan lingkungan (TOE). Diperlukan penelitian lanjutan dengan desain longitudinal, konteks multilokasi, serta pendekatan kualitatif atau campuran untuk memperdalam pemahaman terhadap faktor nonteknis yang menentukan keberhasilan digitalisasi kesehatan. Kata Kunci: Sistem Informasi Kesehatan; Penerimaan Pengguna, Kesiapan Organisasi, UTAUT, TOE.
Bibliometric Analysis of Research on Factors Affecting Service Quality and Physician Performance Marlina, Marlina; Aflanie, Iwan; Akbar, Izaak Zoelkarnain; Shadiqi, Muhammad Abdan; Lahdimawan, Ardik
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16648

Abstract

ABSTRACTThis study analyzes the influence of various factors on service quality and doctor performance with a focus on aspects of additional employee income, adequacy of doctor personnel, facilities and infrastructure, competence, and communication. The background of this study is the importance of improving the quality of health services to achieve optimal patient satisfaction and effective physician performance. The purpose of this study is to identify trends, distribution, and relationships between these factors in the scientific literature, as well as identify research gaps that need to be further explored. The method used in this study is bibliometric analysis, with data collected from Google Scholar using the Publish or Perish application. The search period was limited to 2018 to 2024, and the keywords used included "quality of service," "performance," "doctors," "factors," "facilities and infrastructure," "income," "competence," and "communication." The data was analyzed using VOS viewer to visualize the keyword network and identify research trends.The results show that India and Indonesia are the biggest contributors with 10 and 5 publications respectively. Springer and Emerald were the most active publishers, with 9 and 8 publications respectively. The publication trend peaked in 2019 with 16 publications, and the citation analysis identified the article "Health care service delivery based on the Internet of things: A systematic and comprehensive study" as the most influential with 249citations. Network visualization revealed close relationships between keywords such as "doctor," "service quality," and "competence." The conclusion of this study is that although there are many studies that discuss factors affecting service quality and physician performance, there are still gaps that need to be further explored, especially regarding the influence of additional employee income, adequate physician staffing, and facilities and infrastructure. Filling these gaps will provide a more comprehensive understanding and help improve the overall quality of healthcare services.Keywords: Service Quality, Doctor Performance, Competence, Communication, Infrastructure.
Co-Authors A, Izaak Zoelkarnain Achmad, Rendy Alfiannoor Adi Nugroho Alfiannor, Muhammad Amalia, Najla Amalina, Nur Dina Ardik Lahdimawan, Ardik Awwalin, Ellya Nur Aziza, Laras Aliffya Azizah, Aulia Nur Azizah, Husna Bagus Takwin Bthari Salsabiela Rohadatul Aisy Butar Butar, Taruli Artha Dharmadi Utama, Ricko Dwi Nur Rachmah Dwi Nur Rachmah Eko Suhartono Elvananta, Katamsi Tri Pratiwi Julia Esabilita, Monica Fauzie Rahman Febriyasy, Fathia Fitriyana, Amalia Gampamole, Gravy Jourdan Ghina Salsabila Hamdi Muluk Handayani, Sri Harapan Parlindungan Ringoringo, Harapan Parlindungan Hemy Heryati Anward Herawati , Herawati Hermawan, Dody Hikmat, Ramadhan Maulana Husaini Husaini imadduddin, Imadduddin Istiqamah, Ermina Istiqamah Istiqomah Iwan Aflanie Izaak Zoelkarnain Akbar, Izaak Zoelkarnain Khaerullah Fadhli Arasy Hasan Lia Nur Hafisah Marina Dwi Mayangsari Marlina Marlina Marpaung, Adelia Septianingrum Mashuda, Mashuda Meitria Syahadatina Noor Mirra Noor Milla Mohammad Bakhriansyah Mohammad Isa Muhamad Muslim Musafaah Musafaah Neka Erlyani Nelly Al Audhah Nia Kania Noor I’anah Pramitasari, Maulida Pratama, Muhammad Yusril Putri, Nabila Wulandari Ananda Putri, Zerlinda Rezkika Lestari Rahayu, Devy Sry Rias Rana Salsabila Rima Hariati Roselina Panghiyangani Rosihan Adhani, Rosihan Rusdi Rusli, Rusdi Safitri, Nadiya Nur Salbiyah, Siti Salma, Nur Zahidatus Salsabila, Aqiella Farida Sari, Ni Putu Sri Wulan Silvia Kristanti Tri Febriana Silvia Kristanti Tri Febriana Sukma Noor Akbar Sulastri, Norjainah Syamsul Arifin Taupik Rahman Trihapsari, Tunjung Ulum, Wildan Rusdaul Vironika, Trisia Widiastuti, Komang Wita Al Istiqomah WULANDARI, APRILIA Wury Utami Febriani Yoziana, Myra Zairin Noor Zidan, Rifki