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Pengaruh Faktor Hot-Fit terhadap Implementasi Rekam Medis Elektronik di Instalasi Gawat Darurat RSUD Sanjiwani Gianyar I Gede Pradika Abdi Putra; Purwadhi Purwadhi; Rizki Ardiansyah Rubini
Jurnal Mahasiswa Manajemen dan Akuntansi Vol. 5 No. 2 (2026): Oktober : JUMMA'45: Jurnal Mahasiswa Manajemen dan Akuntansi
Publisher : Fakultas Ekonomi Universitas 45 Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30640/jumma45.v5i2.7953

Abstract

The implementation of Electronic Medical Records (EMR) is an integral part of digital transformation in healthcare, aimed at improving the effectiveness, efficiency, and quality of healthcare services. The success of EMR implementation is influenced by Human, Organization, and Technology factors, as described in the Human-Organization-Technology Fit (HOT-Fit) model. This study aimed to analyze the effects of Human, Organization, and Technology factors on EMR implementation in the Emergency Department of RSUD Sanjiwani Gianyar. A quantitative approach was employed with an explanatory research design and a cross-sectional approach, involving all 65 healthcare professionals who used the EMR system as a total sample. Data were collected through a five-point Likert-scale questionnaire and analyzed using multiple linear regression with SPSS. The results showed that the Human factor had a significant effect on EMR implementation, with a regression coefficient of -0.020 and a significance value of 0.010, indicating a negative direction. The Organization factor had a positive and significant effect, with a regression coefficient of 0.790 and a significance value of 0.000, making it the most dominant factor (Beta = 0.764). The Technology factor also had a positive and significant effect, with a regression coefficient of 0.215 and a significance value of 0.012. Simultaneously, Human, Organization, and Technology significantly affected EMR implementation, with an F-value of 144.022 and a significance value of 0.000. The coefficient of determination (R²) of 0.876 indicated that 87.6% of the variation in EMR implementation was explained by the three factors, while 12.4% was attributable to other factors. In conclusion, Human, Organization, and Technology significantly influence EMR implementation, both partially and simultaneously. Improving EMR implementation requires strengthening organizational support as the top priority, along with user competencies and continuous technological enhancement.
Analisis Penerapan BSC (Balanced Scorecard) sebagai Alat Manajemen Strategi pada Rumah Sakit Umum Daerah dr. H. Yuliddin Away Tapaktuan Purwadhi Purwadhi; Yani Restiani Widjaja; Salwiyadi Salwiyadi; Salia Marvinia
Jurnal Ilmiah Manajemen dan Kewirausahaan Vol. 3 No. 3 (2024): September: Jurnal Ilmiah Manajemen dan Kewirausahaan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jimak.v4i1.5390

Abstract

Hospitals as healthcare institutions, are required to deliver high-quality, efficient, and sustainable services through proper strategic management. Dr. H. Yuliddin Away Regional General Hospital, a type B referral hospital in Aceh, faces challenges such as limited resources, increasing demands for service quality, and regulatory changes in the healthcare sector. This study aims to analyze the implementation of the BSC (Balanced Scorecard) (BSC) as a strategic management tool to improve hospital performance. The BSC is employed because it integrates financial and non-financial indicators through four perspectives: financial, customer, internal business processes, and learning and growth. This research applies a descriptive qualitative approach using a case study at Dr. H. Yuliddin Away Hospital. Data were collected through interviews, observations, and documentation, and analyzed using content analysis. The findings show that the hospital has adopted the BSC since 2021 with key performance indicators aligned to its vision and mission. From the financial perspective, the operational cost ratio achieved the target (65% against ≤70%). The customer and internal process perspectives did not fully meet the targets, as patient satisfaction (4.1 vs. ≥4.2) and average service time (62 minutes vs. ≤60 minutes) revealed small gaps. Conversely, the learning and growth perspective exceeded expectations with six staff training sessions per year. Overall, the implementation of BSC has had a positive impact on transparency, accountability, and interdepartmental coordination, while also fostering service innovation. However, challenges remain, including limited managerial understanding, budget constraints, and organizational resistance to change. The study concludes that BSC is an effective tool for improving hospital performance, though further efforts are needed to enhance patient satisfaction and service efficiency.
The Effect of Work Flexibility, Conflict Management and Welfare on Employee Retention at Lahat Class IV Hospital, South Sumatra Aniz Zamzami; Purwadhi Purwadhi; Kahar Mulyani
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.3193

Abstract

This study aims to analyze the influence of work flexibility, conflict management, and employee welfare on employee retention at the Level IV Hospital in Lahat, South Sumatra. A quantitative approach was employed, involving 116 respondents. Data were collected through questionnaires and documentation, then analyzed using SPSS version 26 software. The data analysis method utilized was multiple linear regression, accompanied by classical assumption tests—specifically normality, multicollinearity, and heteroscedasticity tests. The multiple regression analysis encompassed descriptive statistics, correlation analysis, the coefficient of determination test, the t-test, and the F-test. The results indicate that work flexibility, conflict management, and employee welfare collectively exert a significant influence on employee retention at the Level IV Hospital in Lahat. However, partial statistical testing revealed that only the variables of conflict management and employee welfare had a significant influence on employee retention.