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Systematic Literature Review: EMR and Health Information Competence in Indonesia’s Digital Transformation Bangkit Ary Pratama
Science Publication: Journal of Public Health and Nutrition Vol. 2 No. 1 (2026): Maret 2026
Publisher : PT Yapindo Jaya Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64965/spjphn.v2i1.43

Abstract

ABSTRACT Digital transformation drives the use of health information systems to integrate clinical, administrative, and operational data. In Indonesia, diverse infrastructure, administrative models, and workforce competencies pose challenges to electronic medical records (EMR) implementation. This study aims to analyze EMR adoption and its implications for strengthening the competence of Health Information and Medical Record (HIMR) professionals in Indonesia’s digital transformation era. A systematic literature review was conducted using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) protocol. The review followed four stages: identification, screening, eligibility, and inclusion. A total of 180 articles were initially retrieved from electronic databases, including Google Scholar, ResearchGate, and Garuda Kemdikbud. After applying inclusion and exclusion criteria, 21 studies were selected for the final analysis. Findings highlight variations in EMR effectiveness, HIMR competence, data ethics and security, and technical and organizational barriers. EMR improves efficiency and accuracy of clinical documentation, yet competence development is limited by disparities in digital literacy and regulatory understanding. Strengthening advanced authentication, infrastructure standardization, and standard operating procedure is essential to enhance HIMR technical and managerial capacity for sustainable system integration. Keywords: competence; digital transformation; electronic medical records; health information management; Indonesia
Studi Kasus Implementasi Rekam Medis Elektronik dengan Menggunakan Metode PIECES di Puskesmas Umbulharjo I Kota Yogyakarta Pricilia Paruntu; Bangkit Ary Pratama; Rendi Ariyanto Sinanto
Medika Promkes : Jurnal Kreativitas Kesehatan Vol. 1 No. 2 (2026): Medika Promkes : Jurnal Kreativitas Kesehatan
Publisher : PT. Promosi Kesehatan Media

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

Abstract

Background: Community Health Centers (Puskesmas) play a crucial role in providing promotive, preventive, curative, and rehabilitative health services. To improve the efficiency and effectiveness of health management, the Umbulharjo I Community Health Center launched an Electronic Medical Record (EMR) system in April 2023. This study evaluates the system's implementation using the PIECES framework—which encompasses Performance, Information, Economics, Control, Efficiency, and Service—to identify strengths and areas for improvement. Methods: This study adopted a descriptive qualitative design. Data were collected through interviews, direct observation, and document review involving healthcare workers using the system, then analyzed across the six dimensions of the PIECES framework. Results and Discussion: Results indicate that the EMR generally improves service delivery and data management. The system is easy to operate and supports work efficiency, although its performance is highly dependent on stable internet connectivity. The information generated is relevant but not entirely accurate or complete, especially for population-based reports. Economically, the system reduces operational costs and administrative workload. However, limited supporting facilities—such as laptops, scanners, and electronic signature devices—remain a challenge. Security is maintained through user authentication and an internal network, but data backup is still performed manually. Although the EMR facilitates services, technical glitches and incomplete implementation in some units, including maternal and child health services, continue to pose challenges. Conclusion: The implementation of the EMR at Umbulharjo I Community Health Center has made a positive contribution to health management and service quality. However, improvements in infrastructure, user training, and system features are needed to achieve more effective and comprehensive use.