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All Journal Jurnal Promotif Preventif International Journal of Multidisciplinary Sciences and Arts
Nuswantari, Asih Tri Rachmi
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Computer Science & IT Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Public Health

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Evaluasi Implementasi Rekam Medis Elektronik pada SIMRS GOS 2 di RSUD Kota Kotamobagu Berbasis Permenkes Nomor 24 Tahun 2022 Sumariyo, Jufri; Survival, Survival; Nuswantari, Asih Tri Rachmi; Suid, Candra Pratama Detu
Jurnal Promotif Preventif Vol 8 No 6 (2025): Desember 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i6.2372

Abstract

Transformasi digital pelayanan kesehatan melalui penerapan Rekam Medis Elektronik (RME) dalam SIMRS GOS 2 merupakan mandat strategis nasional yang menuntut kesiapan organisasi, regulasi, serta kapasitas sumber daya di fasilitas pelayanan kesehatan. Penelitian ini bertujuan mengevaluasi implementasi RME pada SIMRS GOS 2 di BLUD RSUD Kota Kotamobagu dengan fokus pada proses implementasi, dinamika operasional, persepsi pemangku kepentingan, mutu informasi RME, serta strategi adaptasi yang diperlukan. Studi ini menggunakan pendekatan kualitatif dengan paradigma konstruktivis dan desain studi kasus intrinsik. Data dikumpulkan melalui wawancara mendalam dengan informan kunci, observasi partisipatif pada berbagai unit layanan, dan penelusuran dokumen, kemudian dianalisis menggunakan analisis tematik Braun dan Clarke dengan bantuan NVivo. Hasil penelitian mengidentifikasi lima tema determinan implementasi, yakni kesiapan teknis dan infrastruktur, kualitas data dan kepatuhan regulasi, standardisasi proses organisasi, dinamika regulasi dan tekanan eksternal, serta kapasitas sumber daya dan kesiapan aktor. Penelitian ini merumuskan Model Ekosistem Implementasi RME berbasis Konstruksi Sosial–Regulasi yang menekankan pentingnya integrasi antara aspek teknis, tata kelola, dan makna yang dibangun para pemangku kepentingan. Rekomendasi dikembangkan untuk penguatan infrastruktur, pengembangan kapasitas SDM, harmonisasi standar operasional, peningkatan mutu informasi secara partisipatif, dan manajemen perubahan yang sensitif terhadap konstruksi makna kolektif.
Leadership and Organizational Commitment Effects on Service Quality and Inpatient Satisfaction Masitoh, Siti; Suci, Rahayu Pudji; Nuswantari, Asih Tri Rachmi
International Journal of Multidisciplinary Sciences and Arts Vol. 5 No. 1 (2026): International Journal of Multidisciplinary Sciences and Arts, Article January 2
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/ijmdsa.v5i1.7818

Abstract

This study aims to analyze the effect of transformational leadership and organizational commitment on service quality and patient satisfaction, as well as to examine the mediating role of service quality. The research was conducted at Puskesmas Dedai, Sintang Regency, using a quantitative explanatory approach to explain causal relationships among the studied variables. The population consisted of 175 inpatients recorded over the last seven months, from which a sample of 64 respondents was selected using Slovin’s formula with a 10% margin of error through simple random sampling. Data were collected using structured questionnaires that measured transformational leadership, organizational commitment, service quality, and patient satisfaction. The collected data were analyzed using path analysis to examine both direct and indirect effects among variables. The results indicate that transformational leadership has a significant positive effect on service quality and patient satisfaction, which is reflected through leaders’ ability to provide role modeling, motivation, inspiration, and encouragement for innovation among employees. Organizational commitment also shows a significant direct effect on patient satisfaction, particularly through employees’ emotional attachment, loyalty, and moral responsibility toward the organization. Furthermore, service quality is proven to mediate the relationship between transformational leadership and patient satisfaction, indicating that effective leadership contributes to higher patient satisfaction primarily by improving service quality. However, service quality does not mediate the relationship between organizational commitment and patient satisfaction, suggesting that committed employees can directly influence patient satisfaction without necessarily improving perceived service quality. These findings emphasize the critical role of transformational leadership, organizational commitment, and service quality in enhancing patient satisfaction in public healthcare services.
Co-Authors Siti Masitoh Suci, Rahayu Pudji Suid, Candra Pratama Detu Sumariyo, Jufri SURVIVAL - -