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ANALYSIS OF THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS IN THE INPATIENT ROOM OF DR. R. HARDJANTO HOSPITAL, BALIKPAPAN Vip Paramarta; Tetty Hutagaol; Ayu Laili Rahmiyati
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 3 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i3.3937

Abstract

Background: The implementation of Electronic Medical Records (EMR) at Dr. R. Hardjanto Hospital, Balikpapan aims to improve the effectiveness and quality of services. This study uses a qualitative approach with a case study, analyzing the implementation of EMR through the 5M framework: Man, Machine, Method, Money, Material. Method: Qualitative research with a case study approach was conducted in the inpatient ward. Data were collected through in-depth interviews with 16 key informants, direct observation, and documentation. Data analysis used Nvivo 15 software with data reduction, data presentation, and conclusion drawing techniques. Data validity was guaranteed through triangulation of sources and techniques . Results: The implementation of EMR has increased work efficiency and operational cost savings. However, there are still significant obstacles: (1) human resources are not fully competent, (2) network infrastructure is slow and unstable, (3) SOPs have not been fully implemented, (4) dualism of manual and electronic systems, and (5) budget limitations for device maintenance. Conclusion: The implementation of EMR provides positive benefits, but requires infrastructure improvements, intensive training, SOP revisions, and budget increases.
THE EFFECT OF ORGANIZATIONAL MANAGEMENT, ACCESSIBILITY, AND NURSES' PROFESSIONALISM ON OUTPATIENT PATIENT SATISFACTION AT THE POLYCLINIC OF DR. R. HARDJANTO HOSPITAL, BALIKPAPAN Vip Paramarta; Ayu Laili Rahmiyati; Ramadani
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 3 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i3.4066

Abstract

Patient satisfaction is a key indicator in assessing the quality of hospital services, particularly in outpatient services, which are the starting point for patient interaction with healthcare institutions. Dr. R. Hardjanto Balikpapan Level II Hospital experienced a decline in patient satisfaction by 8.4% and the number of polyclinic visits by 2.54%. This study aims to determine the effect of organizational management, accessibility, and nurse professionalism on outpatient satisfaction. The research method used is quantitative with a survey approach. Data collection was carried out by distributing questionnaires to outpatients, then analyzed using multiple linear regression. The results of the study indicate that partially and simultaneously, organizational management, accessibility, and nurse professionalism have a significant effect on patient satisfaction. Structured organizational management, easy access to services, and professional behavior of nurses have been proven to be able to increase positive patient perceptions of service quality. These findings confirm that these three factors are important components in forming a satisfying service experience in hospitals.
Pengaruh Kualitas Layanan Dan Inovasi Layana Kesehatan Terhadap Kepuasan Pasien Dan Berimplikasi Kepada Loyalitas (Studi Di Puskesmas Bontang Utara 1) I Wayan Santika; Taufik Zulfikar; Ayu Laili Rahmiyati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50350

Abstract

Persaingan dalam industri pelayanan kesehatan menuntut rumah sakit untuk terus berinovasi dan meningkatkan mutu layanan agar dapat memenuhi kebutuhan serta harapan pasien. Dua faktor utama yang diyakini memengaruhi keberhasilan rumah sakit dalam mempertahankan pasien adalah kualitas layanan dan inovasi layanan kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas layanan dan inovasi layanan kesehatan terhadap kepuasan pasien, serta implikasinya terhadap loyalitas pasien. Penelitian menggunakan pendekatan kuantitatif dengan desain explanatory research. Sampel penelitian berjumlah 99 responden pasien rawat jalan yang dipilih dengan teknik accidental sampling. Hasil penelitian menunjukkan bahwa Kualitas Layanan berpengaruh positif namun tidak signifikan terhadap Kepuasan Pasien (p-value = 0,141; t hitung = 1,487), sedangkan Inovasi Layanan Kesehatan berpengaruh positif dan signifikan terhadap Kepuasan Pasien (p-value = 0,029; t hitung = 2,216). Lebih lanjut, Kepuasan Pasien berpengaruh positif dan signifikan terhadap Loyalitas Pasien (p-value = 0,000; t hitung = 3,581). Kualitas Layanan tidak berpengaruh signifikan terhadap loyalitas pasien secara langsung (p-value = 0,093), sedangkan Inovasi Layanan Kesehatan berpengaruh signifikan (p-value = 0,014). Analisis mediasi menunjukkan bahwa kepuasan pasien berperan sebagai variabel intervening yang memperkuat hubungan kualitas layanan dan inovasi dengan loyalitas pasien. Nilai R² sebesar 0,368 untuk kepuasan pasien dan 0,531 untuk loyalitas pasien menunjukkan kontribusi model tergolong moderat hingga kuat. Kesimpulannya, loyalitas pasien dapat ditingkatkan melalui kepuasan yang dibentuk oleh kombinasi kualitas layanan dan inovasi. Rumah sakit perlu memperkuat inovasi berbasis teknologi digital, meningkatkan empati tenaga kesehatan, serta memperbaiki komunikasi interpersonal agar kepuasan dan loyalitas pasien terbangun secara berkelanjutan. Kata kunci: Kualitas Layanan, Inovasi Layanan Kesehatan, Kepuasan Pasien, Loyalitas Pasien
IMPLEMENTATION OF MARKETING MIX STRATEGY IN ATTRACTING PATIENTS' INTEREST IN TREATMENT AT MAYJEN HM RYACUDU REGIONAL HOSPITAL, BUMI CITY, NORTH LAMPUNG REGENCY Finny Redjeki; Etty Sofia Mariati Asnar; Yuana Cita Adhyaksa Putri; Vip Paramarta; Ayu Laili Rahmiyati; Farida Yuliaty
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.20984979

Abstract

The decline in outpatient visits is a major challenge for regional hospitals amidst increasing competition in healthcare services. This study aims to analyze the implementation of the 7P marketing mix (Product, Price, Place, Promotion, People, Process, and Physical Evidence) in increasing outpatient visits at Mayjen HM Ryacudu Regional General Hospital in Kotabumi, Lampung. The study used a qualitative approach with a case study method. Data were collected through in-depth interviews with management, medical personnel, and patients, which were then validated through source triangulation, field observation, and documentation. Then, they were analyzed using data reduction, data presentation, and conclusion drawing techniques. The results show that price and place elements are the hospital's main strengths due to affordable rates and strategic location. However, limited pricing flexibility due to government regulations limits the function of price as a differentiation tool. People and process elements play a significant role in shaping patient perceptions of service quality, while promotion has not been optimally utilized. A SWOT analysis places the hospital in a position that requires aggressive market penetration through service digitalization and physical facility modernization to restore public trust and increase visits by BPJS and general patients. This study emphasizes the importance of integrating all elements of the 7P marketing mix synergistically to increase patient interest in visiting regional hospitals.
ANALYSIS OF HOSPITAL MANAGEMENT INFORMATION SYSTEMS (HMIS) ON THE EFFECTIVENESS AND EFFICIENCY OF OUTPATIENT SERVICES AND ITS IMPLICATIONS FOR EMPLOYEE PERFORMANCE (A SURVEY STUDY AT RUMAH SEHAT TERPADU DOMPET DUAFA HOSPITAL, BOGOR CITY) Anggilia Yuliani Susanti; Sri Rochani Mulyani; Rukhiyat Syahidin; Ayu Laili Rahmiyati; Farida Yuliaty; Fitriana
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.20736148

Abstract

This study aims to analyze the effect of the Hospital Management Information System (HMIS) on the effectiveness and efficiency of outpatient services and its implications for employee performance at Rumah Sakit Sehat Terpadu Dompet Dhuafa, Bogor City. The study employed a quantitative approach with a survey method involving employees directly engaged in outpatient services and HMIS utilization. Data were collected through questionnaires and analyzed using descriptive analysis and path analysis with SPSS version 24. The results indicate that HMIS contributes to service effectiveness (β=0.605; R²=36.6%), reflected in improved patient data accessibility, recording accuracy, and service speed. HMIS also contributes to service efficiency (β=0.603; R²=36.4%), evidenced by reduced patient waiting times and accelerated administrative processes. Service effectiveness and efficiency jointly contribute to employee performance (R²=26.5%), although only efficiency demonstrates a meaningful partial contribution. HMIS exerts a direct effect on employee performance (β=0.526) as well as indirect effects through effectiveness (0.126) and efficiency (0.242), yielding a total effect of 0.894. It is concluded that optimal HMIS implementation contributes to improving outpatient service quality and employee performance.