A. Syamsinar Asmi
Department of Health Information Management, Politeknik Sandi Karsa, South Sulawesi, Indonesia

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Analyzing the implementation of health information systems to improve service efficiency in community health centers Muh Ihsan Kamaruddin; A. Syamsinar Asmi; Wa Ode Novi Angraeni; Wahyudi Hardi; Jessy Andre Mangaya Takke
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.287

Abstract

Introduction: The increasing demand for efficient, accurate, and integrated health services in primary care underscores the essential role of Health Information Systems (HIS) in Puskesmas. Despite national policies encouraging digital transformation, many Puskesmas still face challenges, including limited infrastructure, inadequate digital literacy among health workers, and fragmented system integration. This study aims to analyze the implementation of HIS in Puskesmas, assess its contribution to service efficiency, and identify supporting and inhibiting factors that influence system adoption. Methods: The study employs a qualitative case-study approach involving several Puskesmas that have implemented HIS. Data were collected through in-depth interviews with health workers and administrative staff, direct observations of HIS use in daily operations, and document analysis related to system policies and operational procedures. The qualitative data were analysed through thematic coding and triangulation across sources to ensure validity and reliability. Results: The findings reveal that HIS significantly supports faster patient data processing, improves the accuracy of medical records, and reduces administrative burdens. However, system effectiveness varies across facilities depending on infrastructure readiness, staff competency, and leadership support. Barriers such as insufficient training, inconsistent internet connectivity, and inadequate system maintenance hinder optimal utilisation. Conversely, strong managerial commitment, user-friendly system design, and continuous government support emerge as key enablers. Conclusion: This study concludes that the implementation of HIS has the potential to substantially enhance service efficiency in Puskesmas when supported by adequate resources and policy alignment. Recommendations include strengthening digital literacy training, improving infrastructure, ensuring continuous technical support, and developing adaptive policies to sustain long-term HIS utilization.
Basic medical record education and training to prepare professional health human resources A. Syamsinar Asmi; Muh Ihsan Kamaruddin; Wa Ode Novi Angraeni; Wahyudi Hardi; Jessy Andre Mangaya Takke
Abdimas Polsaka Vol. 4 No. 2 (2025): Volume 4 Number 2 September 2025
Publisher : LPPM Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/abdimaspolsaka.v4i2.458

Abstract

Accurate and well-managed medical records are crucial for ensuring the quality of health services, supporting informed clinical decision-making, and enhancing health information systems. However, many health workers especially those in primary care and early-career stages lack adequate competence in basic medical record management. This community service program aimed to enhance participants’ knowledge and skills in fundamental medical record practices as part of preparing professional and reliable health human resources. This program was conducted through a structured educational and training intervention involving a one-day workshop delivered to 45 health workers and students. Activities included lectures, demonstrations, hands-on practice, and group discussions. Pre- and post-training assessments were used to measure improvements in knowledge and practical skills. Observational checklists evaluated participants’ accuracy in completing medical record components, including patient identification, documentation standards, coding basics, and confidentiality procedures. The results showed a significant improvement in participants’ understanding and performance. The mean knowledge score increased from 62.4 (pre-test) to 88.7 (post-test). Practical skills in completing standardized medical record forms improved from 54% to 90% accuracy. Participants reported increased confidence in maintaining documentation quality and understanding the legal and ethical responsibilities related to medical records. Feedback indicated high satisfaction with training methods and relevance to daily practice. This community service program effectively strengthened the foundational competencies required for health workers to manage medical records professionally. The combination of theory and practical sessions proved essential in building both conceptual understanding and hands-on skills. Continuous training and mentoring are recommended to ensure sustained quality and compliance with health information standards.