Waluya The International Science of Health Journal
Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal

Human Factors in Hospital Management Information System Implementation and Social Security Agency Claim Effectiveness: A Qualitative Study at Dr. H. LM. Baharuddin M.Kes Regional Hospital in Muna, Indonesia

Darwangsah Adhe Arya (Dr. LM Baharuddin M.Kes. Regional General Hospital, Muna Regency, Indonesia)
Sunarsih Sunarsih (Master of Public Health Study Program, Faculty of Health Sciences, Mandala Waluya University, Indonesia)
Andi Asri (Master of Public Health Study Program, Faculty of Health Sciences, Mandala Waluya University, Indonesia)



Article Info

Publish Date
30 Sep 2026

Abstract

Introduction: Hospital Management Information Systems (HMIS) support integrated clinical documentation, hospital operations, and health insurance claim processing. However, effective implementation depends not only on technological infrastructure but also on human factors, including user competence, discipline, collaboration, and acceptance. This study explored human factors associated with HMIS implementation and Social Security Agency of Health Insurance claim processing at Dr. H. L.M. Baharuddin M.Kes Regional General Hospital, Muna Regency, Indonesia. Method: This study uses a qualitative approach based on the philosophy of postpositivism with reference to the HOT-Fit model. Data source sampling was carried out purposively and by snowball sampling. Data collection techniques used triangulation; data analysis was inductive. Informants in this study were 4 informants consisting of 1 key informant and 3 regular informants. Data processing was carried out using the NVivo V15 application. Result: The findings identified several human-related factors affecting HMIS implementation, including user competence, training needs, work experience, knowledge, problem-solving capacity, discipline, collaboration, commitment, and system acceptance. Among these factors, discipline in completing electronic medical records emerged as a prominent barrier to timely social security agency claim processing. Conclusion: Human factors play an important role in effective HMIS implementation and social security agency claim processing. Strengthening user competence, documentation discipline, continuous training, supervision, and organizational support may improve HMIS utilization and facilitate more timely and complete claim processing.

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Journal Info

Abbrev

wish

Publisher

Subject

Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Other

Description

The focus and scope of Waluya the International Science of Health Journal covers the development of public health science which consists of: Epidemiology, Environmental Health and Occupational Health, Health Administration and Policy, Health Promotion, Nutrition and Reproductive ...