Holistik Jurnal Kesehatan
Vol. 20 No. 6 (2026): Volume 20 Nomor 6

Implementasi manajemen rekam medis dan informasi kesehatan pada layanan gigi dan mulut: A literature review

Pandu Nurul Alam (Universitas Jenderal Soedirman)
Budi Aji (Universitas Jenderal Soedirman)
Joko Mulyanto (Universitas Jenderal Soedirman)



Article Info

Publish Date
31 Aug 2026

Abstract

Background: Medical record and health information management is a crucial component in enhancing quality, patient safety, continuity of care, and fulfilling hospital accreditation standards. In dental and oral health services, medical record management possesses unique characteristics as it encompasses odontograms, treatment history, clinical interventions, informed consent, and patient data security. Purpose: To analyze the implementation of medical record and health information management in the administration of dental practices. Method: An article search was conducted using the PRISMA approach across Google Scholar, PubMed/PMC, ScienceDirect, Garuda, and other journal sources. A total of 94 articles were identified, and through a selection mechanism, 10 articles were retrieved to be used in the synthesis. Results: The implementation of medical record and health information management in dental and oral health services encompasses six main focuses: the completeness and quality of dental medical record documentation, user compliance, digitalization and information efficiency, data security and confidentiality, accreditation standard-based quality audits, and oral-systemic data interoperability to support service quality, patient safety, and healthcare accountability. Conclusion: The implementation of medical record and health information management in dental services should be supported by complete dental documentation, user compliance, data security, continuous audits, digitalization aligned with clinical workflows, and oral-systemic data integration to improve service quality, patient safety, accreditation readiness, and service accountability   Keywords: Medical Record; Health Information Management; Dental Services.

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Journal Info

Abbrev

hjk

Publisher

Subject

Health Professions Nursing Public Health

Description

Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, di bidang ilmu kesehatan khususnya bidang ilmu keperawatan yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek ...