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INDONESIA
Indonesian Health Journal
Published by Riviera Publishing
ISSN : 29633036     EISSN : 29633044     DOI : https://doi.org/10.58344
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Health : Public Health, Midwifery, Nursing, Pharmacy, Environmental Health, Labor Health, Maternal and Child Health, Health Promotion and Health Service Management. Medicine : Biomedical, Epidermiology, Pharmacology, Herbal, Surgery, Pediatrics, Internal Medicine, Neurology, Psychiatry, Radiology, Forsenics, Allergy and Immunology, Clinical Medicine, Public Medicine, Medical Science Education, Medical Rehabilitation and Sports Medicine.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 154 Documents
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Implementation Barriers of Electronic Health Record Interoperability in Indonesian District Hospitals: A Mixed-Methods Study Septien Dwi Savandha; Elvira Fitriyanti; Adelia Azzahra
Indonesian Health Journal Vol. 5 No. 1 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i1.904

Abstract

The implementation of interoperable Electronic Health Records (EHRs) is essential for strengthening integrated, patient-centered healthcare delivery in Indonesia; however, district hospitals continue to face substantial barriers in aligning local hospital information systems with the national SATUSEHAT platform. This study aimed to identify and analyze the technical, organizational, regulatory, and human resource barriers affecting EHR interoperability readiness in Indonesian district hospitals. A convergent parallel mixed-methods design was employed across 12 type C and D district hospitals in West Java, Central Kalimantan, and East Nusa Tenggara. Data collection was conducted during the e januari-maret period in 2025. Quantitative data were collected from 240 respondents using a structured questionnaire based on the Technology-Organization-Environment framework and the Unified Theory of Acceptance and Use of Technology, while qualitative data were obtained through interviews and focus group discussions with 36 key informants. The findings showed that vendor and system interoperability, technical infrastructure readiness, and human resource competency were the most critical barriers. Logistic regression indicated that low infrastructure readiness, weak vendor interoperability, limited digital literacy, lower hospital digital maturity, and geographic location significantly predicted low interoperability readiness. Qualitative findings further revealed vendor lock-in, unstable connectivity, limited training, budget constraints, and regulatory implementation gaps. In conclusion, EHR interoperability in Indonesian district hospitals requires not only technical standardization, but also sustained organizational support, workforce capacity-building, stronger vendor governance, and differentiated policy assistance for hospitals with lower digital maturity. This study is novel in that it applies a convergent parallel mixed-methods design integrating the TOE and UTAUT frameworks specifically at the district-hospital level (RSUD type C and D) across provinces with contrasting digital maturity, an analytical scope that has not been jointly examined in prior Indonesian EHR interoperability research.
Digitizing Student Nutritional Status Monitoring through the Development of Anthropometric Applications: Longitudinal Studies of BMI and Abdominal Circumference Fatmayanti Nawai; Mahyudin Bami; Nur Natalia H Uri; Irmariani Irbar; Ade Chairina
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.906

Abstract

Student nutritional status is an important indicator in determining the health quality of young adults. Changes in lifestyle during the education period can affect students’ anthropometric conditions, particularly body mass index (BMI) and abdominal circumference. This study aimed to analyze changes in BMI and abdominal circumference among students of the Department of Nutrition over a one-year period without intervention and to develop an Android-based anthropometric application as a tool for monitoring nutritional status. The study used a longitudinal observational design with a paired-sample approach involving 106 students from the Department of Nutrition, consisting of the Diploma III Nutrition Program and the Bachelor of Applied Nutrition and Dietetics Program. Measurements were conducted in 2025 and repeated one year later, including body weight, height, abdominal circumference, and BMI. Data were analyzed using a paired sample test with a 95% confidence level.
The Effect of Academic Anxiety and Stress on The Risk of Functional Dyspepsia Among Pre-Clinical Medical Students: A Literature Review Meisya Devi Ardhana; Hafshah Yasmina Abidah
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.910

Abstract

Functional dyspepsia is a functional gastrointestinal disorder commonly found in the productive-age population, including medical students. This condition is characterized by symptoms such as epigastric pain, postprandial fullness, early satiety, nausea, bloating, and a burning sensation in the upper abdomen (heartburn), without any identifiable organic abnormalities. Various studies have shown that psychological factors, particularly anxiety and academic stress, contribute to the occurrence of functional dyspepsia through the brain–gut axis mechanism. This literature review aimed to analyze the relationship between anxiety and academic stress and the incidence of functional dyspepsia among medical students. The method used was a literature review based on a systematic search of scientific databases, primarily PubMed, as well as relevant international journals. The articles included were published between 2016 and 2026. A total of 11 articles that met the inclusion criteria were analyzed using a narrative synthesis approach.
Determinants of Voluntary Counseling and Testing Knowledge Among Married Women in Indonesia: Analysis of the 2017 Indonesian Demographic and Health Survey Jauharotun Rahma Wati; Yuni Asri; Tien Aminah
Indonesian Health Journal Vol. 5 No. 3 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i3.880

Abstract

This study aimed to analyze factors associated with knowledge of voluntary counseling and testing (VCT) among married women in Indonesia. A cross-sectional design was employed using secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS) women’s dataset (IDIR71FL). A total of 15,562 married women aged 15–49 years were included in the analysis after the application of sampling weights. The dependent variable was VCT knowledge, while the independent variables included sociodemographic characteristics and HIV-related knowledge factors. Data were analyzed using IBM SPSS Statistics version 26. Descriptive statistics were used to summarize respondents’ characteristics, while chi-square tests and binary logistic regression analyses were performed to identify factors associated with VCT knowledge. The results were reported as crude odds ratios (CORs), adjusted odds ratios (AORs), and 95% confidence intervals (CIs). Educational level, province, place of residence, wealth index, knowledge of HIV transmission, and exposure to HIV prevention communication were significantly associated with VCT knowledge (p < 0.05). Women with formal education had higher odds of adequate VCT knowledge (AOR = 2.72; 95% CI: 2.51–2.95). Respondents living in rural areas had lower odds of adequate VCT knowledge (AOR = 0.75; 95% CI: 0.71–0.95). Exposure to HIV prevention communication was identified as the strongest predictor of VCT knowledge (AOR = 1.99; 95% CI: 1.87–2.11). Overall, VCT knowledge among married women in Indonesia was associated with sociodemographic characteristics, socioeconomic status, HIV-related knowledge, and exposure to HIV prevention communication.

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