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Marian Tonis
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INDONESIA
Journal of Hospital Administration and Management (JHAM)
Published by Universitas Awal Bros
ISSN : 27228193     EISSN : 27228193     DOI : https://doi.org/10.54973/jham.v3i2
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Medicine & Pharmacology Public Health
Focus & Scope Hospital Information and Management System Hospital Administration Occupational Health and Safety Health Education and Promotion Public Health Science Medical records Hospital Accreditation General Management Leadership Human Resource Management Production Management Marketing Management Financial management Information Management Strategy and Operations Management
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 197 Documents
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ANALISIS PENGARUH MUTU PELAYANAN KESEHATAN RUJUKAN PADA PROGRAM KJSU-KIA (KANKER, JANTUNG PEMBULUH DARAH, STROKE, URONEFROLOGI, KESEHATAN IBU & ANAK) TERHADAP KEPUASAN PASIEN DI RSUD.SAWERIGADING MENGGUNAKAN METODE STRUCTURAL EQUATION MODELING (SEM) Rismayanti Amran; Rozalina AMRAN; Saparuddin Latu; Asnani; Julia Fitrianingsih; Muhammad Tahir Malik
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.886

Abstract

This study aims to analyze the effect of referral healthcare service quality in the KJSU-KIA program (Cancer, Cardiovascular Disease, Stroke, Uronephrology, Maternal and Child Health) on patient satisfaction at Sawerigading Regional General Hospital (RSUD Sawerigading Palopo) using the Structural Equation Modeling (SEM) approach. Strengthening referral healthcare services has become one of the national health transformation priorities in Indonesia to improve access, quality, and continuity of healthcare services, particularly for catastrophic and priority diseases. This research employed a quantitative explanatory design with a cross-sectional approach involving 200 patients receiving KJSU-KIA referral services. Data were collected using SERVQUAL-based questionnaires covering five dimensions of service quality: Tangibles, reliability, responsiveness, assurance, and Empathy. Data analysis was conducted using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with SmartPLS 4.0 software. The findings revealed that reliability, responsiveness, and assurance had a significant positive effect on patient satisfaction, while Tangibles and Empathy did not show significant effects. Among all dimensions, responsiveness was identified as the most dominant factor influencing patient satisfaction. The structural model demonstrated strong explanatory power with an R² value of 0.618, indicating that service quality dimensions explained 61.8% of the variance in patient satisfaction. The study concludes that improving responsiveness, reliability, and professional assurance is essential to enhance patient satisfaction in referral healthcare services within the KJSU-KIA program at RSUD Sawerigading Palopo.
EVOLUSI DAN TANTANGAN KEAMANAN DAN KERAHASIAAN REKAM MEDIS BERDASARKAN HAK AKSES DI RUANG PENYIMPANAN PADA ERA DIGITALISASI RUMAH SAKIT “X” Nur Maimun; Ulil Kholili; Jihan Natassa; Sri Wardani; Haryani Octaria
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.911

Abstract

The advancement of information technology has driven the transformation of medical record systems from paper-based records to Electronic Medical Records (EMRs). The implementation of EMRs provides various benefits, including improved operational efficiency, data accessibility, and healthcare service quality. However, digitalization also presents challenges related to patient data confidentiality and security, including the risks of data breaches, unauthorized access, and cyberattacks. This study aims to explore the evolution and challenges of medical record confidentiality in storage systems during the digitalization era. A qualitative research method with a phenomenological approach was employed. Informants were selected using a non-probability sampling technique through purposive sampling. The results showed that, from the man aspect (human resources), the competence and readiness of personnel in maintaining the security and confidentiality of medical records were adequate, although the availability of information technology personnel remained insufficient. From the money aspect, funding requirements for maintaining the security and confidentiality of medical records were proposed through the hospital planning department. Regarding the material aspect, the facilities and infrastructure supporting EMR implementation at X Hospital Pekanbaru were almost fully available. From the method aspect, the hospital had established standard operating procedures (SOPs) related to electronic medical records. Meanwhile, the machine aspect indicated that the implementation of technology and equipment supporting the security and confidentiality of medical record data, both manual and electronic, had been carried out relatively well. Therefore, strengthening information technology human resources, enhancing staff capacity, and continuously optimizing digital security systems are recommended to maintain the confidentiality and security of medical record data in the digital era.
DAMPAK IMPLEMENTASI MOBILE JKN TERHADAP KECEPATAN AKSES INFORMASI DAN KLAIM PESERTA BPJS KESEHATAN DI RSIA X TAHUN 2025 Fitriani Astika; Sy.Effi Daniati; Wen Trisna Via
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.913

Abstract

The implementation of digital transformation in healthcare services has encouraged BPJS Kesehatan to introduce the Mobile JKN application as an effort to improve service efficiency and accessibility for National Health Insurance (JKN) participants. This study aimed to analyze the impact of Mobile JKN implementation on the speed of information access and claim services for BPJS Kesehatan participants at RSIA X in 2025. This research used a qualitative method with a case study approach. Data were collected through observations, in-depth interviews, and documentation involving three active JKN participants who used the Mobile JKN application and two BPJS service officers. Data analysis was conducted using content analysis techniques. The results showed that the implementation of Mobile JKN accelerated access to participant information, online queue services, service schedules, and referral status digitally. The application also improved administrative service efficiency through faster participant data verification and reduced queues at administrative counters. In addition, the use of Mobile JKN accelerated the claim service process because participant data had been integrated with the BPJS Kesehatan system. However, several obstacles were still identified, including internet network disruptions, system errors, and low digital literacy among some participants. Overall, the implementation of Mobile JKN had a positive impact on improving the quality of digital-based BPJS Kesehatan services.
IMPLEMENTASI DIGITALISASI REKAM MEDIS DALAM KEGIATAN REKAM MEDIS ELEKTRONIK DI RSIA BUDHI MULIA PEKANBARU Henny Maria Ulfa; Haryani Octaria; Tona Doli Silitonga
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.915

Abstract

The implementation of Electronic Medical Records (EMR) is an essential component of digital transformation in healthcare services and has become mandatory for all healthcare facilities in Indonesia. One of the key elements supporting EMR implementation is medical record digitization, which aims to improve the efficiency of patient data management and facilitate timely access to health information. This study aimed to analyze the implementation of medical record digitization in Electronic Medical Record activities at RSIA Budhi Mulia Pekanbaru. This study employed a descriptive qualitative approach. Four informants participated in the study, consisting of the head of the medical record unit, registration officers, and medical record processing staff. Data were collected through observation, in-depth interviews, and documentation, and analyzed using qualitative methods. The findings revealed that medical record personnel involved in the digitization process possessed appropriate educational qualifications and had received training related to EMR implementation. Standard Operating Procedures (SOPs) for EMR implementation were available and consistently applied. Supporting facilities and infrastructure, including computer equipment and internet networks, were considered adequate. However, a weakness was identified in the system security aspect, namely the absence of an automatic account-locking feature, which may increase the risk of unauthorized access to medical record data. The study concludes that the implementation of medical record digitization at RSIA Budhi Mulia Pekanbaru has generally been well implemented in terms of human resources, SOPs, and supporting infrastructure. Strengthening system security through the development of account protection features is recommended to enhance the confidentiality and integrity of electronic medical record data.
ANALISIS PENGGUNAAN SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (KHANZA) DENGAN METODE EUCS DI BAGIAN PENDAFTARAN RUMAH SAKIT X TAHUN 2025 Azlina Azlina; Tri Purnama Sari; Siti Hasanah; Wen Via Trisna; Novia Andriyani
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.916

Abstract

The implementation of Hospital Management Information Systems (HMIS) plays an important role in improving the efficiency and quality of healthcare services. However, evaluations of end-user satisfaction, particularly among registration officers, remain limited. This study aimed to analyze user satisfaction with the KHANZA HMIS at the Registration Unit of Hospital X using the End User Computing Satisfaction (EUCS) method. A descriptive qualitative approach was employed involving four registration officers and one head of the registration unit as informants. Data were collected through in-depth interviews, observations, and document review, then analyzed using qualitative content analysis based on five EUCS dimensions: content, accuracy, format, ease of use, and timeliness. The findings revealed that KHANZA was generally perceived positively by users. Ease of use emerged as the strongest dimension due to regular training and system familiarity. Content and accuracy dimensions were considered adequate in supporting registration activities, although limitations were identified in patient history summaries and data correction processes. Meanwhile, format and timeliness dimensions still require improvement, particularly regarding interface design and system response time during peak service hours. The study concludes that KHANZA effectively supports registration services; however, interface enhancement, infrastructure optimization, and improved information retrieval features are needed to increase overall user satisfaction.
ANALISIS PENGGUNAAN MOBILE JAMINAN KESEHATAN NASIONAL DENGAN MENGGUNAKAN METODE TECHNOLOGY ACCEPTANCE MODEL (TAM) DI RUMAH SAKIT ISLAM METRO Retno Sofy Safira; Windi Pertiwi; Yogi Catur Putra; Maya Aprilianingsih
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.918

Abstract

Digital transformation through the Mobile JKN app aims to improve healthcare services, yet getting patients to actually use it remains a challenge. This study uses the Technology Acceptance Model (TAM) to analyze how perceived usefulness, ease of use, and user attitude influence the intention to use the app at Islam Metro Hospital. The research design used in this study is quantitative with a cross-sectional approach. The population consisted of 1,809 Mobile JKN users at Islam Metro Hospital, from which a sample of 328 respondents was selected using a purposive sampling technique. Data were collected via questionnaires distributed to these 328 respondents, followed by validity and reliability tests, and correlation analysis using the Spearman rank test. The research findings indicate a significance value of 0.000 (which is leq 0.05), meaning there is a significant relationship between the three variables perceived usefulness, perceived ease of use, and attitude toward use and the Behavioral Intention to Use the Mobile JKN application at Islam Metro Hospital, leading to the rejection of H0. The correlation coefficients for Perceived Usefulness (r = 0.523) and Perceived Ease of Use (r = 0.551) fall into the moderate category, while attitude toward use (r = 0.723) shows a strong relationship and stands as the most dominant factor. Participants' intention to use the Mobile JKN application is heavily determined by a positive attitude, which is formed by the benefits and ease of use perceived by the users. For future research, it is recommended to include other variables outside the TAM model, such as internet connection quality or facility support factors, considering that there are still influencing factors beyond the variables examined in this study.
ANALISIS KESIAPAN DAN STRATEGI IMPLEMENTASI TANDA TANGAN ELEKTRONIK PASIEN PADA REKAM MEDIS ELEKTRONIK DI RSUD BHAKTI DHARMA HUSADA SURABAYA ivana sulissetyaningrum; Auliyaur Rabbani; Umi Khoirun Nisak; Irwan Alnarus Kautsar
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.926

Abstract

The implementation of Electronic Medical Records (EMR) is an important part of digital transformation in healthcare services. However, several patient approval documents are still signed manually, causing inefficiency in paperless services. This study aimed to analyze the readiness and implementation strategies of patient electronic signatures on Electronic Medical Records at RSUD Bhakti Dharma Husada Surabaya. This research used a descriptive quantitative method with the Normalization Process Theory (NPT) approach including coherence, cognitive participation, collective action, and reflexive monitoring variables. Data collection was conducted using questionnaires distributed to 84 respondents consisting of health workers and related staff. The results showed that all variables were categorized as ready, with average scores of coherence 4.0437, cognitive participation 4.0357, collective action 4.0125, and reflexive monitoring 4.1190. The main obstacle was identified in the skill set workability aspect related to technical staff skills in assisting patients with digital devices. The priority implementation strategy was strengthening data security and system legality with an average score of 4.2976. Other strategies included patient education, preparation of standard operating procedures, infrastructure provision, human resource training, and SIMRS integration. RSUD Bhakti Dharma Husada Surabaya was considered ready to implement patient electronic signatures gradually by considering aspects of security, legality, infrastructure, and human resource readiness.
english DETERMINANTS OF ADHERENCE TO ANTI-TUBERCULOSIS DRUGS (ATD) AT BALOI PERMAI PRIMARY HEALTH CENTER, BATAM ELZUSANDRY FITHRI; Herdianti; Sabri; Hendri Herman
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.855

Abstract

Adherence to anti-tuberculosis drugs (ATD) therapy is a critical determinant of successful tuberculosis treatment and the prevention of drug resistance. Non-adherence may lead to treatment failure, disease recurrence, and continued transmission within the community. Therefore, identifying factors that influence patient adherence is essential for strengthening tuberculosis control programs. This study aimed to examine factors associated with adherence to anti-tuberculosis medication among pulmonary tuberculosis patients at Baloi Permai Primary Health Center, Batam City. A quantitative cross-sectional study was conducted involving 39 patients undergoing anti-tuberculosis treatment. Data were collected using structured questionnaires assessing knowledge, attitudes, practices, family support, and the role of health workers. Statistical analysis was performed using Chi-square tests and logistic regression. The bivariate analysis revealed that patient attitude (p = 0.050) and family support (p = 0.006) were significantly associated with treatment adherence. Meanwhile, knowledge, practices, and the role of health workers were not significantly related to adherence (p > 0.05). Multivariate analysis identified family support as the most influential factor affecting adherence to anti-tuberculosis therapy (OR = 6.03; p = 0.010). In conclusion, family support is the strongest determinant of ATD adherence. Strengthening family-based approaches should be integrated into TB management programs at primary healthcare facilities.
TANGGUNG JAWAB HUKUM DAN IMPLIKASINYA TERHADAP PENGGUNAAN TEKNOLOGI KECERDASAN BUATAN (ARTIFICIAL INTELLIGENCE) DALAM PELAYANAN KESEHATAN DI INDONESIA Yulianti Wulandari; Mulyana; Diana Nurkarlin
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.919

Abstract

Indonesia has adopted artificial intelligence (AI)-based technology in healthcare through the Minister of Health Regulation No. 21 of 2020 on the Ministry of Health Strategic Plan 2020-2024. The integration of AI challenges Indonesia's existing healthcare legal framework, which has traditionally been reactive and sector-specific, because AI differs fundamentally from conventional medical interventions. These challenges highlight the need to examine legal liability and its implications for the use of AI in healthcare services in Indonesia. This study employed a normative legal research approach using a literature review and analytical method to examine legal liability and the implications of AI implementation in healthcare services in Indonesia. Under Law No. 17 of 2023 on Health, healthcare professionals remain legally responsible for the services they provide, including empathy, communication, and ethical decision-making when using AI-based health technologies. However, a legal vacuum persists because no specific legal provisions govern liability when AI produces inaccurate diagnoses that harm patients. Since AI is recognized as a legal object rather than a legal subject, it cannot be held legally accountable. Law No. 17 of 2023 does not explicitly regulate the use of AI in healthcare. Consequently, legal uncertainty remains regarding liability for AI-related harm, particularly in determining whether responsibility lies with physicians, operators, developers, or other parties responsible for establishing AI operational parameters. Clear legal regulations are therefore needed to ensure legal certainty, accountability, and patient protection.
ANALISIS HUBUNGAN KEPATUHAN DOKUMENTASI DISCHARGE PLANNING DENGAN LAMA RAWAT INAP DAN READMISI PADA PASIEN STROKE DAN CEDERA KEPALA DI RUMAH SAKIT AWAL BROS PEKANBARU Ruth Hutagalung; Helen Andriani
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.936

Abstract

Stroke and traumatic brain injury are commonly associated with prolonged hospital stay and readmission. Effective discharge planning is essential to ensure continuity of care; however, documentation compliance remains suboptimal. The objective of this research is to examine the association between discharge planning documentation compliance based on the METHOD and IDEAL models and length of hospital stay and 30-day readmission among stroke and traumatic brain injury patients. A quantitative analytical observational study with a retrospective cross-sectional design was conducted using medical records of 111 stroke and traumatic brain injury patients admitted to Awal Bros Hospital Pekanbaru between October and December 2025. Data were analyzed using Spearman's correlation, Mann–Whitney U, Kruskal–Wallis, multiple linear regression, and logistic regression. Source triangulation through confirmatory interviews with healthcare professionals was performed to validate discharge planning implementation. Poor discharge planning documentation was identified in 51.4% of the METHOD model and 44.1% of the IDEAL model. The IDEAL score showed a weak positive association with length of hospital stay (r=0.194; p=0.042), whereas the METHOD score was not significant. Neither model was associated with 30-day readmission (p>0.05). Comorbidity and complete functional dependence were significant predictors of prolonged hospitalization. Source triangulation confirmed that discharge planning was routinely implemented, although documentation remained incomplete, particularly in patient education, medication management, and dietary counseling. Discharge planning documentation showed a weak association with length of hospital stay but not with 30-day readmission. Strengthening documentation quality and multidisciplinary coordination is essential to improve continuity of care.

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