Pengembangan Rekam Medis Elektronik Berbasis Software as a Service (SaaS) bagi Dokter Praktik Mandiri

https://doi.org/10.22146/jkesvo.55586

Dian Budi Santoso(1*), Nuryati Nuryati(2), Angga Eko Pramono(3)

(1) Departemen Layanan dan Informasi Kesehatan Sekolah Vokasi, Universitas Gadjah Mada
(2) Departemen Layanan dan Informasi Kesehatan Sekolah Vokasi, Universitas Gadjah Mada
(3) Departemen Layanan dan Informasi Kesehatan Sekolah Vokasi, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Latar Belakang: Klinik dokter praktik mandiri di Indonesia, khususnya yang telah menjadi mitra BPJS Kesehatan telah terbiasa menggunakan sistem berbasis elektronik. Namun software yang disediakan oleh BPJS Kesehatan tersebut belum mampu menggantikan fungsi rekam medis di klinik dokter praktik mandiri karena beberapa keterbatasan. Di Indonesia, saat ini belum ada software rekam medis elektronik yang dapat digunakan baik untuk pasien umum maupun pasien BPJS Kesehatan serta asuransi kesehatan lain dengan konsep Software as a Service (SaaS).

Tujuan: Mengembangkan sistem rekam medis elektronik berbasis SaaS bagi dokter praktik mandiri di Indonesia.

Metode: Jenis penelitian ini adalah research and development dengan mengikuti tahapan pengembangan sistem informasi menggunakan metode prototyping. Subyek penelitian adalah dokter praktik mandiri di Daerah Istimewa Yogyakarta berjumlah 25 orang. Data kualitatif dikumpulkan dengan wawancara dan FGD pada tahap analisis kebutuhan. Data kuantitatif dikumpulkan dengan kuesioner pada tahap uji coba dan evaluasi.

Hasil: Rekam medis elektronik harus dapat menyimpan dan menampilkan riwayat penyakit terdahulu, riwayat alergi, dan riwayat kunjungan pasien ke klinik dokter praktik mandiri serta interoperable dengan p-Care BPJS Kesehatan. Hasil evaluasi menunjukkan semua responden setuju terhadap aspek system usefulness, information quality, dan interface quality.

Kesimpulan: Prototype rekam medis elektronik bagi dokter praktik mandiri telah dikembangkan dengan konsep SaaS dan responden merasa puas terhadap prototype yang telah dikembangkan.


Keywords


rekam medis elektronik; dokter praktik mandiri; software as a service

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References

Aaronson, J. W., Murphy-Cullen, C. L., Chop, W. M., & Frey, R. D. (2001). Electronic medical records: the family practice resident perspective. Family Medicine, 33(2), 128–132. http://www.ncbi.nlm.nih.gov/pubmed/11271741

Aggelidis, V. P., & Chatzoglou, P. D. (2012). Hospital information systems: measuring end user computing satisfaction (EUCS). Journal of Biomedical Informatics, 45(3), 566–579. https://doi.org/10.1016/j.jbi.2012.02.009

Benlian, A., & Hess, T. (2011). Opportunities and risks of software-as-a-service: Findings from a survey of IT executives. Decision Support Systems, 52(1), 232–246. https://doi.org/10.1016/j.dss.2011.07.007

Budde, R., Kautz, K., Kuhlenkamp, K., & Züllighoven, H. (1992). Prototyping-An Approach to Evolutionary System Development. Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-76820-0

Goldzweig, C. L., Towfigh, A., Maglione, M., & Shekelle, P. G. (2009). Costs And Benefits Of Health Information Technology: New Trends From The Literature. Health Affairs, 28(Supplement 2), w282–w293. https://doi.org/10.1377/hlthaff.28.2.w282

Goodman, C. (2005). Savings In Electronic Medical Record Systems? Do It For The Quality. Health Affairs, 24(5), 1124–1126. https://doi.org/10.1377/hlthaff.24.5.1124

Guo, P. (2009). A Survey of Software as a Service Delivery Paradigm. Seminar on Internetworking. http://www.cse.hut.fi/en/publications/B/5/papers/guo_final.pdf

Hsiao, C.-J., Hing, E., Socey, T. C., & Cai, B. (2011). Electronic health record systems and intent to apply for meaningful use incentives among office-based physician practices: United States, 2001-2011. NCHS Data Brief, 79, 1–8. http://www.ncbi.nlm.nih.gov/pubmed/22617322

Khodambashi, S. (2013). Business Process Re-engineering Application in Healthcare in a Relation to Health Information Systems. Procedia Technology, 9, 949–957. https://doi.org/10.1016/j.protcy.2013.12.106

Kreger, H. (2003). Fulfilling the Web services promise. Communications of the ACM, 46(6), 29. https://doi.org/10.1145/777313.777334

Kushniruk, A. W., & Patel, V. L. (2004). Cognitive and usability engineering methods for the evaluation of clinical information systems. Journal of Biomedical Informatics, 37(1), 56–76. https://doi.org/10.1016/j.jbi.2004.01.003

Lechesa, M., Seymour, L., & Schuler, J. (2012). ERP Software as Service (SaaS): Factors Affecting Adoption in South Africa. In C. Møller & S. Chaudhry (Eds.), Re-conceptualizing Enterprise Information Systems (pp. 152–167). Springer Berlin Heidelberg.

Lewis, J. R. (1995). IBM computer usability satisfaction questionnaires: Psychometric evaluation and instructions for use. International Journal of Human-Computer Interaction, 7(1), 57–78. https://doi.org/10.1080/10447319509526110

Lewis, J. R. (2002). Psychometric Evaluation of the PSSUQ Using Data from Five Years of Usability Studies. International Journal of Human-Computer Interaction, 14(3–4), 463–488. https://doi.org/10.1080/10447318.2002.9669130

Peraturan Menteri Kesehatan Nomor 269 Tahun 2008 tentang Rekam Medis.

Perera, G., Holbrook, A., Thabane, L., Foster, G., & Willison, D. J. (2011). Views on health information sharing and privacy from primary care practices using electronic medical records. International Journal of Medical Informatics, 80(2), 94–101. https://doi.org/10.1016/j.ijmedinf.2010.11.005

Pizziferri, L., Kittler, A. F., Volk, L. A., Honour, M. M., Gupta, S., Wang, S., Wang, T., Lippincott, M., Li, Q., & Bates, D. W. (2005). Primary care physician time utilization before and after implementation of an electronic health record: a time-motion study. Journal of Biomedical Informatics, 38(3), 176–188. https://doi.org/10.1016/j.jbi.2004.11.009

Putri, F. E. (2010). Perancangan Aplikasi Pelaporan pada Sistem Informasi Dokter Keluarga Berbasis Web di Wilayah Kota Yogyakarta. Skripsi. Unversitas Muhammadiyah Surakarta. http://eprints.ums.ac.id/10306/1/J410080205.pdf

Rosa, A. F., Martins, A. I., Costa, V., Queiros, A., Silva, A., & Rocha, N. P. (2015). European Portuguese validation of the Post-Study System Usability Questionnaire (PSSUQ). 2015 10th Iberian Conference on Information Systems and Technologies (CISTI), 1–5. https://doi.org/10.1109/CISTI.2015.7170431

Samra, J. (2015). Comparing Performance of Plain PHP and Four of Its Popular Framework [Linnaeus University]. https://www.diva-portal.org/smash/get/diva2:846121/FULLTEXT01.pdf

Schenarts, P. J., & Schenarts, K. D. (2012). Educational Impact of the Electronic Medical Record. Journal of Surgical Education, 69(1), 105–112. https://doi.org/10.1016/j.jsurg.2011.10.008

Schenkman, B. N., & Jönsson, F. U. (2000). Aesthetics and preferences of web pages. Behaviour & Information Technology, 19(5), 367–377. https://doi.org/10.1080/014492900750000063

Sudarti, R. (2015). Evaluasi Implementasi Perangkat Lunak P-Care Di Puskesmas Kotagede I Kota Yogyakarta Dengan Menggunakan Metode Technology Acceptance Model (TAM). Tugas Akhir. Universitas Gadjah Mada.

Taylor, H. A., Sullivan, D., Mullen, C., & Johnson, C. M. (2011). Implementation of a user-centered framework in the development of a web-based health information database and call center. Journal of Biomedical Informatics, 44(5), 897–908. https://doi.org/10.1016/j.jbi.2011.03.001

Tsai, W., Bai, X., & Huang, Y. (2014). Software-as-a-service (SaaS): perspectives and challenges. Science China Information Sciences, 57(5), 1–15. https://doi.org/10.1007/s11432-013-5050-z

Uslu, A. M., & Stausberg, J. (2008). Value of the electronic patient record: An analysis of the literature. Journal of Biomedical Informatics, 41(4), 675–682. https://doi.org/10.1016/j.jbi.2008.02.001

van der Meijden, M. J. (2003). Determinants of Success of Inpatient Clinical Information Systems: A Literature Review. Journal of the American Medical Informatics Association, 10(3), 235–243. https://doi.org/10.1197/jamia.M1094

Wang, S. J., Middleton, B., Prosser, L. A., Bardon, C. G., Spurr, C. D., Carchidi, P. J., Kittler, A. F., Goldszer, R. C., Fairchild, D. G., Sussman, A. J., Kuperman, G. J., & Bates, D. W. (2003). A cost-benefit analysis of electronic medical records in primary care. The American Journal of Medicine, 114(5), 397–403. https://doi.org/10.1016/s0002-9343(03)00057-3

Yusof, M. M., Stergioulas, L., & Zugic, J. (2007). Health information systems adoption: findings from a systematic review. Studies in Health Technology and Informatics, 129(Pt 1), 262–266. http://www.ncbi.nlm.nih.gov/pubmed/17911719



DOI: https://doi.org/10.22146/jkesvo.55586

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