Journal of Hospital Administration and Management

ANALYSIS OF READINESS AND IMPLEMENTATION STRATEGIES FOR PATIENT ELECTRONIC SIGNATURES ON ELECTRONIC MEDICAL RECORDS AT RSUD BHAKTI DHARMA HUSADA SURABAYA

2026-06-04T08:43:48+00:00

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.

DESIGN OF A WEB-BASED COMPUTER-BASED TEST (CBT) APPLICATION FOR MEDICAL RECORD COMPETENCY EXAMINATION TRYOUTS

2026-06-12T01:35:37+00:00

The use of Information and Communication Technology (ICT) in education has become an essential necessity in the era of globalization, including in the implementation of try-out examinations to prepare students for competency tests. The implementation of try-outs using the Paper-Based Test (PBT) method still faces several challenges, such as high operational costs, the risk of cheating, lengthy result-processing times, and increased paper usage that negatively impacts the environment. Therefore, this study aims to design a web-based Computer-Based Test (CBT) system for medical record competency test try-outs to support a more effective, efficient, flexible, and secure evaluation process. The method used in this study is the waterfall method, which consists of literature study, requirements analysis, system design, implementation, and system testing stages. The results of this study indicate that the web-based CBT application for medical record competency test try-outs was successfully developed and is capable of meeting students’ needs in conducting examination simulations in a more practical and structured manner. The designed system also provides convenience in question management, test implementation, and rapid and accurate result processing. Thus, the design of this web-based CBT system can serve as an alternative solution to improve students’ readiness in facing medical record competency examinations more optimally.

ANALYSIS OF THE USE OF THE NATIONAL HEALTH INSURANCE MOBILE APP USING THE TECHNOLOGY ACCEPTANCE MODEL (TAM) AT METRO ISLAM HOSPITAL

2026-05-29T14:58:08+00:00

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.