Medrec Journal

ANALYSIS OF THE EFFECTIVENESS OF SELF-SERVICE REGISTRATION KIOSK USING TECHNOLOGY ACCEPTANCE MODEL AND END-USER COMPUTING SATISFACTION AT RSUD WATES

Tue, 18 Aug 2026 00:00:00 +0000

The implementation of the Self-Service Registration Kiosk (APM) at RSUD Wates is one of the efforts to improve the efficiency and quality of outpatient registration services. However, the utilization of APM has not been optimal. In 2025, APM usage accounted for only approximately 32% of total outpatient registrations, while around 68% of patients continued to register through the manual registration counter. This study aimed to analyze the effectiveness of APM utilization at RSUD Wates based on the Technology Acceptance Model (TAM) and End-User Computing Satisfaction (EUCS). This study employed a descriptive quantitative method involving 98 APM users selected through purposive sampling. Data were collected using questionnaires that had been tested for validity and reliability and were analyzed descriptively. The results showed that based on TAM, the mean scores of perceived usefulness, perceived ease of use, attitude toward using, behavioral intention to use, and actual use were 3.89 (agree), 2.50 (disagree), 3.01 (neutral), 3.39 (neutral), and 2.98 (neutral), respectively. Based on EUCS, the mean scores of content, accuracy, format, ease of use, and timeliness were 3.73 (satisfied), 4.28 (very satisfied), 3.93 (satisfied), 2.54 (dissatisfied), and 4.05 (satisfied), respectively. These findings indicate that the effectiveness of APM utilization at RSUD Wates has not been fully optimized. Although the system is perceived as useful and provides high-quality information, ease of use remains the main aspect that needs improvement to support the sustainable utilization of APM.

OUTPATIENT PATIENT SATISFACTION DESCRIPTION TOWARDS APM BASED ON THE EUCS METHOD AT BETHESDA GENERAL HOSPITAL YOGYAKARTA

Sandrina Nabila Aulia, Ana Kurniati, Nita Budiyanti — Tue, 18 Aug 2026 00:00:00 +0000

APM is a technology-based service innovation intended to improve the efficiency of outpatient registration. However, issues such as the absence of dedicated assistance for patients experiencing difficulties, unclear on-screen instructions, system limitations in reading missed control schedules, errors in patient data input, suboptimal menu displays, and network disruptions causing registration delays have been identified at Bethesda General Hospital Yogyakarta. This study aimed to describe outpatient satisfaction with APM services using the End User Computing Satisfaction (EUCS) method. A quantitative descriptive design with a cross-sectional approach was employed, involving 100 respondents selected through purposive sampling. Data were collected using an EUCS questionnaire covering five dimensions of user satisfaction (content, accuracy, ease of use, format, and timeliness) and analyzed descriptively. The overall level of patient satisfaction was categorized as satisfied. The content dimension achieved the highest mean score (4.18), followed by timeliness (4.12), accuracy (4.10), and both ease of use and format (4.09), all falling into the satisfied category. Despite these positive results, obstacles remain, including inadequate user instructions, data input errors, suboptimal interface design, and network disruptions affecting timeliness. In conclusion, the APM service demonstrated a satisfactory level of outpatient satisfaction across all EUCS dimensions, indicating good user acceptance and system usability.

ANALYSIS OF HEALTH INFORMATION MANAGEMENT PERSONNEL (PMIK) REQUIREMENTS IN THE PATIENT REGISTRATION DEPARTMENT USING THE HEALTH WORKLOAD ANALYSIS METHOD IN THE RME ERA AT SANTA ELISABETH BANTUL GENERAL HOSPITAL

Tue, 18 Aug 2026 00:00:00 +0000

The implementation of Electronic Medical Records (EMR) in hospitals has brought about changes in the patient registration process and staff workload. The transition from a manual to an electronic system has led to a shift in job responsibilities, necessitating an analysis of staffing needs that aligns with the hospital’s service conditions. This study aims to determine the staffing needs for medical records personnel in the patient registration department using the Health Workload Analysis (ABK-Kes) method in the era of Electronic Medical Records at Santa Elisabeth General Hospital in Bantul. The study design is descriptive with a qualitative approach. Data collection was conducted through observation, interviews, and document review. The workforce needs analysis was conducted using the Health Workload Analysis (ABK-Kes) method. The results of the study indicate that the implementation of EMR can improve service efficiency and accelerate the patient registration process. The Available Work Time (AWT) for patient registration staff at Santa Elisabeth General Hospital in Bantul is 68,820 minutes per year. The calculated Support Task Standard (STP) was 1,22 with a Support Task Factor (FTP) of 17,79%. Based on the results of calculations using the ABK-Kes method, it was found that there is an excess of one staff member in the patient registration section during the morning shift. In conclusion, the implementation of RME has an impact on the workload of patient registration staff, particularly in terms of improving the effectiveness and efficiency of services. Therefore, workforce requirements must be adjusted to align with the workload and competencies of staff so that services can operate optimally.

ANALYSIS OF ELECTRONIC MEDICAL RECORD IMPLEMENTATION USING THE HOT-FIT METHOD AT UMBULHARJO I COMMUNITY HEALTH CENTER YOGYAKARTA

Tue, 18 Aug 2026 00:00:00 +0000

The transition to digital health information systems is crucial for ensuring the quality of clinical services at primary healthcare facilities (Nurcahyanti, 2025). This study aimed to analyze the implementation of Electronic Medical Records (EMR) through the Puskesmas Management Information System (SIMPUS) at Puskesmas Umbulharjo I Yogyakarta using the HOT-Fit framework. A descriptive qualitative method with a cross-sectional design. Data were gathered through in-depth interviews with seven user informants and one triangulation informant, supported by direct observation and document reviews. The human component revealed high user satisfaction and full system utilization, although legally required clinical features remain unavailable. Evaluation of the organizational dimension demonstrated clear decree and SOP structures, yet routine training is lacking and hardware specifications remain suboptimal. Technically, the core system quality is stable, with operational disruptions predominantly triggered by internet bandwidth constraints and BPJS P-Care bridging errors. Nevertheless, the net benefits show highly positive outcomes, significantly accelerating patient services, eradicating missing physical charts, and eliminating double-entry tasks. In conclusion, EMR implementation performs optimally regarding system utilization and organizational structures, but critically requires infrastructure reinforcement, continuous training, and expanded clinical features.