The Benefits of Electronic Medical Records Reviewed from Economic, Clinical, and Clinical Information Benefits in Hospitals

Authors

  • Novita Ariyanti Universitas Diponegoro
  • Farid Agushybana Universitas Diponegoro
  • Aris Puji Widodo Universitas Diponegoro

DOI:

https://doi.org/10.25311/keskom.Vol9.Iss1.1420

Abstract

The development and progress of information technology are advancing very rapidly, electronic medical records are one form of these developments and advances in the health sector. A hospital is a place of service in the health sector that performs services related to medical records. Medical records can be made in full and clearly in electronic (digital) form. The implementation of medical record technology can solve many problems in the economic field, clinical, and information of clinical in the hospital system. The high cost of operational and complicated procedures is a crucial problem in the hospital system. So, the advance of medical technology can press high costs, cutting off the manual process to faster and more effective system and efficiency costs of operational. The study uses Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), with many articles on the same issue. The same issues that can be found at the same topics of articles are probably more than fifty topics of articles. Articles were taken from various sources and database references, including Scopus 2 journals, Science Direct 16 journals, ProQuest 10 journals, Springer Link 3 journals, Google Scholar 36 journals, Research Gate 21 journals, PubMed 31 journals, and Emerald Insight 31 journals. So the total journal database is 133 journals. Then filtering was carried out by identifying the suitability of the journal until it was narrow and 27 articles were selected to be used as a reference in this research.. The purpose of this study is to determine the benefits of applying Electronic Medical Records in terms of economic, clinical, and access to clinical information. Some of the economic benefits include cost savings, effectiveness, and cost efficiency. Clinical benefits include reducing medical errors, improving data readability, improving the quality of care services, and increasing the productivity of medical personnel. And the benefits of accessing clinical information include improving the accessibility of patient history information, improving patient confidentiality, and assisting the decision-making process.

Downloads

Download data is not yet available.

References

Muryanti T, Pinilih M, Oktaviana LD. Evaluasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) pada RSIA Bunda Arif Purwokerto Menggunakan Framework COBIT 5. Probisnis. 2018;11(1):59–75.

Alam MGR, Masum AKM, Beh LS, Hong CS. Critical factors influencing decision to adopt human resource information system (HRIS) in hospitals. PLoS One. 2016;11(8).

Ghanbari Z, Changizi N, Mazhari SR, Eftekhar T. Implementing of Electronic Medical Record in Pelvic Floor Ward: A Pilot Study. Open J Obstet Gynecol. 2015;05(06):319–23.

Tanjung I, Sukrianto D. Perancangan Sistem Informasi Rekam Medis Terpadu Dalam Upaya Meningkatkan Pelayanan Rumah Sakit Jiwa Tampan Prov. Riau. J Intra-Tech. 2017;1(1):43–54.

Ningtyas AM, Lubis IK. Literatur Review Permasalahan Privasi Pada Rekam Medis Elektronik. Pseudocode. 2018;5(2):12–7.

Bensefia A, Zarrad A. A Proposed Layered Architecture to Maintain Privacy Issues in Electronic Medical Records. E-Health Telecommun Syst Networks. 2014;03(04):43–9.

Rosalinda R, Setiatin SS, Susanto AS. Evaluasi Penerapan Rekam Medis Elektronik Rawat Jalan Di Rumah Sakit Umum X Bandung Tahun 2021. Cerdika J Ilm Indones. 2021;1(8):1045–56.

Amin M, Setyonugroho W, Hidayah N. Implementation of Electronic Medical Records: A Qualitative Study. J Tek Inform dan Sist Inf. 2021;8(1):430–42.

Andriani R, Kusnanto H, Istiono W. Analisis Kesuksesan Implementasi Rekam Medis Elektronik Di Rs Universitas Gadjah Mada. J Sist Inf. 2017;13(2):90.

Kazley AS, Ozcan YA. Organizational and environmental determinants of hospital EMR adoption: A national study. J Med Syst. 2007;31(5):375–84.

Bossen C, Jensen LG, Udsen FW. Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: Approach, results, and success factors. Int J Med Inform. 2013;82(10):940–53.

Kaneko K, Onozuka D, Shibuta H, Hagihara A. Impact of electronic medical records (EMRs) on hospital productivity in Japan. Int J Med Inform. 2018;118:36–43.

Erawantini F, Wibowo NS. Implementasi Rekam Medis Elektronik dengan Sistem Pendukung Keputusan Klinis. J Teknol Inf dan Terap. 2019;6(2):75–8.

Febrianti EC, Nurmawati I, Muflihatin I. Evaluasi Rekam Medis Elektronik di Tempat Pendaftaran Pasien Gawat Darurat dan Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang. J-REMI J Rekam Med dan Inf Kesehat. 2020;1(4):537–44.

Sudra RI. Standardisasi Resume Medis Dalam Pelaksanaan PMK 21/ 2020 Terkait Pertukaran Data Dalam Rekam Medis Elektronik. J Ilm Perekam dan Inf Kesehat Imelda. 2021;6(1):67–72.

Amatayakul M. Electronic Health Records: A Practical Guide for Professionals and Organizations. 2012. 1–525 hal.

Cline GB, Luiz JM. Information technology systems in public sector health facilities in developing countries: The case of South Africa. BMC Med Inform Decis Mak. 2013;13(1).

Tilahun B, Fritz F. Modeling antecedents of electronic medical record system implementation success in low-resource setting hospitals Healthcare Information Systems. BMC Med Inform Decis Mak. 2015;15(1):1–9.

Mohd Nor NA, Taib NA, Saad M, Zaini HS, Ahmad Z, Ahmad Y, et al. Development of electronic medical records for clinical and research purposes: The breast cancer module using an implementation framework in a middle income country- Malaysia. BMC Bioinformatics. 2019;19(13):139–54.

Hernández-Ávila JE, Palacio-Mejía LS, Lara-Esqueda A, Silvestre E, Agudelo-Botero M, Diana ML, et al. Assessing the process of designing and implementing electronic health records in a statewide public health system: The case of Colima, Mexico. J Am Med Informatics Assoc. 2013;20(2):238–44.

Mashoka RJ, Murray B, George U, Lobue N, Mfinanga J, Sawe H, et al. Implementation of electronic medical records at an Emergency Medicine Department in Tanzania: The information technology perspective. African J Emerg Med. 2019;9(4):165–71.

Sidek YH, Martins JT. Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective. Int J Med Inform. 2017;107:88–100.

Nurhayati, Widodo S, Suhartanto A. Evaluasi Sistem Informasi Rekam Medis Di Rumah Sakit Brayat Minulya. Nusant Hasana J. 2021;1(1):95–101.

Rohmah AN. Evaluasi Penerapan Rekam Medis Elektronik Pada Unit Coding Rawat Jalan RSUD K.R.M.T Wongsonegoro Kota Semarang. 2020.

Purwandi ID. Evaluasi Penerimaan Pengguna Terhadap Penerapan Rekam Medis Elektronik Dengan Pendekatan Technology Acceptance Model (TAM) di Unit Rawat Jalan …. Universitas Muhammadiyah Yogyakarta. 2018.

Herawati HE, Nurhayati R, Kurniasari H, Rahayu MU, Saputro DA. TINJAUAN PELAKSANAAN REKAM MEDIS ELEKTRONIK RAWAT JALAN DI RUMAH SAKIT ‘AISYIYAH BOJONEGORO. J Hosp Sci. 2018;1(2):8–15.

Fortin M, Lapointe J, Clavel S, Sicotte C. Assessing the Benefits of Implementing an Oncology Electronic Medical Record in a New Cancer Center. Int J Radiat Oncol. 2013;87(2):S489.

Shapiro LM, Kamal RN. Implementation of Electronic Health Records During Global Outreach: A Necessary Next Step in Measuring and Improving Quality of Care. J Hand Surg Am. 2022;47(3):279–83.

Bingham G, Tong E, Poole S, Ross P, Dooley M. A longitudinal time and motion study quantifying how implementation of an electronic medical record influences hospital nurses’ care delivery. Int J Med Inform. 2021;153.

Gebre-mariam M, Borycki E, Kushniruk A, Purkis ME. An Electronic Medical Record ( EMR ) Implementation Framework for HIV Care and Treatment Facilities in Ethiopia. Electronic. 2012;11(1):14–24.

Tweya H, Feldacker C, Gadabu OJ, Ng’ambi W. Developing a Point of Care Electronic MR System for TB HIV Co-Infected Patients in Malawi. BMC Res Notes. 2016;9(146):1–10.

Haskew J, Rø G, Turner K, Kimanga D, Sirengo M, Sharif S. Implementation of a cloud-based electronic medical record to reduce gaps in the HIV treatment continuum in rural Kenya. PLoS One. 2015;10(8).

Oluoch T, Kwaro D, Ssempijja V, Katana A, Langat P, Okeyo N, et al. Better adherence to pre-antiretroviral therapy guidelines after implementing an electronic medical record system in rural Kenyan HIV clinics: A multicenter pre-post study. Int J Infect Dis. 2015;33:109–13.

Kujala S, Horhammer I, Vayrynen A, Holmroos M, Nattiaho-Ronnholm M, Hagglund M, et al. Patients’ Experiences of Web-Based Access to Electronic Health Records in Finland: Cross-sectional Survey. J Med Internet Res. 2022;24(6).

Doubova S V., Pérez-Cuevas R, Ortiz-Panozo E, Hernández-Prado B. Evaluation of the quality of antenatal care using electronic health record information in family medicine clinics of Mexico City. BMC Pregnancy Childbirth. 2014;14(1).

Shah KG, Slough TL, Yeh PT, Gombwa S, Kiromera A, Oden ZM, et al. Novel open-source electronic medical records system for palliative care in low-resource settings. BMC Palliat Care. 2013;12(1).

Sambasivan M, Esmaeilzadeh P, Kumar N, Nezakati H. Intention to adopt clinical decision support systems in a developing country: Effect of Physician’s perceived professional autonomy, involvement and belief: A cross-sectional study. BMC Med Inform Decis Mak. 2012;12(1):1–8.

Mwang A, Yitambe A. Determinants of Implementing Electronic Medical Records in Clinical Management in Public Healthcare Facilities in Mombasa County , Kenya. Int J Econ Commer Manag. 2019;VII(7):490–508.

Kartika Y, Rusetiyanti N, Pertiwi AAP. Nurses and physicians’ perceptions on the Electronic Health Record implementation. Enferm Clin. 2021;31(3):521–5.

Cherif E, Mzoughi M. Electronic health record adopters: a typology based on patients’ privacy concerns and perceived benefits. Public Health. 2022;207:46–53.

Deimazar G, Kahouei M, Zamani A, Ganji Z. Health information technology in ambulatory care in a developing country. Electron Physician. 2018;10(2):6319–26.

Submitted

2022-12-10

Accepted

2023-03-27

Published

2023-06-13

How to Cite

1.
Ariyanti N, Agushybana F, Widodo AP. The Benefits of Electronic Medical Records Reviewed from Economic, Clinical, and Clinical Information Benefits in Hospitals . J Keskom [Internet]. 2023 Jun. 13 [cited 2024 May 3];9(1):190-7. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1420