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Abstract

Implementing electronic medical records (EMR) in hospitals can increase the efficiency and effectiveness of health services. However, hospitals' readiness to adopt this technology is influenced by various complex factors. This study aims to identify factors that affect hospital readiness in implementing EMR through a systematic literature review (SLR). The SLR process followed the PRISMA method and included a literature search from Scopus, PubMed, and Cochrane databases with keywords related to RME readiness, which yielded 412 articles. After the screening and eligibility stages, 19 articles were selected for further analysis. The findings of this research identify readiness factors based on the theory of technology organization and environment (TOE). In the context of technology, factors such as technology access, perceived benefits, perceived usefulness, and performance expectancy emerge as important determinants of readiness. In an organizational context, management support, organizational culture, computer competency, and knowledge of EMR are key factors. Meanwhile, societal influence and environmental conditions play a significant role in the environmental context. These findings provide valuable insights for policymakers and hospital management in designing strategies to increase RME adoption readiness. This research has limitations in geographic and language coverage and the use of a single database. Therefore, further research is needed to broaden the scope and deepen understanding of the interactions between various readiness factors.

References

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Bahasa Abstract

Penerapan rekam medis elektronik (RME) di rumah sakit dapat meningkatkan efisiensi dan efektivitas pelayanan kesehatan. Kesiapan rumah sakit untuk mengadopsi teknologi ini dipengaruhi oleh berbagai faktor yang kompleks. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi kesiapan rumah sakit dalam menerapkan RME melalui systematic literature review (SLR). Proses SLR mengikuti metode PRISMA dan mencakup penelusuran pustaka dari basis data Scopus, PubMed, dan Cochrane dengan kata kunci yang terkait dengan kesiapan RME dan didapatkan hasil sebanyak 412 artikel. Pada tahap penyaringan dan kelayakan, 19 artikel dipilih untuk analisis lebih lanjut. Temuan penelitian ini mengidentifikasi faktor-faktor kesiapan berdasarkan teori organisasi dan lingkungan teknologi. Konteks teknologi, faktor-faktor seperti akses teknologi, manfaat yang dirasakan, kegunaan yang dirasakan, dan harapan kinerja muncul sebagai penentu pentingnya kesiapan. Konteks organisasi, dukungan manajemen, budaya organisasi, kompetensi komputer, dan pengetahuan tentang RME merupakan faktor-faktor kunci. Sementara itu, pengaruh masyarakat dan kondisi lingkungan memainkan peran penting dalam konteks lingkungan. Temuan ini memberikan wawasan berharga bagi para pembuat kebijakan dan manajemen rumah sakit dalam merancang strategi untuk meningkatkan kesiapan adopsi RME. Penelitian ini memiliki keterbatasan dalam cakupan geografis dan bahasa serta penggunaan satu basis data. Oleh karena itu, penelitian lebih lanjut diperlukan untuk memperluas cakupan dan memperdalam pemahaman tentang interaksi antara berbagai faktor kesiapan.

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