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Abstract

The Indonesian Minister of Health 2019 issued regulations regarding the implementation of telemedicine services between health service facilities. Telemedicine is aimed primarily at rural areas. This research aims to look at the quality of telemedicine-based services, which are documented in an electronic health record (EHR) with complete information. This research uses the narrative literature review method: Garuda journal channels, Google Scholar, IEEE Explorer, ProQuest, PubMed, Science Direct, and Scopus. With the input-output process approach, eight scientific articles were published on countries with telemedicine/telehealth policies in rural areas. The implementation of telemedicine has advantages and disadvantages depending on the things supported and the target users. It must have policies, infrastructure, financial resources, and human resources to use, maintain and develop telemedicine. Telemedicine will help the health service process by increasing the degree of public health in rural areas if it is used on a large scale. The completeness of the EHR seems to be lacking in terms of informed consent. Still, a quality EHR can make it easier for health workers to enforce the history, establish the diagnosis, and provide patient healthcare.

Bahasa Abstract

Menteri Kesehatan RI pada tahun 2019 mengeluarkan peraturan penyelenggaraan pelayanan telemedicine antar fasilitas pelayanan kesehatan. Telemedicine ditujukan terutama pada daerah pedesaan atau rural area. Tujuan dari penelitian ini melihat mutu pelayanan berbasis telemedicine yang didokumentasikan dalam rekam medis elektronik (RME) dengan informasi yang lengkap. Penelitian ini menggunakan metode narrative literature review dengan memanfaatkan kanal jurnal Garuda, Google Scholar, IEEE Explore ProQuest, PubMed, Science Direct, dan Scopus. Dengan pendekatan input, proses dan output total 8 artikel ilmiah yang didapatkan dari negara yang telah memiliki kebijakan telemedicine/telehealth di rural area. Penyelenggaraan telemedicine memiliki kelebihan dan kekurangannya masing-masing bergantung kepada hal- hal pendukung dan sasaran penggunanya. Harus memiliki kebijakan, infrastruktur, sumber keuangan dan sumber daya manusia yang dapat menggunakan, memelihara dan mengembangkan telemedicine. Telemedicine membantu proses pelayanan kesehatan yakni meningkatkan derajat kesehatan masyarakat di rural area jika penggunaannya berskala besar. Kelengkapan RME terlihat kurang dalam hal informed consent, namun RME yang bermutu dapat mempermudah tenaga kesehatan dalam melakukan penegakkan anamnesa, penegakan diagnosis, dan asuhan keperawatan kepada pasien.

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