Analysis of Medical Records Management in Indonesia at Selected Public Hospitals
DOI:
https://doi.org/10.24191/jikm.v15iSI2.8300Keywords:
Public hospital, Records management, Medical records, Records lifecycle, Information governanceAbstract
Medical records management in Indonesian public hospitals follows uniform guidelines with adjustments to the conditions of each of them. This study aims to analyze the comparative process of medical records management in two public hospitals of different types and classes. Using qualitative descriptive methods, data was collected through interviews, observations, and documentation, then analyzed using an interactive model. The study's findings reveal significant variations in the execution of the medical records lifecycle, stemming from variations in facility ownership, lack of human resources, and the impact of public hospital classification on management quality. Public hospitals with higher classifications tend to have more structured systems and meet standards. These findings underline the importance of improving resources, technology, and governance in medical records management to support hospital accreditation in Indonesia and the quality of health services. Recommendations for further research include a broader assessment of governance and information technology in medical records management.
References
Cyndiandari, A., & Agustina, D. (2023). Analisis Sistem Pengelolaan Rekam Medis di Puskesmas Sri Padang Tebing Tinggi. Health Information: Jurnal Penelitian, 15(2), 1–9.
Crossette-Thambiah, G., Berleant, D., & AbuHalimeh, A. (2024). An Information Quality Framework for Managed Health Care. Journal of Healthcare Leadership, 343-364. https://doi.org/10.2147/jhl.s473833
Davis-Giardina, T., Menon, S., Parrish, D. E., Sittig, D. F., & Singh, H. (2014). Patient access to medical records and healthcare outcomes: a systematic review. Journal of the American Medical Informatics Association, 21(4), 737–741. https://doi.org/10.1136/amiajnl-2013-002239
Faturahman, B. M., & Irawan, A. (2022). Manajemen Arsip pada Rumah Sakit Umum Daerah Merauke. Jurnal Administrasi Karya Dharma (JAKD), 1(2), 26–36.
Fauzi, H., Indira, Z. N., & Azizah, M. L. (2022). Analisis Pengelolaan Sumber Daya Unit Rekam Medis Guna Meningkatkan Efisiensi dan Efektivitas Pelayanan di Rumah Sakit Umum Muhammadiyah Siti Aminah Bumiayu. Indonesian Journal of Health Information Management (IJHIM), 2(1), 1–8.
Fitria, R. (2019). Studi Perbandingan Kepuasan Pasien terhadap Mutu Pelayanan Keperawatan dan Faktor Determinan di Tiga Rumah Sakit. Jurnal Ilmiah Universitas Batanghari Jambi, 19(3), 470. https://doi.org/10.33087/jiubj.v19i3.654
Fleckenstein, M., Fellows, L., Fleckenstein, M., & Fellows, L. (2018). Records Management. In: Modern Data Strategy. Springer, Cham. https://doi.org/10.1007/978-3-319-68993-7_17
Gorman, G. E., & Clayton, P. (2005). Qualitative research for the information professional: A practical handbook 2nd Ed. UK: Facet Publishing.
Haryanti, S., & Surtikanti, R. (2023). Penyusutan Arsip Rekam Medis di Rumah Sakit: Studi Kasus Rumah Sakit Vertikal KEMENKES. Jurnal Vokasi Indonesia, 10(2). https://doi.org/10.7454/jvi.v10i2.1016
Hasmah, H., Musfirah, M., & Syamsiana, S. (2022). Pengelolaan Berkas Rekam Medis Pasien Rawat Inap Bangsal Mawar di RSUP Dr. Tadjuddin
Chalid Makassar. J-KESMAS: Jurnal Kesehatan Masyarakat, 8(1), 107. https://doi.org/10.35329/jkesmas.v8i1.2889
Junadi. (2020). Model Tata Kelola Kearsipan Rekam Medis RSUD Sumberrejo. JIAN - Jurnal Ilmiah Administrasi Negara, 4(1), 1–7.
Katuu, S. (2019). Health Information Systems, eHealth Strategy, and the Management of Health Records: The Quest to Transform South Africa's Public Health Sector. In Healthcare Policy and Reform: Concepts, Methodologies, Tools, and Applications (pp. 493-517). USA: IGI Global.
Kementerian Kesehatan Republik Indonesia. (2008). Peraturan Menteri Kesehatan Republik Indonesia Nomor 269 tentang Rekam Medis. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2011). Peraturan Menteri Kesehatan Republik Indonesia Nomor 1171 Tahun 2011 tentang Sistem Informasi Rumah Sakit. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 82 Tahun 2013 tentang Sistem Informasi Manajemen Rumah Sakit. Jakarta: Kementerian Kesehatan Republik Indonesia.
Khairani, & Harefa, K. (2022). Tinjauan Faktor-Faktor Penyebab Terjadinya Kerusakan Dokumen Rekam Medis Rawat Inap di Rumah Sakit Putri Hijau Medan. Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI), 7(2), 161–169. https://doi.org/10.52943/jipiki.v7i2.702
Khoerunisa, N., Sukaesih, & Prahatmaja, N. (2022). Pengelolaan Arsip Rekam Medis Pasien Di RSUD Otista Soreang Dalam Mendukung Pelayanan Kesehatan Rumah Sakit. TADWIN: Jurnal Ilmu Perpustakaan dan Informasi, 3(2), 88–97. https://doi.org/10.19109/tadwin.v3i2.14755.
Komisi Akreditasi Rumah Sakit. (2017). Standar Nasional Akreditasi Rumah Sakit 1st Ed. Jakarta: Komisi Akreditasi Rumah Sakit.
Kwan, H., Riley, M., Prasad, N., & Robinson, K. (2020). An investigation of the status and maturity of hospitals’ health information governance in Victoria, Australia. Health Information Management Journal, 51(2), 89–97. https://doi.org/10.1177/1833358320938309
Limpoon, S., Seangrung, R., & Nimmankiatkul, A. (2023). Factors affecting the completeness of anaesthetic record: a cross-sectional study. Annals of Medicine & Surgery, 85(11), 5433–5438. https://doi.org/10.1097/ms9.0000000000001336
Lubis, N., Batubara, A. K., & Ali, M. N. (2024). Manajemen Arsip Dinamis di Sekretariat Dewan Perwakilan Rakyat Daerah (DPRD) Kota Binjai. Journal Innovation in Education (INOVED), 2(1), 20–36. https://doi.org/10.59841/inoved.v2i1.732
Marutha, N. S., & Ngoepe, M. (2018). Medical records management framework to support public healthcare services in Limpopo province of South Africa. Records Management Journal, 28(2), 187-203. https://doi.org/10.1108/rmj-10-2017-0030
Mensah, M., & Adams, M. (2014). The nexus between corporate governance and records management in private and public hospitals in Ghana. Records Management Journal, 24(1), 32–55. https://doi.org/10.1108/rmj-08-2013-0017
Oweru, P. J., & Mnjama, N. (2016). Archival Preservation Practices at The Records and Archives Management Department in Tanzania. Mousaion: South African Journal of Information Studies, 32(3), 136–165. https://doi.org/10.25159/0027-2639/1680
Pohan, F. R., Karaeng, F., & Maturbongs, G. (2022). Sistem Pengelolaan Rekam Medik Pada Rumah Sakit Umum Daerah Merauke. Jurnal Administrasi Karya Dharma (JAKD), 1(2), 1–11.
Saffady, W. (2021). Records and information management: fundamentals of professional practice. USA: Rowman & Littlefield.
Sariyani, M. D., Wasita, R. R. R., Ariyanti, K. S., Dinatha, N. M., & Oktawijayanti, P. (2024). Studi Kualitatif Penyebab Ketidaklengkapan Rekam Medis Pasien di TA Denpasar. MAINTEKKES : The Journal of Management Information and Health Technology, 2(1), 1–6. https://doi.org/10.36049/maintekkes.v2i1.225
Smallwood, R. F. (2013). Managing electronic records: Methods, best practices, and technologies (Vol. 582). USA: John Wiley & Sons.
Tarigan, S. F. N., Abudi, R., & Arsad, N. (2022). Sistem Pengelolaan Rekam Medis Puskesmas. Jambura Health and Sport Journal, 4(2), 119–126.
Tasri, Y. D., & Tasri, E. S. (2020). Improving clinical records: their role in decision-making and healthcare management–COVID-19 perspectives. International Journal of Healthcare Management, 13(4), 325-336. https://doi.org/10.1080/20479700.2020.1803623.
Touray, R. (2021). A Review of Records Management in Organisations. OALib, 08(12), 1–23. https://doi.org/10.4236/oalib.1108107
Wager, K. A., Lee, F. W., & Glaser, J. P. (2021). Health care information systems: a practical approach for health care management. USA: John Wiley & Sons.
Wardani, P. S., Subekti, I., & Rosidi, R. (2018). Studi Perilaku Kepatuhan Wajib Pajak dalam Membayar Pajak Daerah. Jurnal Ilmiah Administrasi Publik, 4(2), 122–127. https://doi.org/10.21776/ub.jiap.2018.004.02.5
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2025 Muhammad Rosyihan Hendrawan, Azman Mat Isa, Ahmad Zam Hariro Samsudin, Nordiana Mohd Nordin
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright of articles that appear in the journal belongs exclusively to Faculty of Information Science, Universiti Teknologi MARA (Publisher). This copyright covers the rights to reproduce the article, including reprints, electronic reproductions or any other reproductions of similar nature.
