Literature Review: Evaluasi Implementasi Sistem Informasi RME Di Fasyankes Menggunakan Metode TAM
DOI:
https://doi.org/10.47134/rmik.v5i1.1905Keywords:
Rekam Medis, fasilitas pelayanan kesehatan, Technology Acceptance ModelAbstract
Implementasi Rekam Medis Elektronik (RME) merupakan salah satu upaya transformasi digital pelayanan kesehatan yang bertujuan meningkatkan kualitas pelayanan, efisiensi kerja, dan pengelolaan informasi kesehatan. Keberhasilan implementasi RME dipengaruhi oleh tingkat penerimaan pengguna terhadap sistem yang digunakan. Technology Acceptance Model (TAM) merupakan salah satu metode yang banyak digunakan untuk mengukur penerimaan teknologi. Penelitian ini bertujuan untuk mengevaluasi implementasi Sistem Informasi Rekam Medis Elektronik di fasilitas pelayanan kesehatan berdasarkan pendekatan TAM. Metode penelitian yang digunakan adalah literature review sistematis dengan pendekatan PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Pencarian artikel dilakukan melalui database Google Scholar dan PubMed menggunakan kata kunci yang berkaitan dengan Rekam Medis Elektronik, Technology Acceptance Model, dan fasilitas pelayanan kesehatan. Hasil pencarian awal memperoleh 1.675 artikel, kemudian dilakukan proses identifikasi, skrining, dan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga diperoleh 19 artikel untuk dianalisis. Hasil kajian menunjukkan bahwa Perceived Ease of Use dan Perceived Usefulness berpengaruh positif terhadap Attitude Toward Using dan Behavioral Intention to Use sistem RME. Mayoritas pengguna menilai RME mampu meningkatkan efisiensi pelayanan, mempercepat akses informasi pasien, serta mendukung ketepatan dokumentasi dan pengambilan keputusan klinis. Selain itu, faktor pelatihan, kualitas sistem, infrastruktur, dan dukungan organisasi turut memengaruhi keberhasilan implementasi RME. Berdasarkan hasil penelitian, dapat disimpulkan bahwa implementasi RME secara umum telah diterima dengan baik oleh pengguna. Namun, peningkatan kualitas sistem, pelatihan berkelanjutan, dan dukungan manajemen masih diperlukan untuk mengoptimalkan pemanfaatan sistem di fasilitas pelayanan kesehatan.
References
[1] K. Hameed, R. Naha, and F. Hameed, “Digital transformation for sustainable health and well - being : a review and future research directions,” Discov. Sustain., vol. 4, no. 104, 2024, doi: https://doi.org/10.1007/s43621-024-00273-8.
[2] D. P. Putra, S. S. Dewi, and M. E. Prastiyanto, “Clinical Outcomes associated with Multidrug-Resistant Gram-Negative Bacterial Infections in Chronic Wound Infections : an Umbrella Review and Meta-analysis,” Microbiol. Biotechnol. Lett., vol. 54, p. e2511010, 2026.
[3] C. Barbieri, L. Neri, S. Stuard, J. D. Martín-guerrero, and F. Mari, “From electronic health records to clinical management systems : how the digital transformation can support healthcare services,” Clin. Kidney J., vol. 16, no. 11, pp. 1878–1884, 2023, doi: https://doi.org/10.1093/ckj/sfad168.
[4] S. Tiriteu, A. Cosma, and M. Pacuraru, “Improved Healthcare Quality Through Integrated Hospital Management and Digitalization,” J. e-health Manag., vol. 2024, pp. 1–10, 2024.
[5] A. Funmil, A. J. A, and E. Ozichi, “Development Of An Electronic Medical Record ( EMR ) System For A Typical Nigerian Hospital,” J. Multidiscip. Eng. Sci. Technol., vol. 2, no. 6, pp. 1253–1259, 2015.
[6] A. billy Susanto, R. P. Yaniawati, and B. Sukajie, “Efektivitas Rekam Medik Elektronik Di Klinik Kusuma Medical Center Batukajang Kalimantan Timur,” IndOmera, vol. 5, no. 10, pp. 1–9, 2024, doi: https://doi.org/10.55178/idm.v5i10.394.
[7] M. Lee, K. Kim, Y. Shin, and Y. Lee, “Advancements in Electronic Medical Records for Clinical Trials : Enhancing Data Management and Research Efficiency,” Cancers (Basel)., no. Ml, pp. 1–20, 2025.
[8] K. Hossain, J. Sutanto, P. W. Handayani, and A. A. Haryanto, “An exploratory study of electronic medical record implementation and recordkeeping culture : the case of hospitals in Indonesia,” BMC Health Serv. Res., vol. 25, no. 249, pp. 1–20, 2025, doi: https://doi.org/10.1186/s12913-025-12399-0.
[9] H. RAHMA, P. ARYO, and P. FAJAR, “Analisis Penerimaan Rekam Medis Elektronik ( RME ) di Puskesmas dengan menggunakan Technology Acceptance Model ( TAM ),” J. Pengemb. Teknol. Inf. dan Ilmu Komput., vol. 7, no. 5, pp. 2628–2633, 2023.
[10] B. Jawhari, D. Ludwick, L. Keenan, D. Zakus, and R. Hayward, “Benefits and challenges of EMR implementations in low resource settings : a state-of-the-art review,” BMC Med. Inform. Decis. Mak., vol. 16, no. 116, pp. 1–12, 2016, doi: https://doi.org/10.1186/s12911-016-0354-8.
[11] R. K. Wati and W. W. Widiyanto, “Analisis Implementasi Rekam Medis Elektronik Menggunakan Fishbone di Puskesmas Sukoharjo,” J. Ners, vol. 9, no. 3, pp. 5104–5107, 2025, doi: https://doi.org/10.31004/jn.v9i3.47862.
[12] A. Fauzi, H. N. Seha, and Nofitriyani, “Gambaran Persepsi Pengguna Rekam Medis Elektonik Rawat Jalan di Puskesmas,” J. Rekam Medis dan Inf. Kesehat. Indones., vol. 4, no. 1, pp. 54–60, 2024.
[13] R. Putri, M. C. Saputra, U. Brawijaya, and P. Korespondensi, “Pada Klinik Pratama Menggunakan Technology Analysis of Electronic Medical Record ( Emr ) Acceptance At Primary Clinics Using the Technology Acceptance,” J. Sist. Informasi, Teknol. Informasi, dan Edukasi Sist. Inf., vol. 6, no. 1, pp. 25–33, 2025.
[14] G. M. Lipenguet et al., “Evaluation of the intention to use the electronic medical record (EMR) by health professionals in healthcare facilities of Libreville and Owendo in Gabon,” JAMIA Open, vol. 5, no. 4, pp. 1–7, 2022, doi: https://doi.org/10.1093/jamiaopen/ooac096.
[15] A. Almarzouqi, A. Aburayya, and S. A. Salloum, “Determinants predicting the electronic medical record adoption in healthcare: A SEM-Artificial Neural Network approach,” PLoS One, vol. 17, no. 8 August, pp. 1–29, 2022, doi: https://doi.org/10.1371/journal.pone.0272735.
[16] A. Sulistyo, H. Rohman, and B. A. W. Putra, “Analisis Penerapan Sistem Informasi Rekam Medis Elektronik Dengan Technology Acceptance Model 2 (TAM 2) Di Puskesmas,” JCOMENT (Journal Community Empower., vol. 1, no. 3, pp. 61–67, 2020.
[17] R. Sakit and P. Waluya, “Angela,” Benezit Dict. Artist., 2018, doi: https://doi.org/10.1093/benz/9780199773787.article.b00005074.
[18] N. Hayati, A. A. I. C. Dewiyani, P. Y. Trisnanto, and R. Fadila, “Evaluasi Efektivitas Penerapan Rekam Medis Elektronik (RME) di RS Tk. II dr. Soepraoen Menggunakan Technology Acceptance Model,” J. Penelit. Inov., vol. 5, no. 2, pp. 1421–1432, 2025, doi: https://doi.org/10.54082/jupin.1512.
[19] M. H. Kalayou, B. F. Endehabtu, and B. Tilahun, “The Applicability of the Modified Technology Acceptance Model ( TAM ) on the Sustainable Adoption of eHealth Systems in Resource-Limited Settings,” J. Multidiscip. Healthc., vol. 13, pp. 1827–1837, 2020, doi: https://doi.org/10.2147/JMDH.S284973.
[20] D. Burgos, Literature Review: Systematic Review. 2024. doi: https://doi.org/10.1007/978-3-031-54431-6_2.
[21] F. R. Ikawati, “Efektivitas Penggunaan Rekam Medis Elektronik Terhadap Peningkatan Kualitas Pelayanan Pasien di Rumah Sakit,” Ranah Res. J. Multidiscip. Res. Dev., vol. 6, no. 3, pp. 282–292, 2024, doi: https://doi.org/10.38035/rrj.v6i3.819.
[22] M. J. Page et al., “The PRISMA 2020 statement: an updated guideline for reporting systematic reviews,” 2021, doi: https://doi.org/10.1136/bmj.n71.
[23] R. Pradita, R. Kusumo, and D. Adhitia, “Penerimaan Pengguna Dalam Implementasi Rekam Medis Elektronik Di Puskesmas Kijang Menggunakan Technology Acceptance Model User Acceptance in Electronic Medical Records Implementation At the Puskesmas Kijang Using the Technology Acceptance Model,” J. Manaj. Inf. …, vol. 9, no. 2, pp. 313–326, 2024.
[24] O. Alfuqaha, M. Rabay, O. Al, and M. Alsalaht, “Technology acceptance model among nurses and other healthcare providers during the 2019 Coronavirus pandemic : a comparative cross-sectional study,” Cent. Eur. J. Nurs. Midwifery, vol. 13, no. 4, pp. 775–782, 2022, doi: https://doi.org/10.15452/cejnm.2022.13.0023.
[25] A. Pavlovic et al., “Electronic Health Record Acceptance by Physicians : A Single Hospital Experience in Daily Practice,” pp. 6–17, 2021.
[26] N. Kurniati and W. W. Widiyanto, “International Journal of Health Analyzing Electronic Medical Record Adoption by Registration Staff Using TAM at Tangkiling Health Center, Palangka Raya”.
[27] I. Intansari, M. Rahmaniati, and D. F. Hapsari, “Evaluasi Penerapan Rekam Medis Elektronik dengan Pendekatan Technology Acceptance Model di Rumah Sakit X di Kota Surabaya,” J-REMI J. Rekam Med. dan Inf. Kesehat., vol. 4, no. 3, pp. 108–117, 2023, doi: https://doi.org/10.25047/j-remi.v4i3.3914.
[28] O. Enaizan, B. Eneizan, M. Almaaitah, and A. T. Al-radaideh, “Informatics in Medicine Unlocked Effects of privacy and security on the acceptance and usage of EMR : The mediating role of trust on the basis of multiple perspectives,” Informatics Med. Unlocked, vol. 21, p. 100450, 2020, doi: https://doi.org/10.1016/j.imu.2020.100450.
[29] T. Dimitrovski, P. A. Bath, P. Ketikidis, and L. Lazuras, “Factors Affecting General Practitioners’ Readiness to Accept and Use an Electronic Health Record System in the Republic of North Macedonia : A National Survey of General Practitioners Corresponding Author :,” vol. 9, doi: https://doi.org/10.2196/21109.
[30] W. W. Widiyanto, S. Suparti, A. P. Budi, and A. Sunandar, “Analisis Penerapan Rekam Medis Elektronik Di Fktp Menggunakan Metode Technology Acceptance Model (Tam),” Pros. Semin. Inf. Kesehat. Nas., pp. 111–119, 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Arin Pasha Rahmawaddah, Lilik Afifah, Agus Syukron Ma’ruf
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
