Implementation of Hospital Management Information System (HMIS) in Improving the Quality of Health Services at the BLUD Konawe Utara Regional Hospital
DOI:
https://doi.org/10.55927/za3etk04Keywords:
Hospital Management Information System, Healthcare Service Quality, Hospital, Information System, Healthcare ServicesAbstract
This study examines the implementation of a Hospital Management Information System (HMIS) in improving healthcare service quality at North Konawe Regional Hospital. A descriptive qualitative approach was employed using unstructured interviews, observations, and documentation involving key and general informants. Data were analyzed using the Miles and Huberman model with NVivo support, and validity was ensured through source and technique triangulation. The findings indicate that HMIS positively improves service quality by enhancing responsiveness through faster service processes and reduced waiting times, increasing reliability via improved data accuracy, strengthening assurance through data security, supporting empathy by reducing administrative workload, and improving tangibles through information technology utilization. Nevertheless, optimal implementation requires improved infrastructure, enhanced human resource competencies, and continuous management support
References
Al-Assaf, K., Bahroun, Z., & Ahmed, V. (2024). Transforming Service Quality in Healthcare: A Comprehensive Review of Healthcare 4.0 and Its Impact on Healthcare Service Quality. In Informatics (Vol. 11, Nomor 4, hal. 96). https://doi.org/10.3390/informatics11040096
Alharbi, Mohammad Faleh. (2025). Does Electronic Health Record Implementation Enhance Hospital Efficiency and Patient Outcomes? A Comprehensive Systematic Review. Sage Open, 15(3), 21582440251359790. https://doi.org/10.1177/21582440251359791
Alomar, D., Almashmoum, M., Eleftheriou, I., Whelan, P., & Ainsworth, J. (2024). The Impact of Patient Access to Electronic Health Records on Health Care Engagement: Systematic Review. Journal of Medical Internet Research, 26, e56473. https://doi.org/10.2196/56473
Babaii, A., Mohammadi, E., & Sadooghiasl, A. (2021). The Meaning of the Empathetic Nurse-Patient Communication: A Qualitative Study. Journal of Patient Experience, 8, 23743735211056430. https://doi.org/10.1177/23743735211056432
Balinado, J. R., Prasetyo, Y. T., Young, M. N., Persada, S. F., Miraja, B. A., & Perwira Redi, A. A. N. (2021). The Effect of Service Quality on Customer Satisfaction in an Automotive After-Sales Service. Journal of Open Innovation: Technology, Market, and Complexity, 7(2), 116. https://doi.org/https://doi.org/10.3390/joitmc7020116
Byrne, M., Campos, C., Daly, S., Lok, B., & Miles, A. (2024). The current state of empathy, compassion and person-centred communication training in healthcare: An umbrella review. Patient Education and Counseling, 119, 108063. https://doi.org/https://doi.org/10.1016/j.pec.2023.108063
Chishtie, J., Sapiro, N., Wiebe, N., Rabatach, L., Lorenzetti, D., Leung, A. A., Rabi, D., Quan, H., & Eastwood, C. A. (2023). Use of Epic Electronic Health Record System for Health Care Research: Scoping Review. Journal of Medical Internet Research, 25, e51003. https://doi.org/10.2196/51003
Fatima, I., Humayun, A., Iqbal, U., & Shafiq, M. (2019). Dimensions of service quality in healthcare: a systematic review of literature. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care, 31(1), 11–29. https://doi.org/10.1093/intqhc/mzy125
Huebner, C., & Flessa, S. (2022). Strategic Management in Healthcare: A Call for Long-Term and Systems-Thinking in an Uncertain System. International Journal of Environmental Research and Public Health, 19(14). https://doi.org/10.3390/ijerph19148617
Ijadi Maghsoodi, A., Saghaei, A., & Hafezalkotob, A. (2019). Service quality measurement model integrating an extended SERVQUAL model and a hybrid decision support system. European Research on Management and Business Economics, 25(3), 151–164. https://doi.org/https://doi.org/10.1016/j.iedeen.2019.04.004
Iqbal, M., & Paramarta, V. (2024). The Improvement of Health Service Effectiveness and Efficiency Through the Implementation of Information Technology at PKU Muhammadiyah Mayong Jepara Hospital. 4(2), 69–76.
Islam, R., Ahmed, S., & Md. Tarique, K. (2016). Prioritisation of service quality dimensions for healthcare sector. International Journal of Medical Engineering and Informatics, 8, 108. https://doi.org/10.1504/IJMEI.2016.075751
Javaid, M., Haleem, A., & Singh, R. P. (2024). Health informatics to enhance the healthcare industry’s culture: An extensive analysis of its features, contributions, applications and limitations. Informatics and Health, 1(2), 123–148. https://doi.org/https://doi.org/10.1016/j.infoh.2024.05.001
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V, English, M., García-Elorrio, E., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet. Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
Kurniawan, A., & Arini, M. (2024). Effectiveness and User Satisfaction of Electronic Medical Records in Indonesia Private Hospital. South Eastern European Journal of Public Health, 1128–1138. https://doi.org/10.70135/seejph.vi.2363
Mauro, M., Noto, G., Prenestini, A., & Sarto, F. (2024). Digital transformation in healthcare: Assessing the role of digital technologies for managerial support processes. Technological Forecasting and Social Change, 209, 123781. https://doi.org/https://doi.org/10.1016/j.techfore.2024.123781
Mirzoev, T., Manzano, A., Agyepong, I. A., Thi Thu Ha, B., Yevoo, L. L., Awini, E., Danso-Appiah, A., Gyimah, L., Trang, D. T. H., Thi, L. M., Lakin, K., & Kane, S. (2025). Theoretical foundations and mechanisms of health systems responsiveness: a realist synthesis. SSM - Health Systems, 4, 100061. https://doi.org/https://doi.org/10.1016/j.ssmhs.2025.100061
Moore, L., Lavoie, A., Bourgeois, G., & Lapointe, J. (2015). Donabedian’s structure-process-outcome quality of care model: Validation in an integrated trauma system. The Journal of Trauma and Acute Care Surgery, 78(6), 1168–1175. https://doi.org/10.1097/TA.0000000000000663
Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The Role of Empathy in Health and Social Care Professionals. Healthcare (Basel, Switzerland), 8(1). https://doi.org/10.3390/healthcare8010026
Msacky, R. (2024). Quality of health service in the local government authorities in Tanzania: a perspective of the healthcare seekers from Dodoma City and Bahi District councils. BMC Health Services Research, 24. https://doi.org/10.1186/s12913-023-10381-2
Nawiri, A. R., Handoko, Y., Kusdyah, I., Ilmu, F., Institut, E., & Asia, B. (1907). THE INFLUENCE OF SERVICE QUALITY , FACILITIES AND INFORMATION TECHNOLOGY ON CONSUMER SATISFACTION IN RADIOLOGY HAJI HOSPITAL SURABAYA Mahasiswa Program Magister Manajemen , Fakultas Ilmu Ekonomi Institut Teknologi dan Bisnis Asia Malang Abstrak. 19(4), 2218–2234.
Nguyen, N. X., Tran, K., & Nguyen, T. A. (2021). Impact of Service Quality on In-Patients’ Satisfaction, Perceived Value, and Customer Loyalty: A Mixed-Methods Study from a Developing Country. Patient Preference and Adherence, 15, 2523–2538. https://doi.org/10.2147/PPA.S333586
Panda, T. K., & Das, S. (2014a). The Role of Tangibility in Service Quality and Its Impact on External Customer Satisfaction : A Comparative Study of Hospital and Hospitality Sectors.
Panda, T. K., & Das, S. (2014b). The Role of Tangibility in Service Quality and its Impact on External Customer Satisfaction: A Comparative Study of Hospital and Hospitality Sectors. 13, 53–69.
Pena, M. M., da Silva, E. M. S., Tronchin, D. M. R., & Melleiro, M. M. (2013). [The use of the quality model of Parasuraman, Zeithaml and Berry in health services]. Revista da Escola de Enfermagem da U S P, 47(5), 1235–1240. https://doi.org/10.1590/S0080-623420130000500030
Popescu, C., El-Chaarani, H., El-Abiad, Z., & Gigauri, I. (2022). Implementation of Health Information Systems to Improve Patient Identification. International Journal of Environmental Research and Public Health, 19(22). https://doi.org/10.3390/ijerph192215236
Ramoo, V., Kamaruddin, A., Wan Nawawi, W. N. F., Che, C. C., & Kavitha, R. (2023). Nurses’ Perception and Satisfaction Toward Electronic Medical Record System. Florence Nightingale Journal of Nursing, 31(1), 2–10. https://doi.org/10.5152/FNJN.2022.22061
Shen, Y., Yu, J., Zhou, J., & Hu, G. (2025). Twenty-Five Years of Evolution and Hurdles in Electronic Health Records and Interoperability in Medical Research: Comprehensive Review. Journal of Medical Internet Research, 27. https://doi.org/https://doi.org/10.2196/59024
Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital Transformation in Healthcare: Technology Acceptance and Its Applications. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/ijerph20043407
Tummers, J., Tekinerdogan, B., Tobi, H., Catal, C., & Schalk, B. (2021). Obstacles and features of health information systems: A systematic literature review. Computers in Biology and Medicine, 137, 104785. https://doi.org/https://doi.org/10.1016/j.compbiomed.2021.104785
Weka Santi, M., Tika, D., Wijayanti, R., Selviyanti, E., & Alfiansyah, G. (2025). Unlocking Electronic Medical Record Success: Readiness Assessment with the DOQ-IT Method. BIO Web of Conferences, 193, 28. https://doi.org/10.1051/bioconf/202519300028
Yilma, T. M., Tilahun, B., Mamuye, A., Kerie, H., Nurhussien, F., Zemen, E., Mebratu, A., Abebaw, T., Gebeyehu, H., Abay, S., Sisay, G., Getachew, R., Zemene, W., Tesfaye, S., & Tegegne, M. D. (2023). Organizational and health professional readiness for the implementation of electronic medical record system: an implication for the current EMR implementation in northwest Ethiopia. BMJ Health & Care Informatics, 30(1). https://doi.org/10.1136/bmjhci-2022-100723
Yogesh, M. J., & Karthikeyan, J. (2022). Health Informatics: Engaging Modern Healthcare Units: A Brief Overview. Frontiers in Public Health, 10, 854688. https://doi.org/10.3389/fpubh.2022.854688
Yulianti, A., & Muhardi, M. (2020). Hospital Management System Analysis in Effort to Improve Service Quality by Using Structured Design Life Cycle Method (A Case Study of Al-Mulk Regional Public Hospital in Sukabumi City). https://doi.org/10.2991/assehr.k.200225.042
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