Public Service Innovation through SIMRS at Daya Regional Public Hospital, Makassar
DOI:
https://doi.org/10.69616/perkasa.v3i1.584Keywords:
Healthcare Services, HMIS, Innovation, Public Service, Technology InformationAbstract
This study aims to analyze public service innovation through the Hospital Management Information System (HMIS) at Daya Regional Public Hospital, Makassar. The research focuses on examining how information technology-based innovation is implemented in hospital services and identifying the benefits and challenges of HMIS implementation in supporting healthcare services. This study employed a qualitative approach with a case study design. Data were collected through in-depth interviews, observation, and documentation involving hospital management staff, healthcare workers, and service users at Daya Regional Public Hospital, Makassar. Data analysis was conducted using the interactive analysis model of Miles, Huberman, and Saldaña, which includes data condensation, data display, and conclusion drawing. The study used Everett Rogers’ Diffusion of Innovation theory as the analytical framework, focusing on five dimensions: relative advantage, compatibility, complexity, trialability, and observability. The findings indicate that the implementation of HMIS has contributed to improving administrative efficiency, accelerating patient data management, strengthening coordination among hospital units, and creating more organized and integrated healthcare services. The use of digital registration systems, electronic medical records, and integrated service management has improved the effectiveness of public healthcare services. However, the study also found several challenges, including unstable internet networks, limited technological infrastructure, and uneven integration across several service units. The study concludes that the success of information technology-based public service innovation is influenced not only by technological factors but also by organizational readiness, human resources, and infrastructure support in sustaining digital healthcare services.
References
Ajami, S., Arab-Chadegani, R., 2013. Barriers to implement Electronic Health Records (EHRs). Materia Socio Medica 25, 213–215. https://doi.org/10.5455/msm.2013.25.213-215
Ash, J.S., Berg, M., Coiera, E., 2012. Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. Journal of the American Medical Informatics Association 11, 104–112. https://doi.org/10.1197/jamia.M1471
Boonstra, A., Broekhuis, M., 2010. Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC Health Serv. Res. 10, 231. https://doi.org/10.1186/1472-6963-10-231
Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., Ricciardi, W., Specchia, M.L., 2016. The impact of electronic health records on healthcare quality: A systematic review and meta-analysis. Eur. J. Public Health 26, 60–64. https://doi.org/10.1093/eurpub/ckv122
Cresswell, K., Sheikh, A., 2013. Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. Int. J. Med. Inform. 82, e73–e86. https://doi.org/10.1016/j.ijmedinf.2012.10.007
Fadilla, N.M., 2021. Hospital Management Information Systems in increasing efficiency of healthcare services in hospitals. JATISI (Jurnal Teknik Informatika dan Sistem Informasi) 8, 357–374.
Farhan, A., 2023. Inovasi pelayanan publik pada pemerintah daerah di Indonesia. Jurnal Ilmu Administrasi Publik 9, 101–112.
Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., Kyriakidou, O., 2004. Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Q. 82, 581–629. https://doi.org/10.1111/j.0887-378X.2004.00325.x
Handayani, P.W., Hidayanto, A.N., Ayuningtyas, D., Budi, I., 2016. Hospital information system institutionalization processes in Indonesian public, government-owned and privately owned hospitals. Int. J. Med. Inform. 95, 17–34. https://doi.org/10.1016/j.ijmedinf.2016.08.005
Handayani, P.W., Hidayanto, A.N., Pinem, A.A., Hapsari, I.C., Sandhyaduhita, P.I., Budi, I., 2017. Acceptance model of a Hospital Information System. Int. J. Med. Inform. 99, 11–28. https://doi.org/10.1016/j.ijmedinf.2016.12.004
Indonesia, K.K.R., 2022. Transformasi Digital Kesehatan Indonesia. Kementerian Kesehatan RI.
Kaplan, B., Harris-Salamone, K.D., 2009. Health IT success and failure: Recommendations from literature and an AMIA workshop. Journal of the American Medical Informatics Association 16, 291–299. https://doi.org/10.1197/jamia.M2997
Kruse, C.S., Kristof, C., Jones, B., Mitchell, E., Martinez, A., 2018. Barriers to electronic health record adoption: A systematic literature review. J. Med. Syst. 40, 252. https://doi.org/10.1007/s10916-016-0628-9
Kruse, C.S., Mileski, M., Vijaykumar, A.G., Viswanathan, S. V, Suskandla, U., Chidambaram, Y., 2017. Impact of electronic health records on long-term care facilities: Systematic review. JMIR Med. Inform. 5, e35. https://doi.org/10.2196/medinform.7958
Laia, G.P., Gaol, H.L., Boris, J., 2025. Overview of a Hospital Management Information System using the HOT-FIT method in Medan hospitals. Indonesian Health Promotion Administration 10, 45–56. https://doi.org/10.7454/ihpa.v10i3.1156
McAlearney, A.S., Robbins, J., Hirsch, A., Jorina, M., Harrop, J.P., 2010. Perceived efficiency impacts following electronic health record implementation: An exploratory study of an urban community health center network. Int. J. Med. Inform. 79, 807–816. https://doi.org/10.1016/j.ijmedinf.2010.09.002
Miles, M.B., Huberman, A.M., Saldaña, J., 2014. Qualitative Data Analysis: A Methods Sourcebook, 3rd edition. ed. SAGE Publications.
Nguyen, L., Bellucci, E., Nguyen, L.T., 2014. Electronic health records implementation: An evaluation of information system impact and contingency factors. Int. J. Med. Inform. 83, 779–796. https://doi.org/10.1016/j.ijmedinf.2014.06.011
Rasipin, R., 2024. Analysis of Hospital Management Information System implementation on electronic medical record quality. Jurnal Ilmu Kesehatan 18, 145–156.
Rogers, E.M., 2003. Diffusion of innovations. Free Press.
Tambunan, A.K.B., Nasution, M.I.P., Nurbaiti, 2025. Implementation of the Regional Hospital Management Information System to improve the quality of operational services. Research Horizon 5, 1915–1926.
Tsai, C.H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., Koch, S., 2020. Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. 10, 327. https://doi.org/10.3390/life10120327
Zulfikar, Iqbal, M., Nursifa, Makmur, S., 2024. Productivity and Quality of Facilities and Infrastructure as Support for RRI Tolitoli Broadcasting. Perkembangan Kajian Sosial 1, 75–90. https://doi.org/10.69616/perkasa.v1i2.24











