Factors inhibiting readiness to implement Electronic Medical Records (RME) in management information systems in hospitals: Literature review

Abstract

Advances in communication and information technology have occurred in the health sector, especially in health services such as hospitals, one of which is Electronic Medical Records (RME). RME is the application of information technology used in collecting, storing data, processing data and accessing data as patient track records. The Ministry of Health is also targeting all health facilities to have implemented RME no later than December 2023. The challenges for implementing RME are so complex, it is necessary to identify factors inhibiting RME implementation and evaluate them. Research Objective: to identify factors inhibiting the implementation of Electronic Medical Records in hospitals. Method: Data collection was carried out through 4 data sources, namely, Google Scholar, ScienceDirect, PubMed, and Digital Referral Garba (Garuda) using the keywords " Barriers of Electronic Medical Record" OR "Readiness of Electronic Medical Record" AND "Electronic Medical Record Implementation" OR “Hospital Management Information System”. Results: Based on the screening , 4 Google Scholar articles were obtained , 2 ScienceDirect articles , 2 PubMed articles, 2 Digital Reference Garba (Garuda) articles. The results of a review of 10 journals on factors inhibiting the implementation of RME in hospitals are caused by individual readiness factors and organizational readiness factors. From all journals, the most frequently found results were individual unpreparedness to face changes and technological advances , lack of training. Conclusion: Barriers to implementing electronic medical records are influenced by two factors, namely individual readiness factors and organizational readiness factors which are divided into psychological factors and also structural factors.