Implementation of Hospital Information System in Indonesia: A Review

Abstract

Objective: The government of Indonesia has mandated the use of the Hospital Information System (HIS) since 2013. Previous research has revealed the various factors of success and failure of HIS implementation in Indonesia. This variation is due to the uniqueness and characteristics of each hospital. Therefore, this review aims to provide a clearer picture of Indonesia's HIS implementation's main factors. Methods: This review included literature in the area of interest. i.e., the HIS implementation in Indonesia, which was published from 2009 to 2019. The literature was searched within the Indonesian and international databases through their websites. The article selection was conducted by two researchers independently, using these two inclusion criteria, i.e.,1) original and peer-reviewed research, 2) research investigating HIS's implementation involving a case study at a hospital in Indonesia, 3) articles are in the national language (Bahasa Indonesia) and English, 4) full-text versions are accessible by the researchers. The selection process from the two researchers resulted in a Kappa value of 0.882. The content approach was used to review the literature searched. The Hot-fit (Human-Organization-Technology) concept was applied as a theoretical framework of the review process. Results: Fifty-two articles were identified. Through the selection process, 33 articles fitted the criteria for review. The findings show more success stories than failure factors in the HIS implementation in Indonesia. An essential lesson that can be learned from this review is that the organization's role is crucial in assuring HIS implementation's success by conducting adequate planning, monitoring, and evaluating the HIS implementation. Conclusion: The provision of technology and the organization's support that meets the user's demands and expectations is crucial to assure HIS's implementation benefit.