Analysis of the effect of hospital management information system implementation on clinical decision-making at PKU Muhammadiyah Purbalingga hospital
DOI:
https://doi.org/10.35335/midwifery.v13i6.2242Keywords:
Clinical Decision Making, HMIS, Information Quality, System Quality, Workflow EfficiencyAbstract
Hospital Management Information Systems (HMIS) play an important role in supporting clinical decision making by providing accurate, timely, and integrated information. However, challenges related to system quality, information quality, and workflow efficiency may hinder the optimal utilization of HMIS. This study aimed to analyze the effects of system quality, information quality, and workflow efficiency on clinical decision making at PKU Muhammadiyah Purbalingga Hospital. The research employed a quantitative method with a causal associative design, using a total sampling technique involving 60 respondents consisting of physicians, nurses, and midwives. Data were collected using structured questionnaires and analyzed through multiple linear regression with I BM SPSS Statistics version 26, accompanied by classical assumption tests. The results showed that all variables were categorized as good and that the regression model met all analytical assumptions. Partial test (t-test) results indicated that system quality, information quality, and workflow efficiency had a positive and significant effect on clinical decision making (p < 0.05), with information quality identified as the most dominant variable (β = 0.402). The F-test results showed Fcount = 25.324 > Ftable = 2.70 with p = 0.001, indicating that the independent variables simultaneously had a significant effect. In conclusion, HMIS system quality, HMIS information quality, and workflow efficiency significantly affect clinical decision making at PKU Muhammadiyah Purbalingga Hospital, with information quality as the strongest predictor.
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References
Adeoye, M. A. (2023). From Variables to Research Design : A Deep Dive into Educational Research Methodology. Journal of Educational Research and Evaluation, 7(4), 622–628.
Agustina, S., Adyas, A., Yudhinanto, C. N., Noviansyah, N., & Putri, D. U. P. (2024). Analisis Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) Terhadap Mutu Pelayanan di RS Mesuji Healthcare Center. Malahayati Nursing Journal, 6.
Aisah, S., & Maharani, L. (2024). Peran Sistem Informasi Manajemen Dalam Meningkatkan Efisiensi Rumah Sakit. Urnal Sistem Informasi, Akuntansi Dan Manajemen, 4(2), 283–292.
Andriani, R., & Pertiwi, J. (2025). ANALISIS IMPLEMENTASI REKAM MEDIS ELEKTRONIK DALAM. Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 15(1), 57–67.
Asruhi, S. (2025). Strengthening Community Involvement in SIMRS Implementation at Leuwiliang Hospital to Support Regional Economic Development. International Journal of Economics Development Research, 6(3), 1500–1521.
Azizah, R. N. (2025). PENERAPAN SISTEM INFORMASI MANAJEMEN RUMAH SAKIT ( SIMRS ) DALAM MENINGKATKAN EFISIENSI PELAYANAN KESEHATAN DI INDONESIA : STUDI LITERATUR. Jurnal Kesehatan Tadulako, 6, 6667–6674.
Cahill, M., Cleary, B. J., & Cullinan, S. (2025). The influence of electronic health record design on usability and medication safety : systematic review. BMC Health Services Research. https://doi.org/10.1186/s12913-024-12060-2
Creswell, J. W. (2022). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th ed.). SAGE Publications Inc.
Diaz, A. S. (2025). Pengaruh Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) terhadap Efektivitas Pelayanan Administrasi Pasien di Rumah Sakit Grandmed Lubuk Pakam. Medistra Medical Journal (Mmj), 2(2), 72–76.
Epizitone, A., Moyane, S. P., & Agbehadji, I. E. (2023). A Systematic Literature Review of Health Information Systems for Healthcare. Health Care.
Febrita, H., Martunis, Syahrizal, D., Abdat, M., & Bakhtiar. (2021). Analysis of Hospital Information Management System Using Human Organization Fit Model. Indonesian Journal of Health Administration, 9(1), 23–32. https://doi.org/10.20473/jaki.v9i1.2021.23-32
Ghalavand, H., Shirshahi, S., Rahimi, A., Zarrinabadi, Z., & Amani, F. (2024). Common data quality elements for health information systems : a systematic review. BMC Medical Informatics and Decision Making, 7.
Hambili, T., Sanjuluca, P., Almeida, A. A. De, & Cruz-correia, R. (2022). Assessing the Use of Hospital Information Systems ( HIS ) to Support Decision-Making : A Cross-Sectional Study in Public Hospitals in the Hu í la Health Region of Southern Angola. Health Care.
Handayani, R. (2020). Metodologi Penelitian Sosial. Trussmedia Grafika.
Henny Syapitri, Amila, & Aritonang, J. (2021). METODOLOGI Penelitian Kesehatan.
Hidayatuloh, C. (2025). Analisis Sistem Informasi Manajemen Rumah Sakit ( SIMRS ) Terhadap Peningkatan Layanan Kesehatan Dalam Mendukung Implementasi Rekam Medis Elektronik Di Era Digital. INNOVATIVE: Journal Of Social Science Research, 5, 11285–11303.
Kristiawati, C., Syaodih, E., & Mulyani, K. (2024). Evaluasi Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) pada Rumah Sakit Bhayangkara Yogyakarta. Jurnal Cendekia Ilmiah, 3(6), 6355–6367.
Kurniawan, H. D., & Widiyanto, A. (2024). Meta-Analysis : The Effectiveness of Electronic Medical Record ( EMR ) on the Quality of Health Services. Journal of Health Policy and Management, 09, 168–176.
Kusuma, T. A., & Yunengsih, Y. (2024). ANALISIS EFEKTIVITAS PENERAPAN SISTEM INFORMASI MANAJEMEN RUMAH SAKIT ( SIMRS ) DI UNIT REKAM MEDIS RSUD KESEHATAN KERJA. JURNAL KESEHATAN MASYARAKAT, 8, 4673–4681.
Mohamed, M. S., Setyonugroho, W., & Pribadi, F. (2021). Barriers of using Hospital Information System for Decision-Making : A Qualitative Study. PROC. INTERNAT. CONF. SCI. ENGIN, 4(February), 387–389.
Mohammadpour, A., Ghaemi, M. M., Darrudi, R., & Sadagheyani, H. E. (2021). Use of Hospital Information System to Improve the Quality of Health Care from Clinical. Health Care and Hospital Information System. https://doi.org/10.31661/gmj.v10i0.1830
Muhamad Bayhaqi, A., Asri, A., Syahrir, I., & Wiliyanarti, P. F. (2025). The Influence of Digital Transformation and Information Management on the Efficiency of Hospital Services. Jurnal Kesehatan Vokasional, 10(2).
Mukti, B. H. (2025). Methods in health research : Probability and non-probability sampling. 3(2), 220–234.
Permatasari, R. D., Salim, N., Usman, B., & Susena, E. (2025). Evaluasi Penerapan Rekam Medis Elektronik di Rumah Sakit ( Literatur Review ). Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan Dan Kebidanan, September.
Saufinah, M., Saufinah Pane, M., Fanisya, N., Rizkina, S. R., Nasution, Y. P., Agustina, D., Studi, P., Kesehatan, I., & Masyarakat, K. (2023). Sistem Informasi Manajemen Rumah Sakit (SIMRS) Untuk Meningkatkan Mutu Pelayanan Kesehatan Di Indonesia. Jurnal Inovasi Riset Ilmu Kesehatan, 1(3), 1–14.
Sekaran, U., & Bougie, R. (2021). Research Methods for Business: A Skill-Building Approach (8th ed.). Wiley.
Siregar, H., Fitriani, A., Fitria, A., Efendy, I., & Nuraini, N. (2024). Analisis Implementasi Sistem Informasi Rumah Sakit Terhadap Pelayanan Administrasi Rumah Sakit Haji Syaiful Anwar. JURNAL PROMOTIF PREVENTIF, 7(5), 1011–1021.
Siv, M., Merican, A., & A, A. N. (2025). The Impact of Provider ’ s Quality of Information System on User Satisfaction and Perceived Net Benefits in Malaysian Public Hospitals. Original Article.
Sugiyono. (2020). Metode Penelitian Kuantitatif Kualitatit Dan R&D. Alfabetha.
Suryandari, P. I., Mulya, N., Ardila, I., Bisono, E. F., Jayanti, K. D., & Serimin, N. K. (2024). Strategi implementasi sistem informasi meningkatkan animo pengguna di rumah sakit untuk. Jurnal Kesehatan Tambusai, 5, 3634–3644.
Suwarti, S., Rachmani, E., & Rimawati, E. (2025). ELECTRONIC MEDICAL RECORDS IN INCREASING USER SATISFACTION : © 2025 Universitas Negeri Semarang. Management Analysis Journal, 14(269), 14–22.
Syamsuriansyah. (2025). Health Information Quality and Patient Safety Performance : A Study at Awet Muda Narmada. Journal of Health and Nutrition Research, 4(1), 102–115.
Wijaya, K. S., Komara, E., & Mulyani, K. (2024). Analisis Dampak Penerapan Sistem Informasi Manajemen Rumah Sakit dalam Pengambilan Keputusan Manajemen. Jurnal Syntax Admiration, 5(11), 4656–4666. https://doi.org/10.46799/jsa.v5i11.1551
Windari, A., Kismartini, K., Luqman, Y., & Wijanarko, B. (2023). Organizational Effect on the Implementation of “SIMRS” (Hospital Management Information Systems) in Hospital: A Systematic Review. Journal of Health Policy and Management, 8(1), 13–22. https://doi.org/10.26911/thejhpm.2023.08.01.02
Zhou, J., Hao, J., Tang, M., Sun, H., Wang, J., Li, J., & Qian, Q. (2024). Development of a quantitative index system for evaluating the quality of electronic medical records in disease risk intelligent prediction. BMC Medical Informatics and Decision Making, 1–11. https://doi.org/10.1186/s12911-024-02533-z
