Challenges in Implementing Digital Medical Records in Indonesian Hospitals: Perspectives on Technology, Regulation, and Data Security
Keywords:
Digital Medical Records, Indonesian Hospitals, Technology, Regulation, Data SecurityAbstract
The implementation of digital medical records in Indonesian hospitals faces various challenges, especially in terms of technological readiness, inadequate regulations, and data security threats that need to be addressed to ensure efficient and safe healthcare services. This study aims to identify the challenges in Digital Medical Record Implementation from the perspective of technology, regulation, and data security. This study used a systematic literature review research approach guided by the Preferred Reposrting Items for Systematic Review and Meta-Analysis (PRISMA). The results showed that the implementation of digital medical records in Indonesian hospitals faces considerable challenges from three main perspectives, namely technology, regulation, and data security. The technology perspective includes several challenges such as 1) System Interoperability, 2) Privacy, 3) IT Infrastructure Limitations, 4) Implementation Costs and 5) Maintenance and Technology Adoption by Medical Staff. The regulatory perspective includes challenges such as 1) Regulatory Compliance, 2) Patient Data Protection, 3) Validity of Medical Records, 4) Long-term Data Retention and 5) System Interoperability. The data security perspective includes challenges such as 1) Infrastructure Security, 2) Data Encryption, 3) Access Control, 4) Incident Response and 5) Regular Security Audits. Thus, collaborative efforts between the government, hospitals and technology providers are needed to address these challenges and drive safe and effective digital transformation in Indonesia's healthcare sector.
References
AA, Mokhov. (2022). 23. Digital health: challenges facing medical ethics. doi: 10.24075/medet.2021.025
Alanazi, A. (2023). Clinicians’ perspectives on healthcare cybersecurity and cyber threats. Cureus. https://doi.org/10.7759/cureus.47026
Aljuraid, R. and Justinia, T. (2022). Classification of challenges and threats in healthcare cybersecurity: a systematic review.. https://doi.org/10.3233/shti220739
Anubhav, Gupta., Ankur, Sharma., Deepak, Kumar, Jha. (2024). 1. Overcoming Obstacles STEP By STEP: A Comprehensive Review of Challenges and Strategies in Implementing Hospital Management Information Systems in India. doi: 10.21203/rs.3.rs-4631703/v1
Arain, M., Tarraf, R., & Ahmad, A. (2019). Assessing staff awareness and effectiveness of educational training on it security and privacy in a large healthcare organization. Journal of Multidisciplinary Healthcare, Volume 12, 73-81. https://doi.org/10.2147/jmdh.s183275
Assagaff, S. (2023). Implementation of teledentistry during the covid-19 pandemic at bandung community health centers. Majalah Kedokteran Gigi Indonesia, 8(3), 215. https://doi.org/10.22146/majkedgiind.75954
Asyfia, A., Mahendika, D., & Setyowati, M. (2023). Medical record digitization policy: overview of the health minister regulation number 24 of 2022. Consilium Sanitatis Journal of Health Science and Policy, 1(2), 54-61. https://doi.org/10.56855/jhsp.v1i2.227
Asyfia, A., Mahendika, D., & Setyowati, M. (2023). Medical record digitization policy: overview of the health minister regulation number 24 of 2022. Consilium Sanitatis Journal of Health Science and Policy, 1(2), 54-61. https://doi.org/10.56855/jhsp.v1i2.227
Awaludin, A., Sulistyadi, W., & Chandra, A. (2023). Analysis of attacks and cybersecurity in the health sector during a pandemic covid-19: scoping review. Journal of Social Science, 4(1), 62-70. https://doi.org/10.46799/jss.v4i1.512
Baptist, A. (2023). Unravelling the web of issues and challenges in healthcare cybersecurity for a secure tomorrow. Business and Economic Research, 13(4), 59. https://doi.org/10.5296/ber.v13i4.21341
Basani, C. (2023). Legal protection of patient's electronic medical record: indonesian legal perspective. Dialogia Iuridica, 15(1), 094-112. https://doi.org/10.28932/di.v15i1.7492
Basani, C. (2023). Legal protection of patient's electronic medical record: indonesian legal perspective. Dialogia Iuridica, 15(1), 094-112. https://doi.org/10.28932/di.v15i1.7492
Budiyanti, R., Herlambang, P., & Nandini, N. (2019). Tantangan etika dan hukum penggunaan rekam medis elektronik dalam era personalized medicine. Jurnal Kesehatan Vokasional, 4(1), 49. https://doi.org/10.22146/jkesvo.41994
Budiyanti, R., Herlambang, P., & Nandini, N. (2019). Tantangan etika dan hukum penggunaan rekam medis elektronik dalam era personalized medicine. Jurnal Kesehatan Vokasional, 4(1), 49. https://doi.org/10.22146/jkesvo.41994
Carter, G., White, D., Nalla, A., Shahriar, H., & Sneha, S. (2019). Toward application of blockchain for improved health records management and patient care. Blockchain in Healthcare Today, 2. https://doi.org/10.30953/bhty.v2.37
Chen, Y., Cheng, B., Chen, H., Lin, C., Liao, G., Hou, B., … & Hsu, S. (2012). A privacy-preserved analytical method for ehealth database with minimized information loss. Journal of Biomedicine and Biotechnology, 2012, 1-9. https://doi.org/10.1155/2012/521267
Christopher, Bourn., Joseph, Heirendt., Kamsiyochukwu, Ben-Chiobi., Alexander, Haastrup., Ahmed, Sherif., Mohamed, Elsersy. (2023). 1. Privacy-Preserving Data Sharing Scheme for E-Health Systems. doi: 10.1109/itt59889.2023.10184235
Coventry, L. and Branley, D. (2018). Cybersecurity in healthcare: a narrative review of trends, threats and ways forward. Maturitas, 113, 48-52. https://doi.org/10.1016/j.maturitas.2018.04.008
Danny, Ammon., Maximilian, Kurscheidt., Karoline, Buckow., Toralf, Kirsten., Matthias, Löbe., Frank, A., Meineke., F., Prasser., Julian, Saß., Ulrich, Sax., Sebastian, Stäubert., Sylvia, Thun., Reto, Wettstein., Joshua, P, Wiedekopf., Judith, A, H, Wodke., Martin, Boeker., Thomas, Ganslandt. (2024). 1. [Interoperability Working Group: core dataset and information systems for data integration and data exchange in the Medical Informatics Initiative].. doi: 10.1007/s00103-024-03888-4
Elif, Tekin., Nagihan, Kartal. (2024). 17. Security of Digital Transformation in the Healthcare Sector. Advances in electronic government, digital divide, and regional development book series, doi: 10.4018/979-8-3693-3567-3.ch010
Elkefi, S. and Asan, O. (2022). Digital twins for managing health care systems: rapid literature review. Journal of Medical Internet Research, 24(8), e37641. https://doi.org/10.2196/37641
Emanuel, A. (2019). Challenges and proposed model in implementing integrated medical record systems in indonesia. International Journal of Advanced Science and Technology, 130, 1-10. https://doi.org/10.33832/ijast.2019.130.01
Escano, M. and Raheja, D. (2017). System safety in healthcare. Journal of System Safety, 53(2), 8-10. https://doi.org/10.56094/jss.v53i2.88
François, Bocquet., Mario, Campone., Marc, Cuggia. (2022). 14. The Challenges of Implementing Comprehensive Clinical Data Warehouses in Hospitals. International Journal of Environmental Research and Public Health, doi: 10.3390/ijerph19127379
G., Sucharitha., G., Sai, Aditya., J., Varsha., G., Sai, Nikhil. (2023). 29. Electronic Medical Records Using Blockchain Technology. EAI Endorsed Transactions on Pervasive Health and Technology, doi: 10.4108/eetpht.9.4284
Gee, R. and Newman, J. (2013). Health information technology. Obstetrics and Gynecology, 121(6), 1161-1164. https://doi.org/10.1097/aog.0b013e318293741e
Gordon, W., Wright, A., Aiyagari, R., Corbo, L., Glynn, R., Kadakia, J., … & Landman, A. (2019). Assessment of employee susceptibility to phishing attacks at us health care institutions. Jama Network Open, 2(3), e190393. https://doi.org/10.1001/jamanetworkopen.2019.0393
Hägglund, M., McMillan, B., Whittaker, R., & Blease, C. (2022). Patient empowerment through online access to health records. BMJ, e071531. https://doi.org/10.1136/bmj-2022-071531
Hassan, Jamal., Nasir, Ahmed, Algeelani., Najeeb, Abbas, Al-Sammarraie. (2024). 2. Safeguarding data privacy: strategies to counteract internal and external hacking threats. Computer Science and Information Technologies, doi: 10.11591/csit.v5i1.p46-54
Houben, S., Frost, M., & Bardram, J. (2015). Collaborative affordances of hybrid patient record technologies in medical work.. https://doi.org/10.1145/2675133.2675164
Iris, Cathrina, Abacan, Pilares., Sami, Azam., Serkan, Akbulut., Mirjam, Jonkman., Bharanidharan, Shanmugam. (2022). 13. Addressing the Challenges of Electronic Health Records Using Blockchain and IPFS. Sensors, doi: 10.3390/s22114032
Isakari, M., Sanchez, A., Conic, R., Peretti, J., Saito, K., Sitapati, A., … & Longhurst, C. (2023). Benefits and challenges of transitioning occupational health to an enterprise electronic health record. Journal of Occupational and Environmental Medicine, 65(7), 615-620. https://doi.org/10.1097/jom.0000000000002864
Ismawati, N., Supriyanto, S., Haksama, S., & Hadi, C. (2021). The influence of knowledge and perceptions of doctors on the quality of medical records. Journal of Public Health Research, 10(2), jphr.2021.2228. https://doi.org/10.4081/jphr.2021.2228
Janett, R. and Yeracaris, P. (2020). Electronic medical records in the american health system: challenges and lessons learned. Ciência & Saúde Coletiva, 25(4), 1293-1304. https://doi.org/10.1590/1413-81232020254.28922019
Janett, R. and Yeracaris, P. (2020). Electronic medical records in the american health system: challenges and lessons learned. Ciência & Saúde Coletiva, 25(4), 1293-1304. https://doi.org/10.1590/1413-81232020254.28922019
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
