Integrating Hospital Information Systems and National Health Insurance: Impact on Employee Performance and Service Quality

Nining Handayani; M. Yani Syafei; Umi Narimawati

doi:10.37641/jimkes.v13i4.3679

Authors

Nining Handayani Universitas Komputer Indonesia, Indonesia
M. Yani Syafei Universitas Komputer Indonesia, Indonesia
Umi Narimawati Universitas Komputer Indonesia, Indonesia

DOI:

https://doi.org/10.37641/jimkes.v13i4.3679

Keywords:

BPJS, Employee Performance, Military Hospital, Service Quality, SIMRS

Abstract

Indonesia’s healthcare system is undergoing a digital transformation through the integration of the Hospital Management Information System and the national health insurance platform. These systems aim to enhance operational efficiency and healthcare access but face challenges in specialized settings like military dental hospitals. This study examines the impact of integrating these systems on employee performance and service quality at the Dental and Oral Hospital of the Indonesian Navy R.E. Martadinata in Jakarta. Using a qualitative case study approach, data were gathered through literature reviews and institutional observations to identify operational and systemic barriers. The findings highlight issues such as limited digital literacy among staff, inconsistent system use, and administrative delays that hinder optimal service delivery and efficiency. These challenges are intensified by the unique operational context of military hospitals. The study concludes that improving the integration of these systems requires targeted staff training, robust digital infrastructure, and cohesive policy support to align technology with institutional needs and patient-centered care priorities, ultimately enhancing service quality and employee performance in specialized healthcare settings.

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References

Aggelidis, V. P., & Chatzoglou, P. D. (2012). Hospital information systems: Measuring end user computing satisfaction (EUCS). Journal of biomedical informatics, 45(3), 566-579.

Aghazadeh, S., Aliyev, A., & Pirnejad, H. (2013). Study the effect of hospital information systems (HIS) on communication improvement and service quality among nursing staff. Life Science Journal, 10(10), 307-310.

Al-Okaily, A., Al-Okaily, M., Ai Ping, T., Al-Mawali, H., & Zaidan, H. (2021). An empirical investigation of enterprise system user satisfaction antecedents in Jordanian commercial banks. Cogent Business & Management, 8(1), 1918847.

Amin, M., & Zahora Nasharuddin, S. (2013). Hospital service quality and its effects on patient satisfaction and behavioural intention. Clinical Governance: An International Journal, 18(3), 238-254.

Arafa, A. Z., Lestari, S. D., Sofiani, F., & Sugiarto, D. (2024). Determinants of Employee Attitudes and Behavior To Use Employee Self-Service App. Business and Entrepreneurial Review, 24(1), 11-32.

Arifin, M. A., Palutturi, S., Thamrin, Y., & Leida, I. (2024). Analysis of the Implementation of the Use of Hospital Management Information Systems (Simrs) in Hospitals Kindergarten IV Dr Sumantri Parepare. Pharmacognosy Journal, 16(4).

Asnawi, A., Awang, Z., Afthanorhan, A., Mohamad, M., & Karim, F. J. M. S. L. (2019). The influence of hospital image and service quality on patients’ satisfaction and loyalty. Management Science Letters, 9(6), 911-920.

Avianto, H., & Ogi, D. (2019, September). Design of electronic medical record security policy in hospital management information system (SIMRS) in XYZ Hospital. In 2019 2nd International Conference on Applied Information Technology and Innovation (ICAITI) (pp. 163-167). IEEE.

Biantara, I., & Mulyanti, D. (2023). Strategi Manajemen Informasi Layanan Kesehatan Di Rumah Sakit. MANABIS: Jurnal Manajemen Dan Bisnis, 2(1), 10-18.

Chang, C. S., Chen, S. Y., & Lan, Y. T. (2012). Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice. BMC Medical informatics and decision making, 12, 1-12.

Deng, J., Liu, J., Yang, T., & Duan, C. (2022). Behavioural and economic impacts of end-user computing satisfaction: Innovative work behaviour and job performance of employees. Computers in Human Behavior, 136, 107367.

Despont-Gros, C., Mueller, H., & Lovis, C. (2005). Evaluating user interactions with clinical information systems: A model based on human–computer interaction models. Journal of biomedical informatics, 38(3), 244-255.

Fadilla, N. M. (2021). Sistem informasi manajemen rumah sakit dalam meningkatkan efisiensi: mini literature review. JATISI (Jurnal Teknik Informatika dan Sistem Informasi), 8(1), 357-374.

Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International journal of quality & Reliability Management, 35(6), 1195-1214.

Garcia-Smith, D., & Effken, J. A. (2013). Development and initial evaluation of the clinical information systems success model (CISSM). International journal of medical informatics, 82(6), 539-552.

Gea, H., & Harahap, J. (2022). Analysis of Hospital Service Management Implementation on Satisfaction of BPJS Participants in Stella Maris Hospital Bintang Laut. NeuroQuantology, 20(13), 884-896.

Gunawan, R. (2024). Efektivitas SIRMS pada INA-CBGS terhadap ketepatan tarif klaim BPJS rawat inap di RSUD X. Journal of Health Analysis Student (JHAS), 1(2), 67-81.

Henry, J. W., & Stone, R. W. (1994). A structural equation model of end-user satisfaction with a computer-based medical information system. Information Resources Management Journal (IRMJ), 7(3), 21-33.

Indrayati, L., Noor, N. B., Rivai, F., & Saleh, L. M. (2021). Factors Affecting User Satisfaction and Benefits of SIMRS at the Regional General Hospital Beriman. Turkish Journal of Computer and Mathematics Education, 12(13), 1565-1572.

Khalifa, M., & Alswailem, O. (2015). Hospital information systems (HIS) acceptance and satisfaction: a case study of a tertiary care hospital. Procedia Computer Science, 63, 198-204.

Kissi, J., Dai, B., Dogbe, C. S., Banahene, J., & Ernest, O. (2020). Predictive factors of physicians’ satisfaction with telemedicine services acceptance. Health informatics journal, 26(3), 1866-1880.

Kristiawan, H., Parulian, A. A., Firmansyah, Y. W., & Prasaja, B. J. (2025). Assesment Sistem Informasi Manajemen Rekam Medis pada Klaim Rawat Jalan BPJS dengan Health Metric Network. Lontara Journal of Health Science and Technology, 6(1), 62-81.

Kuo, K. M., Liu, C. F., Talley, P. C., & Pan, S. Y. (2018). Strategic improvement for quality and satisfaction of hospital information systems. Journal of Healthcare Engineering, 2018(1), 3689618.

Lee, S. M., Lee, D., & Kang, C. Y. (2012). The impact of high-performance work systems in the health-care industry: employee reactions, service quality, customer satisfaction, and customer loyalty. The Service Industries Journal, 32(1), 17-36.

Lenny, P. Y., & Kridanto, S. (2019, April). Analysis of user acceptance, service quality, and customer satisfaction of hospital management information system. In Journal of Physics: Conference Series (Vol. 1193, No. 1, p. 012001). IOP Publishing.

Lesmana, A., & Taufik, A. (2023). Development of a Bpjs Hospital Claims Monitoring Systems Via Bridging Dashboard. Journal of Information System, Informatics and Computing, 7(2), 295-305.

Livinus, V., Adhikara, M. A., & Kusumapradja, R. (2021). Hospital management information system usefulness in the health services industry at Indonesia: mandatory or voluntary?. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 10(1), 1-12.

Lumingkewas, P. H., Umboh, A., & Manampiring, A. E. (2023). SIMRS Analysis of Hospital Management Information System Implementation In Manembo-Nembo General Hospital, Bitung City. Gema Wiralodra, 14(2), 832-839.

Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269.

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 staff perspective. Galen Medical Journal, 10, e1830.

Munjirin, M., Intisari, A. D., & Aji, B. (2024). Evaluation of the implementation of SIMRS using the hot fit method: Systematic review. Science Midwifery, 12(3), 1100-1108.

Muzaki, H. N., Widyanto, R. A., & Arumi, E. R. (2023). Implementasi sistem informasi push notification pada rsud tidar magelang berbasis website. Jurnal Fasilkom, 13(02), 188-195.

Naik Jandavath, R. K., & Byram, A. (2016). Healthcare service quality effect on patient satisfaction and behavioural intentions in corporate hospitals in India. International Journal of Pharmaceutical and Healthcare Marketing, 10(1), 48-74.

Novitasari, D. (2022). Hospital quality service and patient satisfaction: how the role of service excellent and service quality?. Journal of Information Systems and Management (JISMA), 1(1), 29-36.

Padalia, A., & Natsir, T. (2022). End-User Computing Satisfaction (EUCS) Model: Implementation of Learning Management System (LMS) on Students Satisfaction at Universities. International Journal of Environment, Engineering and Education, 4(3), 100-107.

Palm, J. M., Colombet, I., Sicotte, C., & Degoulet, P. (2006). Determinants of user satisfaction with a clinical information system. In AMIA Annual symposium proceedings (Vol. 2006, p. 614).

Pane, M. S., Fanisya, N., Rizkina, S. R., Nasution, Y. P., & Agustina, D. (2023). Sistem Informasi Manajemen Rumah Sakit (SIMRS) Untuk Meningkatkan Mutu Pelayanan Kesehatan Di Indonesia. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1(3), 01-14.

Rahman, M. A., & Antu, I. A. (2025). Pengaruh Sistem Informasi Manajemen Rumah Sakit (SIMRS) di Rumah Sakit DR. Hasri Ainun Habibie. Journal Health & Science: Gorontalo Journal Health and Science Community, 9(1), 90-96.

Rahmantya, Y. E. K., Salim, U., & Djazuli, A. (2019). Hospital’s competitive advantage through service quality, information systems and Islamic work ethics. Problems and Perspectives in Management, 17(2), 193.

Ramadhan, E. A., & Fajarwati, D. (2024). The Influence of High Performance Work Systems on Service Quality and the Mediating Role of Trust, Job Satisfaction and Affective Commitment. Jurnal Ilmiah Manajemen Kesatuan, 12(1), 295–308.

Saputra, W. H., & Prima, A. (2022). E-Claim System For Health Insurance And Social Security (BPJS) Types In Indonesia: Innovation And Effectiveness Of Services. Journal of Society Medicine, 1(1), 14-24.

Sari, N., Omar, M., Pasinringi, S. A., Zulkifli, A., Sidin, A. I., Irwandy, I., ... & Ayuningtyas, D. (2024). Toward hospital resilience: a qualitative study on the identification of hospital shocks during disruption era in Indonesia. BMC Health Services Research, 24(1), 1185.

Setiorini, A., Natasia, S. R., Wiranti, Y. T., & Ramadhan, D. A. (2021). Evaluation of the application of hospital management information system (SIMRS) in RSUD Dr. Kanujoso Djatiwibowo using the HOT-Fit method. In Journal of Physics: Conference Series (Vol. 1726, No. 1, p. 012011). IOP Publishing.

Shalatiah, N. L., & Saleh, M. (2025). Implementasi sistem electronic medical record (e-mr) dalam meningkatkan kualitas klaim BPJS di UPTD RSUD Lombok Timur. Jurnal TAMBORA, 9(1), 120-126.

Swain, S., & Kar, N. C. (2018). Hospital service quality as antecedent of patient satisfaction–a conceptual framework. International Journal of Pharmaceutical and Healthcare Marketing, 12(3), 251-269.

Tan, C. N. L., Ojo, A. O., Cheah, J. H., & Ramayah, T. (2019). Measuring the influence of service quality on patient satisfaction in Malaysia. Quality Management Journal, 26(3), 129-143.

Widodo, A. W., & Pertiwi, T. S. (2024). Persepsi Kemanfaatan dan Kemudahan Terhadap Perilaku Penggunaan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Berbasis Website Di RSIA Kemang Medical Care Jakarta. Jurnal Manajemen Informasi Kesehatan Indonesia, 12(2).

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.

Zulfikar, A., Nyorong, M., & Nuraini, N. (2023). Evaluasi Implementasi SIMRS Rawat Jalan Terhadap Sistem Pelaporan Klaim BPJS di RSUD Aek Kanopan Kabupaten Labuhan Batu Utara. Journal of Healthcare Technology and Medicine, 9(1), 612-622.