Integration Challenges of Indonesia’s Hospital Management Information Systems: A Literature Review
Keywords:
Integration, challenges, management, hospital information systemAbstract
Hospitals provide essential health services to all community segments, where patient outcomes rely not only on clinical care but also on effective information management via Hospital Management Information Systems (HMIS). As technology advances, HMIS enables faster, more efficient services by collecting, processing, and presenting data across hospital levels and for policymakers. This organized data flow supports decision-making and program implementation. Within this context, the following literature review explores key challenges in achieving comprehensive and effective HMIS integration. Article searches were conducted using the keywords "Challenges of integrating the Hospital Information System" on Google Scholar, thus obtaining relevant publications systematically. From the initial 29,700 articles, only five publications met the criteria, and these five articles entered the final selection stage. From the in-depth study, three main barriers were revealed: a limited number and expertise of human resources, inadequate technological infrastructure, and high costs of implementing and maintaining HMIS. The discussion and its conclusions are strongly based on phased planning, strengthening competencies, and adequate funding strategies. In order to address these issues, four main strategies can be implemented: (1) designing a sustainable innovative funding scheme, (2) organising comprehensive training programmes for all relevant professional staff, (3) continuously investing in reliable technological infrastructure, and (4) developing harmonised data standards, both at the national level and in the international arena.Downloads
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References
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Blumenthal, D. (2011). Implementation of the federal health information technology initiative. New England Journal of Medicine, 365(25), 2426-2431 https://doi.org/10.2196/59066
Farzandipour, M., Ahmadi, M., & Sadoughi, F. (2020). Hospital information system implementation: A systematic review. International Journal of Medical Informatics, 101, 65-72 https://doi.org/10.1186/s12911-022-01905-7
Hariana, E., Sanjaya, G. Y., Rahmanti, A. R., Murtiningsih, B., & Nugroho, E. (2013). Penggunaan sistem Informasi manajemen rumah sakit (SIMRS) di DIY. SESINDO 2013, 2013.
Hebda, T., Czar, P., & Mascara, C. (2005). Handbook of Informatics for Nurses and Healthcare Professionals (3rd ed.). Pearson Prentice Hall.
He, J., Baxter, S. L., Xu, J., Xu, J., Zhou, X., & Zhang, K. (2019). The practical implementation of artificial intelligence technologies in medicine. Nature Medicine, 25(1), 30-36. https://doi.org/10.1038/s41591-018-0307-0
Haux, R. (2006). Health information systems: Past, present, future. International Journal ofMedicalInformatics,75(3-4),268-281. https://doi.org/10.1016/j.ijmedinf.2005.08.002
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (1999). To err is human: Building a safer health system. National Academy Press.
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., ... & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration.BMJ,339,b2700.https://doi.org/10.7326/0003-4819-151-4- 200908180-00136
Malliarou, M., & Zyga, S. (2009). Hospital information systems. Health Science Journal, 3(3), 199-208. https://doi.org/10.1186/s12911-020-1076-5
Meidani, Z., Sadoughi, F., Maleki, M. R., & Tofighi, S. (2016). Health information system adoption: A qualitative study. Health Information Management Journal, 45(1), 43-53.
Moher, D., moheati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.7326/0003-4819-151-4- 200908180-00135
Molly, R., & Itaar, M. (2021). Analisis Pemanfaatan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Pada RRSUD DOK II Jayapura. Journal of Software Engineering Ampera, 2(2), 95-101 https://doi.org/10.51519/journalsea.v2i2.127
Negash, S., Ryan, T., & Igbaria, M. (2018). Quality and effectiveness in Web-based customer support systems. Information & Management, 40(8), 757-768. https://doi.org/10.1016/S0378-7206(02)00101-5
Putra, A. D., Dangnga, M. S., & Majid, M. (2020). Evaluasi sistem informasi manajemen rumah sakit (SIMRS) dengan metode hot fit di RSUD Andi Makkasau Kota Parepare. Jurnal Ilmiah Manusia Dan Kesehatan, 3(1), 61-68 https://doi.org/10.31850/makes.v3i1.294
Sackett, D. L., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (1996). Evidence- Based Medicine: How to Practice and Teach EBM. Churchill Livingstone.
Septiyani, S. N. D., & Sulistiadi, W. (2022). Penerapan sistem informasi manajemen rumah sakit (simrs) dengan menggunakan metode hot-fit: systematic REVIEW. JKESMASJ.Kesehat.Masy, 8(2),136 http://dx.doi.org/10.35329/jkesmas.v8i2.3706
Setyawan, D. (2016). Analisis Implementasi Pemanfaatan Sistem Informasi Manajemen Rumah Sakit (Simrs) Pada Rsud Kardinah Tegal. IJCIT (Indonesian Journal on ComputerandInformationTechnology), 1(2) https://doi.org/10.31294/ijcit.v1i2.1503
Zandieh, S. O., Yoon-Flannery, K., Kuperman, G. J., Langsam, D. J., Hyman, D., & Kaushal, R. (2008). Challenges to EHR implementation in electronic- versus paper- based office practices. Journal of General Internal Medicine, 23(6), 755-761. https://doi.org/10.1007/s11606-008-0573-5
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Published
2025-07-31
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Integration Challenges of Indonesia’s Hospital Management Information Systems: A Literature Review. (2025). Proceeding of International Conference on Economics, Technology, Management, Accounting, Education, and Social Science (ICETEA), 1, 447-464. https://conference.unita.ac.id/index.php/icetea/article/view/393
