skip to main content

Structuration of Medical Record Management During The Transition Period at Surakarta Orthopedic Hospital

*Susi Haryanti  -  STIA LAN Polytechnic Jakarta, Indonesia
Amir Imbaruddin  -  STIA LAN Polytechnic Makkasar, Indonesia
Agus Sudrajat  -  STIA LAN Polytechnic Jakarta, Indonesia
Yogi Suwarno  -  STIA LAN Polytechnic Jakarta, Indonesia
Received: 20 Jun 2025; Revised: 2 Oct 2025; Accepted: 20 Oct 2025; Published: 19 Nov 2025.

Citation Format:
Abstract

Background of the study: This research describes the successful implementation of electronic medical record management during the transition period in Soeharso Orthopedic Hospital, Surakarta (RSO). This hospital is a specialized orthopedic hospital and is a national referral hospital. As a referral hospital, the hospital must provide maximum service to patients. The success of Electronic Medical Record (EMR) management during this transition period can be used as a reference for other hospitals in managing their medical record archives.

Objective: to analyze the management of medical records during the transition from manual medical records to electronic medical records.

Methods: This research uses qualitative approach with a case study design. Data sources come from interviews, FGD, observation and documentation

Results: The success of medical records management in RSO during the transition period is not only determined by the availability of existing technology and policies, but also by the agent's ability to adapt and play an active role in forming a supportive structure.

Conclusion: The success of RM management during the transition period is influenced by factors such as training and mentoring; management support; agent involvement in decision-making and the flexibility of the RSO organization.

Fulltext View|Download
Keywords: Managing medical record; transition period; hospital; structuring

Article Metrics:

  1. Adler-Milstein, Julia & Bates, David W., 2010. "Paperless healthcare: Progress and challenges of an IT-enabled healthcare system," Business Horizons, Elsevier, vol. 53(2), pages 119-130, March
  2. Abraham, J., & Reddy, M. C. (2010). Challenges to inter-departmental coordination of patient transfers: a workflow perspective. International journal of medical informatics, 79(2), 112–122. https://doi.org/10.1016/j.ijmedinf.2009.11.001
  3. Crewell, K., Worth, A., & Sheikh, A. (2013). The role of structuration theory in understanding the dynamics of health information systems implementation and use. BMC Medical Informatics and Decision Making, 13(1), 43. https://doi.org/10.1186/1472-6947-13-43
  4. Giddens, A. (1984). The Constitution of Society: Outline of the Theory of Structuration. University of California
  5. Haux, R. (2006). Health information systems: Past, present, future. International Journal of Medical Informatics, 75(3-4), 268-281. https://doi.org/10.1016/j.ijmedinf.2005.08.002
  6. Hidayat, A. (2020). Kendala dalam penerapan rekam medis elektronik di Indonesia. Jurnal Manajemen Informasi Kesehatan, 5(2), 130-141
  7. Insani, S. et al. (2024). Electronic Medical Record: Challenges in Terms of Management Elements. Jurnal PELS, Universitas Muhammadiyah Sidoarjo
  8. Izza, M., & Lailiyah, I. (2024). Manajemen Rekam Medis Elektronik di Rumah Sakit Indonesia: Tantangan dan Solusi Implementasi. Jurnal Manajemen Kesehatan, Universitas Airlangga
  9. Jha, A. K., DesRoches, C. M., Campbell, E. G., et al. (2009). Use of electronic health records in US hospitals. The New England Journal of Medicine, 360(16), 1628-1638. https://doi.org/10.1056/NEJMsa0900592
  10. Kim, M. I., & Johnson, K. B. (2002). Personal health records: evaluation of functionality and utility. Journal of the American Medical Informatics Association: JAMIA, 9(2), 171–180. https://doi.org/10.1197/jamia.m0978
  11. Mustofa, A., & Soesilo, T. (2019). Analisis faktor penghambat dalam implementasi rekam medis elektronik. Jurnal Kesehatan Masyarakat Indonesia, 15(1), 45-57
  12. Mutale, W., Chintu, N., & Chirwa, B. (2021). “Digital Health Transformation in Zambia: Lessons from Structuration Theory.” Health Policy and Planning, 36(7), 1023–1035
  13. Nugroho, S., & Hartanto, D. (2021). Manajemen transisi pengelolaan rekam medis di Rumah Sakit Orthopedi Surakarta. Jurnal Manajemen Rumah Sakit, 14(3), 210-225
  14. Pozzebon, M., & Pinsonneault, A. (2005). “Challenges in Conducting Empirical Work Using Structuration Theory: Learning from IT Research.” Organization Studies, 26(9), 1353–1376
  15. Protti, D. (2007). Adoption of information technology in primary care physician offices in Alberta and Denmark, part 1: Historical, policy, and operational context. Healthcare Management Forum, 20(4), 6-12. https://doi.org/10.1016/S0840-4704(10)60154-5
  16. Sewell, W. H. (1992). A theory of structure: Duality, agency, and transformation. American Journal of Sociology, 98(1), 1-29. https://doi.org/10.1086/229967
  17. Smith, J., Roberts, C., & Hall, K. (2014). Challenges in the adoption of electronic health records: Insights from theory and practice. Journal of Health Informatics, 22(2), 140-150
  18. Wears, R. L., & Berg, M. (2005). Computer technology and clinical work: Still waiting for Godot. JAMA, 293(10), 1261-1263. https://doi.org/10.1001/jama.293.10.1261

Last update:

No citation recorded.

Last update: 2025-11-19 13:58:11

No citation recorded.