KESIAPAN DAN KOMPETENSI DIGITAL TENAGA KESEHATAN DALAM IMPLEMENTASI SISTEM INFORMASI KESEHATAN DI FASILITAS PRIMER: TINJAUAN LITERATUR ATAS TANTANGAN SOSIAL-TEKNIS DAN STRATEGI PENGUATAN KAPASITAS
DOI:
https://doi.org/10.5281/zenodo.22264128Keywords:
digital competence, health information systems, primary care facilities, socio-technical challenges, capacity-building, community health centresAbstract
The implementation of health information systems (HIS) in primary care facilities faces significant challenges relating to the digital readiness and competence of healthcare workers, with multidimensional barriers in both social and technical aspects. This article aims to synthesise empirical evidence regarding the digital readiness and competence of healthcare workers in the implementation of HIS in primary care facilities, focusing on socio-technical challenges and capacity-building strategies. The method employed was a literature review. The findings indicate that the identified socio-technical challenges include digital literacy gaps between professions, resistance to change, limitations in internet infrastructure (9.45 per cent of community health centres (Puskesmas) lack access) and electricity supply, system fragmentation (an average of 30 platforms per facility), interface designs that do not align with clinical workflows, and the absence of ongoing technical support. Capacity-building strategies encompass 12 integrated interventions at the individual level (competency frameworks, tiered training, mentoring), the organisational level (transformational leadership, workflow redesign, a culture of learning), and the system level (infrastructure investment, interoperability standards, curriculum integration, technical helpdesks, and sustainable policies). Consequently, the digital readiness and competence of healthcare staff are critical determinants of the successful implementation of health information systems in primary care facilities. Digital transformation requires a holistic approach that balances technological investment with the sustainable capacity-building of human resources.
References
Aisyah, D. N., Setiawan, A. H., Mayadewi, C. A., Lokopessy, A. F., Kozlakidis, Z., & Manikam, L. (2025). Understanding Health Information Systems Utilization Across Public Health Centers in Indonesia: Cross-Sectional Study. JMIR Medical Informatics, 13(1), e68613. https://doi.org/10.2196/68613
Alzghaibi, H., & Hutchings, H. A. (2025). Barriers to the implementation of large-scale electronic health record systems in primary healthcare centers: A mixed-methods study in Saudi Arabia. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1516714
Angraeni, W. O. N., Takke, J. A. M., & Kamaruddin, M. I. (2026). Digital Governance and Health Innovation for Strengthening Community Health Systems: A Cross-Sectional Study in Indonesia. Journal Interdisciplinary Health, 2(2), 83–91. https://doi.org/10.61099/jih.v2i2.258
Edwards, J., Armstrong, M., Begum, S., Dunphy, E., Lau, R., Naughton, M., Taylor, S. J., & Ross, J. (2026). Implementation of digital health interventions in primary care in high-income countries: A systematic review. The Lancet Primary Care, 2(7). https://doi.org/10.1016/j.lanprc.2026.100175
Eliyah, E., & Aslan, A. (2025). STAKE’S EVALUATION MODEL: METODE PENELITIAN. Prosiding Seminar Nasional Indonesia, 3(2), Article 2.
Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Fahy, N., Procter, R., & Shaw, S. (2017). Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. Journal of Medical Internet Research, 19(11), e8775. https://doi.org/10.2196/jmir.8775
Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Procter, R., & Shaw, S. (2018a). Analysing the role of complexity in explaining the fortunes of technology programmes: Empirical application of the NASSS framework. BMC Medicine, 16(1), 66. https://doi.org/10.1186/s12916-018-1050-6
Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Procter, R., & Shaw, S. (2018b). Analysing the role of complexity in explaining the fortunes of technology programmes: Empirical application of the NASSS framework. BMC Medicine, 16(1), 66. https://doi.org/10.1186/s12916-018-1050-6
Handayani, I. A., Marsudarinah, M., & Marwanto, E. B. (2023). EVALUASI PENERAPAN SISTEM INFORMASI REKAM MEDIK ELEKTRONIK MENGGUNAKAN METODE HOT-FIT DI RUMAH SAKIT PKU MUHAMMADIYAH SURAKARTA. Prosiding Seminar Informasi Kesehatan Nasional, 361–366. https://doi.org/10.47701/sikenas.vi.2880
Keizer, N. de, & Georgiou, A. (2019). Applied Interdisciplinary Theory in Health Informatics: A Knowledge Base for Practitioners. SAGE Publications.
Klootwijk, L., van Houten, L., Ket, J., Mostert, S., & Kaspers, G. (2025). Digital learning strategies to train primary healthcare workers in sub-Saharan Africa: A scoping review. African Journal of Health Professions Education, 17(4), 2–13. https://doi.org/10.7196/AJHPE.2025.v17i3.2628
Kusumadewi, S., Kurniawan, R., Wahyuni, E. G., Arifin, A., Rosita, L., & Mutmainna, M. (2026). Aggregation Model to Determine Criteria Weights for Integrated Primary Health Care Information System (IPCIS) Implementation. Jurnal Teknik Informatika (Jutif), 7(2), 1690–1703. https://doi.org/10.52436/1.jutif.2026.7.2.5619
Noman, A.-S., Alshargabi, K., & Noman, S. (2026). The Role of Information Technology in Strengthening Vital Statistics in Public Health Institutions in Sana’a, Yemen. Risk Management and Healthcare Policy, 19, 609380. https://doi.org/10.2147/RMHP.S609380
Nordmann, K., Sauter, S., Redlich, M.-C., Möbius-Lerch, P., Schaller, M., & Fischer, F. (2024). Challenges and conditions for successfully implementing and adopting the telematics infrastructure in German outpatient healthcare: A qualitative study applying the NASSS framework. DIGITAL HEALTH, 10, 20552076241259855. https://doi.org/10.1177/20552076241259855
Patten, M. L. (2016). Understanding Research Methods: An Overview of the Essentials (9 ed.). Routledge. https://doi.org/10.4324/9781315266312
Psomas, E. (2021). Future research methodologies of lean manufacturing: A systematic literature review. International Journal of Lean Six Sigma, 12(6), 1146–1183. https://doi.org/10.1108/IJLSS-06-2020-0082
Riyantori, R., & Buka, S. P. Y. (2025). Digital Transformation in Primary Health Care: Evaluation of Information Technology Adoption and Management Practices. Smart International Management Journal, 2(4), 48–55. https://doi.org/10.70076/simj.v2i4.129
Shin, H. D., Hamovitch, E., Gatov, E., MacKinnon, M., Samawi, L., Boateng, R., Thorpe, K. E., & Barwick, M. (2025). The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review. PLOS Digital Health, 4(3), e0000418. https://doi.org/10.1371/journal.pdig.0000418
Suraya, A., Maryuni, Aryanie, D., Lelitasari, Sulandari, U., Setyawati, M., Narulita, S., Jenie, R. P., Ningsih, S. U., Kusrini, E., Triwibowo, A. C., Suyanti, T., Soeharno, R., & Shetye, M. (2026). Childhood Lead Exposure in Primary Health Care Settings in Indonesia: A Cross-Sectional Study in Bogor City and Bogor Regency. International Journal of Environmental Research and Public Health, 23(8), 1046. https://doi.org/10.3390/ijerph23081046
Syahrian, M. F., Angelina, E. N., & Wienaldi, W. (2024). Brand Awareness dan Perceived Quality Mempengaruhi Loyalitas Pasien pada Rumah Sakit Khusus Mata Prima Vision Medan. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 2(1), 280–291. https://doi.org/10.55606/termometer.v2i1.2918
Tiwari, M., Bryde, D. J., Stavropoulou, F., Dubey, R., Kumari, S., & Foropon, C. (2024). Modelling supply chain Visibility, digital Technologies, environmental dynamism and healthcare supply chain Resilience: An organisation information processing theory perspective. Transportation Research Part E: Logistics and Transportation Review, 188, 103613. https://doi.org/10.1016/j.tre.2024.103613
Widjaja, G., Sijabat, H. H., & Dhanudibroto, H. (2025). KEWAJIBAN TENAGA KESEHATAN DALAM MEMBERIKAN INFORMED CONSENT: KAJIAN LITERATUR ETIKA DAN HUKUM. ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH, 5(2), 1–11.
Widyastuti, Y., Rizkiyani, T., & Rahayu, S. (2023). Employer Branding Dalam Pelayanan Publik Bidang Kesehatan di Rsud Banten. JURNAL ILMIAH ILMU ADMINISTRASI, 13(2), 74–82. https://doi.org/10.33592/jiia.v13i2.3575
Yustikasari, Anisa, R., Dewi, R., Ananda, F., & Irawati, I. (2025). PROMOSI KESEHATAN DALAM MENINGKATKAN CITRA DAN BRANDING RUMAH SAKIT. PEDAMAS (PENGABDIAN KEPADA MASYARAKAT), 3(01), 531–541.
