Health information system concept in health services in the national health insurance (JKN) era in Indonesia: An environment and one health approach

Abstract

The health information system is a component of the healthcare system. The health information system in health services in Indonesia has experienced many problems in getting support for policy making, the implementation of the industrial revolution 4.0, and national health insurance (JKN). To answer the above problems, it is necessary to make a concept of health information systems in health services that based on environment and one health perspectives. This research was part of the thematic research of the 2019 JKN National Health Facilities Survey (Rifaskes) in Indonesia. The systems approach and cross-sectional research were carried out by collecting quantitative data. A structural equation model with Lisrel 88 software was used to model the health information system. The health information system produced a concept that included the following structured input components: governance, human resources, infrastructure, types of information system (IS) (program, JKN, management), and financing; process components: funding, technical guidance, and verification and validation; and output components: open access, standards and quality, utilization, bridging, and security. The concept for strengthening the health information system prioritizes improving the output components (standards, utilization, bridging, open access, and security) in the process components (funding, verification, technical guidance) while the input components (financing, human resources, governance, IS programs, infrastructure, IS JKN, IS management).

Service availability and readiness of malaria surveillance information systems implementation at primary health centers in Indonesia

“…The rational of readiness score was developed from the theory of organizational readiness for change [ 17 ]. We interviewed the head and staff of the Malaria program at each health-care center [ 16 ]. We then recruited a local interviewer who had been involved with the Rifaskes in 2019.…”

“…Training sessions for the interviewer were held virtually and during face-to-face meetings. Direct supervision by the research team was carried out during data collection [ 16 ].…”

“…The procedures followed were in accordance with the ethical standards of the committee on human experimentation (institutional and national) (Protocol Code: Leader of Centre of Research and Development for Human Resources and Health Services, National Institute for Health Research and Development, Indonesian Ministry of Health, No. HK.03.02/1/180/2019, and Ethical Approval LB.02.01/2/KE.186/2019) [ 16 ]. Informed consent was obtained from all subjects involved in the study.…”

“…This study aims to assess and discuss the availability and readiness of the information system for malaria control programs in health-care centers, i.e., the SISMAL. The data was analyzed from National Health Facility Research (Rifaskes) in combination with data collected from a thematic study of health information systems in 2019 [ 16 ].…”

Obstacles in Basic Health Service When Dealing with COVID-19: A Reflection for Improvement

“…The adequate medicine availability, the presence of the officers conducting the testing, and funding are three crucial things that should be available actually to carry out the health service, 28 including for maintaining one’s health from a disease of COVID-19. In contrast, those three things were not easily deployed.…”