Low Utilization of Telemedicine in the First-Year Trial: A Case in the Province of West Papua, Indonesia

Abstract

West Papua is the second biggest province in eastern part of Indonesia. Availability and accessibility of health care services are among the priority problems in this province. Telemedicine Indonesia (TEMENIN), a telemedicine pilot project from the Ministry of Health, has been implemented in 4 health care facilities in West Papua since 2018. This paper aims to evaluate the implementation and challenges of TEMENIN in respected health facilities in West Papua province. We applied a descriptive study using qualitative and quantitative approaches. Focus group discussion and interviews with participants emphasized the high demands of well running telemedicine. However, several difficulties and challenges have contributed to the low utilization of the TEMENIN during the pilot project. Those include unstable Internet connection, limited ease of use and lack of suitable features that meet local health problems. Several recommendations are suggested to increase the utilization and improve the pilot project in the coming years.

Analisis Kualitatif Penggunaan Telemedicine sebagai Solusi Pelayanan Kesehatan di Indonesia pada Masa Pandemik COVID-19

“…Penelitian terdahulu mengungkapkan di mancanegara, telemedicine telah digunakan dalam penanganan kasus pulmonary, musculoskeletal, neurologi (Chang & Boudier-Revéret, 2020;Cottrell & Russell, 2020;Gonzalez-Gerez et al, 2020;Randelli & Compagnoni, 2020;Turolla et al, 2020 (Agostini et al, 2015;Bernal et al, 2017;Castrodad et al, 2019;Cottrell et al, 2016;Jiang et al, 2018;Shukla et al, 2016 (Davis, 1989;Nugraheni et al, 2020). Sehingga peneliti tertarik untuk meninjau kembali penggunaan telemedicine dalam situasi yang berbeda yakni di masa pandemic COVID-19 seperti saat ini, dimana pelayanan tatap muka sangat terbatas dan beresiko meningkatkan penyebaran COVID-19.…”

Telehealth Sebagai Determinan Pengetahuan, Sikap dan Perilaku Klien pada Masa Pendemi Covid-19

“…Beberapa penelitian lain mengenai pengetahuan mengemukakan bahwa pengetahuan merupakan faktor dominan yang mempengaruhi terjadinya perilaku seseorang terhadap perilaku kesehatan. Pengetahuan menurut teori Gestalt Lewin merupakan respon kognitif dari seseorang terhadap stimulus yang didapat dari sensor motor, pre operational, concrete operational, formal operational, baik merupakan pendekatan kognitif, psikoanalisa, dan fenomenologi (Notoatmodjo, 2019).…”

Nurses’ perceived knowledge, self-confidence, and attitudes in using telemedicine: A case study from West Indonesia

“…However, a lack of knowledge among health practitioners, patients, administrative, and IT personnel have impeded the development of telemedicine. 7 Professional development is needed so that the use of telemedicine can be optimised. Nurses have the knowledge to provide and develop healthcare.…”