The Effect Of Hospital Information Management System Implementation, Digital Competence, And Administrative Burden On Work Efficiency

Abstract

The work efficiency of hospital administrative staff still faces challenges in the form of suboptimal implementation of the Hospital Information Management System (HIMS), low digital competency, and high administrative burden, which impacts the smooth operation of healthcare services. This study aims to analyze the influence of  HIMS, digital competency, and administrative burden on the work efficiency of administrative staff at Madani General Hospital, Medan, based on scientific management and digital innovation theories. This is a quantitative study using an associative approach, using a cross-sectional study. The study was conducted at Madani General Hospital, Medan. The population was all 135 employees, and a sample size of 112 was obtained. Sampling was conducted using purposive sampling. The data were analyzed univariate bivariate (Chi-Square test), and multivariate analysis using multiple logistic regression. The results showed that the work efficiency of administrative staff at Madani General Hospital, Medan, was significantly influenced by the implementation of HIMS (p=0.003), information and data literacy (p=0.013), digital communication and collaboration (p=0.013), time burden (p=0.003), and compliance burden (p=0.001). While digital content creation (p=0.073), digital security (p=0.311), digital problem-solving (p=0.111), and psychological burden (p=0.203) did not significantly influence work efficiency. HIMS implementation had the largest contribution to work efficiency with an OR of 10.632, and a simultaneous multiple logistic regression model showed significant variables explaining 72.11% of the variation in work efficiency, while 27.89% was influenced by other factors outside this study. Future research is recommended to include variables such as leadership, motivation, organizational culture, technological facilities, and work stress. A mixed methods or qualitative approach can also be used to explore employee experiences in using HIMS  and strategies to improve work efficiency.