Implementation of Telemedicine in Health Services: Challenges and Opportunities

Loso Judijanto (1), Dito Anurogo (2), Benny Novico Zani (3), Dadang Muhammad Hasyim (4), Kori Puspita Ningsih (5)
(1) IPOSS Jakarta, Indonesia,
(2) Universitas Muhammadiyah Makassar, Taipei Medical University Taiwan, Indonesia,
(3) Sekolah Tinggi Ilmu Kesehatan Raflesia, Indonesia,
(4) Sekolah Tinggi Ilmu Kesehatan Karsa Husada Garut, Indonesia,
(5) Universitas Jenderal Achmad Yani Yogyakarta, Indonesia

Abstract

Telemedicine telah menjadi alternatif penting dalam memberikan pelayanan kesehatan, terutama selama pandemi COVID-19. Telemedicine adalah praktik pemberian layanan kesehatan jarak jauh menggunakan teknologi komunikasi seperti telepon, video conference, atau platform online. Namun, masih terdapat tantangan dalam mengimplementasikan teknologi ini secara efektif. Penelitian ini bertujuan untuk mengidentifikasi tantangan utama yang dihadapi dalam mengimplementasikan telemedicine, serta untuk mengevaluasi peluang dan manfaat yang mungkin terwujud dalam memanfaatkan teknologi ini dalam pelayanan kesehatan. Metode penelitian ini menggunakan pendekatan kualitatif. Data juga dikumpulkan melalui studi pustaka untuk memperoleh pemahaman yang komprehensif tentang implementasi telemedicine. Hasil penelitian menunjukkan bahwa tantangan utama dalam implementasi telemedicine meliputi masalah keamanan data, keterbatasan akses teknologi, perubahan dalam praktik klinis, dan regulasi. Namun, terdapat peluang besar dalam meningkatkan akses pelayanan kesehatan, meningkatkan efisiensi, dan memperluas jangkauan pelayanan. Implementasi telemedicine menawarkan potensi besar dalam meningkatkan pelayanan kesehatan, namun tantangan yang ada perlu diatasi dengan strategi yang tepat. Regulasi yang jelas, infrastruktur teknologi yang memadai, serta keterlibatan stakeholder kunci akan menjadi kunci dalam mengoptimalkan manfaat telemedicine dalam pelayanan kesehatan. Dengan telemedicine, diagnosis, konsultasi medis, pengobatan, serta monitoring kondisi medis dapat dilakukan secara efisien dan cepat tanpa memerlukan pertemuan langsung. Teknologi ini sangat membantu dalam mengatasi kendala geografis atau waktu serta meningkatkan aksesibilitas layanan kesehatan bagi individu yang sulit untuk mengunjungi praktisi medis secara langsung.


 

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References

Albahri, A. S., Alwan, J. K., Taha, Z. K., Ismail, S. F., Hamid, R. A., Zaidan, A. A., Albahri, O. S., Zaidan, B. B., Alamoodi, A. H., & Alsalem, M. A. (2021). IoT-based telemedicine for disease prevention and health promotion: State-of-the-Art. Journal of Network and Computer Applications, 173, 102873. https://doi.org/10.1016/j.jnca.2020.102873

Anggoro, T. P., & Nurwahyuni, A. (2022). Penerapan Telemedicine untuk Program Rujuk Balik Jaminan Kesehatan Nasional di Masa Pandemi Covid-19. Media Karya Kesehatan, 5(2). https://doi.org/10.24198/mkk.v5i2.39008

Annaswamy, T. M., Verduzco-Gutierrez, M., & Frieden, L. (2020). Telemedicine barriers and challenges for persons with disabilities: COVID-19 and beyond. Disability and Health Journal, 13(4), 100973. https://doi.org/10.1016/j.dhjo.2020.100973

Batsis, J. A., DiMilia, P. R., Seo, L. M., Fortuna, K. L., Kennedy, M. A., Blunt, H. B., Bagley, P. J., Brooks, J., Brooks, E., Kim, S. Y., Masutani, R. K., Bruce, M. L., & Bartels, S. J. (2019). Effectiveness of Ambulatory Telemedicine Care in Older Adults: A Systematic Review. Journal of the American Geriatrics Society, 67(8), 1737–1749. https://doi.org/10.1111/jgs.15959

Bokolo Anthony Jnr. (2020). Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic. Journal of Medical Systems, 44(7), 132. https://doi.org/10.1007/s10916-020-01596-5

Boro, M. F. V., & Hariyati, Rr. T. S. (2019). The Use of Telenursing through The Nursing Care. JENDELA NURSING JOURNAL, 3(2), 114–121. https://doi.org/10.31983/jnj.v3i2.5411

Chunara, R., Zhao, Y., Chen, J., Lawrence, K., Testa, P. A., Nov, O., & Mann, D. M. (2021). Telemedicine and healthcare disparities: A cohort study in a large healthcare system in New York City during COVID-19. Journal of the American Medical Informatics Association, 28(1), 33–41. https://doi.org/10.1093/jamia/ocaa217

Contreras, C. M., Metzger, G. A., Beane, J. D., Dedhia, P. H., Ejaz, A., & Pawlik, T. M. (2020). Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond. Journal of Gastrointestinal Surgery, 24(7), 1692–1697. https://doi.org/10.1007/s11605-020-04623-5

Dewi, A. C., Papilaya, R. O., & Agushybana, F. (2023). KESIAPAN PELAYANAN TELEHEALTH SELAMA PANDEMI COVID-19: LITERATUR REVIEW. IKESMA, 19(1), 1. https://doi.org/10.19184/ikesma.v19i1.36711

Dzulvawan, N., & Pramana, S. (2022). Pemetaan Kesiapan Penerapan Telemedika di Indonesia. Indonesian of Health Information Management Journal (INOHIM), 10(2), 118–125. https://doi.org/10.47007/inohim.v10i2.436

Eberly, L. A., Kallan, M. J., Julien, H. M., Haynes, N., Khatana, S. A. M., Nathan, A. S., Snider, C., Chokshi, N. P., Eneanya, N. D., Takvorian, S. U., Anastos-Wallen, R., Chaiyachati, K., Ambrose, M., O’Quinn, R., Seigerman, M., Goldberg, L. R., Leri, D., Choi, K., Gitelman, Y., … Adusumalli, S. (2020). Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic. JAMA Network Open, 3(12), e2031640. https://doi.org/10.1001/jamanetworkopen.2020.31640

Erwansyah, R. A., Nursalam, N., Permana, B., & Hasanah, I. (2022). Riset Kepuasan Pasien pada Layanan Kesehatan Jarak Jauh Berbasis Telehealth Selama Masa Pandemi Covid-19. Jurnal Aisyah?: Jurnal Ilmu Kesehatan, 7(1), 269–276. https://doi.org/10.30604/jika.v7i1.903

Ganiem, L. M. (2021). EFEK TELEMEDICINE PADA MASYARAKAT (Kajian Hukum Media McLuhan: Tetrad). Interaksi: Jurnal Ilmu Komunikasi, 9(2), 87–97. https://doi.org/10.14710/interaksi.9.2.87-97

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Herendeen, N. E., & Schaefer, G. B. (2009). Practical Applications of Telemedicine for Pediatricians. Pediatric Annals, 38(10), 567–569. https://doi.org/10.3928/00904481-20090918-04

Honni, H. (2013). Pengembangan Model Aplikasi Administrasi Pelayanan Kesehatan di Puskemas dengan Cloud Computing Berbasiskan Open Source. ComTech: Computer, Mathematics and Engineering Applications, 4(2), 1026. https://doi.org/10.21512/comtech.v4i2.2544

Kaplan, B. (2020). REVISITING HEALTH INFORMATION TECHNOLOGY ETHICAL, LEGAL, and SOCIAL ISSUES and EVALUATION: TELEHEALTH/TELEMEDICINE and COVID-19. International Journal of Medical Informatics, 143, 104239. https://doi.org/10.1016/j.ijmedinf.2020.104239

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic and the future: A narrative review and perspectives moving forward in the USA. Family Medicine and Community Health, 8(3), e000530. https://doi.org/10.1136/fmch-2020-000530

Lee, S.-J., Jung, T.-Y., Lee, T.-R., & Han, J.-H. (2018). Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: Patients’ and health professionals’ perception of real-time electrocardiogram monitoring. BMC Health Services Research, 18(1), 293. https://doi.org/10.1186/s12913-018-3105-y

Leite, H., Hodgkinson, I. R., & Gruber, T. (2020). New development: ‘Healing at a distance’—telemedicine and COVID-19. Public Money & Management, 40(6), 483–485. https://doi.org/10.1080/09540962.2020.1748855

Lin, L. (Allison), Casteel, D., Shigekawa, E., Weyrich, M. S., Roby, D. H., & McMenamin, S. B. (2019). Telemedicine-delivered treatment interventions for substance use disorders: A systematic review. Journal of Substance Abuse Treatment, 101, 38–49. https://doi.org/10.1016/j.jsat.2019.03.007

Maghribi, M. (2023). NURSING TELEHEALTH (SISTEM INFORMATIKA KEPERAWATAN): SYSTEMATIC LITERATURE REVIEW: SYSTEMATIC LITERATURE REVIEW. JURNAL KEPERAWATAN, 17(1), 10–18. https://doi.org/10.36568/nersbaya.v17i1.54

Majid, T. N., Prayoga, D., & Nashrullah, M. (2022). KEPUASAN PASIEN TERHADAP TELEMEDICINE PADA PELAYANAN KESEHATAN SELAMA PANDEMI COVID-19: LITERATUR REVIEW. PREPOTIF?: Jurnal Kesehatan Masyarakat, 6(2), 1535–1546. https://doi.org/10.31004/prepotif.v6i2.4506

Mann, D. M., Chen, J., Chunara, R., Testa, P. A., & Nov, O. (2020). COVID-19 transforms health care through telemedicine: Evidence from the field. Journal of the American Medical Informatics Association, 27(7), 1132–1135. https://doi.org/10.1093/jamia/ocaa072

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20(1), 1193. https://doi.org/10.1186/s12889-020-09301-4

Munawaroh, S. M., & Permanasari, V. Y. (2023). Telemedicine pada Layanan Tuberkulosis (Literature Review). Jurnal Informatika Terpadu, 9(1), 01–09. https://doi.org/10.54914/jit.v9i1.626

Prawestiningtyas, E., Hamada, M., Aulia, N., Puspitasari, D., Yusuf, V., & Amar, N. (2023). Potensi Implementasi Telemedicine (Telekonsultasi, Telemonitoring, dan Telenutrisi) pada Penyakit Kronis Pasca Pandemi COVID-19 sebagai Upaya Resiliensi Bangsa Indonesia. Jurnal Klinik Dan Riset Kesehatan, 2(3), 365–373. https://doi.org/10.11594/jk-risk.02.3.6

Purbaningsih, E., & Hariyanti, T. S. (2020). Pemanfaatan Sistem Telehealth Berbasis Web Pada Ibu Hamil: Kajian Literatur. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(04), 163–171. https://doi.org/10.33221/jiiki.v10i04.683

Rahmasari, F. F., Wigati, P. A., & Budiyanti, R. T. (2023). Analisis Pengaruh Keputusan Penggunaan Telemedicine Halodoc di Kota Bogor. Jurnal Manajemen Kesehatan Indonesia, 11(2), 190–202. https://doi.org/10.14710/jmki.11.2.2023.190-202

Romdlon, M. A., Adi, L. K., & Kurniawan, A. A. (2021). Telemedicine dalam Konstruksi Hukum di Indonesia. Kosmik Hukum, 21(2), 142. https://doi.org/10.30595/kosmikhukum.v21i2.10597

Ryu, S. (2012). Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2). Healthcare Informatics Research, 18(2), 153. https://doi.org/10.4258/hir.2012.18.2.153

Sholikhatin, S. A., & Prasetyo, A. B. (2020). Integrasi Telemedicine dengan Cloud Computing pada Web Pelayanan Kesehatan. Jurnal Informatika, 7(2), 91–96. https://doi.org/10.31294/ji.v7i2.7293

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare, 26(5), 309–313. https://doi.org/10.1177/1357633X20916567

Sunarya, U., Halomoan, J., & Ruswanda, G. A. P. (2015). Perancangan Rekam Medis PPTM Berbasis Android dan Mikrokontroler Menggunakan Teknologi RFID. Jurnal Nasional Teknik Elektro Dan Teknologi Informasi (JNTETI), 4(1). https://doi.org/10.22146/jnteti.v4i1.138

Vidal-Alaball, J., Acosta-Roja, R., Pastor Hernández, N., Sanchez Luque, U., Morrison, D., Narejos Pérez, S., Perez-Llano, J., Salvador Vèrges, A., & López Seguí, F. (2020). Telemedicine in the face of the COVID-19 pandemic. Atención Primaria, 52(6), 418–422. https://doi.org/10.1016/j.aprim.2020.04.003

Wicaksono, A., & Setianto, B. (2022). Layanan Telemedicine Rumah Sakit Islam Surabaya sebagai Upaya dalam Menurunkan Kasus Covid 19. To Maega?: Jurnal Pengabdian Masyarakat, 5(2), 292. https://doi.org/10.35914/tomaega.v5i2.1081

Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., Curtis, S., Roman, M., Poon, E. G., Ferranti, J., Katz, J. N., & Tcheng, J. (2020). Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association, 27(6), 957–962. https://doi.org/10.1093/jamia/ocaa067

Yuliaty, F., Triyana, Y., Wirawan, C., & Sya’bandyah, F. (2022). FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUTUSAN PASIEN UNTUK BERKONSULTASI MELALUI APLIKASI TELEMEDICINE. KOMPLEKSITAS: JURNAL ILMIAH MANAJEMEN, ORGANISASI DAN BISNIS, 11(2), 61–68. https://doi.org/10.56486/kompleksitas.vol11no2.265

Authors

Loso Judijanto
Dito Anurogo
dito.anurogo@med.unismuh.ac.id (Primary Contact)
Benny Novico Zani
Dadang Muhammad Hasyim
Kori Puspita Ningsih
Judijanto, L., Anurogo, D., Zani, B. N., Hasyim, D. M., & Ningsih, K. P. (2023). Implementation of Telemedicine in Health Services: Challenges and Opportunities. Journal of World Future Medicine, Health and Nursing, 2(1), 37–50. https://doi.org/10.70177/health.v2i1.667

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