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Abstrak :
Sebagai respons terhadap pandemi COVID-19, Grup Rumah Sakit Hermina pada tahun 2020 telah menerapkan pelayanan telemedicine Halo Hermina, namun efektivitas dari layanan ini masih belum diketahui. Tujuan penelitian ini adalah untuk menganalisis efektivitas pelayanan telemedicine di Grup Rumah Sakit Hermina. Penelitian ini menggunakan pendekatan kuantitatif dengan studi metode potong lintang yang dilakukan pada tahun 2022, terhadap total 680 sampel yang terdiri 212 pasien, 239 karyawan dan 229 manajemen. Hasil penelitian menunjukkan bahwa penerapan telemedicine dengan aplikasi Halo Hermina dipandang efektif oleh 94% pasien, 88% karyawan, dan 91% manajemen. Hasil uji bivariat menunjukkan bahwa yang berhubungan dengan efektivitas pelayanan telemedicine adalah perspektif proses bisnis internal, pembelajaran dan pertumbuhan, dan keuangan, pelanggan, persepsi manfaat yang didapatkan, kemudahan, sikap terhadap penggunaan, kecenderungan perilaku. Hasil uji multiple regresi menunjukkan bahwa variabel sikap terhadap penggunaan, kecenderungan perilaku, pertumbuhan dan pembelajaran, pelanggan memiliki hubungan yang bermakna terhadap efektifitas pelayanan telemedicine. Variabel terkait balanced scorecard (BSC) memiliki nilai koefisien determinasi sebesar 32,9 % untuk pihak manajemen dan variabel terkait technology acceptance model (TAM) memiliki nilai koefisien determinasi sebesar 58,4% untuk pasien dan 49,8% untuk karyawan, dengan nilai p<0,05. Rumah sakit dapat menggunakan pendekatan berbasis TAM dan BSC dalam meningkatkan layanan telemedicine Halo Hermina agar dapat menjadi lebih efektif. Untuk meningkatkan capaian penggunaan layanan Halo Hermina, grup rumah sakit Hermina dapat mengembangkan aplikasi halo hermina menjadi lebih mudah digunakan, selain itu secara bertahap memperbaiki sistem digitalisasi rumah sakit termasuk pencatatan pendapatan telemedicine sehingga telemedicine lebih terlihat perananya dalam meningkatkan kinerja rumah sakit. ......As a response to the COVID-19 pandemic, Hermina Hospital Group in 2020 had implemented a telemedicine service known as Halo Hermina; however, the effectiveness of this service remains unknown. The aim of this study is to analyze the effectiveness of telemedicine services in Hermina Hospital Group. This study is conducted in 2022 on 680 subjects consist of 212 patient, 239 staff and 229 management, using a quantitative approach and a cross-sectional design. The results of this study shows that the telemedicine services using Halo Hermina application was deemed effective by 94% of patients, 88% of hospital employees, and 91% of management staffs. Bivariate analysis showed that variables significantly associated with effectiveness were internal business process, learning and growth, customer as well as finance, perceived usefulness, attitude toward using, and behavioral intention to use. Multiple regression model showed that attitude toward using, behavioral intention to use, learning and growth, as well as customer had significant association with effectiveness of telemedicine. Variables related to balanced scorecard (BSC) in the form of internal processes learning & growth, and finance have a determination coefficient of 32,9 % for hospital management, all with p values of <0.05. Variables related to technology acceptance model (TAM) in the forms of attitude towards using and behavioral intent to use have determination coefficient of 58,4 % and 49.8% for patients and employees, respectively. The hospital may use a TAM- and BSC-based approach to increase the effectiveness of telemedicine service with the Halo Hermina application. To increase the use of the Halo Hermina application, Hermina Hospital Group should improve the application in order to make it more user-friendly, in addition to gradually improve the digitalization of healthcare services including the recording of revenues from telemedicine, in order to more prominently view the impact of telemedicine services to the hospital’s performance.

Abstrak :
Pandemi virus COVID-19 sejak akhir Desember 2019 masih memberikan dampak yang luar biasa hingga saat ini, dimana semua harus menegakkan protokol kesehatan yang ketat termasuk membatasi kontak fisik dan menjaga jarak antar manusia. Salah satu cara yang disarankan oleh PB IDI agar tetap dapat merawat pasien atau keluarga pasien yang membutuhkan adalah dengan cara telemedicine. Penelitian ini bertujuan untuk menganalisis efektivitas pelayanan telemedicine di Siloam Hospitals Bogor guna memenuhi kebutuhan pasien atau keluarganya. Penelitian ini menggunakan metode kuantitatif dengan studi potong lintang,yang dilakukan pada bulan desember tahun 2020. hasil penelitian didapatkan bahwa persepsi terhadap kualitas pelayanan dan fungsi aplikasi mobile tidak memberikan pengaruh terhadap peningkatan efektivitas pelayanan telemedicine, tetapi persepsi terhadap pengiriman obat pulang dan kelancaran saat pelayananlah yang memberikan efek yang bermakna terhadap peningkatan efektivitas pelayanan telemedicine. efektivitas pelayanan yang baik juga terbukti memberikan kepuasan kepada pasien yang menerima pelayanan telemedicine. pelayanan ini bisa menjadi lebih baik dengan cara melakukan pengembangan terhadap aplikasi mobile untuk lebih terintegrasi dan mempertahankan pelayanan pengantaran obat pulang serta kelancaran dalam pelayanan telemedicine. ......The COVID-19 virus pandemic since the end of December 2019 has had a tremendous impact and has not been resolved to date. Health protocols must be implemented properly including limiting physical contact and maintaining human distance between human to reduce the spread of the COVID-19. Indonesian Doctors Association advised hospitals to still be able to provide health care to patients who need health services. One way that is considered safe is through teleconsultation. This study aims to analyze the effectiveness of telemedicine services at Siloam Hospitals Bogor to fulfill of patients and their families needs. The research method used quantitative method with cross sectional study, conducted in December 2020. The results showed that perceptions of service quality and function of mobile applications did not have an effect on increasing the effectiveness of telemedicine services, but the perception of drug delivery and successful of telemedicine service had a significant effect on increasing the effectiveness of telemedicine services. the effectiveness of service is also proven to provide satisfaction to patients who receive telemedicine services. This service can be better by developing a mobile application to be more integrated and maintaining drug delivery and successful of telemedicine service.

Abstrak :
Penelitian ini menggunakan metode literature review yang membahas mengenai tantangan dalam pemanfaatan telemedicine selama pandemi. Seperti yang kita ketahui bersama, Covid-19 masih terus terjadi hingga saat ini. Berbagai negara menetapkan kebijakan lockdown guna mencegah penyebaran virus tersebut. Pemerintah Indonesia sendiri telah melakukan upaya PPKM untuk mengendalikan penyebaran Covid-19. Pelayanan publik menghadapi dilema, salah satunya pelayanan kesehatan. Oleh karena itu, penggunaan layanan telemedicine sangat dianjurkan pada masa pandemi. Tujuan dari penulisan ini adalah untuk mengetahui apa saja tantangan dalam pemanfaatan telemedicine selama pandemic. Metode penelitian yang digunakan adalah literature review dengan mencari artikel penelitian yang telah dipublikasi dengan menggunakan online database yaitu PubMed, Oxford Academic, dan SpringerLink. Berdasarkan hasil pencarian, didapatkan sejumlah 961 artikel dan dari jumlah tersebut dilakukan seleksi. Hasil seleksi didapatkan sebanyak 6 artikel yang dianalisis. Hasil penelitian didapatkan bahwa terdapat beberapa tantangan dalam pemanfaatan telemedicine selama pandemi. Tantangan tersebut antara lain teknologi, privasi / kerahasiaan, proses komunikasi, dan finansial. Tantangan terkait teknologi yang dimaksud ialah koneksi internet yang tidak stabil, kemampuan sumber daya manusia dalam menggunakan teknologi, serta kemampuan penyimpanan teknologi yang dimiliki. ......This study uses a literature review that discusses the challenges in using telemedicine during a pandemic. As we all know, Covid-19 is still happening today. Various countries have imposed lockdown to prevent the spread of the virus. The Indonesian government itself has made PPKM efforts to control the spread of Covid-19. Public services face a dilemma, one of which is health services. Therefore, the use of telemedicine is highly recommended during the pandemic. The purpose of this paper is to find out what are the challenges in using telemedicine during a pandemic. The research method used is literature review by searching for research articles that have been published using online databases,namely PubMed, Oxford Academic, and SpringerLink. Based on the search results, a number of 961 articles were obtained and from that number a selection was made.The selection results obtained as many as 6 articles were analyzed. The results showed that there were several challenges in using telemedicine during a pandemic. These challenges include technology, privacy/confidentiality, communication processes, and finance. The challenges related to the technology in question are unstable internet connections, the ability of human resources to use technology, and the ability to store technology owned.

Abstrak :
This review examines telemedicine practices, which are separated into teleconsultations and telemonitoring, that have applied information and communication technologies (ICT) for the delivery of health-care services to older persons in the Republic of Korea, Japan, Australia and China. The practices featured from the Republic of Korea and Japan are telemedicine pilot projects to manage chronic disease patients more efficiently and at lower cost. The projects included a health management curriculum, with emphasis on nutrition and exercise guidance. The participants in each pilot project found the services to be helpful in managing their health; the project evaluation findings also indicated several meaningful medical improvements. In Australia, a Home Monitoring of Chronic Disease for Aged Care Project was designed in 2014 to manage ageing patients with chronic diseases at home through various telemedicine devices. In China, the Ningbo Cloud Hospital was established in 2015 to control increasing health-care expenses and to resolve difficulties for individuals to see a doctor. More than 2,000 patients are now registered for online video consultations and prescriptions. The featured examples illustrate how the application of telemedicine to a health-care system not only promotes accessibility between doctors and patients but can save on construction costs for new facilities and the cost of supplying medical personnel in remote areas, which thus can help reduce national medical expenses. However, to initiate ICT-based health-care service delivery, governments in Asia and the Pacific need to first establish related policies that promote telemedicine.

Abstrak :
Seiring dengan kemajuan teknologi informasi, kehidupan manusiaturut berubah. Hal tersebut, berimbas pula pada dunia kedokteran.Belakangan ini, banyak bermunculan aplikasi praktik kedokteranmelalui online. Praktik kedokteran online memungkinkan pasienberkonsultasi dengan dokter tanpa bertemu dengan dokternyasecara langsung. Dengan adanya praktik kedokteran online pasiendapat menghemat waktu dan biaya. Tetapi, kenyataannya belumada peraturan perundang-undangan yang mengatur praktikkedokteran online. Hal tersebut menyebabkan belum adanyakepastian hukum mengenai legalitas praktik kedokteran onlinemaupun pertanggungjawaban hukum dokter yang berpraktikonline. Tujuan dari penelitian ini adalah memberikan solusiterhadap fenomena praktik kedokteran online di Indonesia.Metode penelitian yang digunakan adalah yuridis normatif. Hasildari penelitian menyatakan bahwa praktik kedokteran online yangada di Indonesia masih illegal, karena tidak izin terhadap praktikkedokteran melalui online. Selain itu, metode praktik kedokteranmelalui online tidak sesuai dengan metode pada Pasal 35 ayat 1 Undang-Undang No. 29 Tahun 2004 tentang Praktik Kedokteran.Di samping itu, dokter yang berpraktik melalui online lebih lemahdi mata hukum karena mereka tidak mengantongi SIP dalamberpraktik. Hal tersebut melanggar Pasal 76 Undang-Undang No.29 Tahun 2004 tentang Praktik Kedokteran. Oleh sebab itu,sebaiknya dalam praktik kedokteran online kewenangan dokterdalam berpraktik harus dibatasi. Seperti di Alodokter.com, dokterhanya memiliki kewenangan untuk memberikan penyuluhankepada user. Hal tersebut tidak melanggar Undang-Undang sertatidak membahayakan dokter dan pasiennya.Kata Kunci : Praktik kedokteran online, dokter, pasien, legalitaspraktik kedokteran melalui online, pertanggungjawaban hukum dokter

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Nowadays, along with the advance of informationtechnology IT , the human life also change. This, alsoaffecting in medicine field. We call it with Telemedicine.Telemedicine allows patients to consult with the doctorvirtually. It was welcomed by the public. The advantages oftelemedicine are cost efficient, convenient, and quick. But, itturns out there is no regulation of telemedicine in Indonesia.The absence of telemedicine rsquo s regulations entails the lack oflegal certainty for the doctors and the patients. The purpose of this study is to provide a solution to the phenomenon oftelemedicine in Indonesia spesifically on the legality oftelemedicine and the legal liability of the doctor ontelemedicine. The research uses normative juridical method.The results of the study states that the telemedicine inIndonesia is still illegal, because there is no regulation abouttelemedicine rsquo s authorization. In Indonesia, telemedicine cannot give the maximum result is considered by the lack oftechnology of medical device. The doctor has to fulfill thesteps of the examination. As described in Article 35paragraph 1 of Law No. 29 Year 2004 regarding MedicalPractice.Furthermore, the physicians in telemedicine do not have anyplea because they do not have SIP. This is clearly inviolation of Article 76 of Law No. 29 Year 2004 regardingMedical Practice.Therefore, we need the restriction for the telemedicine. As inAlodokter.com, the doctor only has the authority to providecounseling to the user. It does not violate the law and doesnot harm the doctor as well. It is because the chance forerrors diagnosis, medical malpractice or medical negligenceare almost never existed.Keywords Telemedicine, doctor, patient, the legality of telemedicine, legal liability of the doctor.

Abstrak :
dengan perkembangan teknologi pada segala bidang terutama teknologi informasi dan komunikasi, ruang lingkup pelayanan kesehatan via telemedicine yang dapat direalisasikan menggunakan teknologi yang ada saat ini meningkat drastis. Di negara maju seperti Amerika, penerapan sistem telemedicine sudah mulai terlihat, namun di Indonesia yang merupakan negara berkembang, sistem telemedicine belum cukup populer dan belum diterapkan. OTS Open Telemedicine System berperan sebagai infrastruktur yang dapat menampung berbagai produk telemedicine yang sudah ada atau akan di kembangkan di Indonesia untuk bekerja sama, menargetkan suatu basis pasien yang besar, dengan tujuan untuk memberi wadah dan memicu pengembang produk telemedicine. Dengan meningkatnya popularitas telemedicine, akan mempercepat penerapan telemedicine sehingga dapat meningkatkan efisiensi tenaga medis di Indonesia.

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With the constant improvement of technologies from every aspect especially information and communication technology, a wider range of services that can be applied via telemedicine is getting significantly larger. In developed countries, such as USA, telemedicine applications are popular around the country and is commonly applied. Unfortunately, in Indonesia with current conventional health care custom, telemedicine is not quite popular and is not commonly applied. Open telemedicine System OTS has a role as main infrastructure which can support many telemedicine products and services that are existing or being developed to work together aiming a one big base of patients. With the main purpose to increase the popularity of telemedicine, which can lead to its application and increase healthcare workers rsquo efficiency in Indonesia.

Abstrak :
Kebijakan telemedicine dalam memberdayakan start-up teknologi kesehatan merupakan solusi yang dilakukan pemerintah Indonesia untuk membantu menurunkan angka kesakitan ketika pandemik COVID-19. Berdasarkan sejarah kesehatan dunia, ancaman non militer pandemik seperti ini diprediksi akan selalu terjadi pada suatu waktu. Dalam kajian ketahanan nasional ancaman yang berdimensi keselamatan umum dapat mengganggu stabilitas suatu bangsa, maka kebijakan telemedicine ini perlu dianalisis dalam rangka adaptasi masa paska pandemik COVID-19. Dengan menggunakan pendekatan tindakan partisipatif, penelitian ini dilakukan menggunakan metode deskriptif kualitatif, termasuk tinjauan pustaka, diskusi kelompok terfokus untuk mengembangkan model regulatory sandbox dalam mendukung kebijakan telemedicine di era disruptif pada 16 start-up yang tercatat. Studi ini mengungkapkan bahwa pengembangan regulatory sandbox pada bidang kesehatan masih terbatas, dimana start-up belum mengadaptasi dengan baik pada kebijakan data pribadi, keamanan, integrasi dan standar teknologi layanan kesehatan, serta inklusifitas. Adaptasi telah dilakukan terkait keberterimaan produk dari start-up telemedicine. Adaptasi rekomendasi kebijakan melalui regulatory sandbox berpotensi dalam memfasilitasi adopsi perkembangan teknologi kesehatan di era disruptif. Adaptasi kebijakan telemedicine paska pandemik COVID-19 melalui rekomendasi regulatory sandbox mencakup kesiapan penyedia penyelenggara telemedicine, kemitraan PSE dengan fasilitas kesehatan terkait standar pelayanan klinis yang akan digunakan, manajemen keamanan informasi, serta perlindungan data. ......The telemedicine policy in empowering health technology start-ups is a solution implemented by the Indonesian government to help reduce morbidity rates during the COVID-19 pandemic. Based on world health history, it is predicted that non-military pandemic threats like this will always occur at some time. In studying national resilience, threats with a public safety dimension can disrupt the stability of a nation; this telemedicine policy needs to be analyzed in the context of adaptation to the post-COVID-19 pandemic period. Using a participatory action approach, this research was conducted using qualitative descriptive methods, including a literature review and focus group discussions to develop a regulatory sandbox model to support telemedicine policies in a disruptive era on 16 recorded start-ups. This study reveals that the development of regulatory sandboxes in the health sector is still limited, and start-ups still need to adapt well to personal data policies, security, integration and health service technology standards, and inclusiveness. Adaptations have been made regarding product acceptance from telemedicine start-ups. Adapting policy recommendations through a regulatory sandbox has the potential to facilitate the adoption of health technology developments in a disruptive era. Adaptation of post-COVID-19 pandemic telemedicine policy through regulatory sandbox.

Abstrak :
Catatan medis menjelaskan perjanjian kerahasiaan medis di Indonesia dan Amerika Serikat; Perjanjian Implementasi Telemedicine di Indonesia dan Amerika Serikat; dan menganalisis undang-undang tentang kerahasiaan rekam medis elektronik dalam penerapan telemedicine di Indonesia dan Amerika Serikat menggunakan metode penelitian yuridis normatif. Dari hasil penelitian yang diakui (1) Kerahasiaan rekam medis di Indonesia dilindungi oleh berbagai peraturan seperti Hukum dan Peraturan Menteri sementara di Amerika Serikat, kerahasiaan pasien dalam rekam medis yang didukung oleh peraturan nasional, HIPAA, serta peraturan dan keputusan pengadilan negara; (2) Implementasi telemedicine di Indonesia belum diatur oleh pemerintah Amerika Serikat yang peraturannya telah diatur baik di tingkat nasional maupun negara bagian dan keputusan pengadilan dalam memastikan tata kelola telemedicine yang baik. Rekam medis pada sistem telemedicine, baik di Indonesia dan Amerika Serikat rekam medis dalam pelaksanaan telemedicine dalam bentuk ESDM dan bersama-sama didukung oleh hukum Amerika Serikat selain sanksi untuk kerahasiaan rekam medis elektronik juga memberikan insentif keuangan untuk kerahasiaan rekam medis menurut peraturan masing-masing negara berbeda dalam hal pengecualian terhadap kerahasiaan rekam medis seperti yang ditampilkan di negara bagian Alaska dan Hawaii. Hasil penelitian tersebut, peneliti mengusulkan Menteri Kesehatan segera membuat pengaturan untuk pedoman terkait telemedis dalam implementasi telemedis tingkat nasional dengan menyediakan pengaturan yang dapat digunakan sebagai referensi dalam hal catatan medis elektronik seperti standar enkripsi yang digunakan.

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Medical records explain medical confidentiality agreements in Indonesia and the United States. Telemedicine Implementation Agreement in Indonesia and America Union and analyzing the law on the confidentiality of electronic medical records in the application of telemedicine in Indonesia and the United States using normative juridical research methods. From the results of research that are recognized (1) The confidentiality of medical records in Indonesia is protected by various regulations such as Law and Ministerial Provisions in the United States, the confidentiality of patients in medical records supported by national regulations, HIPAA, and regulations and decisions of state courts; (2) The implementation of telemedicine in Indonesia has not been regulated by the United States government whose regulations have been set at both the national and state levels and court decisions in ensuring good telemedicine governance; Medical records on the telemedicine system, both in Indonesia and the United States. Medical records on the implementation of telemedicine in the form of EMR and together supported by United States law in addition to sanctions for the confidentiality of electronic medical records also provides financial incentives for the confidentiality of medical records according to the regulations of each different country in terms of exceptions to the confidentiality of medical records as displayed in the state of Alaska and Hawaii. The results of the study, researchers proposed the Minister of Health immediately make arrangements for guidelines relating to telemedicine in the implementation of national telemedicine by providing arrangements that can be used as a reference in terms of electronic medical records such as the encryption standards used.

Abstrak :
Penelitian ini membahas mengenai impelementasi smart contract pada teknologi blockchain menggunakan Ethereum yang di impelementasikan untuk penyimpanan data telemedicine. Tujuan dari penggunaan teknologi blockchain pada sistem rekam gambar telemedicine ini adalah untuk mengamankan dan menjaga integritas data agar data pasien dapat disimpan lebih aman. Blockchain memiliki kemampuan untuk melakukan verifikasi data yang disimpan kedalam jaringannya sehingga keaslian data dapat terverifikasi. Pada penelitian ini, diperkenalkan sebuah sistem blokchain yang digunakan untuk mengelola dan mengamankan basis data pada telemedicine. Proses penelitian ini terdiri dari perancangan sistem blockchain serta pengujian performa jaringan tes Rinkeby yang merupakan salah satu jaringan tes pada blockchain. Implementasi sistem blockchain ini dilakukan pada sebuah halaman website yang bisa melakukan penambahan data ke sistem blockchain dan pengambilan data dari sistem blockchain. Fungsi Get mendapatkan waktu eksekusi yang jauh lebih cepat daripada fungsi Set dikarenakan fungsi Get tidak membutuhkan verifikasi untuk mengambil datanya. Pada iterasi yang dilakukan yaitu 1, 10, dan 100, waktu terlama rata-rata ada pada iterasi 100 apabila dibandingkan dengan iterasi lain. Sehingga semakin banyak iterasi, waktu rata-rata eksekusi menjadi lebih lama karena adanya pending transaksi. Selain itu banyaknya data pada string berbanding lurus dengan biaya gas yang harus ditanggung. Pada pengujian yang dilakukan, semakin banyak karakter yang disimpan maka semakin banyak biaya gas yang harus dibayar. Pada pengujian didapatkan persentase kenaikan biaya yaitu sebesar 0.36% per karakter. Pada pengujian yang dilakukan didapatkan juga bahwa pengujian fungsi get memiliki waktu yang lebih cepat dibanding fungsi set yaitu 24.4 kali lebih cepat. ......This study discusses the implementation of smart contracts on blockchain technology using Ethereum which is implemented for telemedicine data storage. The purpose of using blockchain technology in this telemedicine image recording system is to secure and maintain data integrity so that patient data can be stored more securely. Blockchain has the ability to verify the data that will be stored in the network so that the authenticity of the data can be verified. In this study, a blockchain system is introduced that is used to manage and secure databases on telemedicine. The research process consists of designing a blockchain system and testing the performance of the Rinkeby test network which is one of the test networks on the blockchain. The implementation of this blockchain system is carried out on a website page that can add data to the blockchain system and retrieve data from the blockchain system. The Get function gets a much faster execution time than the Set function because the Get function does not require verification to retrieve its data. In the iterations carried out, namely 1, 10, and 100, the longest time on average was at 100 iterations when compared to other iterations. So the more iterations, the longer the average execution time due to pending transactions. In addition, the amount of data in the string will be directly proportional to the gas costs that must be borne. In the tests carried out, the more characters that will be stored, the more gas costs must be paid. In the test, the percentage increase in costs is 0.34% per character. In the tests carried out, it was also found that the get function test has a faster time than the set function, which is 24.4 times faster.