Main Article Content

Abstract

Purpose: This study aims to analyze the efficiency of hospital services based on the implementation of Electronic Medical Records (EMR), particularly in improving operational performance and service quality within healthcare organizations.


Research Method: The study employs a Systematic Literature Review (SLR) based on the PRISMA approach, combined with bibliometric analysis using VOSviewer. A total of 37 relevant articles published between 2020 and 2025 were systematically selected and analyzed to identify research trends and conceptual relationships.


Results and Discussion: The findings indicate that EMR implementation significantly improves hospital service efficiency by reducing operational costs, enhancing clinical decision-making, and optimizing service processes. Bibliometric analysis reveals a shift in research trends toward digital integration, system interoperability, and the development of smart hospital systems, highlighting the growing importance of technology-driven healthcare management.  


Implications: The study implies that achieving optimal efficiency through EMR requires strong organizational readiness, effective system integration, and continuous innovation. Policymakers and hospital management must adopt a holistic and data-driven approach to ensure sustainable improvements in healthcare service efficiency.

Keywords

electronic medical records hospital efficiency digital health service quality bibliometric analysis

Article Details

How to Cite
Kosasih, K., Septiani, D., Anggraini, W., Handayani, F., Afrizal, A. Y., & Paramarta, V. (2026). Analysis of the Efficiency of Hospital X Services Based on Electronic Medical Records: Systematic Literature Review, PRISMA, and Vosviewer. Advances in Human Resource Management Research, 4(1), 147–163. https://doi.org/10.60079/ahrmr.v4i1.790

References

  1. A. Karim Jabali, Abu Waris, Diwan Israr Khan, Shakil Ahmed, Rana Jamal Hourani, Electronic health records: Three decades of bibliometric research productivity analysis and some insights, Informatics in Medicine Unlocked, Volume 29, 2022. https://doi.org/10.1016/j.imu.2022.100872.
  2. Aditya Kurniawan, Saryadi Saryadi, & Liss Dyah Dewi Arini. (2025). Dampak Implementasi Rekam Medis Elektronik terhadap Mutu Pelayanan Rumah Sakit. Jurnal Ilmiah Kedokteran Dan Kesehatan, 4(2), 596–610. https://doi.org/10.55606/klinik.v4i2.4272
  3. Albagmi S. (2021). The effectiveness of EMR implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics: a systematic review. F1000Research, 10, 514. https://doi.org/10.12688/f1000research.45039.2
  4. Almehwari, S. A., Almalki, I. S., Abumilha, B. A., & Altharwi, B. H. (2024). Improving Hospital Efficiency and Cost Management: A Systematic Review and Meta-Analysis. Cureus, 16(10), e71721. https://doi.org/10.7759/cureus.71721
  5. Ananda Haris , Qurratul Aini (2024). Bibliometric Analysis of Electronic Medical Records (EMR) Acceptance and Adoption: Trends, Insights, and Future Directions, Journal of Angiotherapy, 8(5), 1–13, 9700. https://doi.org/10.25163/angiotherapy.859700
  6. Asti Nurhayati, Ummu Muti’ah, & Yuniarti Yuniarti. (2023). Peningkatan Mutu dan Efisiensi Pelayanan Kesehatan Melalui Implementasi Rekam Medis Elektronik di Rumah Sakit. ALKHIDMAH: Jurnal Pengabdian Dan Kemitraan Masyarakat, 1(3), 187–195. https://doi.org/10.59246/alkhidmah.v1i3.485
  7. Butler, A., Lee, J., So, Y., Busacca, L., Marder, K., Ginsberg, H. N., Frederick, D., Castaneda, I., Guerridoi, E., & Weng, C. (2021). Impact of IMPACT: Longitudinal Analysis of an Integrated Participant Scheduling System in a Clinical Research Setting. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2020, 283–292.
  8. Cahill, M., Cleary, B.J. & Cullinan, S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res 25, 31 (2025). https://doi.org/10.1186/s12913-024-12060-2
  9. Darmiani, S., Yuda Pratama, B., Maulani, J., Islamy, B., Arie Hidayat, T., & Paramarta, V. (2024). Tantangan Integrasi Rekam Medis Elektronik dengan Sistem Manajemen Rumah Sakit: Dampak pada Keamanan Data dan Efisiensi Biaya Operasional-A Systematic Review. Jurnal Sosial Dan Sains, 4(11), 1107–1116. https://doi.org/10.59188/jurnalsosains.v4i11.27924
  10. Enrico Coiera, Anastasia Chan, Kalissa Brooke-Cowden, Hania Rahimi-Ardabili, Nicole Halim, Catalin Tufanaru, Clinical and economic impact of digital dashboards on hospital inpatient care: a systematic review, JAMIA Open, Volume 8, Issue 4, August 2025, ooaf078, https://doi.org/10.1093/jamiaopen/ooaf078
  11. Furukawa M. F. (2011). Electronic medical records and the efficiency of hospital emergency departments. Medical care research and review: MCRR, 68(1), 75–95. https://doi.org/10.1177/1077558710372108
  12. Hadian, S.A., Rezayatmand, R., Shaarbafchizadeh, N. et al. Hospital performance evaluation indicators: a scoping review. BMC Health Serv Res 24, 561 (2024). https://doi.org/10.1186/s12913-024-10940-1
  13. Hamakawa, N., Nakano, R., Kogetsu, A., Coathup, V., Kaye, J., Yamamoto, B. A., & Kato, K. (2020). Landscape of Participant-Centric Initiatives for Medical Research in the United States, the United Kingdom, and Japan: Scoping Review. Journal of Medical Internet Research, 22(8), e16441. https://doi.org/10.2196/16441
  14. Haryanto, L. M., Setyonugroho, W., & Suanrueang, P. (2023). Analysis of Barriers Implementation Health Information Technology Using Vosviewer: A Bibliometric Study. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 12(3), 312–323. https://doi.org/10.18196/jmmr.v12i3.11
  15. Hospital Performance and Operational Management: A Bibliometric Review of Key Factors Affecting Effectiveness (A. Wilanda, R. Pahrijal, & I. A. Bunyamin, Trans.). (2024). West Science Social and Humanities Studies, 2(08), 1401-1412. https://doi.org/10.58812/wsshs.v2i08.1232
  16. Ikawati, F. R. (2024). Efektivitas Penggunaan Rekam Medis Elektronik Terhadap Peningkatan Kualitas Pelayanan Pasien di Rumah Sakit. Ranah Research: Journal of Multidisciplinary Research and Development, 6(3), 288–298. https://doi.org/10.38035/rrj.v6i3.819
  17. Kalankesh, L. R., & Monaghesh, E. (2024). Utilization of EHRs for clinical trials: a systematic review. BMC Medical Research Methodology, 24(1), 70. https://doi.org/10.1186/s12874-024-02177-7
  18. Karimov, N., & Sattorova, Z. (2024). A Systematic Review and Bibliometric Analysis of Emerging Technologies for Sustainable Healthcare Management Policies. Global Perspectives in Management, 2(2), 31–40. https://gpim.in/index.php/journal/article/view/GPM24204
  19. Kosasih, Purnomo, H., Fadli, U. M. D., Albart, N., & Windianingsih, A. (2023). The impact of knowledge management on the economic productivity of active projects in the stock exchange. Economic Annals-XXI, 206(11-12), 18–23. doi: https://doi.org/10.21003/ea.V206-03
  20. KUSUMA, N. D., & AINI, Q. (2025). Electronic Health Records: A Hybrid Systematic Literature Review and Bibliometric Analysis. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 32(S6 (2025): Posted 15 September), 568–574. Retrieved from https://tpmap.org/submission/index.php/tpm/article/view/1773
  21. Lamesgen, A., Endalew, B., Haimanot, A.B. et al. Technical efficiency of public hospitals in East Africa: a systematic review and meta-analysis. BMC Health Serv Res 25, 26 (2025). https://doi.org/10.1186/s12913-024-12166-7
  22. Lin, H. L., Wu, D. C., Cheng, S. M., Chen, C. J., Wang, M. C., & Cheng, C. A. (2020). Association between Electronic Medical Records and Healthcare Quality. Medicine, 99(31), e21182. https://doi.org/10.1097/MD.0000000000021182
  23. Malhan, A. S., Sadeghi-R, K., Pavur, R., & Pelton, L. (2024). Healthcare information management and operational cost performance: empirical evidence. The European journal of health economics: HEPAC: health economics in prevention and care, 25(6), 963–977. https://doi.org/10.1007/s10198-023-01641-3
  24. Mohammad, A.A.S. et al. (2025). Electronic Health Records Adoption: A Bibliometric Analysis. In: Hannoon, A., Mahmood, A. (eds). Intelligence-Driven Circular Economy. Studies in Computational Intelligence, vol 1173. Springer, Cham. https://doi.org/10.1007/978-3-031-73899-9_24
  25. Monika Monika, Rara Dilla Permatasari, Nadia Salim Bin Usman, Ulhamdiati Ulhamdiati, & Edy Susena. (2025). Evaluasi Penerapan Rekam Medis Elektronik di Rumah Sakit (Literatur Review). Corona: Jurnal Ilmu Kesehatan Umum, Psikologi, Keperawatan Dan Kebidanan, 3(3), 199–209. https://doi.org/10.61132/corona.v3i3.1652
  26. Mullins, A., O'Donnell, R., Mousa, M., Rankin, D., Ben-Meir, M., Boyd-Skinner, C., & Skouteris, H. (2020). Health Outcomes and Healthcare Efficiencies Associated with the Use of Electronic Health Records in Hospital Emergency Departments: a Systematic Review. Journal of Medical Systems, 44(12), 200. https://doi.org/10.1007/s10916-020-01660-0
  27. Murthi, S., Martini, N., Falconer, N., & Scahill, S. (2024). Evaluating EHR-Integrated Digital Technologies for Medication-Related Outcomes and Health Equity in Hospitalized Adults: A Scoping Review. Journal of Medical Systems, 48(1), 79. https://doi.org/10.1007/s10916-024-02097-5
  28. Nguyen, K. H., Wright, C., Simpson, D., Woods, L., Comans, T., & Sullivan, C. (2022). Economic evaluation and analyses of hospital-based electronic medical records (EMRs): a scoping review of international literature. NPJ digital medicine, 5(1), 29. https://doi.org/10.1038/s41746-022-00565-1
  29. Nuriyah Nuriyah, Muhammad Akbar, & Reza Fahrepi. (2025). Health Economic Evaluation in Healthcare Management: A Systematic Review of Cost-Effectiveness Studies in Hospital Operations. Jurnal Publikasi Sistem Informasi Dan Manajemen Bisnis, 4(3), 350–359. https://doi.org/10.55606/jupsim.v4i3.5374
  30. Oksaviyani Alfareza. (2025). Optimalisasi Pelayanan dan Mutu Rumah Sakit Melalui Rekam Medis Elektronik Yang Efektif: Literature Review. Jurnal Ilmiah Kedokteran dan Kesehatan, 4(2), 88–98. https://doi.org/10.55606/klinik.v4i2.3900
  31. Pattar BSB, Ackroyd A, Sevinc E, et al. Electronic Health Record Interventions to Reduce Risk of Hospital Readmissions: A Systematic Review and Meta-Analysis. JAMA Netw Open. 2025;8(7):e2521785. https://doi.org/10.1001/jamanetworkopen.2025.21785
  32. Pratama, T. (2024). Effectiveness and Outcome of Electronic Medical Record in Patient Service: A Systematic Review. Medical Scope Journal, 6(2), 203–209. https://doi.org/10.35790/msj.v6i2.50383
  33. Saputra, W. (2025). Dampak Digitalisasi Manajemen Rumah Sakit terhadap Efisiensi Pelayanan: Literature Review. Jurnal Ilmu Kesehatan Masyarakat, 14(03), 245–253. https://doi.org/10.33221/jikm.v14i03.3834
  34. Schoots, I. G., Ahmed, H. U., & Padhani, A. R. (2021). Can Diagnostic Magnetic Resonance Imaging for Suspected Clinically Significant Prostate Cancer Predict Unfavorable Long-term Outcome for Diagnosed Men for Pretreatment Counseling?. European Urology Oncology, 4(4), 529–531. https://doi.org/10.1016/j.euo.2020.12.014
  35. Soheili, Z. S., & Latifi-Navid, H. (2021). Systems Biology Approach for Identification of Essential Growth Factors in Retinal Regeneration. Journal of ophthalmic & vision research, 16(1), 1–2. https://doi.org/10.18502/jovr.v16i1.8242
  36. Uslu, A., & Stausberg, J. (2021). Value of the Electronic Medical Record for Hospital Care: Update From the Literature. Journal of Medical Internet Research, 23(12), e26323. https://doi.org/10.2196/26323
  37. Wu, Y., Wu, M., Wang, C., Lin, J., Liu, J., & Liu, S. (2024). Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis. JMIR Medical Informatics, 12, e54811. https://doi.org/10.2196/54811
  38. Xu, Y., Xu, Z., Liu, X., Cai, L., Zheng, H., Huang, Y., Zhou, L., Huang, L., Ling, Y., Deng, L., Li, J., Chen, S., Liu, D., Lin, Z., Zhou, L., He, W., Zhong, N., Liu, X., & Li, Y. (2020). Clinical Findings of COVID-19 Patients Admitted to Intensive Care Units in Guangdong Province, China: A Multicenter, Retrospective, Observational Study. Frontiers in medicine, 7, 576457. https://doi.org/10.3389/fmed.2020.576457
  39. Yudianti, E., & Arini, M. (2025). Failure Modes of Electronic Medical Record Implementation: A Bibliometric Study. Malaysian J Med Heal Sci, 21, 228–35.