Inhibiting Factors in the Implementation of SIMGOS at RSUD Dr. Adnaan WD Payakumbuh, 2025

Abstrak

The Generic Open-Source Management Information System (SIMGOS) is an initiative of the Indonesian Ministry of Health aimed at improving the quality of hospital services and management through information technology. However, its implementation at RSUD dr. Adnaan WD Payakumbuh has not been optimal. This study aimed to describe the factors inhibiting the implementation of SIMGOS at the hospital. A descriptive qualitative research design was employed, conducted at RSUD dr. Adnaan WD Payakumbuh. Data were collected through in-depth interviews and document analysis. The findings indicate that human resource factors constitute the main barrier, particularly among attending physicians and senior nurses who experience difficulties adapting to the system due to long-standing reliance on manual documentation. Financial constraints also hinder the availability of infrastructure, supporting equipment, as well as training and system maintenance activities. In addition, ineffective communication strategies and limited staff understanding of future SIMGOS development needs further impede implementation. This study concludes that continuous training, adequate budget support, and strict enforcement of standard operating procedures are essential to enhance the effectiveness of SIMGOS implementation and improve hospital service quality.