Mapping Infrastructure and Human Resource Gaps in the Implementation of Indonesia’s Digital Health Policy: A Literature Review

Authors

  • Mujtahidah Department of Health Administration, Faculty of Sport and Health Science, Universitas Negeri Makassar, Indonesia
  • Suci Dwi Yanti Department of Hospital Administration, Faculty of Science, Technology, and Health, Institut Sains Teknologi dan Kesehatan 'Aisyiyah Kendari, Indonesia

DOI:

https://doi.org/10.69930/ajer.v2i3.525

Keywords:

Digital health, health policy, human resources, infrastructure, literature review

Abstract

The implementation of digital health policy in Indonesia has encountered various challenges related to both infrastructure and human resources. This literature review aimed to map gaps in digital health infrastructure and workforce capacity across urban, rural, and remote healthcare settings by systematically analyzing relevant national and international studies. Sources included peer-reviewed articles, scoping reviews, and preprints that examined electronic medical records, telemedicine, and other digital health interventions in various geographic and organizational contexts. The analysis revealed that urban areas generally have more advanced digital infrastructure, including integrated health information systems and electronic record platforms, whereas rural and remote regions face limited internet connectivity, insufficient hardware, and low digital literacy among healthcare personnel. Human resource gaps were also observed, including inadequate technical competencies, uneven distribution of staff, and organizational cultures that are not fully prepared to adopt digital health technologies. These disparities highlight the critical need for context-sensitive strategies, such as hybrid solutions combining cloud-based systems in urban centers with offline-capable platforms in low-connectivity regions, comprehensive training programs for healthcare staff, and supportive policies at both local and national levels. By synthesizing the current evidence on infrastructure and human resource gaps, this review provides a comprehensive overview that can guide policymakers, healthcare managers, and researchers in designing targeted interventions, prioritizing resource allocation, and promoting equitable adoption of digital health solutions across Indonesia.

References

1. Rubiyanti NS. Penerapan Rekam Medis Elektronik di Rumah Sakit di Indonesia: Kajian Yuridis. ALADALAH: Jurnal Politik, Sosial, Hukum dan Humaniora [Internet]. 2023 Jan;1(1):179–87. Available from: http://dx.doi.org/10.59246/aladalah.v1i1.163

2. Izza A Al, Lailiyah S. Kajian Literatur: Gambaran Implementasi Rekam Medis Elektronik di Rumah Sakit Indonesia berdasarkan Permenkes Nomor 24 Tahun 2022 tentang Rekam Medis. Media Gizi Kesmas [Internet]. 2024 Jun;13(1):549–62. Available from: http://dx.doi.org/10.20473/mgk.v13i1.2024.549-562

3. Juwita N. Analisis Hukum Penggunaan Rekam Medis Elektronik Di Rumah Sakit. RIO LAW JURNAL [Internet]. 2025 Jan;6(1):673–84. Available from: http://dx.doi.org/10.36355/rlj.v6i1.1643

4. Pambudi YNS, Mahyuni LP. Rekam medis elektronik rumah sakit: kepuasan, penggunaan, dan persepsi manfaat dengan literasi komputer sebagai pemediasi di Sumba. Damianus Journal of Medicine [Internet]. 2024 Aug;23(2):145–60. Available from: http://dx.doi.org/10.25170/djm.v23i2.4646

5. Siswati S, Ernawati T, Khairunnisa M. Analisis Tantangan Kesiapan Implementasi Rekam Medis Elektronik di Puskesmas Kota Padang. Jurnal Kesehatan Vokasional [Internet]. 2024 Feb;9(1):1. Available from: http://dx.doi.org/10.22146/jkesvo.92719

6. Ardianto R, Marhoon HM. Understanding User Sentiment: Analysis of SATUSEHAT Application Reviews on Google Play Store. Journal of Advanced Health Informatics Research [Internet]. 2020 Aug;1(2):83–94. Available from: http://dx.doi.org/10.59247/jahir.v1i2.44

7. Wulandari RD, Laksono AD. Urban-Rural Disparities in The Utilization of Primary Health Care Center Among Elderly in East Java, Indonesia. 2019 Jul; Available from: http://dx.doi.org/10.31227/osf.io/tcva9

8. Wenang S, Schaefers J, Afdal A, Gufron A, Geyer S, Dewanto I, et al. Availability and Accessibility of Primary Care for the Remote, Rural, and Poor Population of Indonesia. Front Public Health [Internet]. 2021 Sep;9. Available from: http://dx.doi.org/10.3389/fpubh.2021.721886

9. Laksono AD, Wulandari RD, Rohmah N, Rukmini R, Tumaji T. Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey. BMJ Open [Internet]. 2023 Jan;13(1):e064532. Available from: http://dx.doi.org/10.1136/bmjopen-2022-064532

10. Laksono AD, Wulandari RD. Regional Disparities of Facility-Based Childbirth in Indonesia. Trends in Sciences [Internet]. 2021 Oct;18(21):387. Available from: http://dx.doi.org/10.48048/tis.2021.387

11. Saputra R. Telemedicine: Solutions and Challenges for Health Workers in Rural Indonesia in the Response to the COVID -19 Pandemic. Disaster Med Public Health Prep [Internet]. 2024;18. Available from: http://dx.doi.org/10.1017/dmp.2024.122

12. Richardson S, Lawrence K, Schoenthaler AM, Mann D. A framework for digital health equity. NPJ Digit Med [Internet]. 2022 Aug;5(1). Available from: http://dx.doi.org/10.1038/s41746-022-00663-0

13. Wenang S, Dewi A, Emilia O, Febrianti L, Haier J. Key Success Factors in Maternity Waiting Home Implementation: A Qualitative Study in Rural Indonesia. 2023 Apr; Available from: http://dx.doi.org/10.21203/rs.3.rs-2711966/v1

14. Graciello M, Wibawa A. Indonesia Dalam Pertumbuhan Digital Society 5.0. Jurnal Inovasi Teknologi dan Edukasi Teknik [Internet]. 2022 Feb;2(2):50–5. Available from: http://dx.doi.org/10.17977/um068v2i22022p50-55

15. Handrean IGE, Rian Pratama I, Rahma Sumarna D, Fakhrazi R, Rejauw S, Paramarta V. Digital Transformation in Hospital Management: Building Readiness for Society 5. International Journal of Health and Pharmaceutical (IJHP) [Internet]. 2025 Feb;5(1):39–45. Available from: http://dx.doi.org/10.51601/ijhp.v5i1.398

16. Sumarno S. Integration of Digital Technology in Public Management Transformation:: Implications for Educational Advancements in Indonesia. International Journal of Asian Education [Internet]. 2023 Jul;4(2):115–20. Available from: http://dx.doi.org/10.46966/ijae.v4i2.348

17. Juliansyah MR, Aqid BM, Salsabila AP, Nurfiyanti K. Implementation of EMR System in Indonesian Health Facilities: Benefits and Constraints. Journal of Indonesian Health Policy and Administration. 2024;1(10):31–8.

18. Rahman B. HOT-FIT-BR: Adaptive Metrics for Reliable Digital Health Evaluation in Low-Infrastructure Environments. Journal of Indonesian Health Policy and Administration [Internet]. 2025; Available from: http://ieeexplore.ieee.org.

19. Wasir R, Rahma FA, Ariyanto J, Syamsir SB, Suparni S, Raharjo A, et al. Strengthening Health System Resilience through Digital Health: Challenges and Prospects in Indonesia’s Rural and Remote Regions - A Scoping Review Protocol. Open Public Health J [Internet]. 2025 May;18(1). Available from: http://dx.doi.org/10.2174/0118749445393540250506115107

20. Nababan H. Digital health divide in Indonesia: evidence from national-level data. Eur J Public Health [Internet]. 2024 Oct;34(Supplement_3). Available from: http://dx.doi.org/10.1093/eurpub/ckae144.426

21. Aslinda. An Interpretative Phenomenological Study of Telehealth Experiences Among Community Nurses in Rural Indonesia. Journal of Digital Health Innovation and Medical Technology. 2025;1(5).

22. Aisyah DN, Setiawan AH, Lokopessy AF, Faradiba N, Setiaji S, Manikam L, et al. The Information and Communication Technology Maturity Assessment at Primary Health Care Services Across 9 Provinces in Indonesia: Evaluation Study. JMIR Med Inform [Internet]. 2024 Jul;12:e55959–e55959. Available from: http://dx.doi.org/10.2196/55959

23. Kusumasari B, Setianto WA, Pang LL. A Study on Digital Democracy Practice: Opportunities and Challenges of e-Health Implementation in Indonesia. Jurnal Ilmu Sosial dan Ilmu Politik [Internet]. 2018 Sep;22(1):1. Available from: http://dx.doi.org/10.22146/jsp.28863

24. Pitaloka AA, Nugroho AP. Digital Transformation in Indonesian Healthcare. STI Policy and Management Journal [Internet]. 2021 Jul;6(1). Available from: http://dx.doi.org/10.14203/stipm.2021.301

25. Handayani PW, Yazid S, Bressan S, Sampe AF. Information and Communication Technology Recommendations for the Further Development of a Robust National e-Health Strategy for Epidemics and Pandemics. Jurnal Sistem Informasi [Internet]. 2020 Oct;16(2):31–42. Available from: http://dx.doi.org/10.21609/jsi.v16i2.979

26. Rahmi RA, Handayani PW. The influence of users’ perspective factors on mobile banking adoption in Indonesia. Journal of Science and Technology Policy Management [Internet]. 2023 May;15(6):1408–25. Available from: http://dx.doi.org/10.1108/jstpm-01-2022-0008

27. El-Tsana AV, Alvianty RA, Octaviani P, Syahidah R, Wasir R. Health system transformation in Indonesia: Implementation and challenges of six policy pillars. Indonesian Journal of Health Science [Internet]. 2025 May;5(3):553–60. Available from: http://dx.doi.org/10.54957/ijhs.v5i3.1548

28. Hadi A. Bridging Indonesia’s Digital Divide: Rural-Urban Linkages? Jurnal Ilmu Sosial dan Ilmu Politik [Internet]. 2018 Sep;22(1):17. Available from: http://dx.doi.org/10.22146/jsp.31835

29. Salsabila IN, Meilinda S, Rahayu R, Fathiya DN, Karsa AHAN. Telemedicine: Healthcare Transformation in the Digital Era for Rural Communities. Oriental Journal [Internet]. 2024 Nov;1(1). Available from: http://dx.doi.org/10.63347/oj.v1i1.4

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Published

2025-10-05

How to Cite

Mujtahidah, & Yanti, S. D. (2025). Mapping Infrastructure and Human Resource Gaps in the Implementation of Indonesia’s Digital Health Policy: A Literature Review. Asian Journal of Environmental Research, 2(3), 218–228. https://doi.org/10.69930/ajer.v2i3.525

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