The Role of Telemedicine in Emergency Medical Services in Remote Areas of West Nusa Tenggara: An Evaluative Study

Hadi Kusuma Atmaja, Erien Lutfhia, Ani Haryati, Muhammad Hasbi, Lale Wisnu Andrayani

Abstract


In many countries, including Indonesia, access to emergency medical services remains a significant challenge, especially in remote areas. Telemedicine technology is expected to be an effective solution for improving accessibility and the quality of emergency services. this research aims to provide a comprehensive overview of the implementation of telemedicine in emergency medical services in remote areas at Lombok Island, West Nusa Tenggara. The research procedure is structured into several main stages, including planning, data collection, data analysis, and reporting. Data is collected through participatory observation, in-depth interviews with stakeholders such as healthcare workers and the local community, as well as document analysis related to the implementation of telemedicine. The results showed that telemedicine significantly improves accessibility, allowing residents to obtain medical consultations without having to travel long distances, thereby reducing the time and cost of receiving timely services. Furthermore, telemedicine enhances response time and coordination between field medical teams and health service centers, enabling more accurate diagnoses and effective management of emergencies. However, this research also reveals several challenges in the implementation of telemedicine, including limited technological infrastructure and a lack of trained personnel in using telemedicine technology. To optimize the implementation of telemedicine, efforts are needed to strengthen technological infrastructure and enhance the capacity of medical personnel in remote areas. Thie study  research recommend several inputs for the development of policies and practices to enhance the effectiveness and inclusiveness of emergency medical services through telemedicine.

Keywords


Telemedicine, Emergency; Medical Services, Remote Areas

Full Text:

PDF

References


Angrosino, M. (2007) Doing ethnographic and observational research. London: Sage.

Bashshur, R.L., Shannon, G.W., Krupinski, E.A. & Grigsby, J. (2016) The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 20(9), pp.769-800.

Bowen, G. A. (2009) ‘Document analysis as a qualitative research method’, Qualitative Research Journal, 9(2), pp. 27-40.

Brown, J. & Lee, S. (2018) ‘Challenges of Implementing Telemedicine in Rural Areas: Infrastructure and Training Issues’, Journal of Telehealth, 12(3), pp. 123-135.

Bryman, A. (2016) Social research methods. 5th edn. Oxford: Oxford University Press.

Cohen, L., Manion, L. & Morrison, K. (2011) Research methods in education. 7th edn. London: Routledge.

Corbin, J. & Strauss, A. (2015) Basics of qualitative research. 4th edn. Thousand Oaks, CA: Sage.

Creswell, J. W. (2013) Research design: Qualitative, quantitative, and mixed methods approaches. 4th edn. Thousand Oaks, CA: Sage.

Denzin, N. K. & Lincoln, Y. S. (2011) The Sage handbook of qualitative research. 4th edn. Thousand Oaks, CA: Sage.

Dharmawan, T., Nugroho, H. & Hartanto, S. (2021) Evaluasi penggunaan telemedicine di daerah terpencil Indonesia: Studi kasus. Jurnal Kesehatan Masyarakat, 14(2), pp.123-134.

Harsono, A. & Putri, N. (2021) ‘Telemedis dalam Meningkatkan Kompetensi Tenaga Medis di Daerah Terpencil’, Jurnal Kesehatan Masyarakat, 10(2), pp. 45-56.

Jones, M., Patel, N., & Williams, G. (2019) ‘Telemedicine and Emergency Response: A Case Study in Remote Regions’, International Journal of Medical Technology, 22(4), pp. 222-231.

Kemenkes (2020) Profil Kesehatan Indonesia 2020. Jakarta: Kementerian Kesehatan RI.

Kim, H. J., Park, J. H., & Lee, Y. K. (2021) ‘Telemedicine Enhancing Coordination between Remote Areas and Medical Centers’, Journal of Global Health, 14(1), pp. 98-109.

Kurniawan, T. (2021) ‘Implementasi Telemedis pada Layanan Medis Darurat di Indonesia’, Indonesian Journal of Health Research, 15(1), pp. 12-24.

Kvale, S. (2009) Interviews: Learning the craft of qualitative research interviewing. 2nd edn. Thousand Oaks, CA: Sage.

Miles, M. B., Huberman, A. M. & Saldana, J. (2014) Qualitative data analysis: A methods sourcebook. 3rd edn. Thousand Oaks, CA: Sage.

Moehr, J., Schaaf, T. & Whitten, P. (2017) Telemedicine in developing countries: Opportunities and challenges. Journal of Telemedicine and Telecare, 23(4), pp.319-326.

Nurhadi, D. & Susilo, M. (2022) ‘Tantangan Teknologi Kesehatan di Daerah Pedesaan’, Jurnal Teknologi Kesehatan, 7(3), pp. 55-67.

Patton, M. Q. (2002) Qualitative research and evaluation methods. 3rd edn. Thousand Oaks, CA: Sage.

Purnomo, D. et al. (2021) ‘Persepsi Tenaga Kesehatan Terhadap Penggunaan Telemedis dalam Layanan Darurat’, Jurnal Ilmu Kesehatan Indonesia, 8(4), pp. 88-97.

Putra, Y., Suryadi, H. & Indah, A. (2022) Sistem kesehatan di daerah terpencil: Tantangan dan solusi di Indonesia. Jurnal Kesehatan Indonesia, 12(3), pp.101-111.

Saldana, J. (2016) The coding manual for qualitative researchers. 3rd edn. London: Sage.

Sari, F. & Wijaya, B. (2022) ‘Peran Telemedis dalam Akses Layanan Darurat di Daerah Terpencil’, Jurnal Penelitian Kesehatan Indonesia, 18(3), pp. 22-35.

Scott, R.E. & Mars, M. (2020) Telehealth in the developing world: Current status and future prospects. Global Health Action, 13(1), pp.1-11.

Seidman, I. (2013) Interviewing as qualitative research: A guide for researchers in education and the social sciences. 4th edn. New York: Teachers College Press.

Smith, A., et al. (2020) ‘Expanding Healthcare Access Through Telemedicine: A Rural Perspective’, Healthcare Innovations, 8(2), pp. 67-78.

Stake, R. E. (1995) The art of case study research. Thousand Oaks, CA: Sage.

Sulaiman, R. et al. (2021) ‘Infrastruktur Teknologi dan Telemedis di Daerah Terpencil’, Journal of Remote Health Technology, 9(2), pp. 33-47.

Suryani, E., Rahman, A. & Lestari, D. (2020) ‘Manfaat Telemedis untuk Pelatihan Tenaga Kesehatan di Pedesaan’, Indonesian Journal of Health Education, 5(2), pp. 40-51.

World Health Organization (2021) Universal health coverage (UHC). Available at: https://www.who.int/health-topics/universal-health-coverage#tab=tab_1 (Accessed: 15 August 2024).

Yin, R. K. (2018) Case study research and applications: Design and methods. 6th edn. Thousand Oaks, CA: Sage.




DOI: https://doi.org/10.32807/jkt.v6i2.578

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Erien Luthfia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.