Urgensi atas Pengembangan National Integrated Medical Records: Komitmen Paramedis, Kegunaan Big Data, Dan Kapabilitas Intelijen Dalam Dominasi Teknologi Di Indonesia

Esa Panganti Widoretno, Dr. Sumiyana, M.Si., Ak., CA.,

2026 | Tesis | S2 Ilmu Akuntansi

Tujuan : Penelitian ini bertuhuan menganalisis pengaruh komitmen multidimensional, persepsi kegunaan big data  dan kemampuan intelijen terhadap kesegeraan tindakan (immediacy) implementasi National Integrated Medical Records (NIMR) di Indonesia berlandaskan Technological Dominance Theory. 

Metodologi : Menggunakan pendekatan kuantitatif dengan desain eksperimen faktorial 2x2x2. Data primer dikumpulkan secara nasional melalui protokol eksperimen berbasis web (Task based assessment) pada tenaga paramedis (dokter) dengan masa kerja di atas dua tahun, kemudian dianalisis menggunakan uji beda Independent Sample T-Test dan uji post-hoc via SPSS 

Keaslian: Studi ini merupakan kajian ilmiah pertama yang menguji peran kapabilitas intelijen kognitif paramedis dalam konteks NIMR, sekaligus memperluas Technological Dominance Theory dengan mengintegrasikan determinan psikologis dan teknologis secara simultan. 

Temuan: Hasil membuktikan komitmen multidimensional dan persepsi kegunaan big data yang tinggi secara signifikan meningkatkan kemendesakan implementasi NIMR. Interaksi keduanya mempercepat akselerasi sistem, sementara kemampuan intelijen tinggi berfungsi sebagai modal kognitif superior dalam menavigasi kompleksitas digital. Konvergensi simultan ketiga faktor ini secara mutlak mengeliminasi kelembaman tindakan dan menghasilkan kesegeraan implementasi NIMR yang paling optimal.

Objective: This study aims to analyze the effects of multidimensional commitment, perceived usefulness of big data, and intelligence capability on the immediacy of National Integrated Medical Records (NIMR) implementation in Indonesia, grounded in Technological Dominance Theory.

Methodology: A quantitative approach utilizing a 2x2x2 factorial experimental design was employed. Primary data were collected nationally through a web-based experimental protocol (task-based assessment) administered to medical professionals (physicians) with over two years of tenure. The data were subsequently analyzed using Independent Sample t-tests and post-hoc tests via SPSS.

Originality: This study represents the first scientific investigation to examine the role of medical professionals' cognitive intelligence capabilities within the context of NIMR, while extending Technological Dominance Theory by simultaneously integrating psychological and technological determinants.

Findings: The results demonstrate that high levels of multidimensional commitment and perceived usefulness of big data significantly enhance the urgency of NIMR implementation. Their interaction accelerates system adoption, whereas high intelligence capability serves as a superior cognitive asset in navigating digital complexity. The simultaneous convergence of these three factors completely eliminates action inertia, resulting in the optimal immediacy of NIMR implementation.

Kata Kunci : National Integrated Medical Records, Komitmen Multidimensional, Kegunaan Big Data, Kemampuan Intelijen, Teori Dominasi Teknologi, Eksperimen Faktorial.