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In recent years, rapid advancements in digital technology have significantly transformed global healthcare delivery. The COVID-19 pandemic acted as a catalyst, accelerating the integration of information technology into healthcare systems, particularly through the increased adoption of telemedicine. In the field of internal medicine, which often involves long-term care and management of chronic illnesses, telemedicine presents a promising solution to enhance service accessibility, improve care efficiency, and sustain favorable clinical outcomes. This study aims to conduct a narrative review to explore the impact of telemedicine on patient clinical outcomes, healthcare worker workload, and healthcare system efficiency within internal medicine practice. The review is based on an analysis of peer-reviewed literature published between 2020 and 2025, sourced from major databases including PubMed, Scopus, and Web of Science. Article selection was based on relevance to the topics of telemedicine and internal medicine, contextual applicability, and full-text availability. The findings of the review reveal that telemedicine contributes positively by expanding access to care, reducing travel time and logistical barriers for patients, accelerating clinical response times, and decreasing patient congestion in healthcare facilities. These outcomes are particularly beneficial for patients with chronic conditions who require regular monitoring and consistent communication with healthcare providers. However, the implementation of telemedicine also introduces new challenges, including increased administrative responsibilities and digital workload for healthcare professionals. The study underscores the importance of equipping healthcare systems with adequate digital infrastructure, implementing supportive and flexible policies, and providing comprehensive training for healthcare workers. These measures are crucial to ensure the successful and sustainable adoption of telemedicine in internal medicine. Overall, telemedicine holds strong potential to reshape the future of internal medicine, provided that its integration is strategically managed to balance technological advancement with human-centered care.

The implementation of Hospital Management Information Systems (SIMRS) has become a strategic necessity to improve healthcare service quality and operational efficiency. This study focuses on evaluating the performance of SIMRS in the outpatient registration unit of Nur Hidayah Hospital Bantul, where system disruptions, inconsistent SOP application, and limited user training were identified as core issues. The research aims to assess how well the SIMRS aligns with the Human, Organization, and Technology components through the HOT-Fit model framework. A descriptive qualitative method was employed using purposive sampling to select five informants directly involved in SIMRS operations, including registration officers, IT staff, and the head of the medical records unit. Data were collected through in-depth interviews, direct observation, and documentation, and analyzed thematically based on the HOT-Fit model. The findings show that SIMRS contributes positively to workflow efficiency and data management; however, human factors such as inconsistent training and input errors remain prevalent. Organizational support is visible but lacks structured evaluation routines, and although the technological infrastructure is generally stable, peripheral device and network issues persist. The study synthesizes that effective SIMRS performance requires not only technological readiness but also consistent organizational commitment and continuous human resource development. It concludes that strengthening user competence, formalizing SOP usage, and improving infrastructure are essential to optimize the system's functionality and alignment with the HOT-Fit model.

This community service program was implemented to strengthen the digital literacy and competencies of health cadres in Simogirang Village, Prambon Sub-district, Sidoarjo Regency, particularly in the recording and management of Posyandu (integrated health service post) data. The initiative responded to ongoing issues stemming from manual documentation methods, which were prone to human error, inefficiency, and lack of integration with regional health information systems. To address these challenges, the program delivered an IT-based training module using a combination of direct instruction, demonstrations, and hands-on simulations. The training emphasized the use of accessible and cost-effective tools such as Google Forms and Google Sheets, designed in alignment with the principles of adult learning (andragogy) and Kurt Lewin’s change management model to facilitate behavioral adaptation and technology acceptance among the participants. A total of 25 health cadres participated in the program. Pre- and post-training evaluations demonstrated significant improvement in digital skills, with 80% of participants achieving a minimum of 85% accuracy in completing digital forms and managing records. In addition, a prototype digital system based on Google Workspace was successfully piloted in two Posyandu locations. This system enhanced the timeliness, accuracy, and integration of health data reporting to local health centers (Puskesmas), offering a scalable and sustainable solution for grassroots healthcare data management. Despite the positive outcomes, the program also identified key challenges, notably limited internet infrastructure and varying levels of prior digital exposure among cadres. These findings underscore the need for continuous mentoring, support from local government stakeholders, and potential investment in digital infrastructure. Overall, the initiative contributes to Indonesia’s broader goals of digital transformation in public health, particularly at the village level.

Effective network management is the main need in the world of information technology, especially for companies engaged in network infrastructure. One of the devices that is often used to support network connectivity is MikroTik. This journal aims to design MikroTik configuration learning based on the OSI Layer Model at PT Proxi Jaringan Nusantara, focusing on setting MikroTik so that it can be connected to the internet. The learning method is designed using theoretical and simulation approaches, including the introduction of the OSI Layer Model as the basis of network communication and the technical steps of MikroTik configuration, such as IP Address settings, NAT (Network Address Translation), DHCP Server, and basic Firewall. The simulation results show that the configuration carried out in accordance with the OSI Layer Model can improve network stability and efficiency. This learning is designed to provide practical and in-depth solutions for authors in understanding MicroTik-based network management.

Agriculture plays an important role in food sustainability and security in Indonesia, including in the City of Tuban. The city has wide potential for the development of the agricultural sector, including crops, plantations, animal husbandry, forestry and fisheries. However, the limited information regarding the current situation of these sectors raises the need for in-depth analysis. This study aims to analyze the portrait of agriculture in the city of Malang with a focus on crops, plantations, animal husbandry, forestry, and fisheries. This analysis will provide insight into the current status, development potential, challenges and opportunities within these sectors. This research uses a qualitative approach by conducting field surveys, interviews with farmers, ranchers, fishermen, and other relevant stakeholders. The collected qualitative data were analyzed thematically to describe an overall picture of each agricultural sector. The results of the analysis show that the secondary crops sector has experienced positive growth, but still faces challenges in terms of access to markets and technology. Plantations have great potential in the development of superior commodities, but need to improve infrastructure and environmental sustainability. Livestock is experiencing rapid development, but faces problems in waste management and animal health. Forestry is faced with land expansion and forest restoration, while fisheries require steps to maintain the sustainability of fish resources. These findings provide important input for the local government and related stakeholders to develop a strategy for sustainable agricultural development in the City of Tuban. Efforts are needed to improve market access, strengthen infrastructure, improve waste management, improve animal health, and maintain the sustainability of fish resources. This analysis can also be the basis for further research and more effective policy planning in the agricultural sector in Tuban City.