In carrying out the process of processing health data and information, Medical Recorder and Health Information (PMIK) personnel are needed who have the ability to provide services to patients. The emergence of the Minister of Health Regulation Number 24 of 2022 concerning electronic medical records requires every health care facility to run electronic medical records, this makes the workload owned by PMIK reduced. So it is necessary to analyze the challenges of PMIK workload in facing the RME era. The method used is qualitative with a normative law study approach. The approach used for data collection is based on documentation studies through regulations, journals, and news. The tool used for data collection is a notebook. Data processing techniques using secondary data. In carrying out their duties, many Medical Recorders and Health Information (PMIK) still do not understand the use of existing systems properly, this causes delays in the processing of medical data. The abilities possessed by PMIK personnel in the RME era greatly affect the patient data processing process so that it is necessary to conduct training and skill development related to the correct use of the RME system in order to reduce the workload faced by officers.

Telemedicine, the use of digital technology and communication for remote healthcare services, has seen rapid development and offers potential improvements in accessibility and efficiency in healthcare services. However, the adoption and implementation of telemedicine also face various challenges, including data privacy and security, technological infrastructure readiness, and legal and regulatory barriers. This study aims to evaluate the effectiveness, efficiency, and patient satisfaction in the use of telemedicine based on existing scientific evidence. This study employs a systematic review methodology of related telemedicine studies. The results of this review are summarized and form the basis for further discussion about the effectiveness of telemedicine, challenges in its implementation, and its implications for the healthcare sector and further research. Recommendations are provided based on the findings of this review for future research or practice focusing on enhancing the effectiveness, efficiency, and patient satisfaction in the use of telemedicine and overcoming challenges in its implementation.

Telemedicine, penggunaan teknologi digital dan komunikasi untuk layanan kesehatan jarak jauh, telah mengalami perkembangan pesat dan menawarkan potensi peningkatan aksesibilitas dan efisiensi dalam layanan kesehatan. Namun, adopsi dan implementasi telemedicine juga menghadapi berbagai tantangan, termasuk privasi dan keamanan data, kesiapan infrastruktur teknologi, dan hambatan hukum dan regulasi. Studi ini bertujuan untuk mengevaluasi efektivitas, efisiensi, dan kepuasan pasien dalam penggunaan telemedicine berdasarkan bukti ilmiah yang ada. Penelitian ini menggunakan metode review sistematis dari studi-studi terkait telemedicine. Hasil review ini dirangkum dan dijadikan dasar untuk diskusi lebih lanjut tentang efektivitas telemedicine, tantangan dalam implementasinya, serta implikasinya bagi sektor kesehatan dan penelitian lebih lanjut. Saran diberikan berdasarkan temuan review ini untuk penelitian atau praktik mendatang yang berfokus pada peningkatan efektivitas, efisiensi, dan kepuasan pasien dalam penggunaan telemedicine serta penyelesaian tantangan dalam implementasinya.