Application of an information system for inpatient nutrition management: An implementation study based on the Indonesian Minister of Health Regulation No. 26/2013

Nora Lelyana* -  Faculty of Dentistry, Universitas Hang Tuah, Surabaya, Indonesia
Aris Sarjito -  Universitas Pertahanan Republik Indonesia, Bogor, Jawa Barat, Indonesia
DOI : 10.30867/action.v10i2.2554

Nutritional management of hospitalized patients is critical for improving the quality of hospital services. The Indonesian Ministry of Health Regulation No. 26 of 2013 established standards for hospital nutrition management; however, its implementation has not been fully documented through digital systems. This study aimed to examine the application of information systems for inpatient nutrition management based on Regulation No. 26/2013. A descriptive qualitative approach was employed using content analysis of secondary data, including policy documents, nutrition unit reports, and outputs from hospital nutrition information systems in a Type B hospital from 2021 to 2023. The hospital was selected purposively based on the criterion of using a nutrition information system for a minimum of two years. The results showed that most components of the nutrition care strategy, such as initial assessment and diet provision, complied with regulatory standards, with over 80% of patients assessed within 24 h and 92,5% of diets appropriately provided. However, digital documentation of nutrition interventions and evaluations remained suboptimal (<40%), mainly because of manual recordkeeping, high workload, and limited training. In conclusion, although progress has been made in the implementation of nutrition management strategies, significant gaps remain in digital documentation. Strengthening information systems, improving human resource capacity through training, and routine monitoring are necessary to ensure compliance with the national standards.

Keywords : Inpatient care, Hospital nutrition information system, Nutrition intervention, Regulation no. 26/2013

  1. Barker, L. A., Gout, B. S., & Crowe, T. C. (2011). Hospital malnutrition: Prevalence, identification and impact on patients and the healthcare system. In International Journal of Environmental Research and Public Health (Vol. 8, Issue 2, pp. 514–527). MDPI. https://doi.org/10.3390/ijerph8020514
  2. Bowen, G. (2009). Document Analysis as a Qualitative Research Method. Qualitative Research Journal, 9, 27–40. https://doi.org/10.3316/QRJ0902027
  3. Chen, J., Lieffers, J., Bauman, A., Hanning, R., & Allman-Farinelli, M. (2017). Designing Health Apps to Support Dietetic Professional Practice and Their Patients: Qualitative Results From an International Survey. JMIR Mhealth Uhealth, 5(3), e40. https://doi.org/10.2196/mhealth.6945
  4. Cho, J., Park, Y. S., Park, D. J., Kim, S., Lee, H., Kim, M., Lee, E., Lee, H. Y., & Lee, E. (2021). Bridging policy and service performance of hospital-based nutrition support by healthcare information technology. Nutrients, 13(2), 1–12. https://doi.org/10.3390/nu13020595
  5. Fellows, G. K., Koch, K., Galley, E., & Mansell, R. (2025). Northern Corridor Research Program: Phase 2 Final Report. The School of Public Policy Publications, 18(1). https://doi.org/10.55016/ojs/sppp.v17i1.78202
  6. Gandy, J. (2019). Manual of Dietetic Practice. John Wiley & Sons. https://books.google.co.id/books/about/Manual_of_Dietetic_Practice.html?id=iZebDwAAQBAJ
  7. Goel, M. S., Brown, T. L., Williams, A., Hasnain-Wynia, R., Thompson, J. A., & Baker, D. W. (2011). Disparities in Enrollment and Use of an Electronic Patient Portal. Journal of General Internal Medicine, 26(10), 1112–1116. https://doi.org/10.1007/s11606-011-1728-3
  8. Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Fahy, N., Procter, R., & Shaw, S. (2017). Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. J Med Internet Res, 19(11), e367. https://doi.org/10.2196/jmir.8775
  9. Heidarizad, Z., Fazlzadeh, A., Ahmadian, W., & Nagdi, S. (2025). A meta-analysis on the impact of e-commerce on companies’ export performance. Journal of Strategic Management Studies. https://doi.org/10.22034/SMSJ.2025.453578.2014
  10. Isabel T. D. Correia, M., & Waitzberg, D. L. (2003). The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clinical Nutrition, 22(3), 235–239. https://doi.org/10.1016/S0261-5614(02)00215-7
  11. Kaniecka, E., Rybarcz, A., Wajkowska, Y.-S., & Timler, D. (2024). Dobre praktyki i rozwiązania systemowe w obszarze funkcjonalnym komitetów i zespołów problemowych wybranych podmiotów leczniczych województwa łódzkiego. http://wydawnictwo.umed.pl/
  12. Kight, C. E., Bouche, J. M., Curry, A., Frankenfield, D., Good, K., Guenter, P., Murphy, B., Papoutsakis, C., Richards, E. B., Vanek, V. W., Wilcock, D., & Wootton, A. (2020). Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care. Nutrition in Clinical Practice, 35(1), 12–23. https://doi.org/10.1002/ncp.10433
  13. Kiss, N., Hiesmayr, M., Sulz, I., Bauer, P., Heinze, G., Mouhieddine, M., Schuh, C., Tarantino, S., & Simon, J. (2021). Predicting hospital length of stay at admission using global and country‐specific competing risk analysis of structural, patient, and nutrition‐related data from nutritionday 2007–2015. Nutrients, 13(11). https://doi.org/10.3390/nu13114111
  14. Kotler, P., & Keller, K. L. (2016). Marketing Management. Pearson. https://books.google.co.id/books/about/Marketing_Management.html?id=UbfwtwEACAAJ
  15. Lee, Y. P., Tsai, H. Y., & Ruangkanjanases, A. (2020). The determinants for food safety push notifications on continuance intention in an e-appointment system for public health medical services: The perspectives of utaut and information system quality. International Journal of Environmental Research and Public Health, 17(21), 1–15. https://doi.org/10.3390/ijerph17218287
  16. Liyana, F. (2024). Analisis Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Generic Open Source di Rumah Sakit Jiwa Daerah Kolonel H. M. Syukur Tahun 2024. https://repository.unja.ac.id/75636/
  17. Magalhaes de Paiva, E. M., & Correa, F. J. M. (2025). Health and quality of life in Argentina and Latin America in 2024. Interamerican Journal of Health Sciences, 5, 52. https://doi.org/10.59471/ijhsc202552
  18. Mahdizadeh, S. M., Sany, S. B., Sarpooshi, D. R., Jafari, A., & Mahdizadeh, M. (2021). Predictors of preventive behavior of nosocomial infections in nursing staff: a structural equation model based on the social cognitive theory. BMC Health Services Research, 21(1), 1187. https://doi.org/10.1186/s12913-021-07205-6
  19. Moick, S., Simon, J., & Hiesmayr, M. (2020). Nutrition care quality indicators in hospitals and nursing homes: A systematic literature review and critical appraisal of current evidence. Clinical Nutrition, 39(6), 1667–1680. https://doi.org/10.1016/j.clnu.2019.10.007
  20. Morrison, T. (2011). Not-for-profit volunteer clinics: rich source of nursing research data. Journal of Clinical Nursing, 20(13–14), 2074–2077. https://doi.org/10.1111/j.1365-2702.2010.03676.x
  21. O’Keeffe, M., Kelly, M., O’Herlihy, E., O’Toole, P. W., Kearney, P. M., Timmons, S., O’Shea, E., Stanton, C., Hickson, M., Rolland, Y., Sulmont Rossé, C., Issanchou, S., Maitre, I., Stelmach-Mardas, M., Nagel, G., Flechtner-Mors, M., Wolters, M., Hebestreit, A., De Groot, L., … O’Connor, E. M. (2019). Potentially modifiable determinants of malnutrition in older adults: A systematic review. Clinical Nutrition, 38(6), 2477–2498. https://doi.org/10.1016/j.clnu.2018.12.007
  22. Polit, D. F., & Beck, C. T. (2021). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer. https://books.google.co.id/books?id=HyNGxQEACAAJ
  23. Putra, D. M., Hunna, C. M., & Fadhila, W. (2022). Analisis Pelaksanaan SIMRS Pada Unit Kerja Rekam Medis Dengan Metode Technology Acceptance Model (TAM). Jurnal Rekam Medis Dan Informasi Kesehatan, 5(1), 47–58. https://doi.org/10.31983/jrmik.v5i1.8401
  24. Qwaider, Y. Z., Amarin, J. Z., Spieker, A. J., Hayek, H., Chappell, J. D., Halasa, N. B., & Lovvorn, H. N. (2025). Incidence of biliary atresia in the United States before and during the COVID-19 pandemic. Journal of Pediatric Gastroenterology and Nutrition. https://doi.org/10.1002/jpn3.70009
  25. Safitri. (2019). Hubungan Dukungan Keluarga dengan Kepatuhan Diet pada Pasien Diabetes Melitus Tipe 2 Rawat Jalan di RSUD Dr. Moewardi Surakarta. https://example.com/naskah-publikasi-baru
  26. Sanjaya, G. Y., Prasetyawati, D., Pratama, R. A., Sutriana, V. N., Lazuardi, L., Setiawan, M. Y., Sutaryana, B. M., & Supriati, T. (2024). Development of Aplikasi Satu Data Kesehatan (ASDK) on key performance indicator of District Health Office of Kulon Progo using District Health Information Software 2 (DHIS2). Journal of Community Empowerment for Health, 7(3). https://doi.org/10.22146/jcoemph.93829
  27. Schindler, K., Pernicka, E., Laviano, A., Howard, P., Schütz, T., Bauer, P., Grecu, I., Jonkers, C., Kondrup, J., Ljungqvist, O., Mouhieddine, M., Pichard, C., Singer, P., Schneider, S., Schuh, C., & Hiesmayr, M. (2010). How nutritional risk is assessed and managed in European hospitals: A survey of 21,007 patients findings from the 2007–2008 cross-sectional nutritionDay survey. Clinical Nutrition, 29(5), 552–559. https://doi.org/10.1016/j.clnu.2010.04.001
  28. Subroto, D., Supriandi, Wirawan, R., & Rukmana, A. (2023). Implementasi Teknologi dalam Pembelajaran di Era Digital: Tantangan dan Peluang bagi Dunia Pendidikan di Indonesia. Jurnal Pendidikan West Science, 1, 473–480. https://doi.org/10.58812/jpdws.v1i07.542
  29. Wu, J., Mayer, S., Pilz, S., Antille, Y. S., Albert, J. L., Stoll, M., Garcia, K., Fuchs, K., Bally, L., Eichelberger, L., Schneider, T., Tiefenbeck, V., Merian, S., & Orban, F. (2025). FoodCoach: Fully Automated Diet Counseling. IEEE Journal of Biomedical and Health Informatics, 1–13. https://doi.org/10.1109/JBHI.2025.3540899

Open Access Copyright (c) 2025 Nora Lelyana, Aris Sarjito
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here