Challenges and Benefits of Implementing Smart Hospital Systems in Specialized Orthopedic Centers: A Systematic Review
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The increasing complexity of healthcare services has encouraged specialized orthopedic centers to adopt smart hospital systems as an approach to improve service integration, operational efficiency, and patient-centered care. However, the implementation of these systems remains challenging due to technological, organizational, financial, and human resource limitations. This study aims to explore the benefits and challenges of implementing smart hospital systems in specialized orthopedic centers by examining their contributions to healthcare performance, operational processes, and patient experience. This research employed a systematic literature review approach by analyzing relevant studies related to smart hospitals, digital transformation, artificial intelligence, hospital information systems, and orthopedic healthcare services. A total of 25 studies were selected through a PRISMA-based screening process from an initial 200 identified records. The findings indicate that smart hospital systems provide significant benefits, including improved workflow coordination, faster access to medical information, enhanced clinical decision-making, increased surgical precision through advanced technologies, and improved continuity of rehabilitation care. Nevertheless, several challenges were identified, including limited infrastructure, high implementation costs, interoperability issues, data reliability concerns, and the need for user adaptation and training. In conclusion, smart hospital systems support more efficient, integrated, and patient-oriented orthopedic healthcare services; however, successful implementation requires technological readiness, organizational commitment, and continuous improvement strategies.
Fucentese, S. F., & Koch, P. P. (2021).
A novel augmented reality-based surgical guidance system for total knee arthroplasty. Archives of Orthopaedic and Trauma Surgery, 141, 2227–2233.
https://doi.org/10.1007/s00402-021-04204-4
Gani, R. A. (2024).
Desain smart hospital dalam mendukung pelayanan kesehatan pada rumah sakit berbasis teknologi informasi. Jurnal Global, 11(1).
Glinkowski, W. M., Spali?ska, A., Wo?k, A., & Wo?k, K. (2026).
Artificial intelligence in orthopaedics: Clinical performance, limitations, and translational readiness—A review. Journal of Clinical Medicine, 15, 1751.
https://doi.org/10.3390/jcm15051751
Halm-Pozniak, A., Lohmann, C. H., Zagra, L., Braun, B., Gordon, M., & Grimm, B. (2023).
Best practice in digital orthopaedics. EFORT Open Reviews, 8(5), 283–290.
https://doi.org/10.1530/EOR-23-0081
Han, F., Huang, X., Wang, X., Chen, Y., Lu, C., Li, S., Lu, L., & Zhang, D.-W. (2025).
Artificial intelligence in orthopedic surgery: Current applications, challenges, and future directions. MedComm, 6, e70260.
https://doi.org/10.1002/mco2.70260
Hasibuan, A. N. R., Harahap, J. W., Agustina, D., Hasibuan, S. R., Nurmairani, A., & Khairiah, M. (2024).
Analisis strategi dalam optimalisasi pelayanan kesehatan melalui implementasi sistem informasi manajemen rumah sakit (SIMRS): Systematic literature review. Jurnal Kolaboratif Sains, 7(5), 1813–1821.
https://doi.org/10.56338/jks.v7i5.5075
Hilmy, M. R., Putranto, R. D., Mahadewi, E. P., Setiawan, I., & Shameela, A. (2025).
Analysis of the relationship between digital transformation influenced by technology, artificial intelligence diagnosis, legal basis and challenges to health services in hospitals. Syntax Literate: Jurnal Ilmiah Indonesia, 10(12).
Hilmy, M. R., Putranto, R. D., Mahadewi, E. P., Setiawan, I., & Shameela, A. (2026).
Analisis integrasi sistem informasi rumah sakit dan elektronik rekam medik sebagai respon terhadap Permenkes Nomor 24 Tahun 2022. Syntax Literate: Jurnal Ilmiah Indonesia, 11(1).
Hilmy, M. R., Shameela, A., & Mahadewi, E. P. (2026). Patient outcomes and service delivery differences in physiotherapy care: A systematic review comparing hospital-based and private practice models. Healthyness Journal, 6(1), 553–569.
Hilmy, M. R., Mahadewi, E. P., Nurba, F. G., & Shameela, A. (2026). The Effect of Smart Hospital Implementation on Operational Efficiency and Physiotherapy Patient Satisfaction: A Literature Review. Glosains: Jurnal Sains Global Indonesia, 7(2), 608-626.
Hu, R., Longo, U. G., Pittman, J., & Nazarian, A. (2025).
Robotic innovations in orthopedics: A growing landscape, challenges, and implications for care. Osteology, 5, 13.
https://doi.org/10.3390/osteology5020013
Irwan, Yanto, E., Erlina, H. B., & Afdal, A. A. M. (2025).
Implementasi artificial intelligence dalam administrasi rumah sakit untuk peningkatan efektivitas pelayanan: Studi literatur. Journal of Health Quality Development, 5(2), 40–49.
Khodijah, E., Hilmy, M. R., & Nofierni. (2025).
Impact of psychological conditions and physical environment on hospitality services through patient experience. International Journal of Health and Medicine, 2(4).
https://doi.org/10.62951/ijhm.v2i4.522
Kim, S. J., Wang, T., Pelletier, M. H., & Walsh, W. R. (2022).
SMART implantable devices for spinal implants: A systematic review on current and future trends. Journal of Spine Surgery, 8(1), 117–131.
https://doi.org/10.21037/jss-21-100
Koay, W. Z.-T., Chang, S.-W., Ahmad, R. E., & Kamarul, T. (2026).
A scoping review of systematic reviews on artificial intelligence in orthopaedics. Journal of Orthopaedic Surgery, 34(1), 1–25.
https://doi.org/10.1177/10225536261424033
Mohammed, T. J., Xinying, C., Alnoor, A., Khaw, K. W., Albahri, A. S., Teoh, W. L., Chong, Z. L., & Saha, S. (2024).
A systematic review of artificial intelligence in orthopaedic disease detection: A taxonomy for analysis and trustworthiness evaluation. International Journal of Computational Intelligence Systems, 17, 303.
https://doi.org/10.1007/s44196-024-00718-y
Mohammed, T. J., Xinying, C., Alnoor, A., Khaw, K. W., Albahri, A. S., Teoh, W. L., Chong, Z. L., & Saha, S. (2024).
A systematic review of artificial intelligence in orthopaedic disease detection: A taxonomy for analysis and trustworthiness evaluation. International Journal of Computational Intelligence Systems, 17, 303.
https://doi.org/10.1007/s44196-024-00718-y
Noor, S. (2021).
Smart hospital information technology master plan. Jurnal Global, 8(1).
Ounasser, N., Rhanoui, M., Mikram, M., & El Asri, B. (2024).
A systematic review on artificial intelligence in orthopedic surgery. Revue d’Intelligence Artificielle, 38(4), 1143–1157.
https://doi.org/10.18280/ria.380409
Prawasari, N., Rohendi, A., & Agung, I. W. P. (2024).
Pengaruh persepsi kegunaan dan persepsi kemudahan terhadap kemauan tenaga kesehatan menggunakan SIMRS di Rumah Sakit Graha Husada Jepara. PREPOTIF: Jurnal Kesehatan Masyarakat, 8(3), 6866–6870.
Priyadarshi, R., Ranjan, R., Sahana, B. C., Bhandari, A. K., & Kankanala, S. (2026).
A comprehensive overview of smart healthcare technologies in revolutionizing modern rehabilitation practices. Connection Science, 38(1), 2612458.
Purwayanto, E. A., Natasa, D. U., Triwibowo, D. N., & Suryani, R. (2025).
Analisis implementasi sistem informasi medis pada fasilitas pelayanan kesehatan Indonesia: Literature review terhadap kendala dan solusi implementasi. Jurnal Ilmu Komputer dan Teknologi (IKOMTI), 6(2), 98–102.
Ramadhani, H., Issroviatiningrum, R., & Sari, D. W. P. (2025).
Hubungan implementasi sistem informasi manajemen rumah sakit (SIMRS) dengan kinerja perawat. Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan, 3(2), 60–74.
https://doi.org/10.61132/corona.v3i2.1207
Salazar Carrasco, L., Sánchez-Margallo, J. A., & Sánchez-Margallo, F. M. (2026).
Orthopedic surgery assisted by mixed reality technology: Systematic review. Frontiers in Surgery, 13, 1770605.
https://doi.org/10.3389/fsurg.2026.1770605
Sihole, P. O., Lesmana, A. E., & Wasir, R. (2024).
Strategi dan evaluasi sistem informasi kesehatan di Indonesia: Tinjauan literatur. Jurnal Kesehatan Tambusai, 5(2), 4811–4819.
Suyitno, E., Febrianti, R., Hadiyani, S., Suryani, Y., & Aima, S. (2026).
Transformasi digital dalam administrasi rumah sakit: Strategi peningkatan kualitas layanan dan pengambilan keputusan manajerial. Jurnal Komputer, Informasi dan Teknologi, 6(1), 1–17.
https://doi.org/10.53697/jkomitek.v6i1.39
WARIS, C. D., & HILMY, M. R. (2024). Analisis pemanfaatan rekam medis elektronik berdasarkan metode HOT-FIT di instalasi rawat jalan RSUD Kota Tanjungpinang. Journal of Nursing and Public Health, 12(2), 293-305.
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