Analysis of Hospital-Based Cancer Registration Training Readiness Using Blended Learning Method in the National Cancer Center Indonesia, Dharmais Cancer Hospital

Julyanti Agustina(1*), Hanevi Djasri(2)

(1) Magister Program, Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Indonesia
(2) Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Gajah Mada University, Indonesia
(*) Corresponding Author


Background: Cancer registration produces statistical information on cancer that complies with international standards so that it can be used as a baseline for taking cancer policy directions. The quality of the data can be affected by the officers who carry it out. Hospital-Based Cancer Registration Training in Indonesia has been held since 2016 to increase the capacity of cancer registration implementation. Since the pandemic, online methods have been increasingly used in the world, not only in education but also in health sector . In addition, the blended learning method has becomebecome an option because it is more effective for delivering material that requires interaction with the instructor. Cancer registrars have an important role in the process of cancer registration activities in providing valid and accurate information so that to support performance, training is needed to increase the capacity of cancer registrars. Dharmais Cancer Hospital has had a Hospital-Based Cancer Registration Training program with the aim of achieving the competencies needed in cancer registration. This study aims to analyze the readiness of the blended learning method of hospital-based cancer registration training by the National Cancer Center Indonesia, Dharmais Cancer Hospital. Methods: The research design was carried out in the form of quantitative descriptive where data collection was in the form of questionnaires to the research subjects according to the inclusion criteria. The inclusion criteria for research subjects were training instructors, training organizers, cancer registration implementers, and leaders who were responsible for cancer registration. The research was conducted at the National Cancer Center Indonesia, Dharmais Cancer Hospital from April to November 2022. Data will be analyzed using SPSS. Results: We analysed the 35 respondents with the results were mostly female (80%), bachelor degree (51.4%), 30-39 years old (40%), never been cancer registration trainer (71.4%), and ever heard about about cancer registration training (82,9%). There were three variable that had mean higher than overall mean which technology (3.95), self development (3.86), and training curriculum (3.98). However the innovation (3.61) and training organizer (3.17) were less then overall mean. Conclusion: Dharmais Cancer Hospital has been ready but need improvements to have cancer registration training using blended learning. Innovation factor and training organizer should be improved.


blended training; cancer registration; online training

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Aydin, C. and Tasci, D. (2005) ‘Measuring Readiness for e-Learning: Reflections from an Emerging Country.’, Educational Technology & Society, 8, pp. 244–257. Badan PPSDM Kesehatan Informasi SDM Kesehatan, K. K. R. I. (2021) Gambaran RSUD di Indonesia. Available at: (Accessed: 6 November 2021). BPS, S. I. (2021) Statistical Yearbook of Indonesia. Edited by Directorate of Statistical Dissemination. Jakarta: BPS-Statistics Indonesia. Bray, F. et al. (2014) Planning and Developing Population-Based Cancer Registration in Low- and Middle-Income Settings. Lyon (FR). Cheng, C.-Y. et al. (2018) ‘Is quality of registry treatment data related to registrar experience and workload? A study of Taiwan cancer registry data.’, Journal of the Formosan Medical Association = Taiwan yi zhi, 117(12), pp. 1093–1100. doi: 10.1016/j.jfma.2017.12.012. Curado, M. P. (2019) ‘Importance of hospital cancer registries in Africa.’, Ecancermedicalscience, p. 948. doi: 10.3332/ecancer.2019.948. Dharmais, R. K. (2021) Profil RS Kanker Dharmais. Available at: (Accessed: 11 November 2021). Dio Cika Anugrah, Augustina Asih Rumanti, A. F. R. (2020) ‘Pengukuran Tingkat Kesiapan Penerapan E -Learning Pada Proses Belajar Mengajar Program Studi S1 Teknik Industri Universitas Telkom Bandung’, e-Proceeding of Engineering, 7, p. 5554. Dost, S. et al. (2020) ‘Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students.’, BMJ open, 10(11), p. e042378. doi: 10.1136/bmjopen-2020-042378. Driscoll, M. (2002) ‘Blended learning: Let’s get beyond the hype’, E-learning, 3. Graham, C., R. (2006) ‘Blended learning systems: Definition, current trends, and future directions’, Handbook of blended learning: Global perspectives, local designs, (May), pp. 3–21. Hashim, H. and Tasir, Z. (2014) E-Learning Readiness: A Literature Review, Proceedings - 2014 International Conference on Teaching and Learning in Computing and Engineering, LATICE 2014. doi: 10.1109/LaTiCE.2014.58. International Agency for Research on Cancer (2021) Global Cancer Observatory: Cancer Today. Available at: (Accessed: 12 January 2022). Isabel dos Santos Silva (1999) Cancer Epidemiology: Principles and Methods. Lyon: the International Agency for Research on Cancer. Jedy-Agba, E. E. et al. (2015) ‘Developing National Cancer Registration in Developing Countries – Case Study of the Nigerian National System of Cancer Registries’, Frontiers in Public Health, 3(July), pp. 1–10. doi: 10.3389/fpubh.2015.00186. Joseph F. Hair, Bill Black, William C. Black, Barry J. Babin, R. E. A. (2010) Multivariate Data Analysis: Global Edition, 7th Edition. 7th Editio. New Jersey: Pearson Education. M. Iqbal Al Machmudi (2021) Dokter Onkologi di Indonesia Masih Sedikit dan Tidak Merata. Available at: (Accessed: 11 November 2021). Merriman, K. W. et al. (2021) ‘Evolution of the Cancer Registrar in the Era of Informatics.’, JCO clinical cancer informatics, 5, pp. 272–278. doi: 10.1200/CCI.20.00123. Naveed, Q. N. et al. (2017) ‘Barriers effecting successful implementation of E-learning in Saudi Arabian Universities’, International Journal of Emerging Technologies in Learning, 12(6), pp. 94–107. doi: 10.3991/ijet.v12i06.7003. O.M. Jensen, D.M. Parkin, R. MacLennan, C.S. Muir, R. G. S. (1991) Cancer Registration: Principles and Methods. Edited by R. G. S. O.M. Jensen, D.M. Parkin, R. MacLennan, C.S. Muir. Lyon: IARC Scientific Publication. Olejarczuk, E. (2014) ‘THE E-LEARNING COMPONENT OF A BLENDED LEARNING COURSE’, Teaching english with technology, 14, pp. 58–68. Regmi, K. and Jones, L. (2020) ‘A systematic review of the factors – enablers and barriers – affecting e-learning in health sciences education’, BMC Medical Education, 20(1), p. 91. doi: 10.1186/s12909-020-02007-6. Saekow, A. and Samson, D. (2011) ‘A study of e-learning readiness of Thailand’s higher education comparing to the United States of America (USA)’s case’, ICCRD2011 - 2011 3rd International Conference on Computer Research and Development, 2. doi: 10.1109/ICCRD.2011.5764134. Sheikhtaheri, A. et al. (2018) ‘Development of a tool for comprehensive evaluation of population-based cancer registries’, International Journal of Medical Informatics, 117(April), pp. 26–32. doi: 10.1016/j.ijmedinf.2018.06.006. Sung, H. et al. (2021) ‘Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.’, CA: a cancer journal for clinicians, 71(3), pp. 209–249. doi: 10.3322/caac.21660. Thorne, K. (2003) ‘Blended Learning : How to Integrate Online and Traditional Learning / K. Thorne.’ Vaona, A. et al. (2018a) ‘E-learning for health professionals.’, The Cochrane database of systematic reviews, 1(1), p. CD011736. doi: 10.1002/14651858.CD011736.pub2. Vaona, A. et al. (2018b) ‘E-learning for health professionals’, The Cochrane database of systematic reviews, 1(1), pp. CD011736–CD011736. doi: 10.1002/14651858.CD011736.pub2. Watkins, R., Leigh, D. and Triner, D. (2004) ‘Assessing Readiness for E‐Learning’, Performance Improvement Quarterly, 17, pp. 66–79. doi: 10.1111/j.1937-8327.2004.tb00321.x. World Health Organization (2020) WHO report on cancer: setting priorities, investing wisely and providing care for all. World Health Organization, D. of C. D. and H. P. (2008) National Cancer Control Programmes: Policies and managerial guideline. 2nd edn. Geneva.


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