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All Journal Journal of Indonesian Health Policy and Administration
Aqid, Bukhori Muhammad
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Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Public Health

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Implementation of EMR System in Indonesian Health Facilities: Benefits and Constraints – A Case Study of Two Clinics in Central Java Juliansyah, Rasyid; Aqid, Bukhori; Salsabila, Andien Putri; Nurfiyanti, Kurnia
Journal of Indonesian Health Policy and Administration Vol. 10, No. 1
Publisher : UI Scholars Hub

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This paper delves into the widespread implementation of Electronic Medical Records (EMR) within healthcare facilities across Indonesia. It addresses the challenges encountered by clinic owners and healthcare providers in transitioning to these digital systems. The study is supported by empirical data collected through a mixed-method approach, combining internal data from Klinik Pintar with qualitative validation from key stakeholders responsible for clinic operations. The research focuses on two case studies: Lembaga Pemasyarakatan (LAPAS) II Purwokerto Clinic and Palang Merah Indonesia (PMI) Purbalingga Clinic, where the adoption of EMR is analyzed in terms of efficiency, compliance with regulatory standards set by the Ministry of Communication and Informatics (Kementerian Komunikasi dan Informatikal – Kominfo) and the Ministry of Health (Kementerian Kesehatan – Kemenkes), and its impact on daily healthcare workflows. Through in-depth interviews and observational studies, the perspectives of clinic administrators, healthcare professionals, and information technology (IT) personnel are explored to understand the benefits and constraints of EMR implementation in real-world settings. The findings highlight key factors influencing successful EMR adoption, including user training, infrastructure readiness, and regulatory compliance. Additionally, barriers such as resistance to change, technical limitations, and integration challenges with existing healthcare systems are discussed. This study provides valuable insights for policymakers, healthcare providers, and technology developers in enhancing the effectiveness of EMR implementation in Indonesian healthcare facilities.
Deadline-Chasing in Digital Health: Forecasting EMR Adoption Dynamics and Regulatory Impact in Indonesian Primary Care Satrio, Suryo; Aqid, Bukhori Muhammad
Journal of Indonesian Health Policy and Administration Vol. 11, No. 2
Publisher : UI Scholars Hub

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Indonesia is accelerating digital health adoption under Minister of Health Regulation No. 24/2022, which mandates the use and integration of Electronic Medical Records (EMRs) with SATUSEHAT. However, evidence on how quickly primary health care facilities (Fasilitas Kesehatan Tingkat Pertama – FKTP) are adopting EMRs and what the adoption curve looks like remains limited. Survey findings also suggest key barriers and enablers, including security and data migration concerns, as well as human resource and infrastructure constraints. This observational study used provider-network data from a single EMR vendor. Key measures included cumulative registered facilities, monthly registrations, same-month activation (total_active/monthly inflow) as a proxy for onboarding readiness, and the estimated national pool of eligible FKTPs. The study applied descriptive analysis, logistic growth modeling, and Autoregressive Integrated Moving Average (ARIMA) forecasting for short-term projections. Over 39 months, cumulative registrations increased from 2 to 3,803 facilities. Same-month activation remained consistently high (median 0.969, IQR 0.744–0.999). By June 2025, the vendor network captured a 10.3% share of the estimated eligible FKTP pool (3,803/36,784). Logistic modeling suggested convergence to a carrying capacity of approximately 4,034 facilities (95% CI 3,953–4,115), while ARIMA projected around 4,030 facilities by December 2025 (95% CI 3,467–4,593). EMR adoption continues to increase, with rapid activation after registration, although growth slows over time. Localized increases near enforcement milestone windows are consistent with “deadline-chasing” behavior. Policy makers and vendors should combine deadline calendars with streamlined onboarding, secure migration support, clear technical-support SLAs, and region-specific interventions to address workforce and infrastructure gaps.
Co-Authors Juliansyah, Rasyid Nurfiyanti, Kurnia Salsabila, Andien Putri Satrio, Suryo