Blockchain technology offers potential for improving the security, traceability, and management of patient data in healthcare institutions. However, its practical implementation depends not only on technological capabilities but also on human resource readiness, usability, service processes, data security, and system integration. This study aimed to analyze blockchain-based patient data management at Dr. M.M. Dunda Limboto Regional General Hospital, focusing on staff satisfaction, ease of use, service quality, data security, and system integration. A descriptive qualitative design was employed, with data collected in November 2025 through observation, semi-structured interviews, and documentation. Four informants representing hospital management, human resources, information technology, and medical records were selected based on their involvement in patient data management. Data were analyzed through organization, reduction, categorization, data display, cross-source comparison, and conclusion drawing. The findings indicate that blockchain-based patient data management was perceived to support data traceability, transparency, access control, and the preservation of record histories. The system was considered relatively simple to use, although patient access to information remained dependent on medical personnel. Human resource limitations, particularly IT workload and staff adaptation, were identified as important challenges. Data security was supported by authentication, role-based access, standard operating procedures, and reported encryption mechanisms. However, integration with the broader hospital information system remained incomplete, with some processes still conducted manually. The study concludes that effective blockchain-based patient data management requires not only technological implementation but also continuous staff development, adequate infrastructure, stronger interoperability, and improved integration of information systems.