Merlin Abd. Rahman
D-III Medical Records and Health Information Study Program, STIKES Bakti Nusantara Gorontalo, Indonesia

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The Effect of Electronic Medical Record Implementation on the Work Efficiency of Medical Record Officers at Sitti Khadijah Mother and Child Hospital, Gorontalo Vera Veriskawati Biki; Merlin Abd. Rahman; Moh Ichsan Arifin Antu
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) - July 20
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.11333

Abstract

The implementation of Electronic Medical Records (EMR) is intended to improve the quality of health services and the work efficiency of medical records officers. However, implementation may still encounter technical barriers, including unstable networks and application errors. This study aimed to determine the effect of EMR implementation on the work efficiency of medical records officers at Sitti Khadijah Mother and Child Hospital, Gorontalo. A quantitative analytic study with a cross-sectional design was conducted in May 2026. The population consisted of 30 EMR users, and total sampling was applied. Data were collected using a questionnaire that had undergone validity and reliability testing and were analyzed using descriptive statistics and simple linear regression. All 30 questionnaire items were valid, with item correlations ranging from 0.498 to 0.865, and the instrument demonstrated high internal consistency (Cronbach’s alpha = 0.954). Descriptively, 76.7% of respondents rated EMR implementation as very appropriate, while 70.0% rated work efficiency as very appropriate. Simple linear regression produced a positive coefficient (B = 0.174), t = 4.781, and p < 0.001, indicating a statistically significant positive association between EMR implementation and work efficiency. The findings indicate that strengthening technological infrastructure, network stability, and user competence may support more effective EMR utilization.
The use of Electronic Medical Records for Clinical Decision-Making at RSUD Dr. Hasri Ainun Habibie, Gorontalo Regency Febrianti Prima Putri Halid; Moh. Ichsan Arifin Antu; Merlin Abd. Rahman
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) - July 20
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.11566

Abstract

Electronic Medical Records (EMR) have become an important component of hospital information systems because they provide faster and more integrated access to patient information and may support clinical decision-making. This study aimed to describe the use of EMR in supporting clinical decision-making at RSUD Dr. Hasri Ainun Habibie, Gorontalo Regency, including the level of use, ease of access to patient information, healthcare workers’ perceptions, and barriers to implementation. This study employed a descriptive qualitative design conducted in March–April 2026. Five informants were selected purposively, consisting of one information technology staff member as the key informant, one head of medical records as the main informant, two reporting staff members, and one medical support staff member. Data were collected through in-depth interviews, observation, and documentation, and analyzed through data reduction, data presentation, and conclusion drawing. The findings indicate that EMR has been implemented through the Hospital Management Information System (SIMGOS) and is routinely used in patient services. Healthcare workers directly involved in patient care are required to use EMR. Patient data completeness was reported at approximately 75%, categorized as fairly complete, although some system features were not yet fully utilized. EMR facilitated faster access to patient information and supported diagnosis, intervention, and therapy decisions. The main barriers were occasional network or system disruptions and user adaptation. Overall, EMR was perceived as useful for improving work efficiency, service quality, and the timeliness and accuracy of clinical decision-making. Continuous training, infrastructure improvement, system integration, data security, and development of clinical decision-support features are recommended.