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Journal : Science Midwifery

Evaluation of electronic medical record user satisfaction in baros public health center using the end user computing satisfaction model Putra, Dwi Anantama; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1860

Abstract

The implementation of Electronic Medical Records (EMRs) has transformed healthcare services by improving accessibility, efficiency, and patient data management. However, user satisfaction remains a significant challenge, affecting the successful adoption and utilization of EMR systems. This study evaluated EMR user satisfaction at UPTD Puskesmas Baros, Kota Sukabumi using the End User Computing Satisfaction (EUCS) model, which assesses five key factors: content, accuracy, format, ease of use, and timeliness. A cross-sectional survey was conducted among 120 healthcare professionals, and the collected data were analyzed using descriptive statistics and multiple linear regression. The results indicated that format had a significant negative impact on satisfaction, suggesting usability issues related to system interface design. While content and accuracy were positively correlated with satisfaction, their effects were not statistically significant. Ease of use and timeliness showed weak correlations, indicating that system efficiency remains a concern. The findings highlight the need for user-centered design improvements and workflow integration strategies to enhance EMR usability. Future research should explore additional factors influencing satisfaction and investigate the long-term effects of system modifications.
Evaluating electronic medical record implementation using the HOT-FIT model at UPTD Puskesmas Ungaran Kurniawati, Novi Ika; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1896

Abstract

This study evaluated the implementation of Electronic Medical Records (EMR) at UPTD Puskesmas Ungaran using the Human-Organization-Technology Fit (HOT-FIT) model. The research employed a descriptive qualitative approach to explore how human readiness, organizational support, and technological infrastructure influenced EMR adoption. Data were collected through in-depth interviews, observations, and document analysis involving twelve healthcare professionals. Thematic analysis revealed that most users had limited training and lacked confidence in using the system, often leading to partial documentation. Organizationally, there was minimal supervision, unclear standard operating procedures, and no internal technical support. Technologically, the system frequently experienced downtime and integration failures with national platforms such as Pcare BPJS. These findings indicate that the EMR implementation remains fragmented and procedural, rather than transformative. The study concluded that the success of EMR adoption requires not only system availability but also holistic readiness across all HOT-FIT dimensions. Practical recommendations include ongoing capacity-building, improved policy enforcement, and user-centered system development. This study provides insight for policymakers and healthcare managers to enhance EMR sustainability in primary care settings.
Evaluating registration staff understanding of electronic medical record use Nurnanik, Iis; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1897

Abstract

This study aimed to evaluate the understanding of registration staff regarding the use of Electronic Medical Records (EMR) at Puskesmas Bringin, a primary healthcare center in Semarang Regency. Despite the growing emphasis on digital transformation in health services, the success of EMR implementation largely depends on how well frontline staff comprehend and engage with the system. Using a qualitative descriptive method, data were collected through in-depth interviews and direct observations with selected registration officers. The findings revealed varying levels of understanding among staff, influenced by differences in digital literacy, training exposure, and system accessibility. Some staff demonstrated strong conceptual and operational knowledge of EMR, while others relied on peer support or manual records due to uncertainty in system navigation. Technical barriers and limited organizational support further impacted their ability to fully utilize EMR functions. The study concluded that improving staff understanding requires targeted training, user-friendly system design, and continuous mentoring. These efforts are essential to ensure the successful integration of EMR in primary healthcare services and to support better health data management at the grassroots level.
Readiness analysis of electronic medical record implementation in inpatient services using the DOQ-IT Method at Pusri Hospital Palembang Budiantono, Budiantono; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1899

Abstract

This study explored how ready Pusri Hospital Palembang was to implement electronic medical records in its inpatient services, using the Doctor’s Office Quality – Information Technology (DOQ-IT) framework. Using a quantitative, cross-sectional approach, data were gathered from 43 health workers and administrative staff through validated questionnaires. The assessment focused on four key areas: readiness of human resources, organizational work culture, governance and leadership, and the hospital’s technology infrastructure. Results showed that while infrastructure and governance were relatively ready, the readiness of staff and the work culture still needed improvement. Statistical analysis confirmed that all four factors significantly influenced the hospital’s overall readiness to adopt electronic medical records. Although the hospital demonstrated moderate readiness, the findings highlight the need for enhanced training and better infrastructure planning to ensure a smoother digital transition. This study offers practical insights for hospital leaders and health policymakers aiming to advance digital transformation in healthcare settings.
Electronic medical record acceptance using technology acceptance model at Panti Waluyo Hospital Surakarta Safitri, Rizky Nur; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2067

Abstract

The adoption of Electronic Medical Records (EMR) in Indonesia has been accelerated by national regulations; however, many hospitals continue to face significant challenges such as limited infrastructure, varying levels of digital literacy among healthcare workers, and resistance to shifting from paper-based systems. These issues highlight the urgency of evaluating user acceptance in specific hospital contexts. This study evaluates the acceptance of EMR implementation at Panti Waluyo Hospital Surakarta using the Technology Acceptance Model (TAM). A descriptive qualitative design was applied through in-depth interviews, observations, and document reviews. Fifteen participants, including physicians, nurses, medical record officers, and administrative staff, were purposively selected to represent core EMR user groups. The findings indicated that 73% of respondents perceived EMR as useful in improving documentation efficiency and accuracy, while 67% agreed that the system was easy to navigate. Moreover, 80% expressed willingness to continue using EMR. Barriers identified included technical disruptions (40%) and the need for continuous training (53%). Overall, the results suggest that EMR adoption is positively accepted within the hospital, although organizational support and infrastructure improvements remain necessary. The study concludes that perceived usefulness and perceived ease of use play significant roles in shaping user attitudes and behavioral intentions, which in turn influence actual system use. Strengthening user competence, addressing digital literacy gaps, and ensuring technical reliability are essential to sustain EMR implementation in healthcare settings.
Co-Authors Adnan Syarif Mustaqim Afandi, Andrianto Ahmad Sunandar Ainurrizah Ainurrizah Amallia, Ade Amelia Fitriasari Annisaa Miftakhul Jannah Arfeni Warongan, Vicky Aries Widiyoko Arifah Damayanti Arum Astika Sari Arumawati, Arachis Aryawan Eka Syahputra Bajeng Nurul Widyaningrum Budi, Agustyarum Pradiska Budiantono, Budiantono Canggih Ajika Pamungkas Dhimas Permana Putra Dimas Luthfi Pambudi DWI ISKANDAR edy susanto Eko Purwanto Elok Rizma Hapsari Endah Retnani Wismaningsih Erma Pradnyani, Putu Eva Firdayanti Bisono Fendy Prasetyo Nugroho Fitria Rohmatun W Fransiska Defriani Nahu Pandur Fristi Firnawati , Artika Galuh Nugrahaning Budi, Galuh Gede Wirabuana Putra Habibi, Musta’inul HANIF AL FATTA Hasna Khoirunnisa Putri Hidayat, Andra Dwitama Igiany , Prita Devy Igiany, Prita Devy Inka Sasti Isnaeni, Dwi Retno Krisnita Dwi Jayanti Kurniawati, Novi Ika Kusrini Kusrini Kusumawati, Pingki Dwi Lestari, Dewi Amelia Licia, Rizka Lidia Putri Fitriana Markus Utomo Sukendar Mathar, Irmawati Mochammad Arief Darmawan Moh Arif Yunianto Muhammad Fajrian Noor Muji Rahayu Muqorobin - Muqorobin Muqorobin Muqorobin Muqorobin Nia Kurniati Nizam Husen, Mohd Novratilova, Sinta Nugroho, Suryanto nur adi satriyo pradista Nurhadi Nurhadi Nurnanik, Iis Oda Jeki Pangesti Pamungkas, Canggih Ajika Pariyasto, Sofyan Pradiska Budi, Agustyarum Prita Devy Igiany Putra, Dwi Anantama Putri Lestari, Adriana Rahmawati, Anggita Raihan Dicky Ardiansyah ramadhan, annisa Rizka Licia Rizka Licia Robi Wariyanto Robi Wariyanto Abdullah Roki Mahendra Safitri, Rizky Nur Salsa Bila Karin Santoso, Azis Aji Sari , Arum Astika Sari, Arini Vika Sevi Oktrianadewi Sofyan Pariyasto Sri Lestari Sri Suparti Sri Wulandari Sri Wulandari Sri Wulandari Sri Wulandari SRI WULANDARI Sulistyati, Hanifah Shobri Sunandar, Ahmad SURYANI Suryani . Susena, Edy Syafitri Hasanah Syahrul Syahrul vicky arfeni warongan, vicky arfeni Vika Sari, Arini Vivi Rahmawati Wahyu Ratri Sukmaningsih Wariyanti, Astri Sri Wati, Risa Kurnia Wicaksono, Aliansi Widiyoko, Aries Widiyoko, Aries Widiyoko Yoga Dwi Pambudi Yudha Christianto F. Zahroh, Salsabila Ummu Zainal Arifin