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Journal : Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Evaluating EMR Adoption and Its Effect on Organizational Performance: A Quantitative Study Using SEM-PLS in Type-C Hospitals in Kupang City Mahasar Reinheart F. Damanik; Aloysius Liliweri; William Djani; I Putu Yoga Bumi Pradana
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 7: JULY 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i7.7458

Abstract

Introduction: This study aims to identify key determinants influencing EMR adoption and measure their subsequent impact on organizational performance in Type-C hospitals, emphasizing internal organizational factors, user acceptance, and adaptability to healthcare policy dynamics. With persistent implementation gaps in low-resource settings despite national mandates our objective was to explore user-centered determinants of EMR success and address the shortcomings of top-down health digitalization strategies in developing countries. Methods: This cross-sectional explanatory study involved a survey-based quantitative design conducted across three Type-C hospitals in Kupang City, Indonesia, between January and March 2024. A total of 282 healthcare professionals, selected using stratified random sampling, participated in the study. Data were collected using a validated Likert-scale questionnaire measuring variables such as human capital, task-technology fit, and system acceptance. Given the non-interventional nature of this study, adherence to ethical research standards including voluntary informed consent, and obtained administrative approvals from relevant local government authorities, formal ethical approval was waived as per prevailing national guidelines. Results: The primary outcome of the study was the identification of key drivers of EMR acceptance, with human capital (? = 0.205; p < 0.001), task-technology fit (? = 0.203; p = 0.001), and effort expectancy (? = 0.176; p < 0.001) showing significant influence. Additionally, user satisfaction was found to mediate the relationship between acceptance and organizational performance (? = 0.728; p < 0.001). External variables such as perceived cost and government policy showed no significant effect (p > 0.05). The strongest indirect effect on performance was recorded via the pathway: Acceptance ? Satisfaction ? Performance (? = 0.394; p < 0.001). Conclusion: In conclusion, our study contributes to the understanding of EMR adoption in resource-constrained health systems by highlighting the dominant role of internal capabilities over external mandates. This research provides insights into the importance of user satisfaction and system alignment in shaping digital health success. Future studies should explore longitudinal impacts and the role of organizational culture, ultimately advancing knowledge in the field of international health informatics.
Implementation of Stunting Prevention Policies in Rote Ndao Regency: A Phenomenological Study William Djani; Jeny J. Therikh; Belandina Liliana Long; Apris A. Adu
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7899

Abstract

Introduction: This study investigates how stunting prevention policies are implemented in Rote Ndao Regency, Indonesia—a rural district where 1 in 5 children remains stunted despite recent gains. Methods: The research adopted a qualitative phenomenological single case design, drawing on semi structured interviews (n=12), non participant observations, and document review. Guided by implementation theory, the analysis centred on four variables—communication, resources, disposition, and bureaucratic structure—and followed data saturation principles. Results: Stunting prevalence declined from 22.4% (August?2022) to 21.7% (February 2023) in tandem with a 27% rise in the district health budget (IDR 118 billion IDR 150.7 billion, 2018 2022). Yet implementation remains hampered by human resource imbalances, limited community health worker training, and weak inter sectoral coordination. Conclusion: Despite these constraints, the commitment of midwives and Posyandu cadres has yielded modest but measurable progress. To sustain gains, we recommend integrated monitoring dashboards, evidence based HR redistribution, and structured community communication packages that embed policy convergence, robust M&E, and deep community participation—cornerstones of cohesive, adaptive, and sustainable rural health governance.