The implementation of Electronic Medical Records (EMR) in hospitals is mandated to enhance efficiency, accuracy, and the quality of healthcare services. However, successful implementation largely depends on user acceptance, which is influenced by several factors. Current challenges include incomplete EMR adoption, document completeness below the required standard (100%), and inadequate supporting facilities and infrastructure. This study aims to examine the influence of perceived usefulness, perceived ease of use, techno work engagement, and technology trust on the actual use of EMR, with intention to use as an intervening variable.This research involved 45 doctors working in the outpatient and emergency units of St. Elisabeth Hospital. The study was conducted from June 2025 using a survey method, with data collected through structured questionnaires. Data analysis was performed using the three-box method and multiple regression analysis, supported by IBM SPSS version 27 and SPSS macro software. The results indicate that perceived usefulness, perceived ease of use, techno work engagement, and technology trust have positive and significant indirect effects on actual EMR use through intention to use. However, techno work engagement does not have a significant direct effect on actual use.In conclusion, the actual use of EMR is significantly influenced by these variables through full mediation of intention to use, highlighting the importance of strengthening users’ intention to ensure successful EMR implementation.
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