<![CDATA[Successful implementation of electronic medical records (EMRs) in primary health centres depends not only on technology availability but also on health-worker readiness and organisational support. This study examined the associations of infrastructure, human resource (HR) competence, and managerial support with healthcare workers’ perceptions of EMR use. A cross-sectional study was conducted from June to August 2025 in six primary health centres in Semarang and Malang, Indonesia. Forty healthcare workers with at least six months of EMR use were purposively recruited and completed a four-point Likert-scale questionnaire. Data were analysed using descriptive statistics, Pearson correlation, and multiple linear regression. HR competence showed the strongest correlation with perceived EMR use (r = 0.708; p < 0.001), followed by managerial support (r = 0.610; p < 0.001) and infrastructure (r = 0.376; p = 0.017). In the regression model, HR competence (β = 0.448; p = 0.003) and managerial support (β = 0.328; p = 0.040) remained significantly associated with perceived EMR use, whereas infrastructure did not (β = 0.136; p = 0.357). HR competence and managerial support were most closely associated with positive perceptions of EMR use. EMR strengthening should combine continuing role-based training, visible leadership support, and reliable infrastructure maintenance.]]>
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