<![CDATA[Electronic medical record (EMR) implementation in regional hospitals still faces technological, human resource, and governance challenges, while HOT-Fit-based studies in regional hospitals remain limited. This study aims to analyze the effectiveness of EMR digital transformation, its supporting and inhibiting factors, and its impact on service effectiveness at Arosuka Regional Hospital, Solok Regency. A qualitative case study approach was used. Five informants were selected purposively through in-depth interviews, observation, and documentation, analyzed thematically using NVivo 15 within the HOT-Fit framework. The results show that 20 of 24 service units (83.33%) actively use the EMR, with easier recording, information access, and service efficiency. Waiting times improved to under 60 minutes. However, user competence is uneven, training is not routine, usage across units is inconsistent, and network disruptions persist. It is concluded that EMR implementation is fairly effective but not yet optimal, and Net Benefit will be maximized when the Human, Organization, and Technology dimensions are aligned.]]>
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