Evaluating Determinants of Electronic Medical Record Implementation Effectiveness in a Regional Indonesian Hospital

  • Muhammad Tahir Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Sunadar Ali Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Muhammad Farras Salim Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Roni Roni Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Kassaming Kassaming Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Ibrahim Ibrahim Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Ishak Kenre Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Meriem Meisyaroh Syamson Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Arsyad Arsyad Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
  • Asmah Sukarta Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, Sulawesi Selatan, Indonesia
DOI: https://doi.org/10.56338/mppki.v8i12.8566
Keywords: Electronic Medical Record, Implementation Effectiveness, Efficiency, Accuracy, System Quality, Digital Health, Regional Hospital

Abstract

Introduction: Electronic Medical Record (EMR) implementation is a key component of digital transformation in healthcare. This study evaluated the perceived effectiveness of EMR implementation in a regional Indonesian hospital by examining three empirically measured determinants, namely efficiency, accuracy, and system quality. The objective was narrowed to provide evidence on how these factors predict perceived EMR effectiveness within a single-site, low-resource setting without extending to unmeasured constructs such as health literacy or health promotion.

Methods: A cross-sectional survey was conducted among 100 healthcare professionals using a structured, validated questionnaire. Data were analyzed using descriptive statistics, chi-square tests with effect sizes, and logistic regression with odds ratios and confidence intervals. Analyses examined how perceptions of efficiency, accuracy, and system quality predicted perceived EMR implementation effectiveness.

Results: Respondents reported high perceptions of efficiency (96%), accuracy (94%), and system quality (95%). All three determinants were significantly associated with perceived EMR effectiveness (p < 0.001), with effect sizes indicating strong relationships. Logistic regression showed that system quality had the largest effect size (OR=7.02; 95% CI 2.04–24.10), followed by efficiency (OR=5.83; 95% CI 1.85–18.41) and accuracy (OR=4.26; 95% CI 1.24–14.68). These results indicate that usability and reliability are central predictors of perceived implementation effectiveness in this context.

Conclusion: This single-site study provides empirical evidence on the determinants of perceived EMR implementation effectiveness in a regional Indonesian hospital. System quality emerged as the strongest predictor, emphasizing the need for user-friendly, reliable systems supported by training and governance. Because the study did not directly measure health literacy or health promotion outcomes, such impacts are identified as areas for future research rather than conclusions. The results offer practical guidance for improving EMR adoption and inform ongoing work in technology acceptance frameworks.

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Published
2025-12-03
How to Cite
Tahir, M., Sunadar Ali, Muhammad Farras Salim, Roni Roni, Kassaming Kassaming, Ibrahim Ibrahim, Ishak Kenre, Meriem Meisyaroh Syamson, Arsyad Arsyad, & Asmah Sukarta. (2025). Evaluating Determinants of Electronic Medical Record Implementation Effectiveness in a Regional Indonesian Hospital . Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 8(12), 1684-1694. https://doi.org/10.56338/mppki.v8i12.8566
Issue
Vol. 8 No. 12: DESEMBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Section
Article

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