Articles
Open Access

Assessment of Electronic Medical Record Implementation Using HOT-FIT Method at Public Health Centers in Padang City

1 Andalas University ROR
Download PDF

Abstract

The implementation of Electronic Medical Records (EMR) in public health centers by December 31, 2023, as mandated by the Ministry of Health Regulation No. 24 of 2022, faces challenges in human, organizational, and technological aspects. This study evaluates the EMR system in public health centers in Padang using the HOT-FIT method through a mixed-method approach conducted from April to June 2024. Quantitative data were collected through a cross-sectional survey of 72 respondents (doctors, medical record staff, nurses) and qualitative data from 48 informants (heads of health centers, medical record staff). The findings indicate that in the human aspect, system usage was rated good (54.2%), but user satisfaction was low (58.3%). Organizational aspects, including structure (52.8%) and environment (54.2%), were rated good. In the technology aspect, system quality (51.4%) and information quality (56.9%) were rated poor, while service quality was rated good (62.5%). The net benefit aspect (55.6%) highlighted EMR's contribution to improving work efficiency and effectiveness. Challenges include insufficient training, low technological literacy, network disruptions, inadequate infrastructure, weak patient data security, and incomplete patient records. The study recommends the development of a mayoral regulation to address these challenges and enhance EMR implementation in Padang.

References

1
[1] Ahmed MH, Bogale AD, Tilahun B, Kalayou MH, Klein J, Mengiste SA, et al. Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: Using unified theory of acceptance and use technology 2(UTAUT2) model. BMC Med Inform Decis Mak. 2020; 20(1): 1–11. doi : 10.1186/s12911-020-01222-x. DOI: https://doi.org/10.1186/s12911-020-01222-x
2
[2] Kementerian Kesehatan RI. Rencana Strategik Kementerian Kesehatan RI 2020-2024.
3
[3] Kementerian Kesehatan RI. Permenkes Noor 24 Tahun 2022 tentang Rekam Medis.
4
[4] Deharja A, Santi MW, Damayanti NA, Hargono A, Nandini N. Evaluating The Usability of Hospital Information System (HIS) Through Human Organization Technology-Fit (Hot-Fit) Model. Int Proc 2nd Int Sci Meet Heal Inf Manag 2020. 2020;5(1171):380–9.
5
[5] Deharja A, Waskito DY, Rachmawati E, Vestine V. Electronic Medical Records Implementation at Soeradji Tirtonegoro Hospital, Klaten, Indonesia. Unnes J Public Heal. 2023;12(2):104–15. https://doi.org/10.15294/ujph.v12i2.67972.
Downloads
Download data is not yet available.

How to Cite

1.
Assessment of Electronic Medical Record Implementation Using HOT-FIT Method at Public Health Centers in Padang City. J Keskom [Internet]. 2025 Mar. 30 [cited 2026 Aug. 14];11(1):64-73. Available from: http://jurnal.htp.ac.id/index.php/keskom/article/view/2140

Most read articles by the same author(s)