Electronic medical record acceptance using technology acceptance model at Panti Waluyo Hospital Surakarta
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Sep 20, 2025
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Abstract
The adoption of Electronic Medical Records (EMR) in Indonesia has been accelerated by national regulations; however, many hospitals continue to face significant challenges such as limited infrastructure, varying levels of digital literacy among healthcare workers, and resistance to shifting from paper-based systems. These issues highlight the urgency of evaluating user acceptance in specific hospital contexts. This study evaluates the acceptance of EMR implementation at Panti Waluyo Hospital Surakarta using the Technology Acceptance Model (TAM). A descriptive qualitative design was applied through in-depth interviews, observations, and document reviews. Fifteen participants, including physicians, nurses, medical record officers, and administrative staff, were purposively selected to represent core EMR user groups. The findings indicated that 73% of respondents perceived EMR as useful in improving documentation efficiency and accuracy, while 67% agreed that the system was easy to navigate. Moreover, 80% expressed willingness to continue using EMR. Barriers identified included technical disruptions (40%) and the need for continuous training (53%). Overall, the results suggest that EMR adoption is positively accepted within the hospital, although organizational support and infrastructure improvements remain necessary. The study concludes that perceived usefulness and perceived ease of use play significant roles in shaping user attitudes and behavioral intentions, which in turn influence actual system use. Strengthening user competence, addressing digital literacy gaps, and ensuring technical reliability are essential to sustain EMR implementation in healthcare settings.
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How to Cite
Safitri, R. N. and Widiyanto, W. W. (2025) “Electronic medical record acceptance using technology acceptance model at Panti Waluyo Hospital Surakarta”, Science Midwifery, 13(4), pp. 980-987. doi: 10.35335/midwifery.v13i4.2067.
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Sinaga, N. C., & Sumartini, B. (2025). Effectiveness of Electronic Medical Records on Patient Safety. Indonesian Journal of Global Health Research, 7(1), 1095–1104. https://doi.org/10.37287/ijghr.v7i1.5778
Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital Transformation in Healthcare: Technology Acceptance and Its Applications. International Journal of Environmental Research and Public Health, 20(4), 3407. https://doi.org/10.3390/ijerph20043407
Sunuantar, M., Gunawan, I., & Farhan, R. M. (2023). Ehealth Literacy in Improving Rural Community Health Services in Indonesia. International Journal of Social Science and Human Research, 6(07). https://doi.org/10.47191/ijsshr/v6-i7-94
Tarnoki, C., & Puentes, K. (2019). Something for Everyone: A Review of Qualitative Inquiry and Research Design: Choosing among Five Approaches. The Qualitative Report. https://doi.org/10.46743/2160-3715/2019.4294
Thi Uyen Nguyen, T., Van Nguyen, P., Thi Ngoc Huynh, H., Truong, G. Q., & Do, L. (2024). Unlocking e-government adoption: Exploring the role of perceived usefulness, ease of use, trust, and social media engagement in Vietnam. Journal of Open Innovation: Technology, Market, and Complexity, 10(2), 100291. https://doi.org/10.1016/j.joitmc.2024.100291
Venkatesh, V., & Bala, H. (2008). Technology Acceptance Model 3 and a Research Agenda on Interventions. Decision Sciences, 39(2), 273–315. https://doi.org/10.1111/j.1540-5915.2008.00192.x
Wasir, R., Rahma, F. A., Ariyanto, J., Syamsir, S. B., Suparni, S., Raharjo, A., Jannah, F., & Basrowi, R. W. (2025). Strengthening Health System Resilience through Digital Health: Challenges and Prospects in Indonesia’s Rural and Remote Regions - A Scoping Review Protocol. The Open Public Health Journal, 18(1). https://doi.org/10.2174/0118749445393540250506115107
Widiyanto, W. W. (2025). Readiness analysis of electronic medical record implementation in inpatient services using the DOQ-IT Method at Pusri Hospital Palembang. 13(1).
Yehualashet, D. E., Seboka, B. T., Tesfa, G. A., Demeke, A. D., & Amede, E. S. (2021). Barriers to the Adoption of Electronic Medical Record System in Ethiopia: A Systematic Review. Journal of Multidisciplinary Healthcare, Volume 14, 2597–2603. https://doi.org/10.2147/JMDH.S327539
Andriani, R., Pertiwi, J., & Nisaa, A. (2024). Technology Readiness and Acceptance Model (TRAM) Pada Pengguna Rekam Medis Elektronik. J-REMI : Jurnal Rekam Medik Dan Informasi Kesehatan, 5(4), 363–372. https://doi.org/10.25047/j-remi.v5i4.4795
Bamufleh, D., Alshamari, A. S., Alsobhi, A. S., Ezzi, H. H., & Alruhaili, W. S. (2021). Exploring Public Attitudes toward E-Government Health Applications Used During the COVID-19 Pandemic: Evidence from Saudi Arabia. Computer and Information Science, 14(3), 1. https://doi.org/10.5539/cis.v14n3p1
Billanes, J., & Enevoldsen, P. (2021). A critical analysis of ten influential factors to energy technology acceptance and adoption. Energy Reports, 7, 6899–6907. https://doi.org/10.1016/j.egyr.2021.09.118
Davis, F. D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3), 319. https://doi.org/10.2307/249008
Derecho, K. C., Cafino, R., Aquino-Cafino, S. L., Isla, A., Esencia, J. A., Lactuan, N. J., Maranda, J. A. G., & Velasco, L. C. P. (2024). Technology adoption of electronic medical records in developing economies: A systematic review on physicians’ perspective. DIGITAL HEALTH, 10. https://doi.org/10.1177/20552076231224605
Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., Lawlor, F., & O’Hare, N. (2020). Successfully implementing a national electronic health record: a rapid umbrella review. International Journal of Medical Informatics, 144, 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281
Fita Rusdian Ikawati, & M. Syauqi Haris. (2024). Challenges in Implementing Digital Medical Records in Indonesian Hospitals: Perspectives on Technology, Regulation, and Data Security. Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health, 4(2), 01–25. https://doi.org/10.62951/icistech.v4i2.70
Guo, L., Burke, M. G., & Griggs, W. M. (2025). A new framework to predict and visualize technology acceptance: A case study of shared autonomous vehicles. Technological Forecasting and Social Change, 212, 123960. https://doi.org/10.1016/j.techfore.2024.123960
Gusri, S. H. (2025). Electronic Recording Culture among Maternal and Child Health Workers : A Case Study of E-RM Implementation at Adina Wonosobo Maternity Hospital. 4(1), 496–505.
Hariy, R. T. S., Handiyani, H., Amiruddin, M. H., Wildani, A. A., Afriani, T., & HSU, M. H. (2025). Exploring Stakeholder Experiences with Electronic Medical Records in Indonesia’s Digital Health Transformation. https://doi.org/10.21203/rs.3.rs-5394530/v1
Hossain, M. K., Sutanto, J., Handayani, P. W., Haryanto, A. A., Bhowmik, J., & Frings-Hessami, V. (2025). An exploratory study of electronic medical record implementation and recordkeeping culture: the case of hospitals in Indonesia. BMC Health Services Research, 25(1), 249. https://doi.org/10.1186/s12913-025-12399-0
Iyanna, S., Kaur, P., Ractham, P., Talwar, S., & Najmul Islam, A. K. M. (2022). Digital transformation of healthcare sector. What is impeding adoption and continued usage of technology-driven innovations by end-users? Journal of Business Research, 153, 150–161. https://doi.org/10.1016/j.jbusres.2022.08.007
Jayathissa, P., & Hewapathirana, R. (2023). Enhancing Interoperability Among Health Information Systems in Low and Middle- Income Countries: a Review of Challenges and Strategies. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4538571
Lin, Y., & Yu, Z. (2023). Extending Technology Acceptance Model to higher-education students’ use of digital academic reading tools on computers. International Journal of Educational Technology in Higher Education, 20(1). https://doi.org/10.1186/s41239-023-00403-8
Saputra, M. R., Yanuar Rahmad, T., & Dewi, S. (2025). Technology Readiness and Nurses’ Acceptance Model Towards the Implementation of Electronic Medical Record (EMR) at Hospital X Tangerang. Original Research International Journal of Nursing and Health Services (IJNHS), 8(3). https://doi.org/10.35654/ijnhs.v8i3.855
Saputra, Y., Ashila, M. N., & Muliarini, P. (2022). Readiness and Acceptance of Electronic Medical Records Among Health Professionals in Indonesia. Proceedings of International …, 81–92. https://www.jurnal.unmer.ac.id/index.php/icgss/article/view/9274%0Ahttps://www.jurnal.unmer.ac.id/index.php/icgss/article/download/9274/4369
Schorr, A. (2023). The Technology Acceptance Model (TAM) and its Importance for Digitalization Research: A Review. In International Symposium on Technikpsychologie (TecPsy) 2023 (pp. 55–65). Sciendo. https://doi.org/10.2478/9788366675896-005
Sinaga, N. C., & Sumartini, B. (2025). Effectiveness of Electronic Medical Records on Patient Safety. Indonesian Journal of Global Health Research, 7(1), 1095–1104. https://doi.org/10.37287/ijghr.v7i1.5778
Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital Transformation in Healthcare: Technology Acceptance and Its Applications. International Journal of Environmental Research and Public Health, 20(4), 3407. https://doi.org/10.3390/ijerph20043407
Sunuantar, M., Gunawan, I., & Farhan, R. M. (2023). Ehealth Literacy in Improving Rural Community Health Services in Indonesia. International Journal of Social Science and Human Research, 6(07). https://doi.org/10.47191/ijsshr/v6-i7-94
Tarnoki, C., & Puentes, K. (2019). Something for Everyone: A Review of Qualitative Inquiry and Research Design: Choosing among Five Approaches. The Qualitative Report. https://doi.org/10.46743/2160-3715/2019.4294
Thi Uyen Nguyen, T., Van Nguyen, P., Thi Ngoc Huynh, H., Truong, G. Q., & Do, L. (2024). Unlocking e-government adoption: Exploring the role of perceived usefulness, ease of use, trust, and social media engagement in Vietnam. Journal of Open Innovation: Technology, Market, and Complexity, 10(2), 100291. https://doi.org/10.1016/j.joitmc.2024.100291
Venkatesh, V., & Bala, H. (2008). Technology Acceptance Model 3 and a Research Agenda on Interventions. Decision Sciences, 39(2), 273–315. https://doi.org/10.1111/j.1540-5915.2008.00192.x
Wasir, R., Rahma, F. A., Ariyanto, J., Syamsir, S. B., Suparni, S., Raharjo, A., Jannah, F., & Basrowi, R. W. (2025). Strengthening Health System Resilience through Digital Health: Challenges and Prospects in Indonesia’s Rural and Remote Regions - A Scoping Review Protocol. The Open Public Health Journal, 18(1). https://doi.org/10.2174/0118749445393540250506115107
Widiyanto, W. W. (2025). Readiness analysis of electronic medical record implementation in inpatient services using the DOQ-IT Method at Pusri Hospital Palembang. 13(1).
Yehualashet, D. E., Seboka, B. T., Tesfa, G. A., Demeke, A. D., & Amede, E. S. (2021). Barriers to the Adoption of Electronic Medical Record System in Ethiopia: A Systematic Review. Journal of Multidisciplinary Healthcare, Volume 14, 2597–2603. https://doi.org/10.2147/JMDH.S327539