Analysis of electronic medical record acceptance among inpatient registration staff using the technology acceptance model at RS PKU Muhammadiyah Gombong

##plugins.themes.academic_pro.article.main##

Eli Purwati
Edy Susena

Abstract

The adoption of Electronic Medical Records (EMR) has become an essential transformation in healthcare to enhance service efficiency and data accuracy. However, the successful implementation of EMR significantly depends on user acceptance, particularly among hospital administrative staff. This study aimed to evaluate EMR adoption at RS PKU Muhammadiyah Gombong using the Technology Acceptance Model (TAM), focusing on perceived usefulness (PU), perceived ease of use (PEOU), and behavioral intention (BI). A qualitative descriptive approach was employed through structured interviews, direct observations, and document analysis. The results showed that 75% of staff acknowledged improved efficiency and accuracy, yet 30% experienced workflow disruptions due to technical issues. Additionally, 60% found the system easy to use after training, but 25% struggled with document uploads. Major challenges included system downtime, connectivity issues, and storage limitations, with 50% of staff reporting these barriers. Training deficiencies were noted by 20% of respondents, highlighting the need for continuous learning initiatives. Management support played a vital role in implementation success, yet ongoing assistance remained necessary. Addressing technical constraints, refining training programs, and strengthening managerial engagement are crucial for optimizing EMR adoption.

##plugins.themes.academic_pro.article.details##

How to Cite
Purwati, E. and Susena, E. (2025) “Analysis of electronic medical record acceptance among inpatient registration staff using the technology acceptance model at RS PKU Muhammadiyah Gombong”, Science Midwifery, 13(1), pp. 199-204. doi: 10.35335/midwifery.v13i1.1895.

References

Aliyah, J. (2023). ANALISIS FAKTOR YANG MEMPENGARUHI KESIAPAN TENAGA KESEHATAN DALAM ADOPSI REKAM MEDIS ELEKTRONIK DI RSUD LABUANG BAJI MAKASSAR. Universitas Hasanuddin.
Arie, G. (2023). Pengantar Sistem Informasi Kesehatan. PT. Literasi Nusantara Abadi Grup.
Athira, N., & Sampetoding, E. A. M. (2024). Penggunaan Sistem Informasi Manajemen Rumah Sakit (SIMRS) di Indonesia. HealthSense: Journal of Public Health Perspective, 1(1), 25–28.
Darmiani, S., Pratama, B. Y., Maulani, J., Islamy, B., Hidayat, T. A., & Paramarta, V. (2024). Tantangan Integrasi Rekam Medis Elektronik dengan Sistem Manajemen Rumah Sakit: Dampak pada Keamanan Data dan Efisiensi Biaya Operasional-A Systematic Review. Jurnal Sosial Dan Sains, 4(11), 1107–1116.
Daruhadi, G., & Sopiati, P. (2024). Pengumpulan data penelitian. J-CEKI: Jurnal Cendekia Ilmiah, 3(5), 5423–5443.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 319–340.
Fadilla, A. R., & Wulandari, P. A. (2023). Literature review analisis data kualitatif: tahap pengumpulan data. Mitita Jurnal Penelitian, 1(3), 34–46.
Hildawati, H., Haryani, H., Umar, N., Suprayitno, D., Mukhlis, I. R., Sulistyowati, D. I. D., … Thomas, A. (2024). Literasi Digital: Membangun Wawasan Cerdas dalam Era Digital terkini. PT. Green Pustaka Indonesia.
Irawan, N. F., & RMIK, A. M. (2024). REKAM MEDIS ELEKTRONIK RAWAT INAP PADA KASUS GASTROENTERITIS. Inovasi Dan Tantangan Dalam Manajemen Rekam Medis Elektronik: Disertai Studi Kasus Terkini, 61.
Khairul, A. K. M., & Abidin, W. W. A. (2024). Implementasi Kebijakan Rekam Medis Elektronik Dalam Meningkatkan Pelayanan RSUD Labuang Baji Kota Makassar. Public Health And Medicine Journal, 2(1).
Landress, H. (2024). Child Protective Services Workers’ Decision Making and Risk Management. Walden University.
Listautin, L., Nengsi, N., & Irwandi, I. (2025). EVALUASI IMPLEMENTASI ELECTRONIC HEALTH RECORDS (EHR) RS Dr. BRATANATA JAMBI. ARUMAS, 2(1), 1–14.
Nadiyah, S. N. A., & Prayoga, D. (2024). Transformasi Digital Sebagai Bagian dari Strategi Pemasaran Rumah Sakit: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(2), 265–272.
Nguyen, M., Fujioka, J., Wentlandt, K., Onabajo, N., Wong, I., Bhatia, R. S., … Stamenova, V. (2020). Using the technology acceptance model to explore health provider and administrator perceptions of the usefulness and ease of using technology in palliative care. BMC Palliative Care, 19, 1–9.
Noor, D. A., & Sitorus, M. (n.d.). DIGITALISASI LAYANAN: TANTANGAN DAN PELUANG DALAM ADMINISTRASI RUMAH SAKIT.
Nurfitria, B., Rania, F., & Rahmadiani, N. W. (2022). Literature Review: Implementasi Rekam Medis Elektronik di Institusi Pelayanan Kesehatan di Indonesia. ResearchGate (October), 1–16.
Pamungkas, A. R., Nugroho, L. E., & Sulistyo, S. (2020). Evaluasi faktor kegagalan sistem informasi pada kesiapan penerapan e-government: Studi literatur. JIKO (Jurnal Informatika Dan Komputer), 3(3), 143–152.
Raharjo, U. D., Sukmawati, A. S., Sari, R. Y., & Sevtiyani, I. (2025). Sosialisasi Penerapan Rekam Medis Elektronik sebagai Upaya Peningkatan Kesiapan Kompetensi Digital Mahasiswa Kesehatan pada Praktik Klinik: Socialization of Electronic Medical Record Implementation as a Strategy to Enhance Digital Competency among Health Students during Clinical Practice. Cakrawala: Jurnal Pengabdian Masyarakat Global, 4(1), 18–27.
Rahmawati, A. D., & Putri, L. (2024). PERSEPSI TERHADAP IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RUMAH SAKIT HARAPAN DAN DOA KOTA BENGKULU TAHUN 2024. Sekolah Tinggi Ilmu Kesehatan Sapta Bakti.
Rizqulloh, L., & Putra, A. N. (2024). Kepuasan Pengguna Rekam Medis Elektronik Melalui Pendekatan EUCS di RSI Sultan Agung. J-REMI: Jurnal Rekam Medik Dan Informasi Kesehatan, 5(4), 330–344.
Rusdiana, E., & Sanjaya, G. Y. (2024). TANTANGAN PENERAPAN REKAM MEDIS ELEKTRONIK UNTUK UNIT RAWAT JALAN DI RUMAH SAKIT. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), 27(3), 103–109.
Silitonga, N. S. (n.d.). HUBUNGAN PERSEPSI DENGAN KEPUASAN PENGGUNAAN REKAM MEDIS ELEKTRONIK DI RUANG RAWAT INAP RUMAH SAKIT SANTA ELISABETH MEDAN.
Sylvia Anjani, S. K. M., Maulana Tomy Abiyasa, A., & PK, S. (2023). Disrupsi Digital dan Masa Depan Rekam Medis (Kajian Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 Tentang Rekam Medis Elektronik). Selat Media.
Wianti, N. S., & Kep, M. (n.d.). Tantangan dan Peluang dalam Implementasi AI dan Teknologi Digital di Sistem Kesehatan Global.
Wulandari, M., Novriyanti, T., Purwadhi, P., & Widjaja, Y. R. (2025). Implementasi Strategi Transformasi Digital dalam Meningkatkan Kualitas Pelayanan di Rumah Sakit: Studi Kualitatif. Innovative: Journal Of Social Science Research, 5(1), 1415–1427.