Challenges and Opportunities for Innovation in Implementing Electronic Medical Record (EMR) at Indonesia First-level Army Health Facilities
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Abstract
This study aims to explore the challenges, efficiency, and innovation opportunities with the implementation of Electronic Medical Records (EMR) at Indonesia first-level army health facilities specifically Air Defense Artillery Center Clinic (Pusdikarhanud). This research adopted a qualitative approach using a case study method through semi-structured interviews with nine informants, consisting of seven clinic staff and two patients. In addition, participatory observation allowed the researcher to comprehend the subjective meanings behind individual actions and social interactions in the context of EMR usage. The findings indicate that the EMR implementation at the Pusdikarhanud Clinic faced several challenges related to technology infrastructure, staff training, data security and privacy, as well as integration with other systems. However, EMR implementation also brings efficiencies in coordination and collaboration among service units, clinic operations, and the enhancement of healthcare service quality. Furthermore, various innovation opportunities are identified, such as improving technology infrastructure, developing additional features in EMR, and integrating with other healthcare service systems. Theoretical implications of this study are the importance of systems-based approaches in health management and the potential of EMR as a tool to enhance efficiency and healthcare service quality. The practical implications include recommendations for the Pusdikarhanud Clinic to improve technology infrastructure, staff training, data security, and system integration, as well as policy recommendations for the government in standardizing EMR implementation, providing financial support, and developing technology infrastructure. Therefore, this study provides valuable insights for healthcare practitioners, policymakers, and researchers in understanding the challenges and opportunities of EMR implementation in health management transformation.
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References
M. E. Simandjuntak, “Implementation of E-Medical Record Regulation: Issues and Challenges in Indonesia,” in E-Proceeding The 3rd Health Law International Online Seminar 2022, Semarang: Unika Soegijapranata Semarang, 2022, pp. 254–264.
N. Ramya, A. Kowsalya, and K. Dharanipriya, “Service quality and its dimensions,” EPRA International Journal of Research and Development (IJRD), vol. 4, no. 2, pp. 37–41, 2019, [Online]. Available: www.eprajournals.com
M. R. Pratama, G. Alfiansyah, S. J. Swari, and A. A. Wardana, “Electronic Medical Records (EMR) Using a Software as a Service (SaaS) with a Single Identity Number at the Polije Polyclinic,” International Journal of Health and Information System, vol. 1, no. 2, pp. 80–87, Aug. 2023, doi: 10.47134/ijhis.v1i2.12.
R. Hamidi Farahani, M. Sharifi, M. Ayat, and N. Markazi Moghaddam, “Hospital Information Systems in Iranian Military Hospitals: A Multiple Case Analysis,” Journal of Archives in Military Medicine, vol. 2, no. 4, Oct. 2014, doi: 10.5812/jamm.22853.
P. Carayon, P. Smith, A. S. Hundt, V. Kuruchittham, and Q. Li, “Implementation of an electronic health records system in a small clinic: The viewpoint of clinic staff,” Behaviour and Information Technology, vol. 28, no. 1, pp. 5–20, Jan. 2009, doi: 10.1080/01449290701628178.
I. Noeryosan, M. Arini, and W. H. Wan Mamat, “ShareAlike 4.0 International License (CC BY-SA 4.0). Examining the Influence of e-Health Literacy on Healthcare Workers’ Acceptance of Electronic Medical Records: An Insight Into System Transition,” Indonesian Journal of Electronics. Electromedical Engineering, and Medical Informatics, vol. 7, no. 1, pp. 55–63, 2025, doi: 10.35882/ijeeemi.v7i1.36.
M. R. Juliansyah, B. M. Aqid, and A. P. Salsabila, “Implementation of EMR System in Indonesian Health Facilities: Benefits and Constraints,” 2024.
Dimas Luthfi Pambudi and Wahyu Wijaya Widiyanto, “Evaluating Outpatient EMR Adoption Using the Technology Acceptance Model: A Case Study at RSAU dr. Siswanto, Indonesia,” International Journal of Health and Medicine, vol. 2, no. 3, pp. 76–82, Jun. 2025, doi: 10.62951/ijhm.v2i3.456.
V. D. Yolanda, Purwadhi, and M. Veranita, “Analysis of The Readiness of Electronic Medical Record Implementation Using DOQ-IT at RSUD Class D Pratama Sendawar,” DIJEMSS: Dinasti International Journal of Education Management and Social Science, vol. 6, no. 2, pp. 1314–1327, Dec. 2024, doi: 10.38035/dijemss.v6i2.
P. Sugiarto, T. P. Cahya, and P. J. Sutopo, “Supporting and Inhibiting Factors in Implementing Electronic Medical Records (EMR) Policy in Indonesia,” in BIO Web of Conferences 133, 00038. The 5th ICOPH-TCD, EDP Sciences, Nov. 2024. doi: 10.1051/bioconf/202413300038.
E. W. Faida, S. Supriyanto, S. Haksama, H. Markam, and A. Ali, “The Acceptance and Use of Electronic Medical Records in Developing Countries within the Unified Theory of Acceptance and Use of Technology Framework,” Open Access Maced. J. Med. Sci., vol. 10, no. E, pp. 326–336, Mar. 2022, doi: 10.3889/oamjms.2022.8409.
B. Sunargo, B. Hartono, and Samingan, “Evaluation of the Implementation of Electronic Medical Record Using the PIECES Approach to Support Satu Sehat in the Emergency Department,” Jurnal Ilmu dan Teknologi Kesehatan, vol. 12, pp. 163–174, 2025, doi: 10.32668/jitek.v12i1.1799.
H. A. Asih and Indrayadi, “Transformation from Manual Medical Records to Electronic Medical Records: A Phenomenological Study,” Contagion: Scientific Periodical of Public Health and Coastal Health, vol. 6, no. 1, pp. 26–34, 2024.
N. Amalia, M. Z. Azhri, A. Rosarini, D. R. Wijayanti, and M. A. Riestiyowati, “The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia: A Literature Review,” International Journal of Advancement in Life Sciences Research, vol. 4, no. 3, pp. 8–12, Jul. 2021, doi: 10.31632/ijalsr.2021.v04i03.002.
S. Siswati, D. Muslimah, and Syafrawati, “Analysis the readiness of implementing Electronic Medical Records (EMR) at dr. Rasidin Padang Regional Public Health Hospital,” in E3S Web of Conferences, EDP Sciences, Dec. 2023. doi: 10.1051/e3sconf/202346406003.
B. D. Nicholson, “A Delphi Study Assessing Long-term Access to Electronic Medical Records (EMR),” Thesis, Air Force Institute of Technology, Air University, Ohio, 2008. [Online]. Available: https://scholar.afit.edu/etd
A. F. Senishaw, B. C. Tilahun, A. M. Nigatu, S. A. Mengiste, and K. Standal, “Willingness to use electronic medical record (EMR) system and its associated factors among health professionals working in Amhara region Private Hospitals 2021, Ethiopia,” PLoS One, vol. 18, no. 5 May, May 2023, doi: 10.1371/journal.pone.0282044.
A. Long et al., “Changes in Emergency Department Volumes at the Largest U.S. Military Hospital during the COVID-19 Pandemic,” Mil. Med., vol. 187, no. 11–12, pp. e1538–e1543, Nov. 2022, doi: 10.1093/milmed/usab322.
M. Rouhollahei, E. Davoudi-Monfared, A. Shahriyari, and M. S. Isfeedvajani, “Investigating the Operational Management Challenges of a Reference Military Hospital in the COVID-19 Pandemic,” Romanian Journal of Military Medicine, vol. 126, no. 1, pp. 28–34, Jan. 2023, doi: 10.55453/rjmm.2023.126.1.5.
B. Jawhari, D. Ludwick, L. Keenan, D. Zakus, and R. Hayward, “Benefits and challenges of EMR implementations in low resource settings: A state-of-the-art review,” Sep. 06, 2016, BioMed Central Ltd. doi: 10.1186/s12911-016-0354-8.
A. Torab-Miandoab, M. Basiri, A. Dabbagh-Moghaddam, and L. Gholamhosseini, “Electronic health record in military healthcare systems: A systematic review,” PLoS One, vol. 20, no. 2 February, Feb. 2025, doi: 10.1371/journal.pone.0313641.
R. Juliansyah, B. Aqid, A. P. Salsabila, and K. Nurfiyanti, “Implementation of EMR System in Indonesian Health Facilities: Benefits and Constraints,” Journal of Indonesian Health Policy and Administration, vol. 10, no. 1, pp. 31–38, Jan. 2025, doi: 10.7454/ihpa.v10i1.1140.
N. Bille, D. L. Christensen, S. Byberg, M. Calopietro, C. Gishoma, and S. F. Villadsen, “The Development of an Electronic Medical Record System to Improve Quality of Care for Individuals With Type 1 Diabetes in Rwanda: Qualitative Study,” JMIR Diabetes, vol. 9, 2024, doi: 10.2196/52271.
H. E. Sesty, A. D. Priyatno, E. Gustina, Syahrizal, and Z. Haris, “Analysis of the Implementation of Electronic Medical Records (EMR) in the Outpatient Installation of Ernaldi Bahar Hospital, South Sumatra Province Keyword: Electronic Medical Records,” Cendekia Medika: Jurnal STIKes Al-Ma’arif Baturaja, vol. 10, no. 2, pp. 391–412, Sep. 2025, [Online]. Available: https://jurnal.stikesalmaarif.ac.id/index.php/cendekia_medika/
A. R. C. Langingi and H. Pongantung, “Identification of the Quality of Electronic Medical Records in Improving Health Services and Access to Technology to Increase Patient Satisfaction in Hospitals.,” Jurnal Ilmiah Global Education, vol. 6, no. 4, pp. 3312–3325, Dec. 2025, doi: 10.55681/jige.v6i4.4324.
F. Konyach, S. L. Wanza, and R. Githinji, “Effect of Differentiation Strategies on Organization Performance of Mission Hospitals in Kisumu County, Kenya,” vol. 23, pp. 19–25, 2021, doi: 10.9790/487X-2307061925.