Training, Technological Infrastructure, and Electronic Medical Record User Satisfaction: A Cross-Sectional Study in Ibu Kota Nusantara, Indonesia

Muh. Agung Gunadi; Taufik Zulfikar; Taufan Nugroho; Etty Sofia Mariaty Asnar; Abdul Gani Sidqi; Farida Yuliaty

doi:10.47650/pjphsr.v6i3.2871

Muh. Agung Gunadi Universitas Sangga Buana Bandung, Bandung, Indonesia
Taufik Zulfikar Universitas Sangga Buana Bandung, Bandung, Indonesia
Taufan Nugroho Universitas Sangga Buana Bandung, Bandung, Indonesia
Etty Sofia Mariaty Asnar Universitas Sangga Buana Bandung, Bandung, Indonesia
Abdul Gani Sidqi Universitas Sangga Buana Bandung, Bandung, Indonesia
Farida Yuliaty Universitas Sangga Buana Bandung, Bandung, Indonesia

DOI: https://doi.org/10.47650/pjphsr.v6i3.2871

Keywords: Training, Technology Infrastructure, Service Speed, User Satisfaction

Abstract

The implementation of Electronic Medical Record (EMR) is an important part of the digital transformation of hospitals to improve operational efficiency. The success of EMR adoption is heavily influenced by human resources readiness and information technology infrastructure support. This study aimed to examine the associations of EMR training and technological infrastructure with perceived service efficiency and user satisfaction, including the potential mediating role of perceived service efficiency, among EMR users at Hospital X in Ibu Kota Nusantara. This quantitative research employed an analytical cross sectional survey design. The data collection was conducted from November 2025 to January 2026 at a private Type D general hospital in Ibu Kota Nusantara, Indonesia, involving 46 hospital employees selected through a census technique. Data were gathered using structured questionnaires and evaluated via path analysis. The results showed that EMR training (β = 0.327, p = 0.007) and technological infrastructure (β = 0.529, p < 0.001) significantly affect perceived service efficiency. Furthermore, training (β = 0.348, p = 0.005), infrastructure (β = 0.558, p < 0.001), and perceived service efficiency (β = 0.790, p < 0.001) exhibit significant positive direct associations with user satisfaction. Perceived service efficiency also significantly mediates the indirect relationships within the structural model. In conclusion, both training and technology infrastructure are critical drivers that optimize perceived service efficiency, which ultimately maximizes EMR user satisfaction.

References

Asih, H.A. dan Indrayadi, 2023. Research on Electronic Medical Records in Indonesia: Literature Review. Prepotif: Jurnal Kesehatan Masyarakat, 7(2), hal. 182–190.

Astuti, N.D. dan Fahyudi, A., 2023. Analisis Pengaruh Kualitas Infrastruktur IT dan Kualitas Layanan Terhadap Kepuasan Pasien di Rumah Sakit. Jurnal Manajemen Informasi Kesehatan Indonesia, 11(2), hal. 145–154.

Hairul, Suriadi Jais, Supriadi dan Haryanto, 2026. Tantangan dan Hambatan dalam Penggunaan Sistem Handover Digital untuk Keselamatan Pasien Di Rumah Sakit: Scoping Review. Jurnal Ragam Pengabdian, 3(1), hal. 1694–1715.https://doi.org/10.62710/9n34f758

Ikawati, F.R. dan Ilmawati, S.A., 2025. Tinjauan Implementasi Rekam Medis Elektronik Rawat Jalan Di Puskesmas Jabung Kabupaten Malang. Prepotif: Jurnal Kesehatan Masyarakat, 9(1), hal. 1946–1957. https://doi.org/10.31004/prepotif.v9i1.41218

Jannah, M., Rahma, S. dan Fitriani, E., 2017. Hubungan Ketepatan dan Kecepatan Waktu Pelayanan dengan Tingkat Kepuasan Pasien di Fasilitas Pelayanan Kesehatan. Jurnal Administrasi Kesehatan Indonesia, 5(1), hal. 32–40.

Jayanthi, I.D.A.R. dan Lazuardi, L., 2023. Evaluation of The Implementation and Digital Maturity Level of Electronic Medical Records in the Regional General Hospital of Mataram City. Jurnal Manajemen Pelayanan Kesehatan, 26(2), hal. 70–81.

Mesa, N.D.K., Arisjulyanto, D., Manangsang, F., Watunglawar, E. dan Kurniawan, F.B., 2025. Dampak Sistem Penanganan Elektronik Emergency di Instalasi Gawat Darurat: Scoping Review. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(3), hal. 975–987.https://doi.org/10.55123/sehatmas.v4i3.5736

Mirza, H.A., Lestari, P. dan Rahmawati, A., 2023. Pelatihan Sistem Informasi EMR Guna Meningkatkan Pengetahuan dan Profesionalisme SDM Rumah Sakit. Jurnal Pengabdian Masyarakat Kesehatan, 9(3), hal. 210–218.

Nida, F., Utami, T. dan Wijayanti, R., 2024. Parameter Keberhasilan Sistem Informasi: Evaluasi Kepuasan Pengguna dan Manfaat EMR Bagi Tenaga Medis. Jurnal Ilmu Kesehatan Masyarakat, 15(1), hal. 55–64.

Normawati, 2025. Transformasi Digital Tata Kelola Pelayanan Administrasi Desa Menuju Smart Village: Penguatan Kapasitas Aparatur dan Partisipasi Masyarakat di Desa Nania, Kota Ambon. Indonesia Berdampak: Jurnal Pengabdiian Kepada Masyarakat, 1(2), hal. 341–355.

Putri, D.N.S., 2025. Digitalisasi Antrean Pelayanan Kesehatan Sebagai Inovasi Strategis Menghadapi Perubahan Perilaku Pasien. Jurnal Kesehatan Tambusai, 6(4), hal. 18054–18062.

Romadhon, Y.A., 2024. Manajemen Holistik Rumah Sakit. Surakarta: Muhammadiyah University Press.

Rusdi, M., Naldi, A., Munandar, F.A., Dalimunthe, A.Q., Wikanda, F., Nurcahyati, N., Agustan, Statiswaty, Putra, Y., Haris, A. dan Soeparyanto, T.S., 2025. Teknologi Informasi Pendidikan. Pesisir Selatan: Digital Publishing Library.

Salendra, T., Putra, A.M., Sanjaya, G.Y. dan Hatta, G.R., 2024. Efektivitas Implementasi Electronic Medical Record (EMR) Terhadap Efisiensi Waktu Tunggu Alur Pelayanan Klinis. Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia, 8(2), hal. 112–121.

Salsabila, A.R., Andoko dan Triyoso, 2026. Hubungan Daya Tanggap (Responsiveness) Perawat Terhadap Tingkat Kepuasan Keluarga Pasien Di Instalasi Gawat Darurat RSUD Dr. H. Abdul Moeloek Tahun 2025. Health Research Journal of Indonesia, 4(5), hal. 425–433.https://doi.org/10.63004/hrji.v4i5.1227

Saputri, D.E., Handayani, P.W. dan Sudiana, I.K., 2024. Pengaruh Kualitas Sistem, Kualitas Informasi, dan Dukungan Pelatihan Terhadap Kepuasan Pengguna Sistem EMR. Jurnal Rekam Medis dan Informasi Kesehatan, 6(1), hal. 45–53.

Schiebler, T., Lee, N. dan Brodbeck, F.C., 2026. Expectancy-disconfirmation and consumer satisfaction: A meta-analysis. Journal of the Academy of Marketing Science, 54(1), hal. 91–112.https://doi.org/10.1007/s11747-024-01078-x

Sofyan, H.A., Larasati dan Jausal, A.N., 2026. Pengaruh Tingkat Kepuasan Penggunaan Rekam Medis Elektronik Dan Beban Kerja Terhadap Risiko Burnout Pada Dokter Di Rumah Sakit Tipe C Kabupaten Pesawaran. Mahesa: Malahayati Health Student Journal, 6(1), hal. 292–304.

Sugiyono, 2023. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta.

Sunaryo, D., Adiyanto, Y. dan Yoebrilianti, A., 2024. Pengelolaan dan Efisiensi Sistem Rumah Sakit: Perspektif Strategi Manajemen, Digitalisasi, dan Pendanaan. Sains Manajemen: Jurnal Manajemen Unsera, 10(2), hal. 306–312.

Suwarti, S., Rachmani, E. dan Rimawati, E., 2025. Electronic Medical Records in Increasing User Satisfaction: Literature Review. Management Analysis Journal, 14(1), hal. 14–22.

Tarigan, R.I.D., Lesmana, H.A., Pinem, J. dan Purba, E.P., 2026. Analisis Faktor yang Berhubungan dengan Kepuasan Petugas Kesehatan dalam Penggunaan Rekam Medis Elektronik. Jurnal Ragam Pengabdian dan Penelitian, 3(2), hal. 6446–6456.

Wijaya, W. dan Arifin, Z., 2022. Implementasi Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 Tentang Rekam Medis Elektronik pada Fasilitas Pelayanan Kesehatan. Jurnal Hukum dan Regulasi Kesehatan, 1(2), hal. 88–97.