ANALYSIS OF ELECTRONIC MEDICAL RECORD IMPLEMENTATION USING THE HOT-FIT METHOD AT UMBULHARJO I COMMUNITY HEALTH CENTER YOGYAKARTA
Kata Kunci:
RME, SIMPUS, Puskesmas, Evaluasi, HOT-Fit.Abstrak
The transition to digital health information systems is crucial for ensuring the quality of clinical services at primary healthcare facilities (Nurcahyanti, 2025). This study aimed to analyze the implementation of Electronic Medical Records (EMR) through the Puskesmas Management Information System (SIMPUS) at Puskesmas Umbulharjo I Yogyakarta using the HOT-Fit framework. A descriptive qualitative method with a cross-sectional design. Data were gathered through in-depth interviews with seven user informants and one triangulation informant, supported by direct observation and document reviews. The human component revealed high user satisfaction and full system utilization, although legally required clinical features remain unavailable. Evaluation of the organizational dimension demonstrated clear decree and SOP structures, yet routine training is lacking and hardware specifications remain suboptimal. Technically, the core system quality is stable, with operational disruptions predominantly triggered by internet bandwidth constraints and BPJS P-Care bridging errors. Nevertheless, the net benefits show highly positive outcomes, significantly accelerating patient services, eradicating missing physical charts, and eliminating double-entry tasks. In conclusion, EMR implementation performs optimally regarding system utilization and organizational structures, but critically requires infrastructure reinforcement, continuous training, and expanded clinical features.
Unduhan
Referensi
Achmad, H. et al., 2023. Analisis Faktor Keberhasilan Sistem Informasi Manajemen Puskesmas (SIMPUS) di Indonesia: Systematics Literature Review. Jurnal Ilmiah Sistem Informasi dan Ilmu Komputer 3 (2), 153–166. Tersedia di: https:// jurnal.juisik.id/index.php/JUISIK/article/view/100, diakses 21 Juni 2026.
Afriyanti, M., Handayani, P.W., Hidayanto, A.N., 2024. Implementasi dan Evaluasi Sistem Informasi Manajemen Puskesmas (SIMPUS) dengan Pendekatan HOT-Fit Model. Jurnal Manajemen Informasi Kesehatan Indonesia 12 (1), 1–16. Tersedia di: https://jmiki.aptirmik. or.id, diakses 10 Juni 2026.
Aldio, A.H. et al., 2022. Evaluasi Penerapan Sistem Informasi Manajemen Puskesmas (SIMPUS). Jurnal Ilmiah Indonesia 2 (April), 503–514. Tersedia di: https://www.research gate.net/publication/360590014, diakses 21 Juni 2026.
Ariani, S., 2023. Analisis Keberhasilan Implementasi Rekam Medis Elektronik Dalam Meningkatkan Efisiensi dan Mutu Pelayanan. Jurnal Kesehatan dan Kedokteran 2 (2), 7–14. Tersedia di: https://journal. admi.or.id/index.php/JUKEKE/article/view/720, diakses 8 Februari 2026.
Bella, C.R., Ummah, S., Isnaeni, R., 2025. Evaluasi Sistem Informasi Manajemen Puskesmas (SIMPUS) dengan Pendekatan HOT-Fit Model di Puskesmas Baturraden II. Indonesian of Health Information Management Journal (INOHIM) 13 (1), 29–41. Tersedia di: https:// inohim.esaunggul.ac.id/index.php/INO/article/view/660, diakses 20 Juni 2026.
Cipta, D.A., Widiyanto, W.W., 2026. Evaluasi Implementasi RME Rawat Jalan RSU Fitri Candra Wonogiri Berbasis HOT-Fit. Jurnal Manajemen Informasi dan Administrasi Kesehatan 9 (1), 144–160. Tersedia di: https://journal. univetbantara.ac.id/index.php/jmiak-rekammedis/article/view/8196, diakses 21 Juni 2026.
Himastuti, R., Pinandito, A., Pradana, F., 2023. Analisis Penerimaan Rekam Medis Elektronik (RME) di Puskesmas dengan menggunakan Technology Acceptance Model (TAM). Jurnal Pengembangan Teknologi Informasi dan Ilmu Komputer 7 (5), 2628–2633. Tersedia di: https://j-ptiik.ub.ac.id/ index.php/j-ptiik/article/view/127 75, diakses 8 Juni 2026.
Judijanto, L. et al., 2026. Analisis dan Perancangan Sistem Informasi Kesehatan. Penerbit Buku Sonpedia, Jambi.
Kusumah, R.M., 2022. Analisa Perbandingan Antara Rekam Medis Elektronik dan Manual. Jurnal Penelitian dan Pengabdian Masyarakat 1 (9), 595–604. Tersedia di: https://www. researchgate.net/publication/360625523, diakses 14 Juni 2026.
Maulina, F.C. et al., 2025. Evaluasi Sistem Informasi Puskesmas (SIMPUS) Dengan Pendekatan Analytical Hierarchy Process Dan Technology Acceptance Modelling Di UPTD Puskesmas Pamulang. Prosiding SEMLITMAS: Diseminasi Penelitian Pengabdian Masyarakat 2 (1), 42–53. Tersedia di: https://open journal.wdh.ac.id/index.php/PROSIDINGSEMLITMAS/article/view/1063, diakses 21 Juni 2026.
Nilawati, N.P.I. et al., 2022. Evaluasi Sistem Informasi Kesehatan Kabupaten/ Kota di Puskesmas II Denpasar Barat Menggunakan Metode HOT Fit. Jurnal Manajemen Informasi Kesehatan Indonesia, 105–112. Tersedia di: https://jmiki.aptirmik. or.id, diakses 9 Januari 2026.
Nurcahyanti, K.K.A., 2025. Inovasi Manajemen Mutu Pelayanan Kesehatan di Era Digital: Pengaruh Kualitas Pelayanan terhadap Kepuasan Pasien di Fasilitas Kesehatan Primer. RIGGS: Journal of Artificial Intelligence and Digital Business 4 (3), 6025–6030. Tersedia di: https://doi.org/10.31004/riggs. v4i3.2838, diakses
Putri, H.M., Pertiwi, T.S., 2022. Implementasi Bridging System antara E-Puskesmas NG dengan P-Care di Puskesmas Andalas Padang. Jurnal Kesehatan Masyarakat Celebes 3 (2). Tersedia di: https://jkmc. or.id/ojs/index.php/jkmc/article/view/112, diakses 20 Juni 2026.
Rokim, A. et al., 2024. Evaluasi Sistem Informasi Manajemen Puskesmas (SIMPUS) dengan Metode HOT-Fit di Puskesmas Kecamatan Cakung. Jurnal Manajemen Informasi Kesehatan Indonesia, 1–8. Tersedia di: https://jmiki.aptirmik.or.id/ jmiki/article/view/495, diakses 21 Juni 2026.
Rusdiana, A., Yogaswara, D., Annashr, N.N., 2024. Analisis Implementasi Rekam Medis Elektronik Berdasarkan Faktor HOT-Fit Di Puskesmas Kawalu Kota Tasikmalaya Tahun 2023. Jurnal Kesehatan Komunitas Indonesia 20 (2), 108–126. Tersedia di: https://jurnal.unsil.ac.id/index. php/jkki/article/view/12672, diakses 26 Februari 2026.
Saroso, P.S. et al., 2021. Model Peningkatan Pemanfaatan Sistem Informasi Rumah Sakit Berdasarkan Metode HOT-Fit di RSPI. Jurnal Pembangunan Manusia dan Kebudayaan (Darmawanti), 153–166. Tersedia di: https://digilib. esaunggul.ac.id/UEU-Journal-11_2428/23784, diakses 9 Januari 2026.
Siswati, S., Syafrawati, Khairunnisa, M., 2025. Implementation Using HOT-FIT Method at Public Health Centers in Padang City. Jurnal Kesehatan Komunitas 11 (1), 64–73. Tersedia di: https://jurnal.htp.ac.id/index. php/keskom/article/view/2140, diakses 26 Februari 2026.
Sukarmayasa, I.M. et al., 2024. Kesiapan Integrasi e-Puskesmas dengan SATUSEHAT di Puskesmas Kota Denpasar. Jurnal Kesehatan Vokasional 9 (4), 301–315. Tersedia di: https://journal.ugm.ac.id/jke svo/ article/view/99335, diakses 20 Juni 2026.
Wijayanti, E.P., Nurhayati, A., 2024. Evaluasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) dengan Metode HOT-Fit pada Unit Rawat Jalan di Rumah Sakit PKU Muhammadiyah Kartasura. Jurnal Ilmu Kesehatan dan Gizi 2 (3). Tersedia di: https:// prin.or.id/index.php/jig/article/view/3092, diakses 8 Januari 2026.
Wujani, N.L.G.P. et al., 2024. Evaluasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) Dengan Metode HOT-Fit di Rumah Sakit Dharma Kerti. Indonesian of Health Information Management Journal (INOHIM) 12 (2), 91–101. Tersedia di: https:// inohim.esaunggul.ac.id, diakses 10 Juni 2026.
Yusof, M.M. et al., 2008. An Evaluation Framework for Health Information Systems: Human, Organization and Technology-Fit Factors (HOT-fit). International Journal of Medical Informatics 77 (6), 386–398. Tersedia di: https://www.science direct.com/science/article/abs/pii/S1386505607001608, diakses 9 Januari 2026.



