User-Centric Evaluation of EMR Implementation with EUCS Framework in a Mid-Tier Indonesian Hospital
DOI:
https://doi.org/10.70062/globalhealth.v2i2.188Keywords:
Electronic Medical Record, EUCS, User Satisfaction, Healthcare Information System, UsabilityAbstract
Electronic Medical Record (EMR) systems have become a fundamental component of hospital information systems, aiming to improve the quality, efficiency, and continuity of patient care. However, the success of EMR implementation depends largely on user satisfaction. This study investigates user satisfaction with the EMR system implemented at Dr. Soetarto (DKT) Hospital, a mid-tier hospital in Yogyakarta, Indonesia. The research addresses issues related to usability, data accuracy, and system responsiveness that potentially hinder effective EMR usage. The objective is to evaluate user satisfaction using the End User Computing Satisfaction (EUCS) framework, which consists of five dimensions: content, accuracy, format, ease of use, and timeliness. A quantitative approach was applied through a structured questionnaire distributed to 40 healthcare workers, including medical records staff, nurses, pharmacists, and administrative personnel. Data analysis using Spearman correlation revealed significant positive relationships among all EUCS dimensions, with the strongest association found between format and ease of use. The findings indicate that while users are generally satisfied with the system’s performance, improvements are still needed in timely data retrieval and user interface consistency. This study highlights the critical need for continuous system evaluation and end-user involvement to optimize EMR functionality and healthcare service delivery.
References
V. Ramoo, A. Kamaruddin, W. N. F. W. Nawawi, C. C. Che, and R. Kavitha, “Nurses' perception and satisfaction toward electronic medical record system in a teaching hospital,” Florence Nightingale J. Nurs., vol. 31, no. 1, pp. 2–10, Feb. 2023, doi: 10.5152/FNJN.2022.22061.
A. L. Kurniawan and M. Arini, “Effectiveness and user satisfaction of electronic medical records in private hospital,” J. Penelit. Pendidik. IPA, vol. 10, no. 11, pp. 8578–8588, Nov. 2024, doi: 10.29303/jppipa.v10i11.9204.
D. A. Putra and W. W. Widiyanto, “Evaluation of electronic medical record user satisfaction in Baros public health center using the end user computing satisfaction model,” Science Midwifery, vol. 13, no. 1, pp. 102–110, 2025, doi: 10.35335/midwifery.v13i1.1860.
N. S. Meiyana et al., “Analysis of hospital management information system satisfaction using the end-user computing satisfaction method: a cross-sectional study,” J. Keperawatan Padjadjaran, vol. 11, no. 1, pp. 4–11, 2023, doi: 10.24198/jkp.v11i1.2099.
G. Al‑Mujaini, Y. Al‑Farsi, A. Al‑Maniri, and A. Ganesh, “Satisfaction and perceived quality of an electronic medical record system in a tertiary hospital in Oman,” Oman Med. J., vol. 26, no. 5, pp. 324–328, Sep. 2011, doi: 10.5001/omj.2011.81.
R. Rizqulloh, M. Iqbal, and D. Kurniawati, “Evaluation of user satisfaction of electronic medical record system at RSI Sultan Agung Semarang,” J. Kesehat. Masy. FKM UMI, vol. 8, no. 1, pp. 1–12, Jan. 2025, doi: 10.33096/woh.vi.1619.
D. A. Putra and W. W. Widiyanto, “Evaluation of electronic medical record user satisfaction in Baros public health center using the end user computing satisfaction model,” Science Midwifery, vol. 13, no. 1, pp. 102–110, 2025, doi: 10.35335/midwifery.v13i1.1860.
S. N. N. Htay, S. A. Salman, and A. K. M. Meera, “End‑User Computing Satisfaction (EUCS) towards computerized accounting system in public sector: a validation of instrument,” J. Internet Bank. Commer., vol. 18, pp. 1–10, 2013.
K. Lim, J.-S. Lim, and J. H. Heinrichs, “Validating an end-user computing satisfaction instrument: a confirmatory factor analysis approach using international data,” J. Int. Technol. Inf. Manage., vol. 17, no. 2, pp. 153–165, 2008.
A. B. Mutiara, A. Muslim, T. Oswari, and R. A. Miharja, “A model of OpenEHR based electronic medical record in Indonesia,” arXiv preprint arXiv:1212.6062, Dec. 2012.
R. Juliansyah, B. M. Aqid, A. P. Salsabila, and K. Nurfiyanti, “Implementation of EMR system in Indonesian health facilities: benefits and constraints,” arXiv preprint arXiv:2410.07325, Oct. 2024.
R. Tulu et al., “User satisfaction and system quality of EMR in Sub‑Saharan Africa,” Int. J. Med. Inform., vol. 155, p. 104115, Jun. 2024, doi: 10.1016/j.ijmedinf.2024.104115.
W. Doll and G. Torkzadeh, “Test‑retest reliability of the end‑user computing satisfaction instrument,” Decis. Sci., vol. 22, no. 1, pp. 26–38, Feb. 1991, doi: 10.1111/j.1540‑5915.1991.tb01259.x.
T. Setiadi et al., “Digital image steganography survey and investigation (goal, assessment, method, development, and dataset),” Signal Process., vol. 206, p. 108908, May 2023, doi: 10.1016/j.sigpro.2022.108908.
R. Sinta, A. Sari, and M. Widiyanti, “Perceived ease of use and satisfaction in EMR implementation at PKU Muhammadiyah Yogyakarta,” Health Res. J., 2021.
V. Nawawi et al., “Gender differences in electronic medical records satisfaction in Klang Valley,” Gov. EMR Syst. Users, Aug. 2022.
D. A. Putri, M. W. Santi, and R. A. Wijayanti, “Evaluation of SISMINDU with the EUCS method at Dr. Saiful Anwar Malang Hospital,” J‑REMI, vol. 1, no. 4, pp. 575–581, 2020, doi: 10.25047/j‑remi.v1i3.2052.
N. S. Meiyana et al., “Analysis of hospital management information system satisfaction using the end-user computing satisfaction method: a cross-sectional study,” J. Keperawatan Padjadjaran, vol. 11, no. 1, pp. 4–11, 2023, doi: 10.24198/jkp.v11i1.2099.
G. Al‑Mujaini, Y. Al‑Farsi, A. Al‑Maniri, and A. Ganesh, “Satisfaction and perceived quality of an electronic medical record system in a tertiary hospital in Oman,” Oman Med. J., vol. 26, no. 5, pp. 324–328, 2011, doi: 10.5001/omj.2011.81.
S. Ramoo et al., “Nurses’ perception and satisfaction toward EMR system in a teaching hospital,” Florence Nightingale J. Nurs., vol. 31, no. 1, pp. 2–10, 2023, doi: 10.5152/FNJN.2022.22061.
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