Evaluating Electronic Medical Record Implementation: Human Resource Readiness, System Efficiency, and Service Quality

Abstract

The implementation of Electronic Medical Records (RME) is a strategic initiative in advancing digital health transformation in Indonesia. The primary healthcare level, especially in Puskesmas, the readiness and success of RME still face challenges. Limitations in infrastructure, insufficient human resource capacity, and the lack of consistent training are key issues impacting the effectiveness of RME implementation. This study aims to assess the actual implementation of RME in selected by reviewing insights from various scientific sources. It also highlights both the supporting and hindering factors influencing the digitalization process within primary health services.  Systematic Literature Review (SLR) approach was analyzing peer-reviewed articles published from 2020-2024, focusing on RME readiness and implementation in Indonesian Puskesmas. The literature was examined based on study locations, research variables, methodologies. Findings indicate that RME is strongly shaped by staff training, technical capacity, leadership involvement, and policy support. Puskesmas with proactive management and adequately trained staff are more prepared. However, numerous health centers unprepared in terms of technical and operational capabilities. The success of RME implementation requires internal organizational competent human resources and robust technological infrastructure. Support from local and national governments is crucial to close the gap in readiness across regions.