The Impact of Electronic Medical Record Implementation on the Effectiveness of Healthcare Services at Karangsari Public Health Center
Abstract
Community health centers (Puskesmas), as primary-level healthcare facilities, bear a significant responsibility in providing essential medical services. The ongoing digital transformation, particularly through the implementation of integrated Electronic Medical Record (EMR) systems such as SIMPUS, aims to enhance service delivery. This study seeks to evaluate the impact of EMR implementation on service effectiveness at Karangsari Community Health Center. A quantitative method with a descriptive approach was employed. The population consisted of all patients, with a random sample of 20 respondents selected. Data were collected through questionnaires, observation, literature review, and interviews, and analyzed using SPSS version 25. Validity and reliability tests indicated that the research instrument was both appropriate and consistent (r_calculated > r_table; Cronbach’s α = 0.930). Correlation analysis showed a very strong relationship between EMR implementation and service effectiveness, with a correlation coefficient of r = 0.994 (p < 0.01). Regression analysis revealed that EMR implementation could potentially increase service effectiveness by a coefficient of 1.226, with the independent variable contributing 98.9% to the variation in service effectiveness (R² = 0.989). Despite the proven effectiveness and highly significant impact of EMR systems at Karangsari Community Health Center, several technical challenges were identified, including network instability, automatic credential storage issues, and the absence of electronic signature features. Recommendations include enhancing data security, improving network infrastructure, and incorporating digital signature functionality to ensure data availability, confidentiality, and integrity. These improvements are expected to further optimize EMR implementation and improve the quality of healthcare services at the Puskesmas.
