Analisis Implementasi Rekam Medis Elektronik Berdasarkan Model HOT-FIT terhadap Kepuasan Pasien di Puskesmas Koncara Kabupaten Purwakarta

Raden Winda Hermawati; M. Arifki Zainaro; Samino

doi:10.62027/vitamedica.v4i4.1052

Authors

Raden Winda Hermawati Universitas Malahayati
M. Arifki Zainaro Universitas Malahayati
Samino Universitas Malahayati

DOI:

https://doi.org/10.62027/vitamedica.v4i4.1052

Keywords:

Electronic Medical Record, HOT-FIT, Human, Organization, Patient Satisfaction, Technology

Abstract

Digital transformation in health services through Electronic Medical Records (EMR) is expected to improve service efficiency, information accuracy, and patient experience. Successful EMR implementation depends not only on technology but also on the fit between human and organizational factors. This study aimed to analyze EMR implementation based on the Human, Organization, Technology-Fit (HOT-FIT) model in relation to patient satisfaction at Koncara Public Health Center, Purwakarta Regency. This observational analytic quantitative study used a cross-sectional design. A total of 100 patients were selected using purposive sampling. Data were collected using a four-point Likert questionnaire measuring Human, Organization, Technology, and Patient Satisfaction. Data analysis included univariate analysis, normality testing, Spearman correlation, and multiple linear regression using IBM SPSS Statistics. Human was strongly correlated with patient satisfaction (rho=0.793; p<0.001), Organization also showed a strong correlation (rho=0.701; p<0.001), and Technology had the strongest correlation (rho=0.844; p<0.001). Multiple linear regression showed significant partial effects of Human (B=0.287; p<0.001), Organization (B=0.213; p=0.004), and Technology (B=0.457; p<0.001). The overall model was significant (F=127.282; p<0.001) with R²=0.799, and Technology was the dominant predictor (β=0.499). Patient satisfaction was statistically associated with the fit among Human, Organization, and Technology. The health center should prioritize EMR system stability and quality while strengthening staff competence and service governance.

References

Ammenwerth, E., Iller, C., & Mahler, C. (2006). IT-adoption and the interaction of task, Technology and individuals: A fit framework and a case study. BMC Medical Informatics and Decision Making, 6, Article 3. https://doi.org/10.1186/1472-6947-6-3

Darmawan, D., Rahmawati, R., & Saprudin. (2026). Paradoks Digitalisasi Rekam Medis Elektronik: Analisis Korelasional Bottleneck Pelayanan, Kepuasan Pasien dan Akurasi Data di Puskesmas Kota Batu Kabupaten Bogor. Jurnal Kesehatan Masyarakat, 12(1), 45–58.

DeLone, W. H., & McLean, E. R. (2003). The DeLone and McLean model of information systems success: A ten-year update. Journal of Management Information Systems, 19(4), 9–30. https://doi.org/10.1080/07421222.2003.11045748

Dhingra, D., & Dabas, A. (2020). Global strategy on digital health. Indian Pediatrics, 57(4), 356–363. https://doi.org/10.1007/s13312-020-1789-7

Ghozali, I. (2021). Aplikasi analisis multivariate dengan program IBM SPSS 26. Badan Penerbit Universitas Diponegoro.

Hapsari, W. P., Labib, U. A., Haryanto, H., & Safitri, D. W. (2021). A literature review of Human, Organization, Technology (HOT)-Fit evaluation model. Proceedings of the 6th International Seminar on Science Education, 876–883. https://doi.org/10.2991/assehr.k.210326.125

Kotler, P., & Keller, K. L. (2016). Marketing management (15th ed.). Pearson Education, Inc.

Lisnawati, S., Karmanto, B., Mohammad, M. I., & Khasanah, L. (2025). Analisis implementasi E-Puskesmas rekam medis elektronik yang terintegrasi dengan aplikasi SATUSEHAT di Puskesmas Kesunean Kota Cirebon. Jurnal Informasi Kesehatan Indonesia, 11(1), 12–25. https://doi.org/10.36002/js.v4i1.3819

Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis. Kementerian Kesehatan Republik Indonesia.

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 Manajemen Informasi Kesehatan Indonesia, 12(2), 101–112. https://doi.org/10.37058/jkki.v20i2.12672

Siswati, S., Syafrawati, & Khairunnisa, M. (2025). Penilaian implementasi rekam medis elektronik dengan metode HOT-FIT di Puskesmas Kota Padang. Jurnal Sistem Informasi Kesehatan, 10(1), 33–44. https://doi.org/10.25311/keskom.Vol11.Iss1.2140

Sopian, I. A., & Setiatin, S. (2024). Implementasi rekam medis elektronik terhadap kepuasan pasien di Puskesmas Linggar. Jurnal Rekam Medis dan Informasi Kesehatan, 7(1), 15–24.

Sudarta, C. S., Aini, N. D. N., & D.K., B. D. (2025). Analisis penerapan rekam medis elektronik (RME) menggunakan metode HOT-FIT di Puskesmas Ciptomulyo. Jurnal Evaluasi Pelayanan Kesehatan, 8(1), 88–99.

Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.

Tawar, T., Lazuardi, L., & Sanjaya, G. Y. (2022). Evaluasi penerapan rekam medis elektronik menggunakan framework HOT-Fit: Systematic literature review. Jurnal Kesehatan Vokasional, 7(3), 145–156.

Yusof, M. M., Kuljis, J., Papazafeiropoulou, A., & Stergioulas, L. K. (2008a). An evaluation framework for Health Information Systems: Human, Organization and Technology-fit factors (HOT-fit). International Journal of Medical Informatics, 77(6), 386–398. https://doi.org/10.1016/j.ijmedinf.2007.08.011