Role of leadership management and organizational work culture on electronic medical records in the Indonesian health service sector

Abstract

Introduction An international trend in health care is the use of information technology, particularly electronic medical records (EMR). Electronic medical records are increasingly being filled out incorrectly, which does not reflect a standard implementation. In the meantime, the number of pandemic victims increases each month. The goal of this study was to examine the importance of human resources, infrastructure, leadership, governance, and organizational work culture in the implementation of electronic medical records. Methods: This study was a cross-sectional study utilizing a quantitative descriptive methodology and was statistically evaluated using the Partial Least Square technique (PLS), a part of variant-based Structural Equation Modeling (SEM). Convergent and discriminant validity of the indicators and composite reliability for indicator blocks were used to evaluate the measurement or Outer Model with reflecting indicators. Results: The findings showed that positive EMR readiness was primarily associated with male officers who were 36 to 42 years old, had a university degree, and had been employed for more than five years. T-statistic values for organizational work culture and leadership management are 3.077 and 2.218, respectively, with means greater than 1.96. Meanwhile, the means for infrastructure and human resources are 1.96 and 0.942, respectively. Conclusion: Organizational work culture and leadership management have a significant effect on EMR readiness in hospitals compared to human resources and infrastructure with opposite results.