Supporting and Inhibiting Factors in Implementing Electronic Medical Records (EMR) Policy in Indonesia

Abstract

Health service facilities are obliged to provide quality services to patients. The increasingly rapid pace of information technology has influenced digital health services, one of which is through Electronic Medical Record (EMR) services. EMR, can improve the quality of health services for patients. The government issued a policy regarding medical records through the Indonesian Ministry of Health’s Regulation Number 24 of 2022 on Medical Records mandating that all health facilities implement EMR by December 2023. However, health facilities have not fully complied this policy. Based on the monitoring of the SATU SEHAT implementation, only 61.42% of health service facilities in Indonesia have adopted EMR due to several obstacles related to human resources, infrastructure, and management elements. This research aims to analyze the supporting and inhibiting factors in the implementation of the EMR policy in health service facilities in Indonesia. The research used a narrative review method by searching for articles using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, resulting in16 journals that were the required criteria. The analysis of these 16 articles show that, in general, health service facilities in Indonesia are ready to implement EMR. However, the implementation of the EMR policy faces inhibiting factors, such as unprepared IT infrastructure, lack of EMR implementation guidelines, and insufficient human resource training. Supporting factors include policies regulated by the Ministry of Health and government facilitation in implementing EMR. To achieve success in implementing the EMR policy, efforts are needed to improve IT infrastructure, improve the quality of EMR, develop strategies for EMR implementation, and provide continuous government assistance from the to health service facilities.