Background: Technological developments have triggered a transformation in the implementation of electronic medical records (RME) in Indonesia, in line with regulations that require the implementation of RME in all health service facilities by the end of 2023. Although it has been proven to increase efficiency and reduce medical errors, the implementation of RME faces challenges such as infrastructure readiness and risk factors cultural. Purpose: To identify factors that influence the success of RME implementation, including performance expectations and the use of RME in health facilities in Indonesia. Method: The design of this research is quantitative, observational analytical type with a cross-sectional approach. The population of this study were employees of Community Health Centers in Kediri Regency. The probability sampling technique using a random sampling approach obtained a sample of 336 employees in 33 Community Health Centers and SmartPLS 2.9.8 was used to test the hypothesis. The variables used in this research are: performance expectancy (X1), effort expectancy (X2), Readiness for Change (Z), and Usage Intention (Y). Results: The results of the research show that there is a direct influence of performance expectancy, effort expectancy, and Readiness to Change on Usage Intention with P = 0.000. Individual Change Readiness Mediates performance expectancy and effort expectancy on Usage Intention, which has a significant effect with a P value of 0.001. Conclusion: This research concludes that new insights into the critical role of change readiness as a mediator between technology acceptance factors and behavioral intentions.
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